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Evaluation of crestal sinus floor elevations using versah burs with simultaneous implant placement, at residual bone height ≥ 2.0 _ < 6.0 mm. A prospective clinical study

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Abstract

Purpose

To evaluate the efficacy of Versah drills in breaching the maxillary sinus floor while keeping the membrane intact, as well as measure the implant stability (primary stability at the time of implant placement by the osseous densification of the residual bone height (RBH) of ≥ 2.0 _ < 6.0 mm, and secondary stability after 6 months of osseous healing period).

Methods

This prospective clinical study, which included twenty crestal sinus floor elevations, was conducted on 17 patients (10 males and 7 females, ages 29 to 70 years). The sinus membrane integrity was clinically checked at the time of osseodensification sinus lifting and confirmed by CBCT after sinus augmentation and implant insertion. Time of operation has been recorded from the first drill to implant installation. Primary implant stability was measured using an Osstell beacon at the time of implant placement, and secondary stability was measured after 6 months of osseous healing.

Results

The mean of secondary stability in the current study is significantly higher than the mean of primary stability (P ≤ 0.011), which was 74.22 ± 8.11 and 69.85 ± 9.74, respectively, in RBH 3.81 mm as a mean. There was no clinical evidence of membrane perforation or complication reports, and the average operation time was 11.2 ± 1.85 min.

Conclusion

The current study found that at highly atrophic posterior maxilla with a residual bone height of ≥ 2.0 _ < 6.0 mm, osseodensification using Versah drills was effective in crestal sinus elevation with no membrane perforation, which was confirmed by cone-beam CT scan postoperatively, and showed higher primary and secondary implant stability.

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Authors and Affiliations

  1. Department of Oral & Maxillofacial Surgery/Dental Implant Unit, College of Dentistry, University of Baghdad, Baghdad, Iraq

    Jenna Z. Alhayati & Auday M. Al-Anee

  2. Oral & Maxillofacial Surgery, Medical City, Al-Shaheed Gazi Alhariri Teaching Hospital for Specialized Surgeries, Baghdad, Iraq

    Auday M. Al-Anee

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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by [Jenna Z. Alhayati] and [Auday M. Al-Anee]. The first draft of the manuscript was written by [Jenna Z. Alhayati] and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Auday M. Al-Anee.

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The study has been approved by the Ethics Committee of College of Dentistry/University of Baghdad (protocol number: 211120). Written informed consent was obtained from all participants prior to their enrollment.

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Alhayati, J.Z., Al-Anee, A.M. Evaluation of crestal sinus floor elevations using versah burs with simultaneous implant placement, at residual bone height ≥ 2.0 _ < 6.0 mm. A prospective clinical study. Oral Maxillofac Surg 27, 325–332 (2023). https://doi.org/10.1007/s10006-022-01071-0

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