The influence of remaining alveolar bone upon lateral window sinus augmentation implant survival

Implant Dent. 2009 Oct;18(5):402-12. doi: 10.1097/ID.0b013e3181b4af93.

Abstract

BACKGROUND OF PROBLEMS:: Sinus augmentation is a predictable procedure to increase bone height in the posterior maxilla to facilitate ideal implant placement. However, the effect of residual alveolar bone height upon overall implant success remains unclear.

Aims: : Hence, the objective of this study was to review and evaluate the correlation between amount of remaining crest alveolar bone before sinus augmentation and implant survival rate in grafted areas.

Materials: : Medline search was used to identify articles published through September 2006, with preset selection criteria.

Results: : A total of 156 peer-reviewed publications were selected. Eighteen publications fulfilled the selection criteria. Despite the great heterogeneity found among the selected studies, we were able to group the selected articles in 2 distinct groups and show average implant survival rate in the following residual bone categories: (1) <5 mm: 96% (80%-100%); and (2) >4 mm 99% (97%-100%).

Conclusion: : The data reviewed from the literature suggests a higher implant survival predictability as available residual bone increases. However, prospective studies with adequate sample size and control of confounding factors are needed to validate this observation.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Alveolar Bone Loss / pathology*
  • Bone Transplantation*
  • Dental Implantation, Endosseous / methods*
  • Dental Prosthesis, Implant-Supported
  • Dental Restoration Failure
  • Humans
  • Sinus Floor Augmentation*
  • Time Factors
  • Treatment Outcome