Saglanmak Alper, Cinar Ihsan Caglar, Zboun Mohammed, Arisan Volkan, Mijiritsky Eitan
Department of Oral Implantology, Faculty of Dentistry, Istanbul University, Fatih, Istanbul 34093, Türkiye.
Department of Oral & Maxillofacial Surgery and Periodontology, Faculty of Dentistry, Arab American University, 13 Zababdeh, Jenin 240, Palestine.
J Clin Med. 2024 Apr 11;13(8):2225. doi: 10.3390/jcm13082225.
: The aim of this retrospective study was to radiographically evaluate the endo-sinus bone gain (ESBG) following osseodensification procedures using CBCT and compare the results to more conventional sinus lifting techniques. : A total of 72 patients underwent crestal sinus floor elevation procedures and were provided with 102 implants with a sand-blasted and acid-etched surface with microthreads (Medentika Microcone Implants, Hugelsheim, Germany). Patients were divided into two groups; the osseodensification group (OD; = 36) and the osseodensified augmentation group (ODA; = 36). : The mean residual bone height (RBH) was 5.71 (1.77) and 4.30 (0.94) mm in the OD and ODA groups, respectively. An ESBG of 3.45 (1.18) and 5.74 (1.31) mm was observed in the OD and ODA groups, respectively, and as compared to the baseline RBH, the ESBG was statistically significant in both groups after 6 months ( < 0.001). : Within the limits of this retrospective study, crestal sinus lifting with the osseodensification technique seems to be a fast, effective, and safe method. Longer follow-up studies with full intrasinus bone topography and structure analyses are needed to prove the success rate of endo-sinus bone gain.
本回顾性研究的目的是使用锥形束计算机断层扫描(CBCT)对骨致密化程序后的鼻窦内骨质增加(ESBG)进行影像学评估,并将结果与更传统的鼻窦提升技术进行比较。
共有72例患者接受了牙槽嵴顶鼻窦底提升手术,并植入了102枚具有微螺纹的喷砂和酸蚀表面种植体(德国胡格尔斯海姆的Medentika Microcone种植体)。患者分为两组:骨致密化组(OD;n = 36)和骨致密化增强组(ODA;n = 36)。
OD组和ODA组的平均剩余骨高度(RBH)分别为5.71(1.77)和4.30(0.94)mm。OD组和ODA组的ESBG分别为3.45(1.18)和5.74(1.31)mm,与基线RBH相比,两组在6个月后ESBG均具有统计学意义(P < 0.001)。
在本回顾性研究的范围内,采用骨致密化技术进行牙槽嵴顶鼻窦提升似乎是一种快速、有效且安全的方法。需要进行更长时间的随访研究,并进行完整的鼻窦内骨形态和结构分析,以证明鼻窦内骨质增加的成功率。