Apparaju V, Vaddamanu S K, Vyas R, Vishwanath S, Gurumurthy V, Kanji M A
Department of Periodontology and Oral Implantology, Dr. Vijay's Multispeciality Dental Care, Implant and LASER Center, Abha, Saudi Arabia.
Department of Dental Technology, College of Applied Medical Science, King Khalid University, Abha, Saudi Arabia.
Niger J Clin Pract. 2020 Mar;23(3):275-283. doi: 10.4103/njcp.njcp_238_19.
We aimed to assess the complications of minimally invasive balloon-assisted maxillary sinus floor augmentation, compared with the conventional sinus floor augmentation procedures done before placing a dental implant. A structured question was formulated and an electronic search was conducted in three databases (MEDLINE via PubMed, Google Scholar, and Scopus). A separate search of gray literature and a hand search for missing articles were also conducted. Apart from animal studies, in-vitro studies, and case reports, all other types of studies where maxillary sinus floor augmentation was done using a balloon were considered for review. Our review was registered in International Prospective Registration of Systematic Reviews (PROSPERO) under number CRD42018086770. Our search produced 73 articles. However, only eight articles were found eligible to be included in our review (seven case series and one case-control study). Quality check was done using Methodological Index for Non-Randomized Studies (MINORS). Results suggest that balloon-assisted augmentation is associated with low rates of membrane tears (9 out of 272 sinus augmentation attempts), and high follow-up bone gain levels (mean 212.91%, 95% confidence interval 158.07%-267.75%, I2 = 97.62%). Balloon-assisted augmentation seems to be safe. More clinical trials are needed to assess the advantages and disadvantages of balloon-assisted maxillary sinus floor augmentation compared with other procedures.
我们旨在评估微创球囊辅助上颌窦底提升术的并发症，并与在植入牙种植体前进行的传统上颌窦底提升术进行比较。我们制定了一个结构化问题，并在三个数据库（通过PubMed检索的MEDLINE、谷歌学术和Scopus）中进行了电子检索。还分别对灰色文献进行了检索，并人工查找遗漏的文章。除动物研究、体外研究和病例报告外，所有其他使用球囊进行上颌窦底提升的研究类型均纳入综述。我们的综述已在国际前瞻性系统评价注册库（PROSPERO）中注册，注册号为CRD42018086770。我们的检索共得到73篇文章。然而，仅发现8篇文章符合纳入我们综述的标准（7个病例系列和1个病例对照研究）。使用非随机研究方法学指数（MINORS）进行质量检查。结果表明，球囊辅助提升术导致的黏膜撕裂发生率较低（272次鼻窦提升尝试中有9次），随访时骨增量水平较高（平均212.91%，95%置信区间158.07%-267.75%，I2 = 97.62%）。球囊辅助提升术似乎是安全的。与其他手术相比，需要更多的临床试验来评估球囊辅助上颌窦底提升术的优缺点。
