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Direct vs. indirect sinus lift procedure: A comparison.

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  • 1Department of Oral and Maxillofacial Surgery, CSM Medical University, Lucknow, India.

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The direct lateral antrostomy sinus augmentation technique achieved greater bone height gain (8.5 mm) than the indirect osteotome technique (4.4 mm). Both methods support dental implant success rates.

Keywords:
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Area of Science:

  • Dentistry
  • Oral Surgery
  • Regenerative Medicine

Background:

  • Sinus augmentation techniques for dental implants are debated.
  • Comparing direct lateral antrostomy versus indirect osteotome approaches is crucial for implant success.

Purpose of the Study:

  • To compare bone height gain and implant success rates between direct lateral antrostomy and indirect osteotome sinus elevation techniques.

Main Methods:

  • Twenty partially edentulous patients (20-55 years) with deficient alveolar ridges underwent sinus augmentation and 25 implants were placed.
  • Bone height was measured via Orthopantomogram; clinical evaluation included pain, inflammation, stability, swelling, and bone height.

Main Results:

  • Lateral antrostomy yielded significantly greater bone height increase (mean 8.5 mm) compared to the osteotome technique (mean 4.4 mm).
  • Both sinus elevation methods demonstrated comparable implant success rates.

Conclusions:

  • Osteotome technique is suitable for residual bone height >6 mm expecting 3-4 mm increase.
  • Lateral antrostomy is preferred for advanced resorption.
  • Both techniques are effective for dental implant placement without compromising success rates.