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Implants inserted with graftless osteotome sinus floor elevation - A 5-year post-loading retrospective study.

Alexander Zill, Clarissa Precht, Benedicta Beck-Broichsitter

    European Journal of Oral Implantology
    |October 11, 2016
    PubMed
    Summary

    Graftless osteotome sinus floor elevation (OSFE) shows excellent implant survival and success rates after five years. Apical bone gain is greater with less initial bone height, which also predicts better implant survival.

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    Area of Science:

    • Dental Implantology
    • Oral Surgery
    • Regenerative Dentistry

    Background:

    • Sinus floor elevation is crucial for placing dental implants in the posterior maxilla.
    • Graftless techniques aim to simplify the procedure and reduce costs.
    • Osteotome sinus floor elevation (OSFE) is a common graftless approach.

    Purpose of the Study:

    • Evaluate outcomes of graftless osteotome sinus floor elevation (OSFE).
    • Determine if initial residual bone height affects apical bone gain and marginal bone loss.
    • Assess predictors of implant survival, including membrane perforations and initial bone height.

    Main Methods:

    • Retrospective study of 113 patients (233 implants) treated between 2001-2010.
    • Included patients with 1-11 mm residual bone height undergoing crestal sinus lift.
    • 5-year follow-up post-loading; assessed implant/prosthetic success, complications, and bone level changes.

    Main Results:

    • Implant survival rate was 93.8% at 5 years post-loading.
    • Average marginal bone loss was 0.5 mm; no correlation with initial bone height.
    • Average apical bone gain was 4.5 mm; higher gain observed with less initial bone height.

    Conclusions:

    • Graftless OSFE demonstrates excellent 5-year implant survival and success rates.
    • Apical bone gain is significantly correlated with initial bone height.
    • Initial residual bone height is a predictor of implant survival.