J Korean Assoc Oral Maxillofac Surg.  2017 Aug;43(4):214-220. 10.5125/jkaoms.2017.43.4.214.

Clinical and biological analysis in graftless maxillary sinus lift

Affiliations
  • 1Master in Dental Science Program, Universidad de La Frontera, Temuco, Chile.
  • 2Department of Oral and Maxillofacial Surgery, Universidad de La Frontera, Temuco, Chile. sergio.olate@ufrontera.cl
  • 3Center of Excellence in Surgical and Morphological Studies (CEMYQ), Universidad de La Frontera, Temuco, Chile.
  • 4Center for Biomedical Research, Universidad Autónoma de Chile, Temuco, Chile.

Abstract

Maxillary sinus lift for dental implant installation is a well-known and versatile technique; new techniques are presented based on the physiology of intrasinus bone repair. The aim of this review was to determine the status of graftless maxillary sinus lift and analyze its foundations and results. A search was conducted of the literature between 1995 and 2015 in the Medline, ScienceDirect, and SciELO databases using the keywords "maxillary sinus lift,""blood clot,""graftless maxillary sinus augmentation," and "dental implant placement." Ten articles were selected for our analysis of this technique and its results. Despite the limited information, cases that were followed for at least six months and up to four years had a 90% success rate. Published techniques included a lateral window, elevation of the sinus membrane, drilling and dental implant installation, descent of the membrane with variations in the installation of the lateral wall access and suturing. The physiology behind this new bone formation response and the results of the present research were also discussed. We concluded that this is a promising and viable technique under certain inclusion criteria.

Keyword

Maxillary sinus; Blood clotting; Sinus floor augmentation

MeSH Terms

Blood Coagulation
Dental Implants
Foundations
Maxillary Sinus*
Membranes
Osteogenesis
Physiology
Sinus Floor Augmentation
Dental Implants

Cited by  2 articles

Sinus membrane elevation and implant placement
Young-Kyun Kim, Jeong-Kui Ku
J Korean Assoc Oral Maxillofac Surg. 2020;46(4):292-298.    doi: 10.5125/jkaoms.2020.46.4.292.

Sinus floor elevation and simultaneous implant placement in fresh extraction sockets: a systematic review of clinical data
Mehdi Ekhlasmandkermani, Reza Amid, Mahdi Kadkhodazadeh, Farhad Hajizadeh, Pooria Fallah Abed, Lida Kheiri, Aida Kheiri
J Korean Assoc Oral Maxillofac Surg. 2021;47(6):411-426.    doi: 10.5125/jkaoms.2021.47.6.411.


