Sinus lift with dental implants: to graft or not to graft

Dilemma

The Scottish Dental Registrars on a recent review of dental implants combined with sinus augmentation (sinus lift): what is the merit of bone grafting?

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Maxillary sinus lift surgery: does grafting improve outcomes?

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This review of maxillary sinus lift procedures prior to implant placement included 16 observational studies. The studies suggest no difference in outcomes with or without the use of graft material.

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Dental implants in atrophic jaws – shorter implants without augmentation may be the first choice

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Six studies involving a total of 837 implants in 335 patients were included in this review comparing implants in augmented bone with short implants in patients with strophic jaws. The findings suggest better outcomes, fewere failed implants and complications with short implants.

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Available evidence is insufficient to show if sinus lift techniques or short implants are more effective in reducing failures of dental prostheses

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The amount of bone available in the upper jaw following the loss of teeth is reduced to alveolar bone loss and the presence of the maxillary sinus. Sinus lift procedures increase bone volume by augmenting the sinus cavity with autogenous bone or commercially available biomaterials, or both. This review is an update of the 2010 [read the full story…]

Bone substitutes with autogenous bone show similar short term results to autogenous bone alone for maxillary sinus floor elevation

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Maxillary sinus floor elevation is commonly performed to create sufficient bone fraction to enable the placement of dental implants. The aim of this review was to assess the bone fraction and implant survival rate and to determine whether the bone fraction is affected by the grafting material or growth factor applied. The Medline and the [read the full story…]