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Osseodensification technique in crestal maxillary sinus elevation-A narrative review.

João Gaspar1, Ziv Mazor2, Estevam A Bonfante3

  • 1Department of Oral Surgery, Egas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health and Science, Caparica, Portugal.

Clinical Implant Dentistry and Related Research
|October 1, 2024
PubMed
Summary

Osseodensification, a bone-densifying technique, enhances implant stability in low-density bone, particularly for maxillary sinus floor elevation. This minimally invasive approach improves outcomes and reduces complications in posterior maxilla augmentation.

Keywords:
OsseodensificationOsseointegrationdental implantsmembrane perforationsinus floor elevation

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Area of Science:

  • Implant Dentistry
  • Oral Surgery
  • Biomaterials

Background:

  • Traditional implant site preparation can be challenging in low-density bone.
  • Maxillary sinus floor elevation is crucial for posterior maxilla implants.
  • Osseodensification offers a novel bone compaction and densification method.

Purpose of the Study:

  • To review the evidence supporting osseodensification in implant dentistry.
  • To focus on the application of osseodensification in transcrestal maxillary sinus floor elevation.
  • To propose clinical protocols and discuss risk factors for sinus augmentation.

Main Methods:

  • Review of historical implant site preparation techniques.
  • Analysis of biomechanical, histological, and clinical evidence of osseodensification.
  • Discussion of proposed surgical protocols for sinus lift and implant placement.

Main Results:

  • Osseodensification enhances primary implant stability and osseointegration in low-density bone.
  • The technique is effective for minimally invasive sinus floor elevation with improved outcomes.
  • Risk factors for membrane perforation and implant outcomes are discussed.

Conclusions:

  • Osseodensification represents a paradigm shift in sinus floor augmentation.
  • It offers an efficient solution for posterior maxilla challenges with low complication rates.
  • The technique has the potential to become a standard in sinus augmentation procedures.