Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2021 Sep;25(9):5391-5401.
doi: 10.1007/s00784-021-03847-2. Epub 2021 Mar 10.

Intraoperative and postoperative outcomes of sinus floor elevation using the lateral window technique versus the hydrodynamic transalveolar approach: a preliminary randomized controlled trial

Miljana Bacevic #  1 , Yoann Compeyron #  2 , Geoffrey Lecloux  2 , Eric Rompen  2 , France Lambert  3   2
Affiliations
Randomized Controlled Trial

Intraoperative and postoperative outcomes of sinus floor elevation using the lateral window technique versus the hydrodynamic transalveolar approach: a preliminary randomized controlled trial

Miljana Bacevic et al. Clin Oral Investig. 2021 Sep.

Abstract

Objectives: To compare the clinical and radiographic outcomes of two sinus floor elevation techniques: the conventional lateral window technique versus the transalveolar approach using a hydrodynamic ultrasonic device.

Materials and methods: The study was designed as a randomized controlled clinical trial, and participants were randomly allocated to the control group (lateral window: LW) or to the test group (hydrodynamic transalveolar approach: HTA). The intraoperative and postoperative data, including procedure duration and patient-reported outcome measures (PROMs), were collected during the surgery and up to 1 year post-surgery. Additionally, qualitative assessment of gained bone volumes and implant survival rates was recorded.

Results: Twenty-two patients were included in the study. The mean surgical time was significantly longer in the HTA compared to the LW group (48.1 ± 11.2 min vs. 35.2 ± 9.1 min, P = 0.0011). Perforation of the Schneiderian membrane occurred in 2/11 and 5/11 patients in the LW and the HTA group, respectively (P = 0.36). Postoperatively, higher morbidity and consumption of nonsteroidal anti-inflammatory drugs (NSAIDs) were associated with the LW group. However, self-reported satisfaction with surgical procedures was similar in the two groups. At 1 year, implant survival rates of 80% in the HTA group and 100% in the LW group were recorded (P = 0.12).

Conclusions: Although the new transalveolar approach seems to reduce postoperative morbidity, an increased risk of intraoperative complications compared to the LW approach needs to be considered when choosing a technique.

Clinical relevance: Our results provide new insights regarding clinical and radiographic outcomes of HTA and may help further determine indications for its use.

Trial registration: ClinicalTrivals.gov : NCT04499625.

Keywords: Hydrodynamic; Intraoperative outcomes; Lateral window; Postoperative outcomes; Sinus floor elevation; Ultrasound surgery.

PubMed Disclaimer

References

    1. Barone A, Covani U (2019) Maxillary alveolar ridge reconstruction with nonvascularized autogenous block bone: clinical results. J Oral Maxillofac Surg 65(10):2039–2046 https://linkinghub.elsevier.com/retrieve/pii/S0278239107006143 - DOI
    1. Lambert F, Lecloux G, Rompen E (2010) One-step approach for implant placement and subantral bone regeneration using bovine hydroxyapatite: a 2- to 6-year follow-up study. Int J Oral Maxillofac Implants 25(3):598–606 - PubMed
    1. Sharma A, Rahul GR (2012) Zygomatic implants/fixture: a systematic review. J Oral Implantol 39(2):215–224 https://www.joionline.org/doi/full/10.1563/AAID-JOI-D-11-00055 - DOI
    1. Starch-Jensen T, Jensen JD (2019) Maxillary sinus floor augmentation: a review of selected treatment modalities. J Oral Maxillofac Res 8(3) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5676313/
    1. Fan T, Li Y, Deng W-W, Wu T, Zhang W (2017) Short implants (5 to 8 mm) versus longer implants (>8 mm) with sinus lifting in atrophic posterior maxilla: a meta-analysis of RCTs: short implants (5 to 8 mm) versus longer implants (>8 mm). Clin Implant Dent Relat Res 19(1):207–215 http://doi.wiley.com/10.1111/cid.12432 - DOI

Publication types

Substances

Associated data

LinkOut - more resources