Analysis of implant survival rates at different subantral residual bone heights in simultaneous implant placement with lateral window technique for sinus floor elevation

doi:10.12337/zgkqzzxzz.2024.12.011

Abstract

Abstract: Objective To evaluate the impact of subantral residual bone height (SRBH) on implant survival rates during simultaneous implant placement with the lateral window technique for sinus floor elevation. Methods A retrospective cohort study was conducted on patients treated at Shenzhen U-Dental Clinic between April 2012 and April 2022. These patients, with insufficient bone volume in the maxillary posterior region, underwent the lateral window technique for sinus floor elevation with simultaneous implant placement using bovine-derived inorganic bone graft material. Secondary prosthetic restoration was performed 6 months postoperatively. Patients were divided into two groups based on SRBH: Group 1 (<3 mm) and Group 2 (≥3 mm). Postoperative complications, implant survival rates, and marginal bone loss were evaluated. Results A total of 124 patients underwent 136 maxillary sinus surgeries with 252 implants placed. The mean follow-up period was 58.1±15.8 months. Implant survival rates were 91.59% in Group 1 and 93.10% in Group 2, with no statistically significant difference between the groups. Sinus membrane perforation occurred in 27 cases (19.85%), but it was not significantly associated with implant failure. Conclusion Simultaneous implant placement with the lateral window technique for sinus floor elevation is an effective treatment for insufficient bone height in the maxillary posterior region. There is no significant correlation between SRBH and implant survival rates.

Key words: Dental implant, Sinus floor elevation, Lateral window technique, Subantral residual bone height

Chen Gang. Analysis of implant survival rates at different subantral residual bone heights in simultaneous implant placement with lateral window technique for sinus floor elevation[J]. Chinese Journal of Oral Implantology, 2025, 29(6): 531-536.

References

[1] Khehra A, Levin L.Maxillary sinus augmentation procedures: a narrative clinical review[J]. Quintessence Int, 2020, 51(7):578-584. DOI: 10.3290/j.qi.a44632.
[2] Starch-Jensen T, Jensen JD.Maxillary sinus floor augmentation: a review of selected treatment modalities[J]. J Oral Maxillofac Res, 2017, 8(3):e3. DOI: 10.5037/jomr.2017. 8303.
[3] Zitzmann NU, Schärer P.Sinus elevation procedures in the resorbed posterior maxilla. Comparison of the crestal and lateral approaches[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 1998, 85(1):8-17. DOI: 10.1016/s1079-2104(98)90391-2.
[4] Fugazzotto PA.Augmentation of the posterior maxilla: a proposed hierarchy of treatment selection[J]. J Periodontol, 2003, 74(11):1682-1691. DOI: 10.1902/jop.2003.74.11.1682.
[5] Skalak R, Zhao Y.Interaction of force-fitting and surface roughness of implants[J]. Clin Implant Dent Relat Res, 2000, 2(4):219-224. DOI: 10.1111/j.1708-8208.2000.tb00120.x.
[6] Peleg M, Mazor Z, Chaushu G, et al.Sinus floor augmentation with simultaneous implant placement in the severely atrophic maxilla[J]. J Periodontol, 1998, 69(12):1397-1403. DOI: 10.1902/jop.1998.69.12.1397.
[7] Geurs NC, Wang IC, Shulman LB, et al.Retrospective radiographic analysis of sinus graft and implant placement procedures from the academy of osseointegration consensus conference on sinus grafts[J]. Int J Periodontics Restorative Dent, 2001, 21(5):517-523.
[8] Kloss FR, Offermanns V, Kloss-Brandstätter A.Comparison of allogeneic and autogenous bone grafts for augmentation of alveolar ridge defects-a 12-month retrospective radiographic evaluation[J]. Clin Oral Implants Res, 2018, 29(11):1163-1175. DOI: 10.1111/clr.13380.
[9] Albrektsson T, Zarb G, Worthington P, et al.The long-term efficacy of currently used dental implants: a review and proposed criteria of success[J]. Int J Oral Maxillofac Implants, 1986, 1(1):11-25.
[10] Sivolella S, Bressan E, Gnocco E, et al.Maxillary sinus augmentation with bovine bone and simultaneous dental implant placement in conditions of severe alveolar atrophy: a retrospective analysis of a consecutively treated case series[J]. Quintessence Int, 2011, 42(10):851-862.
[11] Pjetursson BE, Tan WC, Zwahlen M,et al.A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation[J]. J Clin Periodontol, 2008,35(8 Suppl):S216-S240. DOI: 10.1111/j.1600-051X. 2008.01272.x.
[12] Peleg M, Mazor Z, Chaushu G, et al.Sinus floor augmentation with simultaneous implant placement in the severely atrophic maxilla[J]. J Periodontol, 1998, 69(12):1397-1403. DOI: 10.1902/jop.1998.69.12.1397.
[13] Valentini P, Abensur DJ.Maxillary sinus grafting with anorganic bovine bone: a clinical report of long-term results[J]. Int J Oral Maxillofac Implants, 2003, 18(4):556-560.
[14] Maiorana C, Sigurtà D, Mirandola A, et al.Sinus elevation with alloplasts or xenogenic materials and implants: an up-to-4-year clinical and radiologic follow-up[J]. Int J Oral Maxillofac Implants, 2006, 21(3):426-432.
[15] Velich N, Németh Z, Tóth C, et al.Long-term results with different bone substitutes used for sinus floor elevation[J]. J Craniofac Surg, 2004, 15(1):38-41. DOI: 10.1097/00001665- 200401000-00013.
[16] Hürzeler MB, Quiñones CR, Kirsch A, et al.Maxillary sinus augmentation using different grafting materials and dental implants in monkeys. Part III. Evaluation of autogenous bone combined with porous hydroxyapatite[J]. Clin Oral Implants Res, 1997, 8(5):401-411. DOI: 10.1034/j.1600-0501.1997.080507.x.
[17] Maiorana C, Sigurtà D, Mirandola A, et al.Sinus elevation with alloplasts or xenogenic materials and implants: an up-to-4-year clinical and radiologic follow-up[J]. Int J Oral Maxillofac Implants, 2006, 21(3):426-432.
[18] Testori T, Wallace SS, Del Fabbro M, et al.Repair of large sinus membrane perforations using stabilized collagen barrier membranes: surgical techniques with histologic and radiographic evidence of success[J]. Int J Periodontics Restorative Dent, 2008, 28(1):9-17.
[19] Pikos MA.Maxillary sinus membrane repair: report of a technique for large perforations[J]. Implant Dent, 1999, 8(1):29-34. DOI: 10.1097/00008505-199901000-00003.
[20] Timmenga NM, Raghoebar GM, Boering G, et al. Maxillary sinus function after sinus lifts for the insertion of dental implants[J]. J Oral Maxillofac Surg, 1997, 55(9):936-939, discussion 940. DOI: 10.1016/s0278-2391(97)90063-x.
[21] Ardekian L, Oved-Peleg E, Mactei EE, et al.The clinical significance of sinus membrane perforation during augmentation of the maxillary sinus[J]. J Oral Maxillofac Surg, 2006, 64(2):277-282. DOI: 10.1016/j.joms.2005.10.031.