One-stage approach to implant placement in the posterior atrophic maxilla: a review of the literature
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Keywords

Dental implants, maxillary floor elevation, lateral sinus floor elevation, survival rate, one-stage implant placement.

Abstract

Rehabilitating the posterior atrophic maxilla presents a significant challenge due to the need to create sufficient bone volume for implant placement. The amount of existing bone height is critical in deciding between a one-stage or two-stage lateral sinus lift procedure.  This review investigates the feasibility of implant placement in the atrophic maxilla during simultaneous maxillary sinus floor augmentation, focusing on implant survival rates, particularly when the bone height is less than 5 mm. By analyzing implant survival rates in this specific scenario, this comprehensive review contributes to the understanding of successful implant integration in the posterior atrophic maxilla. 

https://doi.org/10.11138/oi.v17i1.66
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References

- Aquilino SA, Shugars DA, Bader JD, White BA. Ten-year survival rates of teeth adjacent to treated and untreated posterior bounded edentulous spaces. J Prosthet Dent 2001; 85:455–460.

- Fueki K, Kimoto K, Ogawa T, Garrett NR. Effect of implant-supported or retained dentures on masticatory performance: a systematic review. J Prosthet Dent 2007; 98:470–477.

- Schleier P, Bierfreund G, Schultze-Mosgau S, Moldenhauer F, Kupper H, Freilich M. Simultaneous dental implant placement and endoscope-guided internal sinus floor elevation: 2-year post-loading outcome. Clin Oral Implants Res 2008; 19:1163-70.

- Tatum OH. Maxillary sinus grafting for endosseous implants. Presented at the Annual Meeting of the Alabama Implant Study Group: Birmingham, AL; 1977.

- Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980; 38:613–617.

- S. Lundgren, S. Andersson, F. Gualini, L. Sennerby, Bone reformation with sinus membrane elevation: a new surgical technique for maxillary sinus floor augmentation, Clin. Implant Dent. Relat. Res. 6 (2004) 165–173.

- R.R. Resnik, Misch’s Contemporary Implant Dentistry, 4th ed., Elsevier, St. Louis, 2020.

- C. Stacchi, T. Lombardi, R. Ottonelli, F. Berton, G. Perinetti, T. Traini, New bone formation after transcrestal sinus floor elevation was influenced by sinus cavity dimensions: a prospective histologic and histomorphometric study, Clin. Oral. Implant Res. 29 (2018) 465–479, https://doi.org/10.1111/clr.13144.

- Cha HS, Kim A, Nowzari H, Chang HS, Ahn KM. Simultaneous sinus lift and implant installation: prospective study of consecutive two hundred seventeen sinus lift and four hundred sixty-two implants. Clin Implant Dent Relat Res. 2014 Jun;16(3):337-47. doi: 10.1111/cid.12012. Epub 2012 Nov 15. PMID: 23157674.

- Tatum H Jr. Maxillary and sinus implant reconstructions. Dent Clin North Am 1986; 30:207–229.

- Summers RB. A new concept in maxillary implant surgery: the osteotome technique. Compendium 1994; 15:154–156. 158 passim; quiz 162.

- Zhen F, Fang W, Jing S, Zuolin W. The use of a piezoelectric ultrasonic osteotome for internal sinus elevation: a retrospective analysis of clinical results. Int J Oral Maxillofac Implants 2012; 27:920–926.

- Tonetti MS, Hammerle CH. Advances in bone augmentation to enable dental implant placement: consensus report of the Sixth EuropeanWorkshop on Periodontology. J Clin Periodontol 2008; 35:168–172.

- Rickert D, Vissink A, Slater JJ, Meijer HJ, Raghoebar GM. Comparison between conventional and piezoelectric surgical tools for maxillary sinus floor elevation. A randomized controlled clinical trial. Clin Implant Dent Relat Res 2013; 15:297–302.

- Del FabbroM, Rosano G, Taschieri S. Implant survival rates after maxillary sinus augmentation. Eur J Oral Sci 2008; 116:497–506.

- Pjetursson BE, Tan WC, Zwahlen M, Lang NP. A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. J Clin Periodontol 2008; 35:216– 240.

- Esposito M, Grusovin MG, Rees J, Karasoulos D, Felice P, Alissa R, Worthington HV, Coulthard P. Interventions for replacing missing teeth: augmentation procedures of the maxillary sinus. Cochrane Database Syst Rev. 2010 Mar 17;(3):CD008397. doi: 10.1002/14651858.CD008397. Update in: Cochrane Database Syst Rev. 2014 May 13;(5):CD008397. doi: 10.1002/14651858.CD008397.pub2. PMID: 20238367.

