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Updated: Jan 22, 2026

Modeling Primary Bone Tumors and Bone Metastasis with Solid Tumor Graft Implantation into Bone
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Indirect Sinus Floor Elevation Technique with Simultaneous Implant Placement without Using Bone Grafts.

Aditi Rawat1, Himanshu Thukral1, Anson Jose1

  • 1Department of Oral and Maxillofacial Surgery, Army Dental Centre (Research and Referral), Delhi, India.

Annals of Maxillofacial Surgery
|July 12, 2019
PubMed
Summary

Indirect sinus lifts without bone grafting enable predictable osseointegration in the maxillary posterior region. This technique promotes spontaneous new bone formation, enhancing dental implant success in atrophied alveolar ridges.

Keywords:
Indirect sinus floor elevationosseointegrationosteotomes

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Area of Science:

  • Dental Implantology
  • Oral Surgery
  • Bone Regeneration

Background:

  • The maxillary posterior region presents challenges for dental implant placement due to significant alveolar bone resorption and maxillary sinus pneumatization.
  • Reduced bone height in the alveolar ridge necessitates advanced surgical techniques for successful implant integration.

Purpose of the Study:

  • To evaluate the efficacy of indirect sinus lift with simultaneous implant placement without bone grafting.
  • To assess implant stability and bone regeneration in the maxillary posterior region.

Main Methods:

  • 26 implants were placed in 21 patients using indirect sinus lift and simultaneous implant placement.
  • No bone grafts were utilized during the procedure.
  • Intra-oral periapical radiographs were used to measure residual bone height, endosinus bone (ESB), and crestal bone level.

Main Results:

  • All implants demonstrated clinical and radiographic stability at 6-month follow-up.
  • Significant endosinus bone (ESB) gain was observed, averaging 1.97 mm mesially and 1.99 mm distally.
  • The technique facilitated successful osseointegration without the need for bone augmentation.

Conclusions:

  • Osteotome sinus floor elevation without bone graft is a predictable method for achieving successful osseointegration.
  • Indirect sinus lift procedures can stimulate spontaneous new bone formation, supporting dental implants in the atrophied maxillary posterior region.