Evidence map›Paper›PMID 40560249›Full record

Observational studyClinical oral investigations2025

Vitality tests for pulp diagnosis of adjacent teeth following sinus floor elevation: a prospective study.

Jochen Tunkel, Shengchi Fan, Anita Kloss-Brandstätter, Frank R Kloss, Henning Staedt, Frederic Kauffmann, Diana Heimes, Peer W Kämmerer

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jochen TunkelPrivate Practice for Oral Surgery and Periodontology, Königstraße 19, 32545, Bad Oeynhausen, Germany.
Shengchi FanDepartment of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131, Mainz, Germany.
Anita Kloss-BrandstätterDepartment of Engineering & IT, Carinthia University of Applied Sciences, Europastraße 4, Villach, 9524, Austria.
Frank R KlossPrivate Clinic for Oral- and Maxillofacial Surgery, Kärntnerstraße 62, Lienz, 9900, Austria.
Henning StaedtDepartment of Prosthodontics and Materials Science, University of Rostock, Stempelstraße 13, 18057, Rostock, Germany.
Frederic KauffmannDepartment of Periodontology, Faculty of Health, Witten/Herdecke University, Alfred-Herrhausen-Str. 50, 58455, Witten, Germany.
Diana Heimes *Department of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131, Mainz, Germany.
Peer W Kämmerer *Department of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131, Mainz, Germany. peer.kaemmerer@gmx.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe Schneiderian membrane is elevated to place bone graft material during sinus floor augmentation. Since the teeth's vascular and neurovascular supply passes through the maxillary sinus, this procedure may lead to sensitivity loss in adjacent teeth. This study is the first to prospectively analyze the vitality of adjacent teeth after sinus floor elevation. MATERIALS AND

methodsData were collected between 2015 and 2023 from 158 patients, who underwent maxillary sinus floor augmentation and implant placement. A total of 378 teeth were examined for vitality using cold testing at the following time points: (1) before sinus floor elevation, (2) 2 weeks, (3) 4 months, (4) 8 months, and (5) 12 months post-surgery. Follow-up duration ranged from 12 to 32 months.

resultsTwo teeth in two patients showed no vitality before surgery, but became vital postoperatively. In 3 teeth (0.79%), pulp vitality loss was recorded 2 weeks after surgery, which was restored at the 4-month follow-up. These teeth remained vital after one year. The pre-and postoperative pulp vitality comparison showed no statistically significant difference (p = 0.625).

conclusionsThis first prospective observational study demonstrated that a few patients experienced temporary pulp sensitivity loss immediately post-surgery, which resolved within four months. CLINICAL RELEVANCE: Pulp sensitivity loss due to vascular disruption during sinus floor augmentation is rare and usually temporary. Despite potential vascular disruption, sinus floor augmentation procedures do not appear to cause permanent pulp sensitivity loss.

Indexed as

Dental Pulp TestPostoperative ComplicationsSinus Floor AugmentationAdultAgedDental Implantation, EndosseousFemaleHumansMaleMiddle AgedProspective StudiesBone graftingDental implant placementMaxillary sinusNeurovascular supplyPulp vitalitySinus floor augmentation

Identifiers

PMID40560249
PMCPMC12198307

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.