- Katranji A, Fotek P, Wang HL. Sinus augmentation complications: etiology and treatment. Implant Dent 2008; 17:339–349.

- Schwartz-Arad D, Herzberg R, Dolev E. The prevalence of surgical complications of the sinus graft procedure and their impact on implant survival. J Periodontol 2004; 75: 511–516.

- Misch CE, Dietsh F. Endosteal implants and iliac crest grafts to restore severely resorbed totally edentulous maxillae-a retrospective study. J Oral Implantol 1994; 20(2):100-10.

- Jensen OT, Shulman LB, Block MS, Iacono VJ. Report of the Sinus Consensus Conference of 1996. Int J Oral Maxillofac Implants 1998; 13: 11-32.

- Peleg M, Mazor Z, Chaushu G, Garg AK. Sinus floor augmentation with simultaneous implant placement in the severely atrophic maxilla. J Periodontol 1998 ;69: 1397–1403.

- Chen TW, Chang HS, Leung KW et al. Implant placement immediately after the lateral approach of the trap door window procedure to create a maxillary sinus lift without bone grafting: a 2-year retrospective evaluation of 47 implants in 33 patients. J Oral Maxillofac Surg 2007 ; 65(11):2324-8.

- Geurs NC1, Wang IC, Shulman LB, Jeffcoat MK. Retrospective radiographic analysis of sinus graft and implant placement procedures from the Academy of Osseointegration Consensus Con-ference on Sinus Grafts. Int J Periodontics Restorative Dent 2001; 21(5):517-23.

- Tatum H., Jr Maxillary and sinus implant reconstructions. Dent Clin North Am. 1986;30:207–29. [PubMed] [Google Scholar] [Ref list]

- Smiler DG. The sinus lift graft: Basic technique and variations. Pract Periodontics Aesthet Dent. 1997;9:885–93. [PubMed] [Google Scholar] [Ref list]

- Wallace SS, Tarnow DP, Froum SJ, Cho SC, Zadeh HH, Stoupel J, et al. Maxillary sinus elevation by lateral window approach: Evolution of technology and technique. J Evid Based Dent Pract. 2012;12:161–71. [PubMed] [Google Scholar] [Ref list]

- van den Bergh JP, ten Bruggenkate CM, Disch FJ, Tuinzing DB. Anatomical aspects of sinus floor elevations. Clin Oral Implants Res. 2000;11:256–65. [PubMed] [Google Scholar] [Ref list]

- Underwood AS. An inquiry into the anatomy and pathology of the maxillary sinus. J Anat Physiol. 1910;44:354–69. [PMC free article] [PubMed] [Google Scholar] [Ref list]

- Krennmair G, Ulm CW, Lugmayr H, Solar P. The incidence, location, and height of maxillary sinus septa in the edentulous and dentate maxilla. J Oral Maxillofac Surg. 1999;57:667–71. [PubMed] [Google Scholar] [Ref list]

- Ulm CW, Solar P, Krennmair G, Matejka M, Watzek G. Incidence and suggested surgical management of septa in sinus-lift procedures. Int J Oral Maxillofac Implants. 1995;10:462–5. [PubMed] [Google Scholar] [Ref list]

- Kim MJ, Jung UW, Kim CS, Kim KD, Choi SH, Kim CK, et al. Maxillary sinus septa: Prevalence, height, location, and morphology. A reformatted computed tomography scan analysis. J Periodontol. 2006;77:903–8. [PubMed] [Google Scholar] [Ref list]

- Kaufman E. Maxillary sinus elevation surgery: An overview. J Esthet Restor Dent. 2003;15:272–82. [PubMed] [Google Scholar] [Ref list]

- Woo I, Le BT. Maxillary sinus floor elevation: Review of anatomy and two techniques. Implant Dent. 2004;13:28–32. [PubMed] [Google Scholar] [Ref list]

- Cho SC, Wallace SS, Froum SJ, Tarnow DP. Influence of anatomy on Schneiderian membrane perforations during sinus elevation surgery: Three-dimensional analysis. Pract Proced Aesthet Dent. 2001;13:160–3. [PubMed] [Google Scholar] [Ref list]

- Fry RR, Patidar DC, Goyal S, Malhotra A. Proximity of maxillary posterior teeth roots to maxillary sinus and adjacent structures using denta scan® Indian J Dent. 2016;7:126–30. [PMC free article] [PubMed] [Google Scholar] [Ref list]

- Eberhardt JA, Torabinejad M, Christiansen EL. A computed tomographic study of the distances between the maxillary sinus floor and the apices of the maxillary posterior teeth. Oral Surg Oral Med Oral Pathol. 1992;73:345–6. [PubMed] [Google Scholar] [Ref list]

