Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
권호 표지
DOI QR코드

DOI QR Code

Peri-implant bone length changes and survival rates of implants penetrating the sinus membrane at the posterior maxilla in patients with limited vertical bone height

  • Kim, Hae-Young (Department of Dental Laboratory Science and Engineering, College of Health Science, Korea University) ;
  • Yang, Jin-Yong (Yang's Dental Clinic) ;
  • Chung, Bo-Yoon (Department of Prosthodontics, Dental Research Institute, Seoul National University School of Dentistry) ;
  • Kim, Jeong Chan (Dongdaemoon Dental Clinic) ;
  • Yeo, In-Sung (Department of Prosthodontics, Dental Research Institute, Seoul National University School of Dentistry)
  • Received : 2013.03.27
  • Accepted : 2013.04.10
  • Published : 2013.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The aim of this study was to measure the peri-implant bone length surrounding implants that penetrate the sinus membrane at the posterior maxilla and to evaluate the survival rate of these implants. Methods: Treatment records and orthopantomographs of 39 patients were reviewed and analyzed. The patients had partial edentulism at the posterior maxilla and limited vertical bone height below the maxillary sinus. Implants were inserted into the posterior maxilla, penetrating the sinus membrane. Four months after implant insertion, provisional resin restorations were temporarily cemented to the abutments and used for one month. Then, a final impression was taken at the abutment level, and final cement-retained restorations were delivered with mutually protected occlusion. The complications from the implant surgery were examined, the number of failed implants was counted, and the survival rate was calculated. The periimplant bone lengths were measured using radiographs. The changes in initial and final peri-implant bone lengths were statistically analyzed. Results: Nasal bleeding occurred after implant surgery in three patients. No other complications were found. There were no failures of the investigated implants, resulting in a survival rate of 100%. Significantly more bone gain around the implants (estimated difference=-0.6 mm, P=0.025) occurred when the initial residual bone height was less than 5 mm compared to the >5 mm groups. No significant change in peri-implant bone length was detected when the initial residual bone height was 5 mm or larger. Conclusions: This study suggests that implants penetrating the sinus membrane at the posterior maxilla in patients with limited vertical bone height may be safe and functional.

