International Journal of Implant Dentistry最新文献

{"title":"Comparative evaluation of porcine and bovine bone xenografts in bone grafting: a systematic review and meta-analysis.","authors":"Kun Wang, Jiatong Zhang, Mengyao Ding, Yifan Xie, Yan Wang, Chuyi Jin, Mengqing Yan, Lipei Liu, Cheng Ding, Xing Chen","doi":"10.1186/s40729-025-00630-w","DOIUrl":"10.1186/s40729-025-00630-w","url":null,"abstract":"","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"11 1","pages":"45"},"PeriodicalIF":3.1,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144247699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implant displacement to the maxillary sinus- a retrospective multicenter cohort study and a management protocol.","authors":"Daniel Muchnik, Gavriel Chaushu, Eli Rosenfeld, Shaked Adut, Aiman Elmograbi, Meir Debecco, Amir Laviv, Daya Masri","doi":"10.1186/s40729-025-00629-3","DOIUrl":"10.1186/s40729-025-00629-3","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to investigate the potential complication of implant displacement into the maxillary sinus, exploring its etiology and various management strategies, while proposing a systematic approach for clinicians to effectively address this evolving complication.</p><p><strong>Materials and methods: </strong>This retrospective multi-center cohort study evaluated patients with dental implant migration into the maxillary sinus treated between 2010 and 2023 at two Israeli medical centers. Data included demographics, symptoms, clinical findings, and treatment modalities.</p><p><strong>Results: </strong>32 patients (mean age: 62.3 years) were analyzed, with a notable incidence of sinusitis and oroantral fistulas. 91% required surgical intervention, predominantly Functional Endoscopic Sinus Surgery (63%). The majority of displacements occurred during the implantation process, often correlating with clinical symptoms.</p><p><strong>Conclusion: </strong>As shown in our study, displacement of implants into maxillary sinus, often leads to sinusitis and oroantral fistula. A proposed treatment algorithm emphasizes surgical intervention, particularly Functional Endoscopic Sinus Surgery, based on symptoms and clinical signs.</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"11 1","pages":"44"},"PeriodicalIF":3.1,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors for dehiscence in alveolar ridge augmentation using patient-specific titanium mesh: a retrospective analysis.","authors":"Sebahat Kaya, Bhárbara Marinho Barcellos, Shengchi Fan, Adriano Azaripour, Christian Walter, Amely Hartmann, Keyvan Sagheb","doi":"10.1186/s40729-025-00623-9","DOIUrl":"10.1186/s40729-025-00623-9","url":null,"abstract":"<p><strong>Purpose: </strong>This retrospective study aimed to evaluate the incidence of dehiscence following bone augmentation with patient-specific titanium meshes and to identify factors associated with its occurrence.</p><p><strong>Material and methods: </strong>Patients who underwent bone grafting with patient-specific titanium mesh between December 2014 and October 2021 were included. The primary outcome was the occurrence of dehiscence. The occurrence of dehiscences was recorded during the following time phases, enabling the determination of whether dehiscences occur early (< 2 weeks), in the mid-term (2-9 weeks), or later in the healing phase (> 9 weeks).</p><p><strong>Results: </strong>A total of 78 patients undergoing 85 titanium mesh augmentations were included, with a mean follow-up period of 1.2 years. Dehiscence occurred in 33 meshes (38.8%), with 51.5% of these events arising during the early healing phase. In no case was premature removal of the titanium mesh required due to dehiscence. A statistically significant association was observed between dehiscence and both smoking behavior (p < 0.001) and the anatomical location of the maxillary defect (p = 0.029). No significant associations were found between dehiscence and gender (p = 0.160), periodontitis (p = 0.512), gingival phenotype (p = 0.495), defect type (p = 0.490), augmented bone volume (p = 0.373), or incision type (p = 0.354). Logistic regression analysis further identified smoking (odds ratio: 7.07; 95% CI: 2.19-22.80) and maxillary defect alveolar (odds ratio: 11.86; 95% CI: 0.34-4.60) as significant predictors of dehiscence.