International journal of oral implantology (Berlin, Germany)最新文献

{"title":"Effect of time and local factors on the stability of hydrophilic self-tapping tissue-level implants: 1-year prospective study.","authors":"Paolo Carosi, Claudia Lorenzi, Riccardo Di Gianfilippo, Vincenzo Campanella, Hom-Lay Wang, Claudio Arcuri","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate changes in implant stability quotient values of hydrophilic tissue-level implants over time, and to investigate the influence of local factors on variations in these values.</p><p><strong>Methods: </strong>Fifty tapered, self-tapping, tissue-level implants with a hydrophilic surface were placed and monitored for 12 months. Implant stability quotient values were recorded at the time of insertion (T0) and monthly thereafter for 12 months. All implants were restored with screw-retained restorations 2 months after placement. A repeated measures analysis of variance was used to evaluate the trends in implant stability quotient values over time. A multiple linear regression model was employed to determine the impact of various factors on changes in implant stability quotient values.</p><p><strong>Results: </strong>Implant stability quotient values decreased from T0 to T1, although this reduction was not statistically significant (P = 0.28). The greatest decrease was observed in implants with initially high implant stability quotient values at T0 (P 0.05). Values increased significantly at each subsequent time point (P 0.001). A significant time effect was noted between immediate and delayed placement protocols (P 0.05), with immediate implants demonstrating lower initial implant stability quotient values but a steeper increase over time. Implants placed in the mandible and wider implants in molar sites showed higher implant stability quotient values compared to those placed in the maxilla and narrower implants (mandible vs maxilla P 0.05; wide molar vs regular premolar P 0.05). Insertion torque was positively correlated with implant stability quotient values at T0 (P 0.001).</p><p><strong>Conclusions: </strong>The lowest implant stability quotient value was recorded 1 month after implant placement, and then increased consistently throughout the study period without reaching a plateau. Implants placed immediately showed a steeper improvement in implant stability quotient values.</p><p><strong>Conflict-of-interest statement: </strong>The authors declare there are no conflicts of interest relating to this study.</p>","PeriodicalId":73463,"journal":{"name":"International journal of oral implantology (Berlin, Germany)","volume":"18 3","pages":"225-240"},"PeriodicalIF":2.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Zygomatic implants perforated through a composite scapulo-dorsal free flap for maxillary reconstruction allowing dental rehabilitation: A surgical technique with a step-by-step video.","authors":"Dhari Al Burshaid, Mickael Samama, Grégoire D'Andrea, Mohamed Al Shehabi, Philippe Gorphe, Jean-François Honart, Benjamin Pomes, Nadia Benmoussa","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Dental rehabilitation is considered challenging to achieve whenever composite scapulo-dorsal free flaps are used to reconstruct medium-to-large maxillary defects due to the fact that bone quality and quantity may be low, which may preclude placement of conventional dental implants. In such cases, current options for dental rehabilitation include printed patient-specific subperiosteal implants or zygomatic implants.</p><p><strong>Methods: </strong>The authors report three cases of maxillary tumour resections that led to medium-to-large defects reconstructed using composite scapulo-dorsal free flaps. Secondary zygomatic implants were perforated through the composite scapulo-dorsal flap more than 12 months after primary reconstruction. Initial loading with removable dental prostheses took place at the time of zygomatic implant placement, followed by secondary non-removable prosthesis placement.</p><p><strong>Results: </strong>Adequate dental rehabilitation was achieved in all three cases, with an implant survival rate of 100% and no apparent complications after a follow-up period of more than 24 months.</p><p><strong>Conclusion: </strong>The technique described in the present paper shows promising results in achieving adequate dental rehabilitation in cases with composite scapulo-dorsal free flaps for reconstruction of medium-to-large maxillary defects and could be used as part of the dental rehabilitation strategy, especially in cases where dental prostheses have failed or removable prostheses cannot be used.</p><p><strong>Conflict-of-interest statement: </strong>The authors declare there are no conflicts of interest relating to this study.