Department of Periodontology, Shanghai Stomatology Hospital, Shanghai, China.
Department of Dental Implantation, Shanghai Ninth People's Hospital, Shanghai Key Laboratory Stomatology, Shanghai Jiaotong University, School of Medicine, Shanghai, China.
J Prosthodont. 2018 Jun;27(5):394-401. doi: 10.1111/jopr.12576. Epub 2017 Jan 12.
To systematically appraise the clinical and radiological outcomes after osteotome sinus floor elevation (OSFE) with or without grafting in the published dental literature.
An electronic search was conducted using PubMed, Web of Science, and the Cochrane Central Register of Controlled Trial to identify studies after OSFE from January 1, 1994 to August 30, 2015. The primary outcome was the implant survival rates after OSFE with and without grafting materials.
After search and evaluation of the literature according to the inclusion criteria, 7 studies were included in the review. The random-effect model meta-analysis based on 463 implants in patients without grafting and 415 implants in patients with grafting showed that the risk ratio difference of survival rates was 1.010 (95%CI 0.910, 1.120), which did not reach statistical significance (p = 0.99). The membrane perforation rates ranged from 0% to 10.80%. No significant difference of crestal bone loss was reported between graft and nongraft groups.
Based on currently available evidence, OSFE techniques with and without grafting were both predictable in the short term. In addition, survival rates of dental implants in OSFE with or without grafting did not show any significant difference in the short term.
系统评价文献中报道的引导骨组织再生（GBR）联合或不联合植骨的窦底提升术（OSTEOTOME SINUS FLOOR ELEVATION，OSFE）的临床和影像学结果。
电子检索 1994 年 1 月 1 日至 2015 年 8 月 30 日发表的关于 OSFE 的文献，包括 PubMed、Web of Science 和 Cochrane 中央对照试验注册库。主要结局指标为 OSFE 联合和不联合植骨材料后种植体的存活率。
根据纳入标准进行文献搜索和评估后，共纳入 7 项研究。基于 463 例无植骨患者和 415 例植骨患者的种植体，采用随机效应模型荟萃分析显示，存活率的风险比差异为 1.010（95%可信区间 0.9101.120），未达到统计学意义（p = 0.99）。膜穿孔率为 0%10.80%。植骨组和非植骨组的颊侧骨吸收量无显著差异。
基于现有证据，GBR 联合或不联合植骨的 OSFE 技术在短期内都是可预测的。此外，短期内 OSFE 联合或不联合植骨的种植体存活率没有显著差异。
