Maxillary Sinus Floor Augmentation With Autogenous Bone Graft From the Ascending Mandibular Ramus

PURPOSE: The objective of the present study was to assess patient satisfaction and esthetic implant outcome 10 years after maxillary sinus floor augmentation with autogenous bone graft from the mandibular ramus.

MATERIALS AND METHODS: Maxillary sinus floor augmentation with autogenous bone graft from the mandibular ramus was conducted in 48 consecutive patients from 2002 to 2006. Records and radiographs were retrospectively analyzed. Twenty-four patients including 34 sinus augmentation procedures and 37 implants were evaluated after 10 years. Subjective and professional evaluations of the final periimplant soft tissue, implant crown, and total implant treatment were conducted.

RESULTS: The 10-year survival of suprastructures and implants was 84% and 100%, respectively. The patients were highly satisfied with the esthetic and implant treatment outcome expressed by scores >90 on the visual analog scale. Most implants were characterized by scores of 1 or 2, resulting in a mean pink esthetic score of 9 (maximum 14) and a white esthetic score of 8 (maximum 10).

CONCLUSION: Maxillary sinus floor augmentation with autogenous bone graft is characterized by high long-term implant survival rate and patient satisfaction.