Reference

1. Tatum H Jr. Maxillary and sinus implant reconstructions. Dent Clin North Am. 1986; 30:207–229. PMID: 3516738.
2. Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg. 1980; 38:613–616. PMID: 6993637.
3. Mendoza G, Morales P, Reyes F, Navarro P, Garay I, Olate S. The alveolar bone high in posterior area of maxilla and the relation with tooth loss. Int J Morphol. 2013; 31:822–825.
4. De Moraes PH, Costa VOC, Olate S, Caria PHF, Barbosa JRA. Morphometric study of maxillary sinus by computed tomography. Assessment of sinus floor bone reconstruction. Int J Morphol. 2012; 30:592–598.
5. Rodríguez-Chessa JG, Olate S, Netto HD, Shibli J, de Moraes M, Mazzonetto R. Treatment of atrophic maxilla with zygomatic implants in 29 consecutives patients. Int J Clin Exp Med. 2014; 7:426–430. PMID: 24600500.
6. Cidade CP, Olate S, Pozzer L, Pimentel MJ, Nóbilo M, Albergaria-Barbosa JR. Stress analysis in maxillary all-on-four model. Int J Odontostomat. 2015; 9:205–211.
Article
7. Rickert D, Slater JJ, Meijer HJ, Vissink A, Raghoebar GM. Maxillary sinus lift with solely autogenous bone compared to a combination of autogenous bone and growth factors or (solely) bone substitutes. A systematic review. Int J Oral Maxillofac Surg. 2012; 41:160–167. PMID: 22099314.
Article
8. Chiapasco M, Zaniboni M, Rimondini L. Dental implants placed in grafted maxillary sinuses: a retrospective analysis of clinical outcome according to the initial clinical situation and a proposal of defect classification. Clin Oral Implants Res. 2008; 19:416–428. PMID: 18266875.
Article
9. Olate S, Pozzer L, Luna AHB, Mazonetto R, de Moraes M, Barbosa JRA. Estudio retrospectivo de 91 cirugías de elevación de seno maxilar para rehabilitación sobre implantes. Int J Odontostomat. 2012; 6:81–88.
Article
10. Lundgren S, Cricchio G, Palma VC, Salata LA, Sennerby L. Sinus membrane elevation and simultaneous insertion of dental implants: a new surgical technique in maxillary sinus floor augmentation. Periodontol 2000. 2008; 47:193–205. PMID: 18412582.
Article
11. Moon JW, Sohn DS, Heo JU, Shin HI, Jung JK. New bone formation in the maxillary sinus using peripheral venous blood alone. J Oral Maxillofac Surg. 2011; 69:2357–2367. PMID: 21719179.
Article
12. Lundgren S, Andersson S, Gualini F, Sennerby L. Bone reformation with sinus membrane elevation: a new surgical technique for maxillary sinus floor augmentation. Clin Implant Dent Relat Res. 2004; 6:165–173. PMID: 15726851.
Article
13. Hatano N, Sennerby L, Lundgren S. Maxillary sinus augmentation using sinus membrane elevation and peripheral venous blood for implant-supported rehabilitation of the atrophic posterior maxilla: case series. Clin Implant Dent Relat Res. 2007; 9:150–155. PMID: 17716259.
Article
14. Thor A, Sennerby L, Hirsch JM, Rasmusson L. Bone formation at the maxillary sinus floor following simultaneous elevation of the mucosal lining and implant installation without graft material: an evaluation of 20 patients treated with 44 Astra Tech implants. J Oral Maxillofac Surg. 2007; 65(7 Suppl 1):64–72. PMID: 17586351.
Article
15. Chen TW, Chang HS, Leung KW, Lai YL, Kao SY. Implant placement immediately after the lateral approach of the trap door window procedure to create a maxillary sinus lift without bone grafting: a 2-year retrospective evaluation of 47 implants in 33 patients. J Oral Maxillofac Surg. 2007; 65:2324–2328. PMID: 17954333.
Article
16. Lin IC, Gonzalez AM, Chang HJ, Kao SY, Chen TW. A 5-year follow-up of 80 implants in 44 patients placed immediately after the lateral trap-door window procedure to accomplish maxillary sinus elevation without bone grafting. Int J Oral Maxillofac Implants. 2011; 26:1079–1086. PMID: 22010092.
17. Balleri P, Veltri M, Nuti N, Ferrari M. Implant placement in combination with sinus membrane elevation without biomaterials: a 1-year study on 15 patients. Clin Implant Dent Relat Res. 2012; 14:682–689. PMID: 21176096.
Article