Keywords

References

  1. Esposito M, Grusovin MG, Rees J, Karasoulos D, Felice P, Alissa R, et al. Effectiveness of sinus lift procedures for dental implant rehabilitation: a Cochrane systematic review. Eur J Oral Implantol 2010;3:7-26.
  2. Esposito M, Pellegrino G, Pistilli R, Felice P. Rehabilitation of postrior atrophic edentulous jaws: prostheses supported by 5 mm short implants or by longer implants in augmented bone? One-year results from a pilot randomised clinical trial. Eur J Oral Implantol 2011;4:21-30.
  3. Felice P, Soardi E, Pellegrino G, Pistilli R, Marchetti C, Gessaroli M, et al. Treatment of the atrophic edentulous maxilla: short implants versus bone augmentation for placing longer implants: five-month post-loading results of a pilot randomised controlled trial. Eur J Oral Implantol 2011; 4:191-202.
  4. Nkenke E, Stelzle F. Clinical outcomes of sinus floor augmentation for implant placement using autogenous bone or bone substitutes: a systematic review. Clin Oral Implants Res 2009;20 Suppl 4:124-33. https://doi.org/10.1111/j.1600-0501.2009.01776.x
  5. Pjetursson BE, Tan WC, Zwahlen M, Lang NP. A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. J Clin Periodontol 2008;35(8 Suppl):216-40. https://doi.org/10.1111/j.1600-051X.2008.01272.x
  6. Esposito M, Grusovin MG, Rees J, Karasoulos D, Felice P, Alissa R, et al. Interventions for replacing missing teeth: augmentation procedures of the maxillary sinus. Cochrane Database Syst Rev 2010;(3):CD008397.
  7. Felice P, Pistilli R, Piattelli M, Soardi E, Corvino V, Esposito M. Posterior atrophic jaws rehabilitated with prostheses supported by 5x5 mm implants with a novel nanostructured calcium-incorporated titanium surface or by longer implants in augmented bone. Preliminary results from a randomised controlled trial. Eur J Oral Implantol 2012;5: 149-61.
  8. Felice P, Checchi V, Pistilli R, Scarano A, Pellegrino G, Esposito M. Bone augmentation versus 5-mm dental implants in posterior atrophic jaws. Four-month post-loading results from a randomised controlled clinical trial. Eur J Oral Implantol 2009;2:267-81.
  9. Esposito M, Cannizzaro G, Soardi E, Pistilli R, Piattelli M, Corvino V, et al. Posterior atrophic jaws rehabilitated with prostheses supported by 6 mm-long, 4 mm-wide implants or by longer implants in augmented bone. Preliminary results from a pilot randomised controlled trial. Eur J Oral Implantol 2012;5:19-33.
  10. Cosci F, Luccioli M. A new sinus lift technique in conjunction with placement of 265 implants: a 6-year retrospective study. Implant Dent 2000;9:363-8. https://doi.org/10.1097/00008505-200009040-00014
  11. Khoury F. Augmentation of the sinus floor with mandibular bone block and simultaneous implantation: a 6-year clinical investigation. Int J Oral Maxillofac Implants 1999; 14:557-64.
  12. Proussaefs P, Lozada J, Kim J, Rohrer MD. Repair of the perforated sinus membrane with a resorbable collagen membrane: a human study. Int J Oral Maxillofac Implants 2004;19:413-20.
  13. Vina-Almunia J, Penarrocha-Diago M, Penarrocha-Diago M. Influence of perforation of the sinus membrane on the survival rate of implants placed after direct sinus lift. Literature update. Med Oral Patol Oral Cir Bucal 2009;14: E133-6.
  14. Ardekian L, Oved-Peleg E, Mactei EE, Peled M. The clinical significance of sinus membrane perforation during augmentation of the maxillary sinus. J Oral Maxillofac Surg 2006;64:277-82. https://doi.org/10.1016/j.joms.2005.10.031
  15. Karabuda C, Arisan V, Ozyuvaci H. Effects of sinus membrane perforations on the success of dental implants placed in the augmented sinus. J Periodontol 2006;77:1991-7. https://doi.org/10.1902/jop.2006.060102
  16. Shlomi B, Horowitz I, Kahn A, Dobriyan A, Chaushu G. The effect of sinus membrane perforation and repair with Lambone on the outcome of maxillary sinus floor augmentation: a radiographic assessment. Int J Oral Maxillofac Implants 2004;19:559-62.
  17. Schwartz-Arad D, Herzberg R, Dolev E. The prevalence of surgical complications of the sinus graft procedure and their impact on implant survival. J Periodontol 2004;75: 511-6. https://doi.org/10.1902/jop.2004.75.4.511
  18. Littell RC, Milliken GA, Stroup WW, Wolfinger RD. SAS system for mixed models. Cary: SAS Institute Inc.; 1996.
  19. Frost HM. Wolff's law and bone's structural adaptations to mechanical usage: an overview for clinicians. Angle Orthod 1994;64:175-88.
  20. Hansson S. Implant-abutment interface: biomechanical study of flat top versus conical. Clin Implant Dent Relat Res 2000;2:33-41. https://doi.org/10.1111/j.1708-8208.2000.tb00104.x
  21. Hansson S. A conical implant-abutment interface at the level of the marginal bone improves the distribution of stresses in the supporting bone: an axisymmetric finite element analysis. Clin Oral Implants Res 2003;14:286-93. https://doi.org/10.1034/j.1600-0501.2003.140306.x

Cited by

  1. Influence of exposing dental implants into the sinus cavity on survival and complications rate: a systematic review vol.5, pp.None, 2013, https://doi.org/10.1186/s40729-019-0157-7
  2. Effects of Corticobasal Implant Protrusion inside the Nasal and Maxillary Sinus vol.10, pp.1, 2013, https://doi.org/10.4103/ams.ams_42_20
  3. Long‐term effects of sinus membrane perforation on dental implants placed with transcrestal sinus floor elevation: A case-control study vol.23, pp.5, 2013, https://doi.org/10.1111/cid.13038