</p><p><strong>Conclusion: </strong>Dehiscence following customized titanium mesh augmentation was significantly associated with smoking and the location of the maxillary defect, underscoring the importance of early detection and timely intervention.</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"11 1","pages":"42"},"PeriodicalIF":3.1,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Volumetric stability of moldable octacalcium phosphate in guided bone regeneration: a CBCT-based ex vivo study.","authors":"So-Ra Lee, Jooseong Kim, Woong Kim, Seok-Jun Kim, Yong-Gun Kim, Won-Pyo Lee","doi":"10.1186/s40729-025-00631-9","DOIUrl":"10.1186/s40729-025-00631-9","url":null,"abstract":"<p><strong>Purpose: </strong>The objective of this study was to evaluate the effect of flap suturing on the movement of graft materials during Guided Bone Regeneration (GBR) and to analyze the stability of moldable octacalcium phosphate (mOCP) depending on the type of graft material and membrane fixation method using Cone Beam Computed Tomography (CBCT).</p><p><strong>Methods: </strong>A total of 60 standardized rectangular-shaped bone defects were created in the alveolar ridges of mandibles from 5-6-month-old pigs (20 defects per group), and implants (4.0 mm in diameter, 10.0 mm in height) were placed into each defect. The control group employed particle-type OCP and a collagen membrane, experimental group 1 utilized particle-type OCP and a collagen membrane with fixation pins, and experimental group 2 employed mOCP and a collagen membrane. CBCT analysis was performed to evaluate changes in horizontal thickness (HT) at the grafted sites.</p><p><strong>Results: </strong>CBCT analysis revealed that the percentage reduction in HT at the implant shoulder level was significantly lower in experimental group 1 (16.7%) and experimental group 2 (16.3%) compared to the control group (31.5%), with no statistically significant difference observed between experimental groups 1 and 2.</p><p><strong>Conclusion: </strong>The use of mOCP in guided bone regeneration demonstrated comparable volumetric stability to grafts utilizing collagen membranes fixed with titanium pins, suggesting its potential to simplify surgical procedures by eliminating the need for additional fixation devices.</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"11 1","pages":"43"},"PeriodicalIF":3.1,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical outcomes and bone marker changes in postmenopausal women with dental implants: a one-year prospective study.","authors":"Jung Min Cho, Namki Hong, Yumie Rhee, Wonse Park, Kyung Chul Oh, Yanggyung Seo, Hwangyu Lee, Hyeon-Gyu Jo, Yunji Shin, Jun-Young Kim","doi":"10.1186/s40729-025-00628-4","DOIUrl":"10.1186/s40729-025-00628-4","url":null,"abstract":"<p><strong>Objectives: </strong>The feasibility of dental implants in patients with osteoporosis remains controversial, with limited prospective studies on quantitative changes in bone mineral density (BMD) and bone turnover markers (BTMs). This study assessed implant survival and clinical outcomes while evaluating systemic changes during 1 year of implant treatment.</p><p><strong>Materials and methods: </strong>Postmenopausal women requiring dental implants were enrolled at the Yonsei University Dental Hospital. BMD and BTMs were evaluated in collaboration with the endocrinology department. Participants were divided into two groups: Group A (T-score ≥ -2) and Group B (T-score < -2). All implants used in the study were surface-treated with hydroxyethyl piperazine ethane sulfonic acid (HEPES), and clinical, radiographic, and systemic parameters were monitored for over 1 year.</p><p><strong>Results: </strong>Between April 2022 and May 2024, 45 implants were placed in 36 patients (mean age: 68 years). Group A included 17 patients with 21 implants (mean age: 66 years), and Group B included 19 patients with 24 implants (mean age: 70 years). The cumulative survival rate was 100%. Resonance frequency analysis at 12 months revealed a mean implant stability tester value of 71.4 ± 5.52, indicating excellent osseointegration. Peri-implant bone loss averaged 0.54 ± 0.35 mm. No implant failures occurred, with stable plaque scores, probing depths, and bleeding upon probing. BMD and BTMs changes were minimal.