18. Chipaila N, Marini R, Sfasciotti GL, Cielo A, Bonanome L, Monaco A. Graftless sinus augmentation technique with contextual placement of implants: a case report. J Med Case Rep. 2014; 8:437. PMID: 25515949.
Article
19. Bassi AP, Pioto R, Faverani LP, Canestraro D, Fontão FG. Maxillary sinus lift without grafting, and simultaneous implant placement: a prospective clinical study with a 51-month follow-up. Int J Oral Maxillofac Surg. 2015; 44:902–907. PMID: 25896082.
Article
20. Stern A, Green J. Sinus lift procedures: an overview of current techniques. Dent Clin North Am. 2012; 56:219–233. PMID: 22117952.
Article
21. Garbacea A, Lozada JL, Church CA, Al-Ardah AJ, Seiberling KA, Naylor WP, et al. The incidence of maxillary sinus membrane perforation during endoscopically assessed crestal sinus floor elevation: a pilot study. J Oral Implantol. 2012; 38:345–359. PMID: 22913307.
Article
22. Raja SV. Management of the posterior maxilla with sinus lift: review of techniques. J Oral Maxillofac Surg. 2009; 67:1730–1734. PMID: 19615589.
Article
23. Arasawa M, Oda Y, Kobayashi T, Uoshima K, Nishiyama H, Hoshina H, et al. Evaluation of bone volume changes after sinus floor augmentation with autogenous bone grafts. Int J Oral Maxillofac Surg. 2012; 41:853–857. PMID: 22551647.
Article
24. Thomas MV, Puleo DA. Infection, inflammation, and bone regeneration: a paradoxical relationship. J Dent Res. 2011; 90:1052–1061. PMID: 21248364.
Article
25. 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):124–133. PMID: 19663959.
Article
26. Proussaefs P, Lozada J. Use of titanium mesh for staged localized alveolar ridge augmentation: clinical and histologic-histomorphometric evaluation. J Oral Implantol. 2006; 32:237–247. PMID: 17069168.
Article
27. Meloni SM, Jovanovic SA, Lolli FM, Cassisa C, De Riu G, Pisano M, et al. Grafting after sinus lift with anorganic bovine bone alone compared with 50:50 anorganic bovine bone and autologous bone: results of a pilot randomised trial at one year. Br J Oral Maxillofac Surg. 2015; 53:436–441. PMID: 25796408.
Article
28. Garlini G, Redemagni M, Donini M, Maiorana C. Maxillary sinus elevation with an alloplastic material and implants: 11 years of clinical and radiologic follow-up. J Oral Maxillofac Surg. 2010; 68:1152–1157. PMID: 20156662.
Article
29. Chaves MD, de Souza Nunes LS, de Oliveira RV, Holgado LA, Filho HN, Matsumoto MA, et al. Bovine hydroxyapatite (Bio-Oss(®)) induces osteocalcin, RANK-L and osteoprotegerin expression in sinus lift of rabbits. J Craniomaxillofac Surg. 2012; 40:e315–e320. PMID: 22513050.
Article
30. Stiller M, Kluk E, Bohner M, Lopez-Heredia MA, Müller-Mai C, Knabe C. Performance of β-tricalcium phosphate granules and putty, bone grafting materials after bilateral sinus floor augmentation in humans. Biomaterials. 2014; 35:3154–3163. PMID: 24439419.
Article
31. Jung YS, Chung SW, Nam W, Cho IH, Cha IH, Park HS. Spontaneous bone formation on the maxillary sinus floor in association with an extraction socket. Int J Oral Maxillofac Surg. 2007; 36:656–657. PMID: 17367999.
Article
32. Srouji S, Ben-David D, Lotan R, Riminucci M, Livne E, Bianco P. The innate osteogenic potential of the maxillary sinus (Schneiderian) membrane: an ectopic tissue transplant model simulating sinus lifting. Int J Oral Maxillofac Surg. 2010; 39:793–801. PMID: 20417057.
Article
33. Rong Q, Li X, Chen SL, Zhu SX, Huang DY. Effect of the Schneiderian membrane on the formation of bone after lifting the floor of the maxillary sinus: an experimental study in dogs. Br J Oral Maxillofac Surg. 2015; 53:607–612. PMID: 26025764.
Article
34. Choi JY, Jung UW, Lee IS, Kim CS, Lee YK, Choi SH. Resolution of surgically created three-wall intrabony defects in implants using three different biomaterials: an in vivo study. Clin Oral Implants Res. 2011; 22:343–348. PMID: 20831755.
Article
35. Rubio ED, Mombrú CM. Spontaneous bone healing after cysts enucleation without bone grafting materials: a randomized clinical study. Craniomaxillofac Trauma Reconstr. 2015; 8:14–22. PMID: 25709749.
