TY - JOUR
T1 - Osteotome-Mediated Sinus Floor Elevation With or Without a Grafting Material
T2 - A Systematic Review and Meta-analysis of Long-term Studies (≥5-Years)
AU - Aludden, Hanna
AU - Mordenfeld, Arne
AU - Hallman, Mats
AU - Christensen, Ann-Eva
AU - Starch-Jensen, Thomas
PY - 2018/8
Y1 - 2018/8
N2 - 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.
AB - 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.
KW - Alveolar ridge augmentation
KW - Biomedical and dental materials
KW - Bone transplantation
KW - Dentistry
KW - Oral surgical procedures
UR - http://www.scopus.com/inward/record.url?scp=85056855522&partnerID=8YFLogxK
U2 - 10.1097/ID.0000000000000798
DO - 10.1097/ID.0000000000000798
M3 - Review article
C2 - 30048350
SN - 1056-6163
VL - 27
SP - 488
EP - 497
JO - Implant Dentistry
JF - Implant Dentistry
IS - 4
ER -