- Solar P, Geyerhofer U, Traxler H, Windisch A, Ulm C, Watzek G, et al. Blood supply to the maxillary sinus relevant to sinus floor elevation procedures. Clin Oral Implants Res. 1999;10:34–44. [PubMed] [Google Scholar] [Ref list]

- Elian N, Wallace S, Cho SC, Jalbout ZN, Froum S. Distribution of the maxillary artery as it relates to sinus floor augmentation. Int J Oral Maxillofac Implants. 2005;20:784–7. [PubMed] [Google Scholar] [Ref list]

- Bathla SC, Fry RR, Majumdar K. Maxillary sinus augmentation. J Indian Soc Periodontol. 2018 Nov-Dec;22(6):468-473. doi: 10.4103/jisp.jisp_236_18. PMID: 30631223; PMCID: PMC6305100.

- Friberg B, Hana M, Mahdi HR, Jemt T. Clinical and radiographic outcomes of lateral sinus floor elevation: a retrospective study. Swed Dent J. 2016;40(2):121-132. PMID: 28853784.

- Jurisic M, Markovic A, Radulovic M, Brkovic BM, Sándor GK. Maxillary sinus floor augmentation: comparing osteotome with lateral window immediate and delayed implant placements. An interim report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Dec;106(6):820-7. doi: 10.1016/j.tripleo.2008.04.025. Epub 2008 Jul 7. PMID: 18602304.

- Pistilli R, Canullo L, Pesce P, Pistilli V, Caponio VCA, Sbricoli L. Guided implant surgery and sinus lift in severely resorbed maxillae: A retrospective clinical study with up to 10 years of follow-up. J Dent. 2022 Jun;121:104137. doi: 10.1016/j.jdent.2022.104137. Epub 2022 Apr 21. PMID: 35461972.

- Felice P, Pistilli R, Piattelli M, Soardi E, Pellegrino G, Corvino V, Esposito M. 1-stage versus 2-stage lateral maxillary sinus lift procedures: 4-month post-loading results of a multicenter randomised controlled trial. Eur J Oral Implantol. 2013 Summer;6(2):153-65. PMID: 23926587.

- Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J OralMaxillofacial Implants 1986; 1 : 11-25.

- Misch CE, Perel ML, Wang HL et al. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent 2008 Mar;17:5-15. doi: 10.1097/ ID.0b013e3181676059.

- Canullo L, Patacchia O, Sisti A, Heinemann F. Implant restoration 3 months after one stage sinus lift surgery in severely resorbed maxillae: 2-year results of a multicenter prospective clinical study. Clin Implant Dent Relat Res 2012;14 :412-20.

- Rodriguez A, Anastassov GE, Lee H, Buchbinder D, Wettan H. Maxillary sinus augmentation with deproteinated bovine bone and platelet rich plasma with simultaneous insertion of endosseous implants. J Oral Maxillofac Surg. 2003 Feb;61(2):157-63. doi: 10.1053/joms.2003.50041. PMID: 12618990.

- Di Lallo S, Ricci L, Orecchioni S, Piattelli A et al. Resonance frequency analysis assessment of implants placed with a simultaneous or a delayed approach in grafted and nonografted sinus sites: a 12-month clinical study. Clin Implant Dent Relat Res 2014; 3: 394-400.

- Manso MC, Wassal T. A 10-years longitudinal study of 160 implants simultaneously installed in severely resorbed posterior maxillas grafted with autogenous bone and synthetic bioactive resorbable graft. Implant Dent 2010; 4: 351-360.

- Canullo L, Patacchia O, Sisti A, Heinemann F. Implant restoration 3 months after one stage sinus lift surgery in severely resorbed maxillae: 2-year results of a multicenter prospective clinical study. Clin Implant Dent Relat Res 2012;14 :412-20.

- Felice P, Pistilli R, Piattelli M et al. 1-stage versus 2-stage lateral sinus lift procedures: 1-year post loading results of a multicentre randomized controlled trial. Eur J Oral Implantol 2014 ;7(1):65-75.

- Simompieri A, Choukroun J, Del Corso M et al. Simultaneous sinus-lift microthreaded implants and leucocyte-and platelet-rich fibrin as sole grafting material: a 6-years experience. Implant Dent 2011; 20: 2-12.

- Peleg M, Mazor Z, Garg AK. Augmentation grafting of the maxillary sinus and simultaneous im-plant placement in patients with 3 to 5 mm of residual alveolar bone height. Int J Oral Maxillofac Implants 1999;14:549-56.

- Mendonça-Caridad JJ, Nuñez M, Juiz-Lopez P et al. Sinus floor elevation using a composite graft clinical outcome of immediate implant placement. Int J O Maxillofac Implants 2013; 1: 252-260.

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