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Two-Stage Crestal Sinus Elevation Using Osseodensification Technique for Single Molar Restoration: A Case Report
1Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.
Clinical, Cosmetic and Investigational Dentistry
|April 1, 2025
Summary
Osseodensification offers a less invasive crestal sinus lift for severe bone loss. This technique shows stable bone levels and high patient satisfaction, avoiding traditional lateral window approaches.
Area of Science:
- Dentistry
- Oral Surgery
- Regenerative Medicine
Background:
- Severe vertical bone deficiency (<3 mm) in the maxilla typically necessitates invasive lateral window sinus elevation techniques.
- The case involved a 55-year-old male patient with a 2 mm residual bone height in the maxillary right first molar region.
Observation:
- A two-stage crestal sinus elevation was performed using the osseodensification technique with Versah burs and allograft.
- Following 6 months of healing, a dental implant was placed, with prosthetic restoration initiated 4 months later.
- A 12-month follow-up assessed peri-implant tissue stability, bone levels, and patient satisfaction.
Findings:
- The osseodensification technique resulted in uniform bone formation around the implant and maintained sinus floor elevation.
- Stable peri-implant tissues and maintained bone levels were observed at 12 months.
- The procedure demonstrated excellent patient satisfaction.
Implications:
- Osseodensification presents a predictable and less invasive alternative to the lateral window technique for maxillary sinus elevation, even in cases of severe vertical bone deficiency.
- This approach enhances bone density and leads to favorable clinical and radiographic outcomes.
- The findings support osseodensification as a viable option for complex implant cases requiring significant bone augmentation.

