The Impact of Sinus Floor Elevation Techniques on Sinus Membrane Perforation: A Systematic Review and Network Meta-analysis.

IF 1.7 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

International Journal of Oral & Maxillofacial Implants Pub Date : 2023-07-01 DOI:10.11607/jomi.10048

Chun-Teh Lee, Karishma Choksi, Ming-Chieh Shih, Paul S Rosen, Shale Ninneman, Yung-Ting Hsu

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引用次数: 1

Abstract

Purpose: To compare the risk of sinus membrane perforation (SMP) among lateral window sinus floor elevation (LSFE) and transcrestal sinus floor elevation (TSFE) techniques in prospective and retrospective studies for patients who underwent sinus augmentation for dental implant placement. Materials and Methods: A database search was conducted to screen the literature published from January 1960 to August 2021. The associations between SMP and surgical techniques as well as other clinical factors were evaluated via network meta-analysis. The impact of SMP on vertical ridge gain and implant survival was also evaluated. Results: Eighty-five studies with 5,551 SFE procedures were included. In LSFE techniques, using rotary burs showed the highest risk of SMP (surface under the cumulative ranking area [SUCRA] = 0.0745). In TSFE techniques, using reamers had the lowest risk of SMP (SUCRA = 0.9444). Increased SMP prevalence was significantly associated with reduced implant survival rate (odds ratio [OR] = 0.45 per 10% increase of SMP rate [95% credible interval (CreI): 0.21, 0.71], P < .001). Conclusions: With the inherent limitations, this network meta-analysis suggested that some techniques within either the LSFE or TSFE group may reduce SMP risk. Additional randomized controlled trials and better assessment of SMP are required to directly compare the risk of SMP between LSFE and TSFE.

查看原文本刊更多论文

窦底抬高技术对窦膜穿孔的影响：系统综述和网络荟萃分析。

目的：在前瞻性和回顾性研究中，比较侧窗窦底抬高术（LSFE）和经颅窦底抬高法（TSFE）在接受上颌窦扩大术植入牙的患者中发生窦膜穿孔（SMP）的风险。材料和方法：对1960年1月至2021年8月发表的文献进行数据库检索。SMP与手术技术以及其他临床因素之间的相关性通过网络荟萃分析进行评估。还评估了SMP对垂直嵴增益和植入物存活率的影响。结果：纳入了85项研究，涉及5551个SFE程序。在LSFE技术中，使用旋转滑囊器显示出最高的SMP风险（累积分级区下表面[SUCRA]=0.0745）。在TSFE技术中使用扩孔器显示出最低的SMP风险。SMP患病率的增加与植入物存活率的降低显著相关（比值比[OR]=0.45/SMP率增加10%[95%可信区间（CreI）:0.21，0.71]，P<.001）。结论：由于固有的局限性，该网络荟萃分析表明，LSFE或TSFE组中的一些技术可以降低SMP风险。需要额外的随机对照试验和对SMP的更好评估，以直接比较LSFE和TSFE之间SMP的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Oral & Maxillofacial Implants 医学-牙科与口腔外科

CiteScore

3.30

自引率

5.00%

发文量

115

审稿时长

6 months

期刊介绍： Edited by Steven E. Eckert, DDS, MS ISSN (Print): 0882-2786 ISSN (Online): 1942-4434 This highly regarded, often-cited journal integrates clinical and scientific data to improve methods and results of oral and maxillofacial implant therapy. It presents pioneering research, technology, clinical applications, reviews of the literature, seminal studies, emerging technology, position papers, and consensus studies, as well as the many clinical and therapeutic innovations that ensue as a result of these efforts. The editorial board is composed of recognized opinion leaders in their respective areas of expertise and reflects the international reach of the journal. Under their leadership, JOMI maintains its strong scientific integrity while expanding its influence within the field of implant dentistry. JOMI’s popular regular feature "Thematic Abstract Review" presents a review of abstracts of recently published articles on a specific topical area of interest each issue.