Graft-Free Sinus Augmentation Procedure: a Literature Review

Objectives: The restoration of edentulous posterior maxilla with dental implants is challenging due to a deficient posterior alveolar ridge. Over the last decade an advance in the graftless bone augmentation procedures had occurred where the space left beneath the Schneiderian membrane is filled wit...

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Main Authors: Ginnady Pinchasov, Gintaras Juodzbalys
Format: Article
Language:English
Published: Lithuanian University of Health Sciences, Faculty of Odontology 2014-04-01
Series:eJournal of Oral Maxillofacial Research
Subjects:
Online Access:http://www.ejomr.org/JOMR/archives/2014/1/e1/v5n1e1ht.htm
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author Ginnady Pinchasov
Gintaras Juodzbalys
author_facet Ginnady Pinchasov
Gintaras Juodzbalys
author_sort Ginnady Pinchasov
collection DOAJ
description Objectives: The restoration of edentulous posterior maxilla with dental implants is challenging due to a deficient posterior alveolar ridge. Over the last decade an advance in the graftless bone augmentation procedures had occurred where the space left beneath the Schneiderian membrane is filled with blood clot in order to produce bone formation. The aim of present article is to review the scientific literature with respect to bone formation in the sinus, after membrane elevation procedure, without using any bone substitutes. Material and Methods: A comprehensive review of the current literature was conducted according to the PRISMA guidelines by accessing the NCBI PubMed database. The articles were searched from 1993 to 2013. English language articles with minimum one year patient follow-up and radiological and/or histological diagnostics of newly formed bone were included. Articles were excluded, if usage of bone graft or bone substitutes and/or usage of osteotome has been made during sinus lift operation. Results: A total of 19 studies were included: 2 studies were related to the sinus membrane’s osteogenic potential, 3 to the histological evidence of bone formation in monkeys and humans, 12 to the radiologic evidence of bone gain, and 2 to the space-maintaining management. 100% of the reviewed articles presented with increased bone formation and high implant survival rates resulting from the graft-free technique. Conclusions: It is clearly shown in the review that the potential of the maxillary sinus to heal and to form new bone without bone grafts or substitutes is of high nature.
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spelling doaj-art-d3a8be26ec164befbf38423cd9520eae2025-08-20T03:39:22ZengLithuanian University of Health Sciences, Faculty of OdontologyeJournal of Oral Maxillofacial Research2029-283X2014-04-0151e110.5037/jomr.2014.5101Graft-Free Sinus Augmentation Procedure: a Literature ReviewGinnady PinchasovGintaras JuodzbalysObjectives: The restoration of edentulous posterior maxilla with dental implants is challenging due to a deficient posterior alveolar ridge. Over the last decade an advance in the graftless bone augmentation procedures had occurred where the space left beneath the Schneiderian membrane is filled with blood clot in order to produce bone formation. The aim of present article is to review the scientific literature with respect to bone formation in the sinus, after membrane elevation procedure, without using any bone substitutes. Material and Methods: A comprehensive review of the current literature was conducted according to the PRISMA guidelines by accessing the NCBI PubMed database. The articles were searched from 1993 to 2013. English language articles with minimum one year patient follow-up and radiological and/or histological diagnostics of newly formed bone were included. Articles were excluded, if usage of bone graft or bone substitutes and/or usage of osteotome has been made during sinus lift operation. Results: A total of 19 studies were included: 2 studies were related to the sinus membrane’s osteogenic potential, 3 to the histological evidence of bone formation in monkeys and humans, 12 to the radiologic evidence of bone gain, and 2 to the space-maintaining management. 100% of the reviewed articles presented with increased bone formation and high implant survival rates resulting from the graft-free technique. Conclusions: It is clearly shown in the review that the potential of the maxillary sinus to heal and to form new bone without bone grafts or substitutes is of high nature.http://www.ejomr.org/JOMR/archives/2014/1/e1/v5n1e1ht.htmbone formationdental implantsmaxillary sinus floor augmentationSchneiderian membrane
spellingShingle Ginnady Pinchasov
Gintaras Juodzbalys
Graft-Free Sinus Augmentation Procedure: a Literature Review
eJournal of Oral Maxillofacial Research
bone formation
dental implants
maxillary sinus floor augmentation
Schneiderian membrane
title Graft-Free Sinus Augmentation Procedure: a Literature Review
title_full Graft-Free Sinus Augmentation Procedure: a Literature Review
title_fullStr Graft-Free Sinus Augmentation Procedure: a Literature Review
title_full_unstemmed Graft-Free Sinus Augmentation Procedure: a Literature Review
title_short Graft-Free Sinus Augmentation Procedure: a Literature Review
title_sort graft free sinus augmentation procedure a literature review
topic bone formation
dental implants
maxillary sinus floor augmentation
Schneiderian membrane
url http://www.ejomr.org/JOMR/archives/2014/1/e1/v5n1e1ht.htm
work_keys_str_mv AT ginnadypinchasov graftfreesinusaugmentationprocedurealiteraturereview
AT gintarasjuodzbalys graftfreesinusaugmentationprocedurealiteraturereview