title: Clinical outcomes of an osteotome technique and simultaneous placement of Neoss implants in the posterior maxilla.
abstract: BACKGROUND
  Insufficient bone volume often hamper placement of dental implants in the posterior maxilla.
  
  
  OBJECTIVE
  The aim of the present clinical study was to evaluate retrospectively the clinical outcome of implant placement in the resorbed posterior maxilla using an osteotome technique without adding any grafting material.
  
  
  METHODS
  Twenty patients with 5 to 9 mm of residual alveolar bone height in the posterior maxilla received twenty-nine implants (Neoss Ltd., Harrogate, UK) using an osteotomy technique without bone grafts. Intraoral radiographs were taken before and after implant placement, at the time of loading and after 11 to 32 months of loading (mean 16.4 months), to evaluate bone formation below the sinus membrane and marginal bone loss. Implant stability measurements (Osstell(TM) , Gothenburg, Sweden) were performed after implant installation and at abutment connection 5 months later. All implants were installed with the prosthetic platform level with the bone crest.
  
  
  RESULTS
  No implant was lost giving a survival rate of 100% after a mean follow-up time of 16.4 months. The average vertical bone height was 7.2 ± 1.5 mm at placement and 10.0 ± 1.0 mm after 11 to 32 months. The average increase of 2.8 ± 1.1 mm was statistically significant. There was a statistically significant improvement in implant stability from 70.7 ± 9.2 implant stability quotient (ISQ) at placement to 76.7 ± 5.7 ISQ at abutment connection, 5 months later. The mean marginal bone loss amounted to 0.7 ± 0.3 mm after 11 to 32 months of loading.
  
  
  CONCLUSIONS
  It is concluded that the osteotome technique evaluated resulted in predictable intrasinus bone formation, firm implant stability, and good clinical outcomes as no implants were lost and minimal marginal bone loss was observed.
authors.affiliation: Private practice, The Feltre/Fiera Implant Research Group, Feltre and Fiera Di Primiero, Rome, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Volpe
authors.affiliation: Private practice, The Feltre/Fiera Implant Research Group, Feltre and Fiera Di Primiero, Rome, Italy.
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Lanza
authors.affiliation: private practice, The Feltre/Fiera Implant Research Group, Feltre and Fiera Di Primiero, San Dona di Piave, Italy.|private practice, The Feltre/Fiera Implant Research Group, Feltre and Fiera Di Primiero, Fiera Di Primiero, Italy.
authors.forename: Damiano
authors.initials: D
authors.lastname: Verrocchi
authors.affiliation: private practice, The Feltre/Fiera Implant Research Group, Feltre and Fiera Di Primiero, Feltre, Italy and.|Dept Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
authors.forename: Lars
authors.initials: L
authors.lastname: Sennerby
mesh_terms: D016301:Alveolar Bone Loss / Q000000981:diagnostic imaging / Q000601:surgery*; D016025:Bone Transplantation; D003758:Dental Implantation, Endosseous / Q000295:instrumentation* / Q000379:methods*; D015921:Dental Implants; D017268:Dental Prosthesis Retention; D019094:Dental Prosthesis, Implant-Supported; D005260:Female; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008443:Maxillary Sinus / Q000601:surgery*; D008875:Middle Aged; D009297:Nasal Mucosa / Q000293:injuries; D010027:Osteotomy / Q000295:instrumentation*; D011859:Radiography; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D016896:Treatment Outcome
chemical_list: D015921:Dental Implants