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Related Experiment Video

Updated: Jun 19, 2026

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Long-term stability of transcrestal sinus augmentation.

Sandra H Stuhr1, Muhammad H A Saleh1, Tiziano Testori1,2,3,4

  • 1Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.

Periodontology 2000
|September 10, 2025
PubMed
Summary

Transcrestal sinus floor elevation (TSFE) offers a minimally invasive method for vertical bone augmentation in the maxilla. This review explores TSFE principles, techniques, and long-term stability for predictable dental implant placement.

Keywords:
Schneiderian membranesinus floor augmentationsinus graftingsinus lifttranscrestal technique

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Periodontology

Background:

  • Transcrestal sinus augmentation is a minimally invasive alternative to lateral window techniques.
  • It is used for vertical bone augmentation in the edentulous maxilla.
  • The technique has shown predictable outcomes for dental implant placement with limited bone height.

Purpose of the Study:

  • To review the current understanding and evolution of transcrestal sinus floor elevation (TSFE).
  • To focus on factors influencing the long-term stability of TSFE procedures.
  • To provide a framework for optimizing TSFE and managing complications.

Main Methods:

  • Narrative review of existing literature and clinical experience.
  • Evaluation of foundational principles, including osteotome-mediated bone condensation and controlled sinus floor fracture.
  • Assessment of treatment planning, surgical execution, postoperative management, and potential complications.

Main Results:

  • TSFE demonstrates predictable outcomes for implant placement in vertically deficient maxillas.
  • Osteotome techniques contribute to enhanced primary implant stability.
  • The review synthesizes evidence to support optimized TSFE procedures and complication management.

Conclusions:

  • TSFE is an effective technique for vertical bone augmentation and implant placement.
  • A standardized approach and reporting checklist are proposed to improve consistency and reproducibility.
  • Further research and clinical application can refine TSFE for predictable long-term stability.