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Related Concept Videos

Cranial Bones: Lateral View01:27

Cranial Bones: Lateral View

The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...

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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Maxillary sinus floor elevation combined with a vertical onlay graft.

Yasuyuki Shibuya1, Yuka Takeuchi, Tomoko Asai

  • 1Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. shibuya@med.kobe-u.ac.jp

Implant Dentistry
|March 3, 2012
PubMed
Summary

Maxillary sinus floor elevation with vertical onlay grafts significantly increased alveolar bone thickness for dental implants. This bone augmentation surgery demonstrated a high success rate and useful outcomes in patients.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Implantology
  • Bone Augmentation Techniques

Background:

  • Insufficient alveolar bone height in the posterior maxilla often precludes dental implant placement.
  • Maxillary sinus floor elevation is a common procedure to augment bone volume.
  • Vertical onlay grafting can provide additional bone height and width for complex cases.

Purpose of the Study:

  • To evaluate the efficacy of combined maxillary sinus floor elevation and vertical onlay grafting for dental implant rehabilitation.
  • To assess bone dimensional changes and implant survival rates following the augmentation procedure.

Main Methods:

  • A total of 11 sinus floor elevations combined with vertical onlay grafts were performed on nine patients.
  • Preoperative and postoperative computed tomography (CT) scans were used to measure bone thickness.
  • Twenty dental implants were placed, and outcomes were monitored with an average follow-up of 15.6 months.

Main Results:

  • Preoperative mean bone thickness of 1.8 mm increased to 15.3 mm within one month post-surgery.
  • A single implant failure occurred out of 20 placed implants (95% survival rate).
  • Average bone resorption was 3.4 mm in the sinus site and 1.1 mm in the onlay graft site at follow-up.

Conclusions:

  • Combined maxillary sinus floor elevation and vertical onlay grafting is an effective bone augmentation method.
  • The procedure provides significant bone gain, facilitating successful dental implant placement and long-term stability.
  • This surgical approach is considered useful for restoring edentulous posterior maxilla regions.