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Related Experiment Video

Updated: Apr 1, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
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Transcrestal Sinus Lift Procedure Approaching Atrophic Maxillary Ridge: A 60-Month Clinical and Radiological

G Lo Giudice1, G Iannello1, A Terranova1

  • 1Medical Sciences and Stomatology Department, School of Dentistry, University of Messina, Via Consolare Valeria, 98100 Messina, Italy.

International Journal of Dentistry
|October 10, 2015
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Summary
This summary is machine-generated.

Dental implants in augmented sinus bone, even with minimal crest thickness (<3mm), show high success rates. This transcrestal sinus lift technique offers predictable long-term clinical and radiological outcomes for patients.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Periodontology
  • Dental Implantology

Background:

  • Sinus lifting procedures are crucial for dental implant placement in atrophic posterior maxilla.
  • Augmenting the maxillary sinus floor is often necessary to achieve adequate bone height for implant stability.
  • Limited residual crestal bone thickness (<3mm) presents a challenge for conventional sinus augmentation techniques.

Purpose of the Study:

  • To evaluate the success and survival rates of dental implants placed in bone augmented via sinus lifting.
  • To assess long-term clinical and radiological outcomes following transcrestal sinus augmentation in patients with minimal residual crestal bone.
  • To determine the efficacy of the transcrestal technique in achieving stable bone grafting and healthy peri-implant tissues.

Main Methods:

  • Retrospective study involving 31 patients and 45 dental implants.
  • Patients had a residual upper jaw crest thickness of less than 3mm.
  • Cone-beam computed tomography (CBCT) scans were used for pre-operative, post-operative, and follow-up assessments up to 60 months.
  • Evaluated parameters included implant survival rate, peri-implant marginal bone loss, and sinus floor augmentation height.

Main Results:

  • Excellent implant survival rate of 99.5% was observed.
  • One implant was lost due to infection before loading; two failed to osseointegrate and were removed.
  • Average marginal bone loss was minimal, measuring 0.25mm (±0.78mm) at 3 months and 0.30mm (±1.28mm) at 60 months.
  • The transcrestal sinus lift technique demonstrated predictable bone augmentation and stability.

Conclusions:

  • The transcrestal sinus lifting technique is a predictable and effective method for dental implant placement even in cases with minimal residual crestal bone (<3mm).
  • This approach yields excellent long-term clinical and radiological outcomes, ensuring stable grafted material and healthy peri-implant conditions.
  • The study supports the use of this technique for improving implant success rates in challenging maxillary atrophy cases.