</p><p><strong>Conclusions: </strong>Both groups achieved high implant survival and stable clinical outcomes. Systemic evaluations confirmed only minor changes in BMD and BTMs over 1 year. Larger multicenter studies are required to confirm the systemic safety of dental implants in patients with osteoporosis.</p><p><strong>Clinical relevance: </strong>Dental implants show excellent survival and stability in postmenopausal women with osteoporosis, with minimal impact on bone density and turnover-supporting their safe use in this population.</p><p><strong>Clinical trial registration: </strong>This study was prospectively registered at the Clinical Research Information Service of the National Research Institute of Health, Republic of Korea (KCT0007100). The registration details can be accessed at https://cris.nih.go.kr .</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"11 1","pages":"41"},"PeriodicalIF":3.1,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biomechanical and cellular assessment of novel partially demineralized allogeneic bone plates: an ex-vivo and in-vitro study.","authors":"Philipp Becker, Andreas Pabst, Diana Heimes, Nadine Wiesmann-Imilowski, Sven Schumann, Peer W Kämmerer","doi":"10.1186/s40729-025-00625-7","DOIUrl":"10.1186/s40729-025-00625-7","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to compare commercial allogeneic cortical bone plates (cCP) with innovative, differently demineralized CP (dCP) in biomechanics and human osteoblast (HOB) viability ex-vivo and in-vitro.</p><p><strong>Methods: </strong>Breaking strength (BS; in N) and flexibility (F; in mm) of cCP and dCP were assessed and compared using four groups ((1) non-hydrated, (2) hydrated for 10, (3) 30, and (4) 60 min in saline), respectively. Cell viability of HOB was evaluated by resazurin reduction on non-hydrated cCP and dCP after 3, 7, and 10 days. Scanning electron microscopy (SEM) visualized CP breaking edges, internal structures, HOB cell morphology, and growth patterns.</p><p><strong>Results: </strong>BS of hydrated dCP (d10: 15.45 ± 7.01 N, d30: 19.40 ± 3.78 N, d60: 20.31 ± 4.90 N) was significantly lower than that of non-hydrated dCP (d0: 74.70 ± 29.48 N) and native and hydrated cCP (c0: 75.00 ± 19.27 N, c10: 83.73 ± 10.92 N, c30: 83.80 ± 22.63 N, c60: 75.58 ± 14.25 N, p < 0.001 each). Next, dCP groups (d0: 2.64 ± 0.78 mm, d10: 2.14 ± 1.15 mm, d30: 2.76 ± 3.78 mm, d60: 2.86 ± 0.89 mm) exhibited significantly higher F than cCP groups (c0: 0.49 ± 0.14 mm, c10: 0.66 ± 0.10 mm, c30: 0.67 ± 0.16 mm, c60: 0.59 ± 0.12 mm, p < 0.05 each). No significant differences in F were observed among the different dCP groups. HOB cell viability was significantly increased on cCP compared to dCP after 7 (97.64 ± 2.11% vs. 76.88 ± 4.82%) and 10 days (96.14 ± 4.13% vs. 76.45 ± 4.64%; p < 0.001 each). SEM revealed well-defined breaking edges in cCP, whereas dCP displayed tear-off edges with shearing extensions. SEM showed disordered growth patterns and a physiological HOB cell morphology on dCP, contrasting with a parallel growth of fibroblast-like-looking HOB on cCP.</p><p><strong>Conclusions: </strong>Compared to cCP, dCP showed increased flexibility but lower breaking strength and reduced HOB vitality. The increased flexibility and a decrease in breaking strength are likely due to differences in elasticity between dCP and cCP. The use of dCP may improve clinical handling efficiency.</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"11 1","pages":"40"},"PeriodicalIF":3.1,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12092848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early versus conventional loading for fully guided immediate implant placement in molar sites: a randomized controlled clinical study.","authors":"Kirollos H Botros, Doaa Adel-Khattab, Abdelrahman K Eldabe, Hala A Abuel Ela","doi":"10.1186/s40729-025-00624-8","DOIUrl":"10.1186/s40729-025-00624-8","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate early versus conventional loading in immediate implants for molars. This study aims to answer the following PICO (Patient, Intervention, Comparison, and Outcome) question: In patients over 18 years of age, does early loading of immediately placed implants in molar areas result in a similar implant survival rate and marginal bone loss as conventional loading?