Publication:
Atraumatic maxillary sinus elevation using threaded bone dilators for immediate implants. A three-year clinical study

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Date
2010-03
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Authors
Calvo Guirado, José Luis ; Gómez Moreno, Gerardo ; López Marí, Laura ; Ortiz Ruiz, Antonio José ; Guardia Muñoz, Javier
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Publisher
Medicina Oral S.L
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DOI
https://doi.org/10.4317/medoral.15.e366
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Description
© Medicina Oral S. L. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/. This document is the Published version of a Published Work that appeared in final form in Medicina Oral Patología Oral y Cirugía Bucal. To access the final edited and published work see https://doi.org/10.4317/medoral.15.e366
Abstract
Objective: The aim of this study was to evaluate the efficacy of sinus floor elevation using sequential bone dilators. Materials and Methods: Thirty patients took part in the study (18 women and 12 men) with ages ranging between thirty-six and sixty-three years, selected according to inclusion and exclusion criteria, who showed a bone deficit in the upper posterior alveolar margin of 5-8 mm in height. Sixty expanded platform internal connection implants were placed with diameters of 4/5/4 mm and lengths varying between 10 (n=10) and 11.5 mm (n= 50). Results: Data obtained were analyzed using SPSS 15.0 software. The average intra-sinus bone gain with MP3 biomaterial of porcine origin was 4.13 +/- 0.97 SD mm at the moment of implant placement, 3.90 +/- 1.15 SD mm after twelve months, 3.74 +/- 1.05 SD mm after 24 months and 3.62 +/- 1.75 SD mm after 36 months. Two implants were lost at the moment of prosthesis placement. Conclusions: Alveolar lifting technique in the upper maxilla using bone dilators achieved a 96.6 % implant success rate after a three-year follow-up. Intra-sinus bone biomaterial remodeling was 0.51 +/- 0.08 mm from day zero to the thirty-six-month follow-up. This is a procedure that reduces the amount of surgery necessary and is of both aesthetic and functional benefit to the patient.
Citation
Med Oral Patol Oral Cir Bucal. 2010 Mar 1 15 (2):e366-70
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