Predictability of simultaneous implant placement in the severely atrophic posterior maxilla: A 9-year longitudinal experience study of 2132 implants placed into 731 human sinus grafts.
OBJECTIVE
One-stage implant placement in the grafted maxillary sinus has traditionally been limited to patients with at least 5 mm of residual bone to ensure complete implant stabilization. The aim of this prospective study was to determine the long-term survival rates of implants with roughened surfaces placed immediately into maxillary sinus grafts in patients with 1 to 5 mm of residual bone.


METHODS
A total of 2132 microtextured screw-type (n=1374) or hydroxyapatite-coated cylinder-type (n=758) implants were immediately placed into the grafted sinuses of 731 patients. The implants were restored and monitored for up to 9 years of clinical follow-up.


RESULTS
Cumulative survival at 9 years was 97.9% (n=2091 implants); 20.4% of the implants were placed in 1 to 2 mm of residual bone.


CONCLUSIONS
Initial implant stability and parallelism were achieved through a combination of meticulous condensation of the particulate bone graft material around the implants, the frictional interface of the roughened implant surfaces and the host tissues, and selection of an appropriate graft material.


CONCLUSIONS
Simultaneous implant placement into sinus floor grafts can be a predictable treatment option for patients with at least 1 to 2 mm of vertical residual bone height when careful case planning and meticulous surgical techniques are used.
Peleg
Michael
M
Division of Oral/Maxillofacial Surgery, University of Miami, School of Medicine, FL, USA. MPeleg@med.miami.edu
Garg
Arun K
AK
Mazor
Ziv
Z
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D019232:Dental Restoration Failure; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008437:Maxilla / Q000002:abnormalities; D008443:Maxillary Sinus / Q000002:abnormalities / Q000601:surgery*; D008875:Middle Aged; D011446:Prospective Studies; D013499:Surface Properties; D016019:Survival Analysis; D013997:Time Factors; D016896:Treatment Outcome
D015921:Dental Implants