Article
36. Xu H, Shimizu Y, Ooya K. Histomorphometric study of the stability of newly formed bone after elevation of the floor of the maxillary sinus. Br J Oral Maxillofac Surg. 2005; 43:493–499. PMID: 15908076.
Article
37. de Oliveira GR, Olate S, Cavalieri-Pereira L, Pozzer L, Asprino L, de Moraes M, et al. Maxillary sinus floor augmentation using blood without graft material. Preliminary results in 10 patients. J Oral Maxillofac Surg. 2013; 71:1670–1675. PMID: 23891012.
Article
38. Callan DP, Rohrer MD. Use of bovine-derived hydroxyapatite in the treatment of edentulous ridge defects: a human clinical and histologic case report. J Periodontol. 1993; 64:575–582. PMID: 8393110.
Article
39. Bruder SP, Fink DJ, Caplan AI. Mesenchymal stem cells in bone development, bone repair, and skeletal regeneration therapy. J Cell Biochem. 1994; 56:283–294. PMID: 7876320.
40. Riben C, Thor A. The maxillary sinus membrane elevation procedure: augmentation of bone around dental implants without grafts--a review of a surgical technique. Int J Dent. 2012; 2012:DOI: 10.1155/2012/105483.
Article
41. 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. PMID: 20467595.
42. Dimitriou R, Jones E, McGonagle D, Giannoudis PV. Bone regeneration: current concepts and future directions. BMC Med. 2011; 9:66. PMID: 21627784.
Article
43. Haas R, Haidvogl D, Donath K, Watzek G. Freeze-dried homogeneous and heterogeneous bone for sinus augmentation in sheep. Part I: histological findings. Clin Oral Implants Res. 2002; 13:396–404. PMID: 12175377.
44. Haas R, Haidvogl D, Dörtbudak O, Mailath G. Freeze-dried bone for maxillary sinus augmentation in sheep. Part II: biomechanical findings. Clin Oral Implants Res. 2002; 13:581–586. PMID: 12519331.
45. Cricchio G, Sennerby L, Lundgren S. Sinus bone formation and implant survival after sinus membrane elevation and implant placement: a 1- to 6-year follow-up study. Clin Oral Implants Res. 2011; 22:1200–1212. PMID: 21906186.
Article
46. Cara-Fuentes M, Machuca-Ariza J, Ruiz-Martos A, Ramos-Robles MC, Martínez-Lara I. Long-term outcome of dental implants after maxillary augmentation with and without bone grafting. Med Oral Patol Oral Cir Bucal. 2016; 21:e229–e235. PMID: 26827071.
Article
47. Jeong SM, Lee CU, Son JS, Oh JH, Fang Y, Choi BH. Simultaneous sinus lift and implantation using platelet-rich fibrin as sole grafting material. J Craniomaxillofac Surg. 2014; 42:990–994. PMID: 24503388.
48. Mooren RE, Dankers AC, Merkx MA, Bronkhorst EM, Jansen JA, Stoelinga PJ. The effect of platelet-rich plasma on early and late bone healing using a mixture of particulate autogenous cancellous bone and Bio-Oss: an experimental study in goats. Int J Oral Maxillofac Surg. 2010; 39:371–378. PMID: 20129756.
Article
49. Choukroun J, Diss A, Simonpieri A, Girard MO, Schoeffler C, Dohan SL, et al. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part V: histologic evaluations of PRF effects on bone allograft maturation in sinus lift. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 101:299–303. PMID: 16504861.
Article
50. Grageda E, Lozada JL, Boyne PJ, Caplanis N, McMillan PJ. Bone formation in the maxillary sinus by using platelet-rich plasma: an experimental study in sheep. J Oral Implantol. 2005; 31:2–17. PMID: 15751383.
Article
51. Baslarli O, Tumer C, Ugur O, Vatankulu B. Evaluation of osteoblastic activity in extraction sockets treated with platelet-rich fibrin. Med Oral Patol Oral Cir Bucal. 2015; 20:e111–e116. PMID: 25475771.
Article
52. Kumar N, Prasad K, Ramanujam L, K R, Dexith J, Chauhan A. Evaluation of treatment outcome after impacted mandibular third molar surgery with the use of autologous platelet-rich fibrin: a randomized controlled clinical study. J Oral Maxillofac Surg. 2015; 73:1042–1049. PMID: 25659357.
Article
53. Gurtner GC, Callaghan MJ, Longaker MT. Progress and potential for regenerative medicine. Annu Rev Med. 2007; 58:299–312. PMID: 17076602.
Article
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