Maxillary Sinus Floor Augmentation With Synthetic Bone Substitutes Compared With Other Grafting Materials: A Systematic Review and Meta-analysis

Thomas Starch-Jensen, Arne Mordenfeld, Jonas Peter Becktor, Simon Storgård Jensen

12 Citations (Scopus)

Abstract

OBJECTIVE: To test the hypotheses of no differences in implant treatment outcome after maxillary sinus floor augmentation (MSFA) with synthetic bone substitutes (SBS) compared with other grafting materials applying the lateral window technique.

MATERIALS AND METHODS: A MEDLINE/PubMed, Embase and Cochrane Library search in combination with hand-search of selected journals was conducted.

RESULTS: Five randomized controlled trials with low risk of bias fulfilled the inclusion criteria. SBS disclosed high survival rate of suprastructures and implants with no significant differences compared to autogenous bone graft or xenograft. Meta-analysis revealed a patient-based implant survival rate of 0.98 (confidence interval: 0.89-1.08), indicating no differences between SBS and xenograft. SBS demonstrated significant less newly formed bone compared with autogenous bone graft, whereas no significant difference was revealed as compared to xenograft. High implant stability values, limited periimplant marginal bone loss, and few complications were reported with SBS.

CONCLUSIONS: There seem to be no differences in implant treatment outcome after MSFA with SBS compared to other grafting materials.

Original languageEnglish
JournalImplant Dentistry
Volume27
Issue number3
Pages (from-to)363-374
Number of pages12
ISSN1056-6163
DOIs
Publication statusPublished - Jun 2018

Keywords

  • Alveolar Bone Loss/prevention & control
  • Animals
  • Bone Substitutes
  • Bone Transplantation/methods
  • Dental Restoration Failure
  • Humans
  • Sinus Floor Augmentation/methods

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