title: A Retrospective Analysis of Dental Implants Replacing Failed Implants in Grafted Maxillary Sinus: A Case Series.
abstract: OBJECTIVE
  To evaluate the survival rate of dental implants replacing failed implants in grafted maxillary sinuses using the lateral approach vs nongrafted posterior maxillae.
  
  
  METHODS
  A retrospective analysis was conducted to study the survival of secondary dental implants inserted in the posterior maxilla in previously failed implant sites between the years 2000 and 2010. The study group consisted of patients who had also undergone maxillary sinus augmentation, and the control group consisted of patients in whom implants in the posterior maxilla had failed. Clinical and demographic data were analyzed using a structured form.
  
  
  RESULTS
  Seventy-five patients with a total of 75 replaced implants were included in the study. The study group comprised 40 patients and the control group, 35 patients. None of the replaced implants in the study group failed, resulting in an overall survival of 100%; three replaced implants in the control group failed (92% survival). The main reason for the primary implant removal was lack of osseointegration (35 [87.5%] of 40 study group implants and 23 [65.7%] of 35 control group implants [P = .027]). The difference between the groups with regard to the timing of primary implant failure was statistically significant. The study group had more early failures of the primary implant than did the control group (77% vs 62%; P = .038).
  
  
  CONCLUSIONS
  Dental implants replaced in the posterior maxilla had a high survival rate. A higher rate of survival was found in augmented maxillary sinus sites. Within the limits of the present study, it can be concluded that previous implant failures in the grafted maxillary sinus should not discourage practitioners from a second attempt.
authors.forename: Yifat
authors.initials: Y
authors.lastname: Manor
authors.forename: Gavriel
authors.initials: G
authors.lastname: Chaushu
authors.forename: Adi
authors.initials: A
authors.lastname: Lorean
authors.forename: Eithan
authors.initials: E
authors.lastname: Mijiritzky
mesh_terms: D000134:Acid Etching, Dental / Q000379:methods; D000328:Adult; D000368:Aged; D000818:Animals; D018786:Bone Substitutes / Q000627:therapeutic use; D016025:Bone Transplantation / Q000379:methods; D002417:Cattle; D020099:Coated Materials, Biocompatible / Q000737:chemistry; D045662:Dental Etching / Q000379:methods; D003758:Dental Implantation, Endosseous / Q000379:methods; D015921:Dental Implants; D017267:Dental Prosthesis Design; D019232:Dental Restoration Failure; D017886:Durapatite / Q000737:chemistry; D005260:Female; D005500:Follow-Up Studies; D064593:Heterografts / Q000637:transplantation; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery; D008875:Middle Aged; D016348:Osseointegration / Q000502:physiology; D019233:Retreatment; D012189:Retrospective Studies; D059546:Sinus Floor Augmentation / Q000379:methods*; D013499:Surface Properties; D016019:Survival Analysis
chemical_list: D018786:Bone Substitutes; D020099:Coated Materials, Biocompatible; D015921:Dental Implants; D017886:Durapatite