Sinus floor augmentation with simultaneous implant placement in the severely atrophic maxilla : Technical problems and complications
Identifieur interne : 006B06 ( Main/Exploration ); précédent : 006B05; suivant : 006B07Sinus floor augmentation with simultaneous implant placement in the severely atrophic maxilla : Technical problems and complications
Auteurs : Ofer Mardinger [Israël] ; Joseph Nissan [Israël] ; Gavriel Chaushu [Israël]Source :
- Journal of periodontology [ 0022-3492 ] ; 2007.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
Background: A one-stage surgical technique has been adopted that allows simultaneous implant placement in as little as 1 to 2 mm of residual bone. The aim of this retrospective study was to describe results and complications in sinus augmentation of severely atrophic edentulous maxillae in patients with 1 to 3 mm residual bone height and compare them to a group of patients treated following the standard protocol with residual bone height >4 mm. Methods: The study consisted of a study group (N = 25) and a control group (N = 30). All patients were consecutive admissions treated for one-stage sinus augmentation by one surgeon during the years 2001 to 2005. Patients' medical files were reviewed mainly regarding operative technical problems and complications. Results: Included in the study were 60 sinuses and 164 simultaneous implants placed in grafted maxillary sinuses. Eight implants failed, seven of which were in the study group; three were in heavy smokers with residual bone of 1 to 3 mm. The success rate was 92% for the study group and 98.7% for the control group. A borderline statistically significant difference was found in the success rates between the groups using the Fisher exact test (P= 0.069). Conclusion: Sinus augmentation with simultaneous implant placement can be used to treat the atrophic maxilla in patients with 1 to 3 mm of vertical residual bone height when careful case planning and surgical techniques are used.
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Atrophy</term>
<term>Complication</term>
<term>Dentistry</term>
<term>Floor</term>
<term>Implant</term>
<term>Increase</term>
<term>Maxillary</term>
<term>Technique</term>
<term>Tooth</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Atrophie</term>
<term>Plancher</term>
<term>Augmentation</term>
<term>Implant</term>
<term>Maxillaire</term>
<term>Technique</term>
<term>Complication</term>
<term>Dent</term>
<term>Dentisterie</term>
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<front><div type="abstract" xml:lang="en">Background: A one-stage surgical technique has been adopted that allows simultaneous implant placement in as little as 1 to 2 mm of residual bone. The aim of this retrospective study was to describe results and complications in sinus augmentation of severely atrophic edentulous maxillae in patients with 1 to 3 mm residual bone height and compare them to a group of patients treated following the standard protocol with residual bone height >4 mm. Methods: The study consisted of a study group (N = 25) and a control group (N = 30). All patients were consecutive admissions treated for one-stage sinus augmentation by one surgeon during the years 2001 to 2005. Patients' medical files were reviewed mainly regarding operative technical problems and complications. Results: Included in the study were 60 sinuses and 164 simultaneous implants placed in grafted maxillary sinuses. Eight implants failed, seven of which were in the study group; three were in heavy smokers with residual bone of 1 to 3 mm. The success rate was 92% for the study group and 98.7% for the control group. A borderline statistically significant difference was found in the success rates between the groups using the Fisher exact test (P= 0.069). Conclusion: Sinus augmentation with simultaneous implant placement can be used to treat the atrophic maxilla in patients with 1 to 3 mm of vertical residual bone height when careful case planning and surgical techniques are used.</div>
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