Transcrestal sinus lift using osseodensification versus lateral window technique with simultaneous implant placement: a randomized clinical trial
摘要
The main objective of this research was to examine the outcomes of transcrestal sinus lift with simultaneous implant placement employing Osseodensification, in comparison to lateral sinus lifting methods. Fourteen patients were enrolled in this prospective randomized clinical trial at the Oral and Maxillofacial Surgery Department clinic, Faculty of Dental Medicine, Al-Azhar University. These patients were randomly allocated into two groups. Patients who underwent transcrestal sinus floor elevation procedures utilizing osseodensification. Patients who received treatment involving Lateral Maxillary Sinus Floor Elevation. CBCT scans were acquired immediately postoperatively and at the 6-month follow-up to assess bone height, gain, and density. Osstell was utilized to evaluate primary implant stability during the initial placement and six-month follow-up. The length of the surgical procedure was meticulously recorded for every group. The findings indicated that Group I exhibited a mean bone height gain of 5.33 ± 0.83 mm, whereas Group II showed a gain of 10.02 ± 1.82 mm, with a significant statistical difference. The average implant stability quotient (ISQ) values for Group I were 80.00 ± 3.11, compared to 75.86 ± 2.91 for Group II, also showing a statistically significant difference. Crestal maxillary sinus elevation with Osseodensification shows better bone density and implant stability than lateral lifting. Osseodensification is less invasive and time-consuming, making it a potential alternative to the lateral window technique.
Trial registration The present study was retrospectively registered on ClinicalTrials.gov under the number NCT06126536 on 07 November 2023.