論文

2018年

Retrospective clinical study of dental implants following sinus floor elevation: An up-to-10-year follow-up evaluation

バイオインテグレーション学会誌
  • Kanno Takahiro
  • ,
  • Sukegawa Shintaro
  • ,
  • Masui Masanori
  • ,
  • Kishimoto Tsukasa
  • ,
  • Sato Ai
  • ,
  • Sekine Joji
  • ,
  • Furuki Yoshihiko
  • ,
  • Sukegawa-Takahashi Yuka

8
1
開始ページ
83
終了ページ
93
記述言語
英語
掲載種別
DOI
10.32176/biointeg.8.1_83
出版者・発行元
一般社団法人 バイオインテグレーション学会

Purpose: Various maxillary sinus floor elevation techniques are used together with augmentation proceduresfor oral rehabilitation. Dental implants with or without bone substitutes or autologous bone grafting, and appliedusing the lateral window technique or the transcrestal osteotome-mediated sinus floor elevation technique, areused to enhance bone stability for implant installation. The aim of this study was to retrospectively evaluate theimplant status of patients who had undergone maxillary sinus floor elevation and immediate or delayed implantplacement via such techniques, with or without graft materials.Materials and Methods: In total, 398 dental implants placed in 169 maxillary sinuses of 169 patients (106 females,63 males; mean age, 57.5 years), who were fitted with Astra Tech dental implants, and required maxillary sinusfloor elevation, were evaluated in terms of the amount of residual bone remaining following treatment; the residualbone was assessed by elevation technique subgroup. The vertical height of the residual maxillary alveolarbone and the augmented vertical bone height were analyzed using digitalized panoramic radiographs. Clinicaland radiological follow-up was carried out over a period of 120 months after functional loading of a fixed prosthesis.The mean follow-up period was 55 months.Results: In total, 277 implants, with a mean residual vertical bone height of 3.72 mm, were installed in 113 maxillarysinuses using the lateral window technique. Of these, 216 implants (mean vertical bone height, 4.87 mm)were installed in 96 sinuses simultaneous with sinus floor elevation using β-tricalcium phosphate (βTCP) using nograft material or intraoral autologous bone. The remaining 17 sinuses underwent 61 implants (mean vertical boneheight, 2.57 mm) according to a delayed installation schedule using βTCP or iliac autologous bone. In 56 sinuses,121 implants (mean vertical height, 8.60 mm) were installed simultaneous via the transcrestal osteotome-mediatedtechnique with βTCP. Although seven implants failed (three early and four late failures) over a follow-up periodof 120 months (mean follow-up, 55 months), the other implants remained stable, with a high survival rate of 98.2%.No elevation technique or graft material subgroup showed any statistical significance, and complications wereminimal.Conclusions: The findings of this study demonstrate that various maxillary sinus floor elevation techniques forimplant installation, with or without graft material, are safe, having low complication rates and yielding predictableresults.

リンク情報
DOI
https://doi.org/10.32176/biointeg.8.1_83
CiNii Articles
http://ci.nii.ac.jp/naid/130007877858
ID情報
  • DOI : 10.32176/biointeg.8.1_83
  • CiNii Articles ID : 130007877858

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