Sinus Lifting Procedure Using Osseodensification Versus Osteotome Technique Via Transcrestal Approach: A Systematic Review.

Purpose: The purpose of this systematic review is to critically evaluate and compare the effectiveness of Osseodensification and Osteotome techniques in the transcrestal approach for sinus floor elevation in patients with posterior atrophic maxilla thereby providing valuable insights into the selection of the most appropriate approach for sinus lifting procedures.

Materials and methods: A systematic and comprehensive search of electronic databases over the last ten years, including PubMed, Scopus, Embase, and Cochrane Library, was conducted using the formulated search strategy. The protocol was registered in the International Register of Systematic Reviews (PROSPERO)(CRD42023455968) (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=455968).

Results: Studies consistently reported varying degrees of implant stability following both Osseodensification and Osteotome techniques. The exact quantitative differences were not uniform across studies. Findings regarding marginal bone loss were mixed and found no significant differences. Residual bone height and bone gain were generally improved with both techniques, but the magnitude of improvement varied among studies.

Conclusion: The review recognizes the potential advantages of Osseodensification but also highlights the heterogeneity in study designs and results, emphasizing the need for more comprehensive and standardized research to provide more definitive clinical guidance.