AI Article Synopsis
- The study aimed to compare the risk of sinus membrane perforation (SMP) between two dental procedures: lateral window sinus floor elevation (LSFE) and transcrestal sinus floor elevation (TSFE) by reviewing literature from 1960 to 2021.
- The analysis included 85 studies with over 5,500 procedures, finding that LSFE with rotary burs had the highest SMP risk, while TSFE with reamers had the lowest.
- Higher rates of SMP significantly decreased the survival rates of dental implants, indicating that certain surgical techniques might lower SMP risk, but more randomized controlled trials are needed for clearer comparisons.
Article Abstract
To compare the risk of sinus membrane perforation (SMP) among lateral window sinus floor elevation (LSFE) and transcrestal sinus floor elevation (TSFE) techniques in prospective and retrospective studies for patients who underwent sinus augmentation for dental implant placement. A database search was conducted to screen the literature published from January 1960 to August 2021. The associations between SMP and surgical techniques as well as other clinical factors were evaluated via network meta-analysis. The impact of SMP on vertical ridge gain and implant survival was also evaluated. Eighty-five studies with 5,551 SFE procedures were included. In LSFE techniques, using rotary burs showed the highest risk of SMP (surface under the cumulative ranking area [SUCRA] = 0.0745). In TSFE techniques, using reamers had the lowest risk of SMP (SUCRA = 0.9444). Increased SMP prevalence was significantly associated with reduced implant survival rate (odds ratio [OR] = 0.45 per 10% increase of SMP rate [95% credible interval (CreI): 0.21, 0.71], < .001). With the inherent limitations, this network meta-analysis suggested that some techniques within either the LSFE or TSFE group may reduce SMP risk. Additional randomized controlled trials and better assessment of SMP are required to directly compare the risk of SMP between LSFE and TSFE.
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| http://dx.doi.org/10.11607/jomi.10048 | DOI Listing |
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