A clinical study of osteotome sinus floor elevation and simultaneous implant placement in the periodontally compromised patients

Abstract

Abstract: PURPOSE: To study the clinical effect of osteotome sinus floor elevation (OSFE) combined with simultaneous implant placement in the treatment of edentulous posterior maxilla subject to insufficient bone height in the periodontally compromised patients. METHODS: Forty-seven Straumanns implants were placed in the posterior maxilla in 35 patients with the procedure of OSFE. The final prostheses were restored after 3 to 6 months. The follow-up period was 6 to 30 months. Radiographs were taken and PD, PLI, BOP were measured and analyzed. RESULTS: The overall survival rate was 95.74% during the study period. Forty-five out of the 47 implants were clinically stable and loaded without pain or any subjective sensation. The perforation ratio of the membrane was 4.26%. The average of PD around the implants was (3.22±1.07) mm. The average of the marginal bone loss was (1.38±0.59) mm. CONCLUSIONS: OSFE without bone graft proves to be an effective and predictable treatment for atrophic edentulous posterior maxillary region in patients with periodontitis, but the long-term effect needs further observation.

Key words: Osteotome sinus floor elevation, Without bone graft, Periodontitis, Bone augmentation, Dental implant

CLC Number:

R781.4

ZHANG Yun-xin, LI Chao-lun, SHU Rong, XIE Yu-feng, LIU Xiao-feng, LIU Da-li. A clinical study of osteotome sinus floor elevation and simultaneous implant placement in the periodontally compromised patients[J]. Shanghai Journal of Stomatology, 2013, 22(4): 423-427.

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