</p>","PeriodicalId":73463,"journal":{"name":"International journal of oral implantology (Berlin, Germany)","volume":"18 3","pages":"205-210"},"PeriodicalIF":2.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of 3D interrelationships on biological and prosthetic complications.","authors":"Muhammad H A Saleh, Fernando Suárez-López Del Amo, Ann M Decker, Ali Bushahri, Shayan Barootchi, Pramiti Saxena, Hom-Lay Wang","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Certain 3D interrelationships between adjacent implants can potentially predispose to prosthetic and biological complications.</p><p><strong>Materials and methods: </strong>Patient records with adjacent dental implants were assessed to evaluate the effects of vertical, horizontal and angulation interrelationships between splinted compared to non-splinted implant restorations on the occurrence of biological and prosthetic complications. Data on patient- and implant-related variables were collected at baseline (T1) during prosthesis placement and at the last follow-up appointment (T2).</p><p><strong>Results: </strong>The study included 227 patients with 508 implants and a mean follow-up period of 6.7 ± 6.5 years. No significant difference in implant survival was observed between the groups (97.3% for splinted adjacent implant restorations and 98.4% for non-splinted adjacent implant restorations). Implant success, defined as the absence of any biological or prosthetic complications, was relatively low (56.8% for non-splinted adjacent implant restorations and 62.1% for splinted adjacent implant restorations), with no significant inter-group differences (odds ratio 0.80; P = 0.415). Patients with splinted adjacent implant restorations demonstrated a significantly higher likelihood of biological complications than those with non-splinted adjacent implant restorations (24.1% vs 12.6%, respectively; odds ratio 2.21; P = 0.028) but a notably lower risk of prosthetic complications (19% vs 33.3%, respectively; odds ratio 0.47; P = 0.015). Survival and success rates were consistent across both groups at both patient and implant levels. Generally, certain 3D interrelationships were linked to biological complications in the splinted adjacent implant restoration group and prosthetic complications in the non-splinted adjacent implant restoration group. With regard to marginal bone loss according to implant location, the middle implant was found to have increased marginal bone loss compared to its mesial or distal counterpart (P = 0.013)Conclusion: Certain 3D relationships were found to exacerbate prosthetic complications in non-splinted adjacent implant restorations and biological complications in splinted adjacent implant restorations. Implants with either type of restoration exhibited comparable survival and success rates.</p><p><strong>Conflict-of-interest statement: </strong>The authors declare there are no conflicts of interest relating to this study.</p>","PeriodicalId":73463,"journal":{"name":"International journal of oral implantology (Berlin, Germany)","volume":"18 3","pages":"213-223"},"PeriodicalIF":2.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Third-party, non-authentic dental implant components: Are they worth the cost savings?","authors":"Craig M Misch","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73463,"journal":{"name":"International journal of oral implantology (Berlin, Germany)","volume":"18 3","pages":"195-196"},"PeriodicalIF":2.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does it take more than a static pilot guide to match the accuracy of dynamic navigation? A preliminary randomised study.","authors":"Jordi Marques-Guasch, Anna Bofarull-Ballús, Pablo Altuna, Marta Satorres-Nieto, Federico Hernández-Alfaro, Jordi Gargallo-Albiol","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the accuracy of static guided surgery using a pilot drill guide and dynamic guided surgery for dental implant placement.</p><p><strong>Materials and methods: </strong>Partially edentulous adult patients requiring implant placement were randomly assigned to either the static guided surgery group using a pilot drill guide or the dynamic guided surgery group. Digital implant planning was conducted using intraoral scans and CBCT with planning software to determine the optimal prosthetic position. Postoperative CBCT scans were taken to compare with the plan and assess platform, apex, vertical and angular deviations from the planned implant positions.