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Transcrestal sinus floor elevation with a minimally invasive technique.

Leonardo Trombelli¹, Pasquale Minenna, Giovanni Franceschetti

¹Research Center for the Study of Periodontal Disease, University of Ferrara, Corso Giovecca 203, 44100 Ferrara, Italy. leonardo.trombelli@unife.it

Journal of Periodontology

|January 12, 2010

Summary

This study shows a new minimally invasive sinus floor elevation technique using specialized drills and osteotomes leads to predictable results with limited postoperative pain and complications.

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Area of Science:

Oral Surgery
Implant Dentistry
Periodontology

Background:

A novel minimally invasive technique for transcrestal sinus floor elevation was developed to reduce postoperative morbidity.
This technique utilizes specifically designed drills and osteotomes for enhanced predictability and safety.

Purpose of the Study:

To evaluate the clinical outcomes of sinus floor elevation using the proposed minimally invasive technique.
To assess the postoperative morbidity associated with this novel approach.

Main Methods:

Fourteen dental implants were placed in 11 patients using the transcrestal sinus floor elevation technique.
Postoperative pain and discomfort were measured using a 100-mm visual analog scale (VAS).
Intraoperative and postoperative complications were meticulously recorded, and radiographic assessment of bone regeneration was performed at 6 months.

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Main Results:

Pre-surgery residual bone height averaged 6.1 mm, with implants averaging 10.3 mm in length.
Immediate postoperative VAS scores for pain and discomfort were low (9.4 and 17.0, respectively), with a significant reduction to 2.1 for pain at 7 days.
No intraoperative or postoperative complications were reported, and radiographic analysis confirmed new bone formation at or beyond the implant apex in all cases.

Conclusions:

The proposed minimally invasive technique offers a predictable method for sinus floor elevation.
This technique demonstrates limited postoperative morbidity, making it a viable option for augmenting the posterior maxilla.