Long-term clinical outcomes of transalveolar maxillary sinus floor elevation with rotatory instruments: an 8-year follow-up prospective clinical study

Background: Transalveolar sinus floor elevation (TSFE) is a surgical technique for the placement of dental implants in patients with reduced height of the maxillary posterior alveolar bone. This study aims to demonstrate the clinical outcomes of TSFE using the mini mal invasive sinus elevation (MISE...

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Detalhes bibliográficos
Autores: Jiménez Guerra, Álvaro, Velasco-Ortega, Eugenio, Matos Garrido, Nuno, Ortiz García, Iván, Moreno Muñoz, Jesús, Núñez Márquez, Enrique, Rondón Romero, José Luis, Kewalramani, Naresh, Salgado-Peralvo, Ángel-Orión, Monsalve Guil, Loreto
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Recursos:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/166633
Acesso em linha:https://hdl.handle.net/11441/166633
https://doi.org/10.3390/jcm14020365
Access Level:acceso abierto
Palavra-chave:Bone regeneration
Dental implants
Maxillary sinus
Osseo integration
Sinus floor augmentation
Descrição
Resumo:Background: Transalveolar sinus floor elevation (TSFE) is a surgical technique for the placement of dental implants in patients with reduced height of the maxillary posterior alveolar bone. This study aims to demonstrate the clinical outcomes of TSFE using the mini mal invasive sinus elevation (MISE) technique in partially and totally edentulous maxillary patients. Methods: This prospective clinical study followed STROBE guidelines. TSFE was performed using the MISE technique with the simultaneous placement of implants. Dental implants were loaded at 6 months. Maxillary vertical bone gain was measured by CBCT,and marginal bone loss was assessed by periapical radiographs. Results: Ninety-one patients, with a mean age of 62.1 ± 11.8 years, were treated with TSFE and the placement of 107 implants, with a mean follow-up of 96.2 ± 11.7 months. An increase of 4.3 ± 0.4 mm in bone height was achieved, with a dental implant cumulative survival rate of 97.2%. Peri-implantitis was observed in 9.3% of implants, and membrane perforation occurred in 7.7% of cases. Technical complications were noted in 5.5% of patients. Conclusions: Within the limitations of this clinical study, it can be concluded that the MISE technique is a successful protocol for the placement of implants in the posterior maxilla with reduced height of the alveolar ridge, with a rate of biological and prosthetic complications below 10% over an average follow-up period of 8 years.