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Area of Science:

  • Dental Implantology
  • Oral Surgery
  • Periodontology

Background:

  • Sinus floor elevation (SFE) techniques are established for maxillary augmentation.
  • Osteotome sinus floor elevation (OSFE) is a newer crestal approach technique.
  • Evaluating OSFE's clinical outcomes is crucial for its adoption.

Purpose of the Study:

  • To systematically review and meta-analyze the clinical outcomes of dental implants placed using the OSFE technique.
  • To assess implant survival and success rates following OSFE.

Main Methods:

  • Systematic literature review and meta-analysis of online and manual searches.
  • Inclusion of studies with a minimum 6-month loaded implant follow-up.
  • Data extraction and analysis by two independent reviewers using Kaplan-Meier curves.

Main Results:

  • Eight of 44 reviewed articles met inclusion criteria; five met success criteria.
  • Implant survival rate was 95.7% and success rate was 96.0% at 24-36 months.
  • Multivariate analysis of surgical variables (technique, implant type, materials) was not possible due to data limitations.

Conclusions:

  • Short-term (<2 years) clinical outcomes of OSFE are comparable to conventional implant placement.
  • Further controlled prospective studies are necessary to evaluate long-term OSFE outcomes and surgical modifications.