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Indirect sinus lift without bone graft material: Systematic review and meta-analysis
Sara Pérez-Martínez1, Luis Martorell-Calatayud2, David Peñarrocha-Oltra2
1Master in Oral Surgery and Implant Dentistry, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Spain.
Journal of Clinical and Experimental Dentistry
|July 9, 2015
Summary
Indirect sinus lifts using osteotomes without bone graft material effectively increase residual crestal bone height. This technique is valid for placing implants in atrophic posterior maxillas.
Area of Science:
- Dental implantology
- Oral surgery
Background:
- Atrophic posterior maxilla poses challenges for dental implant placement.
- Maxillary sinus elevation is a common procedure to augment bone height.
Purpose of the Study:
- To systematically review and meta-analyze the efficacy of indirect sinus lifts without bone graft material.
- To evaluate bone gain and implant survival rates associated with this technique.
Main Methods:
- Systematic literature review and meta-analysis of studies published between January 2005 and January 2012.
- Included studies focused on osteotome-based indirect sinus lifts without bone graft material and a minimum 5-month follow-up.
Main Results:
- Eleven articles were included in the analysis.
- The mean gain in residual crestal bone height was 3.43 mm ± 0.09 mm (range: 2.5-4.4 mm).
- Implant survival rates ranged from 94% to 100%.
Conclusions:
- Indirect sinus lift using osteotomes without bone graft material is a valid technique for increasing crestal bone height.
- This method enables successful dental implant placement in posterior maxillary atrophy with initial crestal heights of 5-9 mm.

