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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.
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.
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.
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