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Maxillary sinus elevation by lateral window approach: evolution of technology and technique.

Stephen S Wallace¹, Dennis P Tarnow, Stuart J Froum

¹Columbia University College of Dental Medicine, New York, NY 10032, USA. sswdds.sinus@sbcglobal.net

The Journal of Evidence-Based Dental Practice

|October 9, 2012

Summary

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Maxillary sinus elevation with bone grafts, rough implants, and membranes improves dental implant survival. Piezoelectric surgery significantly reduces complications during the procedure.

Area of Science:

Dental Implantology
Oral and Maxillofacial Surgery
Regenerative Medicine

Background:

Maxillary sinus elevation is a key pre-prosthetic surgery for dental implants in the posterior maxilla.
Extensive research and clinical practice over 30 years have enhanced procedure predictability and reduced patient morbidity.

Purpose of the Study:

To review evidence-based outcomes of maxillary sinus elevation procedures.
To compare implant survival rates with different grafting materials and surgical techniques.

Main Methods:

Analysis of 10 evidence-based reviews (1980-2012) on grafting materials and implant survival.
Evaluation of clinical data on complication rates comparing piezoelectric surgery and rotary instrumentation.

Main Results:

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Published on: August 15, 2025

Bone replacement grafts, rough-surfaced implants, and barrier membranes are associated with positive implant survival outcomes.
Piezoelectric surgery demonstrates significantly lower intraoperative complication rates (bleeding, membrane perforation) compared to rotary instrumentation.

Conclusions:

Optimal outcomes for maxillary sinus elevation and implant survival involve bone grafts, rough implants, and barrier membranes.
Piezoelectric surgery is recommended for lateral window preparation to minimize surgical complications.