</p><p><strong>Results: </strong>A total of 25 implants were placed. Mean deviations at the implant platform were 1.17 ± 0.75 mm for the static guided surgery group and 1.17 ± 0.71 mm for the dynamic guided surgery group, with no significant differences (P = 0.983). Apical deviations were 2.39 ± 1.22 mm for the static guided surgery group and 1.75 ± 0.59 mm for the dynamic guided surgery group, with no significant differences (P = 0.112). Vertical deviations were 0.79 ± 0.50 mm for the static guided surgery group and 0.61 ± 0.51 mm for the dynamic guided surgery group (P = 0.403). Significant differences were found in angular deviations, with the static guided surgery group showing 10.9 ± 5.63 degrees and the dynamic guided surgery group showing 4.72 ± 2.63 degrees (P = 0.002). Independent variables such as sex, age, implant location, arch and implant size did not significantly influence accuracy.</p><p><strong>Conclusion: </strong>Both static and dynamic guided surgery offer comparable precision in implant placement, with dynamic guided surgery providing superior angular accuracy. Further studies with larger sample sizes are recommended to validate these findings.</p><p><strong>Conflict-of-interest statement: </strong>The authors declare there are no conflicts of interest relating to this study.</p>","PeriodicalId":73463,"journal":{"name":"International journal of oral implantology (Berlin, Germany)","volume":"18 3","pages":"257-268"},"PeriodicalIF":2.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A novel digital workflow for immediately loaded full-arch rehabilitations: The Columbus Digital Bridge Protocol.","authors":"Francesco Pera, Paolo Pera, Armando Crupi, Beatrice Longhi, Giulia Ambrogio, Marta Bezzi, Paolo Pesce, Maria Menini, Umberto Gibello, Andrea Roccuzzo","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To present a novel digital workflow (the Columbus Digital Bridge Protocol) for immediately loaded full-arch rehabilitations, integrating digital technologies throughout diagnostic, surgical and prosthetic phases, with a focus on the application of intraoral photogrammetry scanning.</p><p><strong>Materials and methods: </strong>The workflow presented in this article, successfully implemented in 14 patients, includes standardised clinical steps: digital diagnostic planning through matching of facial scans and CBCT data, surgical placement of four implants following tooth extraction, immediate post-surgical intraoral photogrammetry scanning using a three-step procedure (i.e., soft tissue registration, application of scan flags, final matching), and delivery of a 3D printed prototype followed by the final restoration.</p><p><strong>Results: </strong>The preliminary results demonstrate that the Columbus Digital Bridge Protocol represents a promising novel digital workflow for immediate loading of full-arch implant rehabilitations. The protocol achieved optimal accuracy in prosthetic fit without requiring additional scans, plaster impressions or major prosthetic intraoral adjustments.</p><p><strong>Conclusions: </strong>The present novel digital protocol may offer clinicians a predictable and efficient method for delivering immediately loaded full-arch rehabilitations while overcoming the traditional challenges associated with post-surgical impressions and ensuring passive prosthetic fit. The integration of photogrammetry with intraoral scanning technology appears to provide accurate implant position recording and soft tissue registration within a fully digital workflow including the simplified possibility of pre-/post-surgical overlapping to register the maxillomandibular relation.</p><p><strong>Conflict-of-interest statement: </strong>The authors declare there are no conflicts of interest relating to this study.</p>","PeriodicalId":73463,"journal":{"name":"International journal of oral implantology (Berlin, Germany)","volume":"18 3","pages":"243-255"},"PeriodicalIF":2.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Benefit of azithromycin with platelet-rich fibrin in clinical osteoimmunology regarding autogenous bone grafting: A retrospective cohort study.","authors":"Nicolas Davido, Nicolas Boutin, Bernard Cannas, Benjamin Davido","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Autogenous bone grafting in oral surgery poses significant challenges, particularly in maintaining long-term bone stability. Osteoimmunology, which emphasises the role played by the immune system in bone formation and resorption, has gained attention for improving graft success rates. Azithromycin, a macrolide antibiotic, exhibits immunomodulatory properties, whereas platelet-rich fibrin contains growth factors that promote bone healing.</p><p><strong>Methods: </strong>The present retrospective study analysed 275 patients treated between 2014 and 2023 at a primary care centre in Paris, France. The inclusion criteria required patients to be aged over 18 years and to have undergone autogenous bone grafting using the split bone block technique. Three antibiotic regimens were compared: the standard of care, standard of care combined with platelet-rich fibrin, and standard of care combined with platelet-rich fibrin and azithromycin. The primary outcome was the occurrence of bone resorption or locoregional complications within a 4-month follow-up period.