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Related Experiment Video

Updated: Jun 15, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
05:54

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla

Published on: October 18, 2021

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

Marco Esposito1, Maria Gabriella Grusovin, Jonathan Rees

  • 1Department of Oral and Maxillofacial Surgery, School of Dentistry, The University of Manchester, Higher Cambridge Street, Manchester, UK, M15 6FH.

The Cochrane Database of Systematic Reviews
|March 19, 2010
PubMed
Summary
This summary is machine-generated.

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Sinus lift procedures may not always be necessary for dental implants when bone height is limited. Short implants or elevating the sinus lining without bone grafts show promise, but long-term results are unknown.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Periodontology
  • Dental Implantology

Background:

  • Insufficient bone volume in the posterior maxilla is a common challenge for implant-supported prostheses.
  • The maxillary sinus and alveolar bone height limit available bone volume.
  • Sinus lift procedures augment bone volume using autogenous bone or biomaterials.

Purpose of the Study:

  • To evaluate the necessity and timing of maxillary sinus augmentation.
  • To determine the most effective augmentation techniques for implant rehabilitation.
  • To assess outcomes of different sinus lift methods and materials.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) from multiple databases (Cochrane, MEDLINE, EMBASE) and hand searches.

Related Experiment Videos

Last Updated: Jun 15, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
05:54

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla

Published on: October 18, 2021

  • Included RCTs focused on sinus augmentation techniques and materials for dental implants.
  • Data extraction and quality assessment were performed independently by two reviewers; meta-analysis was conducted where possible.
  • Main Results:

    • Ten RCTs met inclusion criteria, evaluating short implants and various sinus lift techniques.
    • Platelet-rich plasma (PRP) efficacy was assessed in four trials but showed no significant difference in implant failure or complications.
    • Meta-analysis was limited due to study heterogeneity, with no statistically significant differences found for PRP use.

    Conclusions:

    • Conclusions are preliminary due to small sample sizes, short follow-up, and high risk of bias.
    • The necessity of sinus lift procedures remains unclear; short implants (5mm) may be viable in 4-6mm residual bone height.
    • Elevating the sinus lining without grafts may suffice, and bone substitutes are viable alternatives to autogenous bone. Crestal approach may offer fewer complications than lateral window approach.