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Minimally Invasive Sinus Augmentation: A Systematic Review.

Benyapha Sirinirund1, Amanda B Rodriguez Betancourt2, Riccardo Scaini3,4

  • 1Department of Restorative Dentistry and Periodontology, Faculty of Dentistry, Chiang Mai University, Chiang Mai, Thailand.

Clinical Implant Dentistry and Related Research
|October 30, 2024
PubMed
Summary
This summary is machine-generated.

Minimally invasive vertical and lateral sinus augmentation (VSA and LSA) techniques offer effective sinus augmentation and implant success. These advanced methods may reduce surgical complications and patient morbidity.

Keywords:
dental implantsminimally invasivesinus floor augmentationsinus liftsurgical guides

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Implantology
  • Surgical Innovation

Background:

  • Technological advancements and improved understanding of sinus anatomy and healing have driven the development of minimally invasive surgical techniques.
  • Sinus augmentation (SA) procedures are crucial for dental implant placement in the posterior maxilla.

Purpose of the Study:

  • To systematically review and describe minimally invasive techniques for vertical sinus augmentation (VSA) and lateral sinus augmentation (LSA).
  • To identify advancements in surgical approaches for sinus augmentation.

Main Methods:

  • A comprehensive literature search was performed from January 2003 to May 2024, including electronic and hand searches.
  • Studies detailing minimally invasive SA techniques were selected, with data extraction on study type, sample size, technique specifics, and outcomes.
  • 36 articles encompassing 2732 sinus augmentation procedures met the inclusion criteria.

Main Results:

  • Minimally invasive VSA techniques utilize modified rotary instruments, balloon elevation, hydraulic pressure, digital planning, endoscopes, and operating microscopes.
  • These approaches focus on conservative flap reflection, precise sinus window preparation, and controlled membrane elevation.
  • A significant portion of studies (15/36) did not report the incidence of sinus membrane perforation.

Conclusions:

  • Minimally invasive VSA and LSA techniques demonstrate efficacy in achieving adequate sinus augmentation and high implant success rates.
  • These techniques offer potential benefits, including reduced surgical complications and patient morbidity.
  • Further comparative studies with standardized outcomes are recommended to validate these minimally invasive SA techniques.