Osteotome-Mediated Sinus Floor Elevation With or Without a Grafting Material: A Systematic Review and Meta-analysis of Long-term Studies (≥5-Years).

Abstract:

OBJECTIVE:To test the hypothesis of no difference in the long-term treatment outcome after osteotome-mediated sinus floor elevation with or without a grafting material. MATERIALS AND METHODS:A MEDLINE/PubMed, Cochrane Library, and EMBASE search in combination with a hand-search of relevant journals was conducted, including human studies published in English from January 1, 1986 to December 1, 2017. RESULTS:One comparative and 7 noncomparative studies fulfilled the inclusion criteria. Survival of suprastructures had never been compared within the same study. Meta-analysis demonstrated an overall estimated patient-based implant survival of 94%. Gain in vertical alveolar bone height was similar with the 2 treatment modalities. Noncomparative studies demonstrated high long-term survival rate of suprastructures and implants with the 2 treatment modalities, as well as limited periimplant marginal bone loss. CONCLUSION:High long-term implant survival was demonstrated after osteotome-mediated sinus floor elevation with or without a grafting material. However, long-term randomized controlled trials comparing the 2 treatment modalities are sparse. Hence, conclusions drawn from this systematic review should be interpreted with caution.

journal_name

Implant Dent

journal_title

Implant dentistry

authors

Aludden H,Mordenfeld A,Hallman M,Christensen AE,Starch-Jensen T

doi

10.1097/ID.0000000000000798

subject

Has Abstract

pub_date

2018-08-01 00:00:00

pages

488-497

issue

4

eissn

1056-6163

issn

1538-2982

pii

00008505-201808000-00017

journal_volume

27

pub_type

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