</p><p><strong>Results: </strong>The overall success rate was 75.3%, with major bone resorption observed in 24.7% of cases. Multivariate analysis identified penicillin allergy (P 0.01) and posterior bone defects (maxilla and mandible, P = 0.02 and P = 0.001, respectively), as predictors significantly associated with higher failure rates. In contrast, the combination of platelet-rich fibrin and azithromycin improved outcomes significantly (adjusted odds ratio 8.38, P 0.001).</p><p><strong>Conclusion: </strong>The combination of platelet-rich fibrin and azithromycin markedly enhanced the success of autogenous bone grafts, likely due to the immunomodulatory effects of azithromycin on the receptor activator of nuclear factor NF-κB ligand pathway. These findings support further investigation into this approach, particularly guided bone regeneration.</p>","PeriodicalId":73463,"journal":{"name":"International journal of oral implantology (Berlin, Germany)","volume":"18 2","pages":"159-168"},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implant survival, peri-implant health and microbiological contamination of two-piece ceramic implants after 2 years of loading: Results from a prospective study.","authors":"Mika Giulini, Nizar Kassem, Frank Schwarz, Paul Weigl, Andreas Schwiertz, Robert Sader, Jonas Lorenz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>Ceramic implants are gradually becoming an alternative to standard titanium implants; however, there is still a lack of scientific data on the former. Thus, the present study was conducted to assess the clinical and microbiological performance of a two-piece ceramic implant system after a mean follow-up period of 2 years.</p><p><strong>Materials and methods: </strong>A total of 17 patients from a collective of 21 from a private dental practice that met the inclusion criteria received 32 two-piece ceramic implants (CERALOG, BioHorizons Camlog, Basel, Switzerland). The implants were restored with single crowns or three-unit fixed partial dentures. Implant survival, probing pocket depth, bleeding on probing, mucosal recession/creeping, keratinised mucosa width, Papilla Presence Index, peri-implant marginal bone level and microbiological contamination were evaluated after a mean loading period of 24 months (range 12 to 41 months).</p><p><strong>Results: </strong>All implants survived and were suitable for retaining prostheses. Probing pocket depth of 3.7 mm ± 0.7 mm and bleeding on probing on 84% of implants were recorded. Sufficient keratinised mucosa width (6.6 ± 2.9 mm) was observed with no mucosal recession/creeping. The Papilla Presence Index varied between 0 and 4 with a mean value of 1.70 ± 1.07. Mean marginal bone loss was 1.2 ± 0.9 mm. Microbiological investigation revealed no statistically significant difference in the total number of bacteria between teeth and implants (P = 0.2278); however, probing pocket depth > 4 mm proved to be a significant predictor for an increased number of bacteria (P 0.001).</p><p><strong>Conclusion: </strong>Within the limitations of the present study, the investigated two-piece ceramic implant system achieved fully satisfying functional and microbiological results. Interpretation of the clinical, radiographic and microbiological results cannot support the hypothesis that ceramic implants are less affected by peri-implant disease.</p>","PeriodicalId":73463,"journal":{"name":"International journal of oral implantology (Berlin, Germany)","volume":"18 2","pages":"135-144"},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical outcomes of full-arch fixed implant-supported prostheses in patients lacking supportive peri-implant care: A cross-sectional study.","authors":"Umberto Gibello, Jacopo Lanzetti, Armando Crupi, Beatrice Longhi, Pedro Molinero-Mourelle, Andrea Roccuzzo, Francesco Pera","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the clinical outcomes and prosthetic complications in patients rehabilitated with full-arch fixed implant-supported prostheses according to the Columbus Bridge Protocol who did not adhere to a structured supportive peri-implant care programme.</p><p><strong>Materials and methods: </strong>This cross-sectional study included 56 patients (mean age 67.8 ± 9.2 years; 28.6% smokers; 80% response rate) rehabilitated with 229 implants (implant survival rate 100%) according to the Columbus Bridge Protocol. Patients were divided into three groups based on follow-up duration: 1 to 2 years (n = 19), 3 to 6 years (n = 16) and > 6 years (n = 21). Through a comprehensive examination, clinical parameters (probing depth, plaque index, bleeding on probing and keratinised tissue width) and mechanical and technical complications were examined by a single experienced operator. Plaque accumulation on the prosthesis was assessed through clinical images using a plaque disclosing solution and ImageJ software (National Institutes of Health, Bethesda, MD, USA). Finally, patient satisfaction was assessed using the Oral Health Impact Profile-14 scale.