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
Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41009 Seville, Spain.
Department of Nursery and Stomatology, Rey Juan Carlos University, 28008 Madrid, Spain.
J Clin Med. 2025 Jan 9;14(2):365. doi: 10.3390/jcm14020365.
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 minimal invasive sinus elevation (MISE) technique in partially and totally edentulous maxillary patients. 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. 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. 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.
经牙槽嵴窦底提升术（TSFE）是一种用于在上颌后牙槽骨高度降低的患者中植入牙种植体的外科技术。本研究旨在展示在部分无牙和全口无牙的上颌患者中使用微创窦底提升术（MISE）进行TSFE的临床效果。这项前瞻性临床研究遵循STROBE指南。采用MISE技术同时植入种植体进行TSFE。种植体在6个月时进行加载。通过CBCT测量上颌垂直骨增量，通过根尖片评估边缘骨丢失情况。91例患者，平均年龄62.1±11.8岁，接受了TSFE并植入了107颗种植体，平均随访96.2±11.7个月。骨高度增加了4.3±0.4毫米，种植体累积存活率为97.2%。9.3%的种植体出现种植体周围炎，7.7%的病例发生膜穿孔。5.5%的患者出现技术并发症。在本临床研究的局限性范围内，可以得出结论，MISE技术是一种成功的方案，用于在上颌后牙区牙槽嵴高度降低的患者中植入种植体，在平均8年的随访期内，生物和修复并发症发生率低于10%。
