Evidence map›Paper›PMID 41085782›Full record

ArticleClinical oral investigations2025

Bone augmentation effect of implant apex flush with maxillary sinus notch in transcrestal sinus floor elevation: A retrospective study.

Yunxuan Chen, Zichun Xia, Ke Yu, Ying Wang, Zhiwei Jiang, Guoli Yang

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Article in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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Authors and funding

6 authors.

Yunxuan ChenStomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Zhejiang Key Laboratory of Oral Biomedical, Hangzhou, 310000, China.
Zichun XiaStomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Zhejiang Key Laboratory of Oral Biomedical, Hangzhou, 310000, China.
Ke YuStomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Zhejiang Key Laboratory of Oral Biomedical, Hangzhou, 310000, China.
Ying WangStomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Zhejiang Key Laboratory of Oral Biomedical, Hangzhou, 310000, China.
Zhiwei JiangStomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Zhejiang Key Laboratory of Oral Biomedical, Hangzhou, 310000, China. jzw0913@zju.edu.cn.ORCID 0000-0001-8203-6151
Guoli YangStomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Zhejiang Key Laboratory of Oral Biomedical, Hangzhou, 310000, China. guo_li1214@zju.edu.cn.ORCID 0000-0002-1780-8757

Funding

China Postdoctoral Science Foundation 2022M722743National Natural Science Foundation of China 81901051National Natural Science Foundation of China 82370991National Outstanding Youth Science Fund Project of National Natural Science Foundation of China 82301120Science and Technology Program of Zhejiang Province 2024C03194
6 · The paper itself

Abstract

objectivesTo retrospectively evaluate whether implant apex flush with maxillary sinus notch is associated with greater bone augmentation of the concave sinus floor after graft-less transcrestal sinus floor elevation (TSFE) and simultaneous implant placement. MATERIALS AND

methodsAll patients treated with TSFE between January 2017 and June 2020 were screened via radiographs. Patients with concave sinus floor at the planned implant site were selected and divided according to a cohort design as follows: implant apex flush with the maxillary sinus notch (test group) or not (control group). Panoramic images were taken before surgery, immediately, and 4 months after surgery. Two-dimensional augmentation parameters, including endo-sinus bone gain (ESBG), and the ratio of ESBG to implant protrusion length (%ESBG) were measured to evaluate the bone augmentation effect.

resultsSixty-nine patients with a total of 69 implants (39: control group, 29: test group, 1: failure) were included in this retrospective research. At the 4-month follow-up, the ESBG and %ESBG of the test group [ESBG: 1.57 (0.58-2.37), %ESBG: 49.68% (15.38%-75.91%)] were significantly higher than those of the control group [ESBG: 0.48 (0.13-1.47), %ESBG: 11.73% (3.05%-27.96%), p < 0.05].

conclusionsThe present study preliminarily suggests that implant apex flush with the maxillary sinus notch may be associated with better bone augmentation of concave sinus floor in graft-less TSFE. CLINICAL RELEVANCE: This study is the first to propose the definition of the maxillary sinus notch and preliminarily explore its role in graft-less TSFE, providing novel insights into how implant protrusion length (IPL) affects bone augmentation.

Indexed as

Dental Implantation, EndosseousDental ImplantsMaxillary SinusSinus Floor AugmentationAdultAgedFemaleHumansMaleMiddle AgedRadiography, PanoramicRetrospective StudiesTreatment OutcomeDental ImplantsBone augmentation effectDental implantMaxillary sinus notchTranscrestal sinus floor elevation

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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.