ArticleClinical oral investigations2025
Bone augmentation effect of implant apex flush with maxillary sinus notch in transcrestal sinus floor elevation: A retrospective study.
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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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.
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