Clinical and radiological outcomes of osseodensification and crestal approach sinus kit for transcrestal sinus elevation - A randomized clinical trial.

Q2 Dentistry
Dental Research Journal Pub Date : 2025-04-24 eCollection Date: 2025-01-01 DOI:10.4103/drj.drj_711_23
Sathyavalli Veluri, Sruthima N V S Gottumukkala, Satyanarayana Raju Mantena, Gautami S Penmetsa, Ksv Ramesh, Mohan Kumar Pasupuleti, Dinesh Gera
{"title":"Clinical and radiological outcomes of osseodensification and crestal approach sinus kit for transcrestal sinus elevation - A randomized clinical trial.","authors":"Sathyavalli Veluri, Sruthima N V S Gottumukkala, Satyanarayana Raju Mantena, Gautami S Penmetsa, Ksv Ramesh, Mohan Kumar Pasupuleti, Dinesh Gera","doi":"10.4103/drj.drj_711_23","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The aim of the present study was to evaluate the clinical and radiological effectiveness of transcrestal sinus elevation and simultaneous implant placement using osseodensification (OD) and crestal approach sinus (CAS) instruments.</p><p><strong>Materials and methods: </strong>This randomized controlled double-blinded clinical trial included 20 participants with edentulous spaces requiring 20 implants having residual bone height >5 mm in the posterior maxilla. Participants were randomly allocated into the CAS group and OD group. Indirect sinus elevation with simultaneous implant placement was performed in both groups. Implant stability (IS) was evaluated at baseline and 3 months. Crestal bone loss (CBL) was measured at 3, 6, and 12 months. Apical bone gain (ABG) was measured at 6 and 12 months. Surgical time and patient comfort using the Visual Analog Scale were assessed during the surgery. Unpaired <i>t</i>-test, ANOVA, and Friedman tests were used for inter- and intragroup comparisons. <i>P</i> ≤ 0.05 was deemed statistically significant.</p><p><strong>Results: </strong>Sinus elevation and simultaneous implant placement showed good clinical and radiological outcomes in both groups. Intergroup comparison showed a significantly greater primary and secondary IS (<i>P</i> = 0.005, 0.008) in the OD group. CBL was less in the OD group (<i>P</i> = 0.02 and 0.03 on mesial and distal sides) than in the CAS group at 6 months of evaluation. ABG was higher in the OD group (4.164 ± 0.293) than the CAS group (2.819 ± 0.415). The average surgical time taken was greater (87.00 ± 15.49 min) in the CAS group than in the OD group (69.00 ± 20.24 min).</p><p><strong>Conclusion: </strong>Both CAS and OD groups showed significant improvement in all parameters. OD group showed greater benefits in terms of enhanced primary stability, less CBL, enhanced ABG, and lesser surgical time compared to the CAS group.</p>","PeriodicalId":11016,"journal":{"name":"Dental Research Journal","volume":"22 ","pages":"17"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063990/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Dental Research Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/drj.drj_711_23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"Dentistry","Score":null,"Total":0}
引用次数: 0

Abstract

Background: The aim of the present study was to evaluate the clinical and radiological effectiveness of transcrestal sinus elevation and simultaneous implant placement using osseodensification (OD) and crestal approach sinus (CAS) instruments.

Materials and methods: This randomized controlled double-blinded clinical trial included 20 participants with edentulous spaces requiring 20 implants having residual bone height >5 mm in the posterior maxilla. Participants were randomly allocated into the CAS group and OD group. Indirect sinus elevation with simultaneous implant placement was performed in both groups. Implant stability (IS) was evaluated at baseline and 3 months. Crestal bone loss (CBL) was measured at 3, 6, and 12 months. Apical bone gain (ABG) was measured at 6 and 12 months. Surgical time and patient comfort using the Visual Analog Scale were assessed during the surgery. Unpaired t-test, ANOVA, and Friedman tests were used for inter- and intragroup comparisons. P ≤ 0.05 was deemed statistically significant.

Results: Sinus elevation and simultaneous implant placement showed good clinical and radiological outcomes in both groups. Intergroup comparison showed a significantly greater primary and secondary IS (P = 0.005, 0.008) in the OD group. CBL was less in the OD group (P = 0.02 and 0.03 on mesial and distal sides) than in the CAS group at 6 months of evaluation. ABG was higher in the OD group (4.164 ± 0.293) than the CAS group (2.819 ± 0.415). The average surgical time taken was greater (87.00 ± 15.49 min) in the CAS group than in the OD group (69.00 ± 20.24 min).

Conclusion: Both CAS and OD groups showed significant improvement in all parameters. OD group showed greater benefits in terms of enhanced primary stability, less CBL, enhanced ABG, and lesser surgical time compared to the CAS group.

一项随机临床试验:骨密度化及冠入路治疗经冠窦抬高的临床和影像学结果。
背景:本研究的目的是评估使用骨密度(OD)和嵴入路(CAS)器械进行经嵴窦抬高和同时种植体放置的临床和放射学效果。材料和方法:本随机对照双盲临床试验纳入20名无牙间隙患者,需要20个种植体,后上颌残骨高度为bbb50 mm。随机分为CAS组和OD组。两组均采用间接窦抬高术同时置入种植体。在基线和3个月时评估种植体稳定性(IS)。在3、6和12个月时测量牙冠骨丢失(CBL)。6个月和12个月时测定根尖骨增重(ABG)。在手术过程中使用视觉模拟量表评估手术时间和患者舒适度。未配对t检验、方差分析和弗里德曼检验用于组间和组内比较。P≤0.05为差异有统计学意义。结果:两组患者鼻窦抬高及同时种植均获得良好的临床和影像学结果。组间比较显示,OD组原发性和继发性IS明显高于对照组(P = 0.005, 0.008)。在6个月的评估中,OD组的CBL小于CAS组(在中、远侧P = 0.02和0.03)。OD组ABG(4.164±0.293)高于CAS组(2.819±0.415)。CAS组平均手术时间(87.00±15.49 min)大于OD组(69.00±20.24 min)。结论:CAS组和OD组各指标均有显著改善。与CAS组相比,OD组在增强初始稳定性、减少CBL、增强ABG和缩短手术时间方面表现出更大的益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Dental Research Journal
Dental Research Journal Dentistry-Dentistry (all)
CiteScore
1.70
自引率
0.00%
发文量
70
审稿时长
52 weeks
期刊介绍: Dental Research Journal, a publication of Isfahan University of Medical Sciences, is a peer-reviewed online journal with Bimonthly print on demand compilation of issues published. The journal’s full text is available online at http://www.drjjournal.net. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal will cover technical and clinical studies related to health, ethical and social issues in field of Dentistry. Articles with clinical interest and implications will be given preference.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信