J Korean Acad Prosthodont.  2009 Apr;47(2):240-246. 10.4047/jkap.2009.47.2.240.

A Retrospective study of the Cumulative Survival Rate and change of peri-implant marginal bone around implants associated with maxillary sinus augmentation

Affiliations
  • 1Department of Implant Dentistry, Graduate School of Clinical Dentistry, Ewha Womans University, Korea. sjsj7777@hanmail.net
  • 2Department of Prosthodontics, Graduate School of Clinical Dentistry, Ewha Womans University, Korea.

Abstract

STATEMENT OF PROBLEM: Insertion of endosseous implants in the atrophic maxilla is often complicated because of lack of supporting bone. Augmentation of the floor of the maxillary sinus with autogenous bone & bone substitute graft has been proven to be a reliable treatment modality, at least in the short term. The aim of this study is to evaluate the factors of implant survival rate associated with maxillary sinus lift with grafts. MATERIAL AND METHODS: The sinus floor was augmented with bone grafts derived from modified Caldwell-luctechnique (71 subject, 93 sinus, 180 implants), the autogenous bone or autogenous + Bio-oss. Before implant installation the width and height of the alveolar crest were increased in the first stage procedure in 10 patients while in the other 61 patients augmentation and implant installation could be performed simultaneously width and height of the alveolar crest > 4 mm) or delayed installation. RESULTS: In all case bone volume was sufficients for implant insertion. 14 of 180 inserted implants were lost during follow up and the healing period Patient received implant supported overdenture (5 patients) or fixed bridge (62 patients). CONCLUSION: Within the limit of the result of this study, we conclude that bone grafting of the floor of the maxillary sinus floor with bone for the insertion of implants might be a reliable treatment modality and the autogenous bone graft and delayed installation method might be the factors for good results.

Keyword

maxillary sinus augmentation; marginal bone; CSR (Cumulative Survival Rate)

MeSH Terms

Bone Substitutes
Bone Transplantation
Denture, Overlay
Denture, Partial, Fixed
Floors and Floorcoverings
Follow-Up Studies
Humans
Maxilla
Maxillary Sinus
Minerals
Retrospective Studies
Survival Rate
Transplants
Bone Substitutes
Minerals

Figure

  • Fig. 1. Distribution of implant types.


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