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Related Experiment Video

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Sinus bone graft and simultaneous vertical ridge augmentation: case series study.

Dong-Woo Kang1, Pil-Young Yun1, Yong-Hoon Choi2

  • 11Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, 300, Gumi-dong, Bundang-gu, Seongnam-si, Gyeonggi-do 463-707 South Korea.

Maxillofacial Plastic and Reconstructive Surgery
|October 2, 2019
PubMed
Summary

Simultaneous sinus lifting, bone grafting, and vertical ridge augmentation increased complications and lowered implant survival rates. A longer healing period before implant placement is recommended for better long-term outcomes.

Keywords:
Dental implantSinus bone graftVertical ridge augmentation

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Periodontology
  • Dental Implantology

Background:

  • Severe alveolar bone loss presents challenges for dental implant placement.
  • Simultaneous sinus lifting, bone grafting, and vertical ridge augmentation are advanced procedures to address bone deficiency.

Purpose of the Study:

  • To retrospectively evaluate the outcomes of simultaneous maxillary sinus lifting, bone grafting, and vertical ridge augmentation.
  • To analyze complications, implant survival and success rates, and bone resorption following these combined procedures.

Main Methods:

  • Retrospective analysis of 15 patients with severe alveolar bone loss who underwent simultaneous procedures between 2005 and 2010.
  • Evaluation of clinical records and radiography, including implant stability quotient (ISQ), bone resorption, and marginal bone loss.

Main Results:

  • The study reported an 81.8% implant survival and success rate among 33 implants.
  • Various postoperative complications were noted, including ecchymosis, membrane exposure, peri-implantitis, and fixture issues.
  • Grafted bone resorption averaged 0.37 mm, and marginal bone loss was 0.20 mm at final observation.

Conclusions:

  • Simultaneous sinus lifting, bone grafting, and vertical ridge augmentation are associated with increased postoperative complications and reduced implant survival rates.
  • A sufficient healing period prior to implant placement is crucial for optimal bone formation and long-term prognosis.
  • Delayed implant placement is recommended to enhance the success of these complex bone augmentation procedures.