</p><p><strong>Results: </strong>Mean probing depth values remained stable across groups (2.03 to 2.49 mm, P = 0.125), with most sites ≤ 3 mm. No significant differences were found for bleeding on probing among groups (14.8% to 23.1%, P = 0.331). Plaque levels were high both at implant (43.8% to 57.1%, P = 0.233) and prosthesis level (42.9% to 47.0%, P = 0.707), with no significant differences between groups (P > 0.05). Keratinised tissue width ranged from 3.05 to 3.49 mm (P = 0.650). Prosthetic complications showed an increasing trend as follow-up duration increased (5.3% at 1 to 2 years, 18.8% at 3 to 6 years and 33.3% at > 6 years) (P = 0.086). Overall Oral Health Impact Profile-14 scores indicated a high level of patient satisfaction.</p><p><strong>Conclusions: </strong>Despite the lack of adhesion to a supportive peri-implant care programme, reflected by the high plaque values at implant and prothesis level, the Columbus Bridge Protocol resulted in positive clinical outcomes; however, prosthetic complications occurred and increased over time.</p>","PeriodicalId":73463,"journal":{"name":"International journal of oral implantology (Berlin, Germany)","volume":"18 2","pages":"147-157"},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of postoperative complications after lateral sinus floor augmentation: A multidisciplinary clinical consensus utilising the Delphi method.","authors":"Tiziano Testori, Claudio Stacchi, Pietro Felice, Enrico M Strappa, Charlotte Gemelli, Tommaso Clauser, Antonio Rapani, Muhammad H Saleh, Gustavo Avila-Ortiz, Federico Berton, Michael M Bornstein, Daniele Botticelli, Jae-Kook Cha, Hsun-Liang Chan, Roberto Farina, Pablo Galindo-Moreno, Ui-Won Jung, Hyun-Chang Lim, Teresa Lombardi, Thomas Starch-Jensen, Andreas Stavropoulos, Silvio Taschieri, Daniel Thoma, Leonardo Trombelli, Stephen Wallace, Matteo Chiapasco, Ole T Jensen, Jaime Lozada, Michael A Pikos, Roberto Pistilli, Istvan Urban, Pascal Valentini, Francesco Zuffetti, Giovanni Felisati, Alberto Saibene, John R Craig, Hom-Lay Wang","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To achieve a consensus among international experts regarding the management of postoperative complications after maxillary sinus floor elevation.</p><p><strong>Materials and methods: </strong>A total of 32 experts were enrolled and divided into dental implant providers (21), experts with a well-established reputation as sinus specialists (8), ear, nose and throat specialists (2), and experts with a well-established reputation as ear, nose and throat specialists (1). Before starting, a systematic literature search was conducted on the topic, and a list of articles was sent to the panel. The development group formulated 20 statements, which were sent out in the form of a survey. After each round, the statements upon which a consensus was not reached were reformulated based on anonymous comments from participants. A total of three rounds were planned.</p><p><strong>Results: </strong>After the third round, a consensus was reached on 15 key statements regarding the management of postoperative complications following sinus floor elevation. Agreement was established on issues including common postoperative symptoms, use of radiographic assessments, the necessity of surgical interventions such as partial or total graft removal, and the potential need for functional endoscopic sinus surgery. Near-consensus was achieved on additional points concerning normal postoperative symptoms, timing of total graft removal and approaches to late graft infections.</p><p><strong>Conclusions: </strong>The present Delphi consensus suggests that postoperative symptoms such as pain and swelling are generally manageable with appropriate pharmacological treatment. It also outlines conditions where radiographic evaluation is recommended for further assessment. Surgical options, including partial or total graft removal and functional endoscopic sinus surgery, are recommended based on the clinical scenario and response to initial treatments. Variability in practices, particularly regarding antibiotic use and specific intervention timing, suggests a need for further research to be conducted in order to standardise treatment protocols and address gaps in evidence.</p>","PeriodicalId":73463,"journal":{"name":"International journal of oral implantology (Berlin, Germany)","volume":"18 2","pages":"119-133"},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}