Efficacy of Different Materials for Maxillary Sinus Floor Augmentation With Lateral Approach. A Systematic Review

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

Clinical Implant Dentistry and Related Research Pub Date : 2025-05-22 DOI:10.1111/cid.70053

Massimo Del Fabbro, Silvio Taschieri, Stefano Corbella

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引用次数: 0

Abstract

Background

Maxillary sinus floor augmentation (MSFA) with lateral approach has undergone considerable changes since its inception, mainly due to the introduction of a variety of grafting materials and surgical protocols, with the aim of providing predictable and durable support to implants and improving treatment outcomes. The aim of this systematic review was to evaluate the performance of MSFA in terms of graft stability and implant survival, based on randomized clinical trials.

Methods

The study protocol was registered on PROSPERO. An electronic search was performed on Medline, Embase, and CENTRAL databases, integrated with hand-searching on the main pertinent Journals and search of gray literature. Randomized studies on MSFA with a lateral approach reporting on radiographic changes in graft height or volume after at least six months of healing, implant survival, and marginal bone level changes after at least 12 months of loading were included. Two independent reviewers selected the studies. Studies included underwent data extraction and risk of bias assessment using the ROB 2.0 Cochrane tool.

Results

Out of 3922 studies retrieved, 49 studies (57 articles) were included for data extraction and qualitative analysis. These studies reported on 1265 patients and 1722 MSFA procedures. Thirteen studies were at low risk, 30 had some concerns, and six were at high risk of bias. No quantitative synthesis was possible due to the characteristics of the studies and their methodology. The overall implant survival rate ranged from 84.6% to 100% without evidence of any relevant difference related to the grafting material.

Conclusion

The results of this review, based on descriptive statistics, may suggest that the success of the lateral MSFA procedure is independent of the graft type, at least in the short term. To verify this interpretation, formal statistical analyses on trustworthy and more detailed clinical data are needed. Also, long-term data on graft dimensional stability from evidence-based studies are needed.

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不同材料侧入路上颌窦底增强术的疗效分析。系统回顾

背景：上颌窦底增强术（MSFA）外侧入路自问世以来发生了相当大的变化，主要是由于引入了各种移植材料和手术方案，目的是为种植体提供可预测和持久的支持，提高治疗效果。本系统综述的目的是基于随机临床试验，评估MSFA在移植物稳定性和移植物存活方面的性能。方法研究方案在PROSPERO上注册。在Medline、Embase和CENTRAL数据库上进行电子检索，结合对主要相关期刊的手工检索和灰色文献的检索。采用侧入路的MSFA随机研究报告了愈合至少6个月后移植物高度或体积的影像学变化，种植体存活，以及加载至少12个月后边缘骨水平的变化。两名独立审稿人选择了这些研究。纳入的研究采用ROB 2.0 Cochrane工具进行数据提取和偏倚风险评估。结果在3922篇文献中，纳入49篇文献（57篇）进行数据提取和定性分析。这些研究报告了1265例患者和1722例MSFA手术。13项研究是低风险的，30项有一些担忧，6项是高风险的。由于研究的特点及其方法，不可能进行定量综合。总体种植体存活率从84.6%到100%不等，没有证据表明嫁接材料有任何相关差异。结论：基于描述性统计，本综述的结果可能表明，至少在短期内，侧边MSFA手术的成功与移植物类型无关。为了验证这一解释，需要对可信和更详细的临床数据进行正式的统计分析。此外，还需要基于证据研究的移植物尺寸稳定性的长期数据。

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.