Osteotome sinus floor elevation without grafting material: Results of a 2-year prospective study
Identifieur interne : 001845 ( Main/Curation ); précédent : 001844; suivant : 001846Osteotome sinus floor elevation without grafting material: Results of a 2-year prospective study
Auteurs : Aritza Brizuela [Espagne] ; Nerea Martín [Espagne] ; Felipe J. Fernández-Gonzalez [Espagne] ; Carolina Larrazábal [Espagne] ; Alberto Anta [Espagne]Source :
- Journal of Clinical and Experimental Dentistry [ 1989-5488 ] ; 2014.
Abstract
Objectives: The aim of this prospective clinical trial was to evaluate the success implant rates during 24 months using OSFE procedure without grafting materials. Study design: 42 adult patients (22 female, 15 male) were selected according to Nedir et al´s inclusion criteria of which 5 patients were excluded, due to periapical pathology in adjacent teeth (n=3) and treatment with bisphosphonates (n=2). 37 patients aged 31-68 years were selected. Smokers were divided in two groups depending on the number of cigarettes consumed per day (a) 0-10, (b) 11-20. One patient was excluded because he was lost to follow-up at 24 months A total of 36 threaded implants were placed, ∅4,1mm Straumann® (Straumann AG, Waldenburg, Switzerland) and ∅3,5mm Klockner® (Klockner Implant System, Barcelona, Spain). The most used implant diameter was 4,1 mm (n=29), followed by 3,5 mm (n=7), and length used was 10 mm (n=32) and 8 mm (n=4). Initial RBH ranged from 4 mm to 9 mm. All statistical data were processed using the program R 3.0.2 for windows. Results: A total of 36 threaded implants were placed. Residual bone height (RBH) at implant placement averaged 7,4 ± 0,4 mm. Mean bone gain was 1,8 ± 0,3 mm. Four implants showed a bone gain exceeding 3 mm. Mean implant protrusion length into the sinus amounted to 2.1 ± 0,3 mm. Regarding the relationship between smoking and periodontal probes, no statistically significant differences were found (P=0,25), neither in relation to the number of threads that the implants showed (P=0,29) or bone gain (P=0,79). After 24 months the implant success rate was 91,6%. Conclusions: Implant rehabilitation of edentulous atrophied posterior maxilla can be safely performed and simplified using the OSFE technique without grafting with reliable long-term results.
Url:
DOI: 10.4317/jced.51576
PubMed: 25674312
PubMed Central: 4312672
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PMC:4312672Le document en format XML
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Results of a 2-year prospective study</title>
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<author><name sortKey="Martin, Nerea" sort="Martin, Nerea" uniqKey="Martin N" first="Nerea" last="Martín">Nerea Martín</name>
<affiliation wicri:level="1"><nlm:aff id="A2">DDS. Professor, Department of Integrated Adult Dentistry, Department of Stomatology, School of Medicine and Dentistry, University of the Basque Country, Leioa, Spain</nlm:aff>
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<author><name sortKey="Fernandez Gonzalez, Felipe J" sort="Fernandez Gonzalez, Felipe J" uniqKey="Fernandez Gonzalez F" first="Felipe J." last="Fernández-Gonzalez">Felipe J. Fernández-Gonzalez</name>
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<author><name sortKey="Anta, Alberto" sort="Anta, Alberto" uniqKey="Anta A" first="Alberto" last="Anta">Alberto Anta</name>
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<front><div type="abstract" xml:lang="en"><p>Objectives: The aim of this prospective clinical trial was to evaluate the success implant rates during 24 months using OSFE procedure without grafting materials.
Study design: 42 adult patients (22 female, 15 male) were selected according to Nedir et al´s inclusion criteria of which 5 patients were excluded, due to periapical pathology in adjacent teeth (n=3) and treatment with bisphosphonates (n=2). 37 patients aged 31-68 years were selected. Smokers were divided in two groups depending on the number of cigarettes consumed per day (a) 0-10, (b) 11-20. One patient was excluded because he was lost to follow-up at 24 months A total of 36 threaded implants were placed, ∅4,1mm Straumann® (Straumann AG, Waldenburg, Switzerland) and ∅3,5mm Klockner® (Klockner Implant System, Barcelona, Spain). The most used implant diameter was 4,1 mm (n=29), followed by 3,5 mm (n=7), and length used was 10 mm (n=32) and 8 mm (n=4). Initial RBH ranged from 4 mm to 9 mm. All statistical data were processed using the program R 3.0.2 for windows.
Results: A total of 36 threaded implants were placed. Residual bone height (RBH) at implant placement averaged 7,4 ± 0,4 mm. Mean bone gain was 1,8 ± 0,3 mm. Four implants showed a bone gain exceeding 3 mm. Mean implant protrusion length into the sinus amounted to 2.1 ± 0,3 mm. Regarding the relationship between smoking and periodontal probes, no statistically significant differences were found (P=0,25), neither in relation to the number of threads that the implants showed (P=0,29) or bone gain (P=0,79). After 24 months the implant success rate was 91,6%.
Conclusions: Implant rehabilitation of edentulous atrophied posterior maxilla can be safely performed and simplified using the OSFE technique without grafting with reliable long-term results.
</p>
<p><bold> Key words:</bold>
Crestal bone loss, dental implants, internal sinus lift, no grafting, osteotome sinus elevation, grafting, sinus floor elevation.</p>
</div>
</front>
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