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Maxillary Sinus Augmentation for Dental Implant Rehabilitation of the Edentulous Ridge: A Comprehensive Overview of
Miriam Ting1, Jeremy G Rice, Stanton M Braid
1*Advance Standing, Temple University, Kornberg School of Dentistry, Philadelphia, PA. †Resident, Oral and Maxillofacial Surgery Residency, Oral and Maxillofacial Surgery, Allegheny General Hospital, Pittsburgh, PA. ‡Private Practice in Oral and Maxillofacial Surgery, Philadelphia, PA; Associate Professor, Department of Oral Medicine, Pathology and Surgery, Division of Oral and Maxillofacial Surgery, Temple University, Kornberg School of Dentistry, Philadelphia, PA. §Private Practice in Oral, Maxillofacial and Reconstructive Surgery, Aiea, HI; Professor, Department of Periodontology and Oral Implantology, Temple University, Kornberg School of Dentistry, Philadelphia, PA. ¶Professor, Department of Microbiology and Immunology, Temple University, School of Medicine, Philadelphia, PA; Professor, Department of Periodontology and Oral Implantology, Temple University, Kornberg School of Dentistry, Philadelphia, PA.
Objectives:
The objective of this systemic review was to perform a comprehensive overview of systematic reviews and meta-analyses of the maxillary sinus augmentation procedure for implant rehabilitation in humans. The following were evaluated in this overview: (1) anatomic variables affecting sinus augmentation, (2) histomorphometric analysis of the grafted sinus, (3) volumetric changes after sinus grafting, and (4) implant survival beyond 1 year.
Material And Methods:
Electronic databases were searched for systematic reviews and meta-analyses of implant-related sinus augmentation published from 1976 to September 2015. The studies selected must identify itself as a systemic review or meta-analysis in the title or abstract and must pertain to sinus augmentation.
Results:
Thirty-three publications fulfilled the review criteria. The AMSTAR ratings for the 33 chosen reviews scored greater than 3 of 11, with 8 reviews scoring greater or equal to 8 of 11.
Conclusion:
The outcome of this overview suggested that the following will increase the success of sinus augmentation and survival of implants placed in the grafted sinus: (1) the use of barrier membranes over the lateral window when using a lateral approach to graft the sinus, (2) the use of particulate autogenous bone with or without other substitute graft materials, (3) sinus augmentation without the use of grafting materials may be considered provided that the space between the sinus membrane and floor can be maintained, (4) the use of rough-surfaced implants, (5) simultaneous implant placement with residual bone height greater than 4 mm, and (6) the cessation of smoking.
