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Sinus floor elevation using osteotome technique without grafting materials: a 2-year retrospective study.

Longlong He1, Xiaofeng Chang, Yanpu Liu

  • 1The Department of Maxillofacial Surgery, School of Stomatology, The Forth Military Medical University, Xi'an, Shaanxi, P R China.

Clinical Oral Implants Research
|December 14, 2011
PubMed
Summary

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The osteotome sinus floor elevation (OSFE) technique, without bone grafting, shows stable clinical results for maxillary sinus augmentation with residual bone height between 4.1-8 mm. This method is effective for dental implant placement in patients with limited bone height.

Area of Science:

  • Dentistry
  • Oral Surgery
  • Implantology

Background:

  • Maxillary sinus floor augmentation is crucial for dental implant success in the posterior maxilla.
  • Limited residual bone height (RBH) often necessitates bone grafting procedures.
  • The osteotome sinus floor elevation (OSFE) technique offers a potential alternative without grafting materials.

Purpose of the Study:

  • To evaluate the clinical outcomes of the OSFE technique for maxillary sinus floor augmentation.
  • To assess the efficacy of OSFE without bone grafting materials in cases with RBH below 8 mm.

Main Methods:

  • Twenty-two patients (19-70 years) underwent maxillary sinus floor augmentation using the OSFE technique.
  • Preoperative and 6-month postoperative cone-beam computed tomography (CBCT) scans were used for assessment.
Keywords:
CBCTOSFERBHsummers osteotome

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  • Twenty-seven implants (4.7mm diameter, 10mm length) were placed in an average RBH of 6.7 mm.

    • Main Results:

    • No implant failures were observed during the 2-year follow-up period.
    • CBCT confirmed no significant marginal bone loss at 6 months post-surgery.
    • An average bone gain of 2.5 mm was achieved at the implant sites.

    Conclusions:

    • The OSFE technique without bone grafting is a viable and effective procedure for maxillary sinus augmentation.
    • Stable and predictable clinical results are achievable even with limited residual bone height (4.1-8 mm).
    • This technique provides a reliable option for dental implant placement in the posterior maxilla.