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Revista clínica de periodoncia, implantología y rehabilitación oral

versão On-line ISSN 0719-0107

Resumo

SCHARAGER-LEWIN, Daniel; ARRANO-SCHARAGER, Daniela Paz  e  BIOTTI-PICAND, Jorge. Biomaterials in maxillary sinus lift for dental implants. Rev. Clin. Periodoncia Implantol. Rehabil. Oral [online]. 2017, vol.10, n.1, pp.20-25. ISSN 0719-0107.  http://dx.doi.org/10.1016/j.piro.2016.06.002.

Objectives

The main objective is to describe the techniques and conditions in which the various biomaterials are used for sinus augmentation procedures for immediate or delayed osseointegrated implants.

Method

An electronic search was conducted looking for papers published from 2010 to 15 August 2014 to answer the research question. Several search engines were used as well as a manual on scientific journals of periodontics. The level of evidence, quality reporting, biases of the analysed literature, and ethical aspects were determined.

Results

A total of 17 studies were selected, of which 4 were systematic reviews, and 13 were randomised trials. Ten different trials compared the available biomaterials with each other, and found no statistically significant differences in new bone formation. One study examined the option of not using biomaterials in the procedures. Six studies indicated that the use of additional biomaterials was not significant. Three studies concluded that there were no significant differences between 1 and 2 surgical times. Three studies compared the surgical technique of lateral window with the indirect technique, with no statistically significant differences, but the indirect technique was associated with fewer complications, especially when accompanied by the installation of short implants.

Conclusions

No differences between different biomaterials used in augmentation procedures for maxillary sinuses were described. The use of additional biomaterials does not seem to offer measurable benefits to the treatment. The indirect surgical technique may be associated with fewer complications. Further studies of randomised clinical trials, with larger sample sizes, controlled variables, and long term monitoring are needed to draw stronger conclusions.

Palavras-chave : Dental implants; Biocompatible materials; Sinus floor augmentation; Biomaterials; Sinus augmentation.

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