</p><p><strong>Methods: </strong>Twenty-seven patients (15 women and 12 men) received a total of 30 implants immediately after molar extraction. The surgical treatment protocol entailed atraumatic tooth extraction without flap elevation. Non-invasive quantitative analyses were used to assess implant stability. After an uneventful healing period, the 30 implants were restored with screw-retained monolithic zirconia prosthesis, half of which after 6 weeks (G1) and the other half after 3 months (G2).</p><p><strong>Results: </strong>Regarding the survival rate, the Kaplan-Meier and log-rank test showed that there was no statistically significant difference between both groups (p = 1). Implant stability quotient at the prosthetic phase of both groups (6 weeks in G1 and 3 months in G2) revealed no statistically significant difference (G1 RFA74.4 (SD 5.54) - DCA 79.07 (SD 5.75))/G2 RFA 73.67 (SD 5.7), - DCA78.93 (SD 4.48).</p><p><strong>Conclusions: </strong>Early loading of immediately placed implants in molar sites is considered a predictable treatment modality provided that ideal implant position and adequate insertion torque are achieved.</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"11 1","pages":"39"},"PeriodicalIF":3.1,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12092919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical accuracy assessment of a dynamic navigation system and surgical guide using an oral appliance-secured patient tracker targeting anterior teeth.","authors":"Manabu Okubo, Koudai Nagata, Yurie Okuhama, Kana Wakamori, Hayato Tsuruoka, Kurumi Saito, Ryota Fumimoto, Hiromasa Kawana, Shinji Kuroda","doi":"10.1186/s40729-025-00627-5","DOIUrl":"10.1186/s40729-025-00627-5","url":null,"abstract":"<p><strong>Purpose: </strong>Dynamic navigation systems and surgical guides have been reported to be equally accurate. However, the accuracy of dynamic navigation systems is affected by the movement of the patient tracker fixed to the tooth. We hypothesized that fixing the patient tracker to the oral appliance could improve accuracy. Therefore, this study aimed to compare accuracy between a dynamic navigation system with a patient tracker fixed to an oral appliance and a surgical guide.</p><p><strong>Methods: </strong>This observational study was conducted on patients who had undergone complete implant treatment at Kanagawa Dental University from 2020 to September 2024. Fifty implant bodies were placed in 42 patients with anterior tooth defects in both the dynamic navigation and surgical guide groups (25 implants each). DTX Studio™ (Nobel Biocare AG, Kloten, Switzerland) was used to overlay planning data on postoperative Digital Imaging and Communications in Medicine data to calculate entry point, apex point, and angular deviation accuracy.</p><p><strong>Results: </strong>The entry point, apex point, and angular deviation values were 0.99 ± 0.33 mm, 0.97 ± 0.43 mm, and 2.64 ± 0.87° in the dynamic navigation group and 1.33 ± 0.26 mm, 1.38 ± 0.3 mm, and 3.42 ± 1.03° in the surgical guide group, respectively, differing significantly at all measurement sites (P < 0.01).</p><p><strong>Conclusions: </strong>The fixation of the X-clip to the oral appliance improved intra-oral stability and inhibited intraoperative movement of the X-clip, resulting in high accuracy. These results suggest that dynamic navigation by oral appliance fixation is more accurate than surgical guides.</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"11 1","pages":"38"},"PeriodicalIF":3.1,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of an infectious complication appearing in a transcanine implant: a case report.","authors":"Maxime Delarue, Pierre Klienkoff, Mélanie Le Ven, Fabien Bornert","doi":"10.1186/s40729-025-00626-6","DOIUrl":"10.1186/s40729-025-00626-6","url":null,"abstract":"<p><strong>Background: </strong>Maxillary canine impaction is the second most common dental eruption anomaly, affecting approximately 0.2-3% of individuals, with a higher incidence in females. This condition often results in complications such as the misalignment of adjacent teeth, root resorption, and the development of cystic lesions. In some cases, abstention is recommended for impacted canine is kept with the lacteal tooth held on the dental arch. But in the longer term an implant therapy is nevertheless indicated.