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Article

Effect of Different Crestal Sinus Lift Techniques for Implant Placement in the Posterior Maxilla of Deficient Height: A Randomized Clinical Trial

by
Ahmed Halim Hashem
1,*,
Mohamed Fekry Khedr
1,
Mostafa Mohamed Hosny
1,
Mahmoud Taha El-Destawy
1 and
Mohamed Ibrahim Hashem
2
1
Department of Periodontology and Oral Medicine, Faculty of Dental Medicine, Al-Azhar University, Cairo 11651, Egypt
2
Dental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia
*
Author to whom correspondence should be addressed.
Appl. Sci. 2023, 13(11), 6668; https://doi.org/10.3390/app13116668
Submission received: 6 May 2023 / Revised: 29 May 2023 / Accepted: 29 May 2023 / Published: 30 May 2023
(This article belongs to the Section Applied Dentistry and Oral Sciences)

Abstract

This study evaluated dental implant stability, vertical bone gain, bone density, and crestal bone loss using different crestal sinus lift techniques (osteotomy, Densah burs, and piezosurgery). A total of 21 patients were randomly divided into three groups: Group 1: patients were treated using a Densah drill crestal sinus lift, Group 2: patients were treated using a piezoelectric crestal sinus lift and Group 3: patients were treated using an osteotome crestal sinus lift. The patients in all three groups underwent bone grafting and implant placement. An Osstell device was used to determine the implant stability by recording the values of the implant stability quotient (ISQ). CBCT was performed before and 6 months after implant placement for radiographic evaluation and comparison among the groups. All dental implants were completely successful, and statistically significant differences from baseline to 6 months were noted in all groups (p < 0.05). The Densah burs technique resulted in the best implant stability of all groups, while the osteotome technique demonstrated better vertical bone augmentation. However, the values for bone density and crestal bone loss showed no significant difference among all treated groups (p > 0.05). All three techniques were successful for crestal sinus lifts with good clinical outcomes at a 6-month follow-up. The Densah group demonstrated better implant stability, shorter surgery time, and fewer complications; however, the vertical bone gain was greater with the osteotome technique.
Keywords: crestal sinus lift; dental implant; osteotome; piezosurgery; osseodensification crestal sinus lift; dental implant; osteotome; piezosurgery; osseodensification

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MDPI and ACS Style

Hashem, A.H.; Khedr, M.F.; Hosny, M.M.; El-Destawy, M.T.; Hashem, M.I. Effect of Different Crestal Sinus Lift Techniques for Implant Placement in the Posterior Maxilla of Deficient Height: A Randomized Clinical Trial. Appl. Sci. 2023, 13, 6668. https://doi.org/10.3390/app13116668

AMA Style

Hashem AH, Khedr MF, Hosny MM, El-Destawy MT, Hashem MI. Effect of Different Crestal Sinus Lift Techniques for Implant Placement in the Posterior Maxilla of Deficient Height: A Randomized Clinical Trial. Applied Sciences. 2023; 13(11):6668. https://doi.org/10.3390/app13116668

Chicago/Turabian Style

Hashem, Ahmed Halim, Mohamed Fekry Khedr, Mostafa Mohamed Hosny, Mahmoud Taha El-Destawy, and Mohamed Ibrahim Hashem. 2023. "Effect of Different Crestal Sinus Lift Techniques for Implant Placement in the Posterior Maxilla of Deficient Height: A Randomized Clinical Trial" Applied Sciences 13, no. 11: 6668. https://doi.org/10.3390/app13116668

APA Style

Hashem, A. H., Khedr, M. F., Hosny, M. M., El-Destawy, M. T., & Hashem, M. I. (2023). Effect of Different Crestal Sinus Lift Techniques for Implant Placement in the Posterior Maxilla of Deficient Height: A Randomized Clinical Trial. Applied Sciences, 13(11), 6668. https://doi.org/10.3390/app13116668

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