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Updated: Nov 18, 2025

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[Radiography study on osteotome sinus floor elevation with placed implant simultaneously with no graft augmentation].

P Li1, M Z Piao1, H C Hu1

  • 1Second Clinical Division, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100101, China.

Beijing Da Xue Xue Bao. Yi Xue Ban = Journal of Peking University. Health Sciences
|February 7, 2021
PubMed
Summary

Osteotome sinus floor elevation (OSFE) without bone grafting, when performed simultaneously with implant placement, successfully augments endo-sinus bone height and volume. Residual bone height, implant protrusion length, and bone regeneration period significantly impact augmentation outcomes.

Keywords:
Dental implantsSinus floor augmentationX-ray computed tomography

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Biomaterials

Background:

  • Maxillary sinus floor elevation is crucial for dental implant placement in atrophic posterior maxilla.
  • Traditional sinus lifts often require bone grafting, increasing complexity and cost.
  • Simultaneous implant placement with osteotome sinus floor elevation (OSFE) without grafting offers a potentially simpler alternative.

Purpose of the Study:

  • To evaluate endo-sinus bone height and volume changes after OSFE without bone graft, with simultaneous implant placement.
  • To identify factors influencing endo-sinus bone augmentation in this procedure.
  • To assess implant success and marginal bone loss post-procedure.

Main Methods:

  • 38 edentulous patients underwent OSFE with simultaneous implant placement (44 implants) without grafting materials.
  • Cone beam computed tomography (CBCT) was used for pre- and post-operative analysis (9-68 months).
  • Gained bone height and endo-sinus gained bone volume (ESGBV) were measured; statistical analysis identified impacting factors.

Main Results:

  • Significant bone augmentation was observed, with mean gained bone height of 2.78 mm and mean ESGBV of 122.15 mm³.
  • Lower initial residual bone height (RBH) correlated with greater bone gain.
  • Longer implant protrusion length (PL) and longer bone regeneration periods positively impacted bone gain.

Conclusions:

  • OSFE without bone graft, combined with simultaneous implant placement, effectively increases endo-sinus bone height and volume.
  • RBH, PL, and bone regeneration period are key factors influencing augmentation success.
  • The procedure demonstrated successful implant loading with minimal marginal bone loss.