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Interventions for replacing missing teeth: augmentation procedures of the maxillary sinus.

Identifieur interne : 001A10 ( PubMed/Corpus ); précédent : 001A09; suivant : 001A11

Interventions for replacing missing teeth: augmentation procedures of the maxillary sinus.

Auteurs : Marco Esposito ; Maria Gabriella Grusovin ; Jonathan Rees ; Dimitrios Karasoulos ; Pietro Felice ; Rami Alissa ; Helen V. Worthington ; Paul Coulthard

Source :

RBID : pubmed:20238367

English descriptors

Abstract

Insufficient bone volume is a common problem encountered in the rehabilitation of the edentulous posterior maxillae with implant-supported prostheses. Bone volume is limited by the presence of the maxillary sinus together with loss of alveolar bone height. Sinus lift procedures increase bone volume by augmenting the sinus cavity with autogenous bone and/or commercially available biomaterials.

DOI: 10.1002/14651858.CD008397
PubMed: 20238367

Links to Exploration step

pubmed:20238367

Le document en format XML

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<title xml:lang="en">Interventions for replacing missing teeth: augmentation procedures of the maxillary sinus.</title>
<author>
<name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name>
<affiliation>
<nlm:affiliation>Department of Oral and Maxillofacial Surgery, School of Dentistry, The University of Manchester, Higher Cambridge Street, Manchester, UK, M15 6FH.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Grusovin, Maria Gabriella" sort="Grusovin, Maria Gabriella" uniqKey="Grusovin M" first="Maria Gabriella" last="Grusovin">Maria Gabriella Grusovin</name>
</author>
<author>
<name sortKey="Rees, Jonathan" sort="Rees, Jonathan" uniqKey="Rees J" first="Jonathan" last="Rees">Jonathan Rees</name>
</author>
<author>
<name sortKey="Karasoulos, Dimitrios" sort="Karasoulos, Dimitrios" uniqKey="Karasoulos D" first="Dimitrios" last="Karasoulos">Dimitrios Karasoulos</name>
</author>
<author>
<name sortKey="Felice, Pietro" sort="Felice, Pietro" uniqKey="Felice P" first="Pietro" last="Felice">Pietro Felice</name>
</author>
<author>
<name sortKey="Alissa, Rami" sort="Alissa, Rami" uniqKey="Alissa R" first="Rami" last="Alissa">Rami Alissa</name>
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<name sortKey="Worthington, Helen V" sort="Worthington, Helen V" uniqKey="Worthington H" first="Helen V" last="Worthington">Helen V. Worthington</name>
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<name sortKey="Coulthard, Paul" sort="Coulthard, Paul" uniqKey="Coulthard P" first="Paul" last="Coulthard">Paul Coulthard</name>
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<title xml:lang="en">Interventions for replacing missing teeth: augmentation procedures of the maxillary sinus.</title>
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<name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name>
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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, School of Dentistry, The University of Manchester, Higher Cambridge Street, Manchester, UK, M15 6FH.</nlm:affiliation>
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<name sortKey="Grusovin, Maria Gabriella" sort="Grusovin, Maria Gabriella" uniqKey="Grusovin M" first="Maria Gabriella" last="Grusovin">Maria Gabriella Grusovin</name>
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<author>
<name sortKey="Rees, Jonathan" sort="Rees, Jonathan" uniqKey="Rees J" first="Jonathan" last="Rees">Jonathan Rees</name>
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<author>
<name sortKey="Karasoulos, Dimitrios" sort="Karasoulos, Dimitrios" uniqKey="Karasoulos D" first="Dimitrios" last="Karasoulos">Dimitrios Karasoulos</name>
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<name sortKey="Felice, Pietro" sort="Felice, Pietro" uniqKey="Felice P" first="Pietro" last="Felice">Pietro Felice</name>
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<name sortKey="Alissa, Rami" sort="Alissa, Rami" uniqKey="Alissa R" first="Rami" last="Alissa">Rami Alissa</name>
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<name sortKey="Worthington, Helen V" sort="Worthington, Helen V" uniqKey="Worthington H" first="Helen V" last="Worthington">Helen V. Worthington</name>
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<name sortKey="Coulthard, Paul" sort="Coulthard, Paul" uniqKey="Coulthard P" first="Paul" last="Coulthard">Paul Coulthard</name>
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<title level="j">The Cochrane database of systematic reviews</title>
<idno type="eISSN">1469-493X</idno>
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<date when="2010" type="published">2010</date>
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<term>Alveolar Ridge Augmentation (methods)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Maxillary Sinus (surgery)</term>
<term>Randomized Controlled Trials as Topic</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Maxillary Sinus</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Humans</term>
<term>Randomized Controlled Trials as Topic</term>
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<front>
