J Korean Acad Prosthodont.  2020 Jan;58(1):23-29. 10.4047/jkap.2020.58.1.23.

Success and survival rate of the implant with crestal sinus lift using S-reamer and gel-type graft material: A retrospective study by more 5-years follow check up

• Kim JJ
• Cho SA

• KMID: 2469917
• DOI: http://doi.org/10.4047/jkap.2020.58.1.23

Abstract

PURPOSE
The purpose of this retrospective study was to evaluate the method using the S-reamer and gel-type graft material by the success rate and survival rate.
MATERIALS AND METHODS
Implantation period was from 2008 to 2014, Follow check up year is 2019. There were 59 patients and 117 implants. All implants were placed in the posterior maxilla with the sinus lift. The patients population consisted of 34 men and 25 women, ranging from 19 to 75 years. The residual bone heights were from 1 mm to 6 mm. Sinus was perforated with S-reamer without membrane tearing and gel type bone graft material was used for membrane lifting and filling the space. all implants were placed simultaneously. Panoramic X-ray was taken. After 5 - 6 months healing period, final prostheses were restored. After more 5-years implant surgery, Panoramic X-ray was obtained and X-ray analysis and clinical examination were performed. Success criteria was referred to a Buser's success critera. All implants were classified to success implant, survival implant, failed implant. A success implant was satisfying success criteria, a survival implant was a implant that was acute infection with suppuration and bone loss, a failed implant was a implant that was mobile, removed.
RESULTS
Five implants were removed, and 4 implants had infected with bone loss. Survival rate was 95.7% and success rate was 92.3%.
CONCLUSION
This retrospective study presented that this method with S-reamer and gel-type graft material was a successful treatment without membrane tear in the condition of 1-6 mm residual bone height.

Keyword

Crestal approach; Gel-type graft material; Hydraulic sinus lift; S-reamer

MeSH Terms

Female
Humans
Lifting
Male
Maxilla
Membranes
Methods
Prostheses and Implants
Retrospective Studies*
Suppuration
Survival Rate*
Tears
Transplants*

Figure

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  Fig. 1 S-reamer.

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  Fig. 2 After drilling with S-reamer.

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  Fig. 3 Insertion of gel-type bone graft.

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  Fig. 4 DFDBA bone graft.

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  Fig. 5 Pre-operation X-ray.

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  Fig. 6 Post-operation X-ray.

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  Fig. 7 Follow-up check X-ray.

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