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Published on: October 18, 2021
Tilted Endosseous Dental Implants in Atrophic Maxilla: A Clinical Prospective Study
Seymantika Sarvapriye1, Srishti Rathore1, Mohammad Sadique Ali2
1Oral and Maxillofacial Surgery, Buddha Institute of Dental Sciences & Hospital, Patna, IND.
Cureus
|August 15, 2026
Summary
Tilted endosseous dental implants show a 93.3% survival rate in atrophic maxillae, offering a viable alternative to sinus augmentation for restoring function and aesthetics.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Implantology
- Bone Regeneration
Background:
- Atrophic maxillary arches pose challenges for dental implant placement due to insufficient bone height and quality.
- Conventional treatments like sinus lifts and bone grafting involve significant patient morbidity and complexity.
Purpose of the Study:
- To assess the clinical and radiographic outcomes of tilted endosseous implants in atrophic maxillae.
- Evaluate osseointegration, crestal bone loss, periodontal health, and pain levels at 3 and 6 months post-implantation.
Main Methods:
- Thirty tilted endosseous implants were placed in patients with atrophic maxillae.
- Pre-surgical imaging included CBCT and OPG.
- Clinical parameters and pain scores were evaluated at baseline, 3, and 6 months.
Main Results:
- A 93.3% implant survival rate was observed at six months.
- Mean crestal bone loss was 1.75 mm (anterior) and 1.65 mm (posterior) at six months.
- Statistically significant differences in crestal bone loss were noted between anterior and posterior implant positions.
Conclusions:
- Tilted endosseous implants are a promising treatment for atrophic maxillae, potentially avoiding the need for sinus augmentation.
- Further long-term studies with control groups are recommended to confirm predictability.