<div type="abstract" xml:lang="en">Insufficient bone volume is a common problem encountered in the rehabilitation of the edentulous posterior maxillae with implant-supported prostheses. Bone volume is limited by the presence of the maxillary sinus together with loss of alveolar bone height. Sinus lift procedures increase bone volume by augmenting the sinus cavity with autogenous bone and/or commercially available biomaterials.</div>
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<PMID Version="1">20238367</PMID>
<DateCompleted>
<Year>2010</Year>
<Month>04</Month>
<Day>26</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>06</Month>
<Day>18</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1469-493X</ISSN>
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<Issue>3</Issue>
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<Year>2010</Year>
<Month>Mar</Month>
<Day>17</Day>
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<Title>The Cochrane database of systematic reviews</Title>
<ISOAbbreviation>Cochrane Database Syst Rev</ISOAbbreviation>
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<ArticleTitle>Interventions for replacing missing teeth: augmentation procedures of the maxillary sinus.</ArticleTitle>
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<MedlinePgn>CD008397</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1002/14651858.CD008397</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Insufficient bone volume is a common problem encountered in the rehabilitation of the edentulous posterior maxillae with implant-supported prostheses. Bone volume is limited by the presence of the maxillary sinus together with loss of alveolar bone height. Sinus lift procedures increase bone volume by augmenting the sinus cavity with autogenous bone and/or commercially available biomaterials.</AbstractText>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To determine whether and when augmentation of the maxillary sinus are necessary and which are the most effective augmentation techniques for rehabilitating patients with implant-supported prostheses.</AbstractText>
<AbstractText Label="SEARCH STRATEGY" NlmCategory="METHODS">The Cochrane Oral Health Group's Trials Register, CENTRAL, MEDLINE and EMBASE were searched on 7th January 2010. Several dental journals were handsearched. The bibliographies of review articles were checked, and personal references were searched. More than 55 implant manufacturing companies were also contacted.</AbstractText>
<AbstractText Label="SELECTION CRITERIA" NlmCategory="METHODS">Randomised controlled trials (RCTs) of different techniques and materials for augmenting the maxillary sinus for rehabilitation with dental implants reporting the outcome of implant success/failure at least to abutment connection.</AbstractText>
<AbstractText Label="DATA COLLECTION AND ANALYSIS" NlmCategory="METHODS">Screening of eligible studies, assessment of the methodological quality of the trials and data extraction were conducted independently and in duplicate. Authors were contacted for any missing information. Results were expressed as random-effects models using mean differences for continuous outcomes and odds ratios for dichotomous outcomes with 95% confidence intervals. The statistical unit of the analysis was the patient.</AbstractText>
<AbstractText Label="MAIN RESULTS" NlmCategory="RESULTS">Ten RCTs out of 29 met the inclusion criteria. One trial of 15 patients evaluated implants 5 mm long with 6 mm diameter as an alternative to sinus lift in bone with a residual height of 4 to 6 mm. Nine trials with 235 patients compared different sinus lift techniques; of these four trials (114 patients) evaluated the efficacy of platelet-rich plasma (PRP). Due to the variety of techniques evaluated, meta-analysis was only possible of use of PRP for implant failure (two trials) and complications (three trials). No statistically significant difference was observed.</AbstractText>
<AbstractText Label="AUTHORS' CONCLUSIONS" NlmCategory="CONCLUSIONS">Conclusions are based on few small trials, with short follow-up, and judged to be at high risk of bias. Therefore conclusions should be viewed as preliminary and interpreted with great caution. It is still unclear when sinus lift procedures are needed. 5 mm short implants can be successfully loaded in maxillary bone with a residual height of 4 to 6 mm but their long-term prognosis is unknown. Elevating the sinus lining in presence of 1 to 5 mm of residual bone height without the addition of a bone graft may be sufficient to regenerate new bone to allow rehabilitation with implant-supported prostheses. Bone substitutes might be successfully used as replacements for autogenous bone. If the residual alveolar bone height is 3 to 6 mm a crestal approach to lift the sinus lining, to place 8 mm implants may lead to fewer complications than a lateral window approach, to place implants at least 10 mm long. There is no evidence that PRP treatment improves the clinical outcome of sinus lift procedures with autogenous bone or bone substitutes.</AbstractText>
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<RefSource>Cochrane Database Syst Rev. 2014;5:CD008397</RefSource>
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<DescriptorName UI="D008443" MajorTopicYN="N">Maxillary Sinus</DescriptorName>
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