</p><p><strong>Case presentation: </strong>A 42-year-old man presented with persistent swelling and pain in the maxillary region associated with a transcanine implant placed one year ago by his dental practitioner. Imaging assessment showed the implant's apex inserted into the impacted canine which presented a crown and root resorption and was associated to a radiolucency around. In order to preserve implant and reduce morbidity related to a full extraction of the tooth, a coronectomy was performed allowing inflammatory surrounding tissues curettage.</p><p><strong>Discussion: </strong>This case shows an infectious complication of a transcanine implant and demonstrates an approach for managing these complications while preserving this implant. The coronectomy is a less invasive technique that reduces potential surgical complications and supports healing. A 2-year follow-up revealed complete bone reossification reinforcing the effectiveness of this method in similar clinical scenarios.</p><p><strong>Conclusion: </strong>This case suggests that coronectomy may be a viable option for managing impacted canines in proximity to implants when complete extraction poses a high risk of complications. However, given the limited number of reported cases and the absence of long-term data, this approach should be considered with caution. Further studies are necessary to better define the indications, long-term outcomes, and potential risks of this technique.</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"11 1","pages":"37"},"PeriodicalIF":3.1,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and radiographic evaluation for two crestal sinus lift techniques: osteotome versus osseodensification. a systematic review and meta-analysis.","authors":"Carlos Manuel Cobo-Vázquez, Sonia García-Rodríguez, María Eugenia Colmenares-Otero, Luis Miguel Sáez-Alcaide, Jorge Cortés-Bretón-Brinkmann, Cristina Madrigal Martínez-Pereda, Cristina Meniz-Garcia","doi":"10.1186/s40729-025-00615-9","DOIUrl":"10.1186/s40729-025-00615-9","url":null,"abstract":"<p><strong>Purpose: </strong>Maxillary sinus floor elevation is a safe and effective surgical technique for achieving vertical bone height, performed through either a lateral or crestal approach. The latter includes both the osteotome technique and osseodensification. The aim of this systematic review was to compare the outcomes of the classic crestal sinus lift technique and the osseodensification sinus lift approach in terms of the bone gain, marginal bone loss, survival rate, follow-up time and complications.</p><p><strong>Methods: </strong>This review was performed following PRISMA guidelines. An electronic search was conducted across three databases: (1) The National Library of Medicine (MEDLINE/PubMed); (2) SCOPUS; and (3) Cochrane Central Register of Controlled Trials (CENTRAL). The Newcastle-Ottawa Quality Assessment Scale and the Cochrane Collaboration tool for evaluating risk of bias. A meta-analysis for random effects was carried out for implant survival, residual bone height and bone gain.</p><p><strong>Results: </strong>Thirteen studies were included, ten studies performed the osteotome (OST) approach and three performed the osseodensification (OD) approach, with a total of 519 sites treated. The residual bone height was 5.94 and 5.00 mm for OD and OST, respectively. For bone gain, similar results were found for both groups, being 3.37 mm for OD and 3.18 mm for OST. For both groups, the most used diameter and length of the implant was 4 and 10 mm, respectively, and the implant survival rates ranged from 94.1% to 100%. OST technique reflected a complication rate of 14.32%, compared to the OD technique, which showed a complication rate of 2.78%.</p><p><strong>Conclusions: </strong>It can be concluded that the maxillary sinus lift by osseodesinfication approach is a safe, predictable and successful technique compared to the osteotome approach, with similar outcomes regarding bone gain which is an important parameter for implant placement.</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"11 1","pages":"36"},"PeriodicalIF":3.1,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}