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[Application of modified lateral window for maxillary sinus floor augmentation].

Wei Lu1, Mengna Lin2, Shifang Zhao2

  • 1Department of Periodontology, Stomatology Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou 310006, China.

Zhejiang Da Xue Xue Bao. Yi Xue Ban = Journal of Zhejiang University. Medical Sciences
|April 17, 2018
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Summary
This summary is machine-generated.

A modified lateral window technique for maxillary sinus floor augmentation (MSFA) shows high implant survival and graft stability. This minimally invasive method is safe and predictable for severe atrophic posterior maxillary dentition.

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Regenerative Medicine

Background:

  • Maxillary sinus floor augmentation (MSFA) is crucial for dental implant placement in atrophic posterior maxilla.
  • Conventional lateral window techniques can be invasive, necessitating evaluation of modified approaches.

Purpose of the Study:

  • To assess the clinical efficacy and safety of a modified lateral window technique for MSFA.
  • To evaluate implant survival rates, graft stability, and complication rates following the modified procedure.

Main Methods:

  • Fifty-five patients underwent MSFA using a modified, slot-shaped lateral window (4-5 mm) with Bio-Oss grafts.
  • Sinus membrane detachment and graft placement were performed, followed by implant insertion.
  • Clinical outcomes including implant survival, graft height, volume, resorption, and complications were monitored over 2-4 years.

Main Results:

  • High cumulative implant survival rates of 97.67% (implant-based) and 96.36% (patient-based) were observed over 2-4 years.
  • Graft height and volume showed minimal resorption (7.58% and 15.26% respectively at 2 years).
  • A low complication rate was noted, with only 5 minor membrane perforations successfully repaired.

Conclusions:

  • The modified lateral window technique for MSFA demonstrates high implant survival and excellent graft stability.
  • This minimally invasive approach is a safe, predictable, and effective surgical option for treating severe atrophic posterior maxillary defects.