Osseodensification versus lateral window technique for sinus floor elevation with simultaneous implant placement: A randomized clinical trial on patient-reported outcome measures

IF 3.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Implant Dentistry and Related Research Pub Date : 2023-11-28 DOI:10.1111/cid.13294

João Gaspar, João Botelho, Luís Proença, Vanessa Machado, Leandro Chambrone, Rodrigo Neiva, José João Mendes

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Abstract

Objectives

To compare patient-reported outcome measures and additional surgical outcomes after sinus floor elevation (SFE) with osseodensification (OD) versus lateral window (LW), both with simultaneous implant placement.

Materials and Methods

Twenty participants requiring single-implant rehabilitation with residual bone height (RBH) ≤4 mm were enrolled. Pain experience, quality of life (QoL) via the Oral Health Impact Profile-14 (OHIP-14), analgesics intake, and other symptoms were self-reported for a week on a daily basis. Surgery duration, complications, and implant stability quotient at baseline (ISQ T₀) and after 6 months (ISQ T₆) were registered. Participants were followed up for 1 year.

Results

From Day 0 (day of surgery) to Day 3, pain experience was significantly lower (p < 0.05) in the OD group. OHIP-14 score was significantly lower (p < 0.05) in the OD group on all postoperative days, except on Day 5. Average analgesics intake was significantly lower (p < 0.001) in the OD group. Surgery mean duration was significantly higher (p < 0.001) in LW compared to OD (71.1 ± 10.4 vs. 32.9 ± 5.3 min). After osseointegration period, all implants were successfully restored with screw-retained crowns.

Conclusions

Within the limitations of this study, it can be concluded that OD and LW techniques were similarly effective in SFE with simultaneous implant placement when RBH ≤ 4 mm. However, OD significantly outperformed LW in pain experience, impact on self-perceived QoL, surgery duration, postoperative edema, and analgesics intake.

Abstract Image

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骨致密化与侧窗技术的窦底抬高同时植入:一项随机临床试验对患者报告的结果测量。

目的:比较患者报告的结果测量和窦底抬高(SFE)骨密度(OD)与侧窗(LW)后的额外手术结果，两者都是同时植入的。材料和方法:纳入20例需要单种植体康复，残余骨高度(RBH)≤4 mm的受试者。疼痛经历、生活质量(QoL)(通过口腔健康影响量表-14 (OHIP-14))、止痛药摄入量和其他症状在一周内每天自我报告。记录手术时间、并发症和植入物在基线时(ISQ T0)和6个月后(ISQ T6)的稳定性商数。参与者随访1年。结果:从第0天(手术当天)到第3天，疼痛体验明显降低(p)。结论:在本研究的局限性内，可以得出结论，当RBH≤4 mm时，OD和LW技术在SFE同时植入种植体时同样有效。然而，在疼痛体验、自我感知生活质量、手术持续时间、术后水肿和镇痛药摄入方面，OD明显优于LW。

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

Clinical Implant Dentistry and Related Research 医学-牙科与口腔外科

CiteScore

6.00

自引率

13.90%

发文量

103

审稿时长

4-8 weeks

期刊介绍： The goal of Clinical Implant Dentistry and Related Research is to advance the scientific and technical aspects relating to dental implants and related scientific subjects. Dissemination of new and evolving information related to dental implants and the related science is the primary goal of our journal. The range of topics covered by the journals will include but be not limited to: New scientific developments relating to bone Implant surfaces and their relationship to the surrounding tissues Computer aided implant designs Computer aided prosthetic designs Immediate implant loading Immediate implant placement Materials relating to bone induction and conduction New surgical methods relating to implant placement New materials and methods relating to implant restorations Methods for determining implant stability A primary focus of the journal is publication of evidenced based articles evaluating to new dental implants, techniques and multicenter studies evaluating these treatments. In addition basic science research relating to wound healing and osseointegration will be an important focus for the journal.