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Related Experiment Video

Updated: Feb 4, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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The Clinical Effectiveness Comparison Between Modified Crestal Approach and Lateral Window Sinus Floor Elevation: A

Lujin Cheng1,2, Jungang He1, Long Mei1

  • 1Department of Oral Rehabilitation and Implantology, The First Affiliated Hospital of Xinjiang Medical University (Affiliated Stomatological Hospital), Urumqi, People's Republic of China.

Journal of Oral Rehabilitation
|February 2, 2026
PubMed
Summary

The modified crestal sinus lift approach offers comparable bone gain to the lateral window technique but with less trauma, improved patient well-being, and reduced pain, enhancing clinical applications.

Keywords:
gained bone heighthospital anxiety and depression scalelateral window sinus liftmodified crestal sinus liftoral implantationsocial behavioural cognition

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Implant Dentistry
  • Regenerative Medicine

Background:

  • Severe bone deficiency in the posterior maxilla often necessitates sinus lift procedures for dental implant placement.
  • Both modified crestal and lateral window approaches are utilized for maxillary sinus augmentation.

Purpose of the Study:

  • To compare the clinical outcomes of modified crestal versus lateral window sinus lift techniques.
  • To evaluate bone gain, implant success, patient-reported outcomes, and complications.

Main Methods:

  • Fifty patients with residual bone height < 5mm were randomized into modified crestal (experimental) or lateral window (control) groups.
  • Assessed behavioral cognition (HADS), postoperative pain (VAS), bone gain (GBH), implant success, and complications.
  • Statistical analysis included t-tests and chi-square tests (p < 0.05).

Main Results:

  • No significant differences in bone gain, implant success rate, or complication incidence were found between the groups.
  • Significant differences were observed in pre- and postoperative behavioral cognition, surgical time, and VAS pain scores (p < 0.05).

Conclusions:

  • Bone augmentation outcomes were comparable between the modified crestal and lateral window sinus lift techniques.
  • The modified crestal approach showed advantages in minimal trauma, improved patient behavioral cognition, and reduced postoperative pain.
  • Optimizing minimally invasive sinus lift techniques may enhance clinical applications, focusing on patient-centered considerations.