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Follow-up study of implants with turned or oxidized surfaces placed after sinus augmentation
Umeå University, Faculty of Medicine, Department of Odontology, Oral and Maxillofacial Surgery. Department of Oral and Maxillofacial Surgery, Karolinska University Hospital, Stockholm, Sweden.
Umeå University, Faculty of Medicine, Department of Odontology, Oral and Maxillofacial Radiology.
Umeå University, Faculty of Medicine, Department of Odontology, Oral and Maxillofacial Surgery.
2014 (English)In: International Journal of Oral & Maxillofacial Implants, ISSN 0882-2786, E-ISSN 1942-4434, Vol. 29, no 6, 1380-1387 p.Article in journal (Refereed) Published
Abstract [en]

Purpose: To compare long-term survival and clinical outcomes of endosseous implants with different surface characteristics in patients with sinus elevation procedures, autologous bone grafting, and delayed implant placement. Materials and Methods: Implant survival, peri-implant soft tissue conditions, marginal bone level, intrasinus apical bone level, and sinus health were studied in patients subjected to autologous bone graft and delayed placement of implants with turned or oxidized surfaces. After a minimum of 5 years of functional loading, all patients were clinically examined regarding gingival pocket depth (PD) and bleeding on probing (BoP). The marginal bone level (MBL) was measured in intraoral radiographs. Cone beam computed tomography was used to evaluate the apical bone level (ABL) of the implants and intrasinus conditions. Results: Twenty-eight patients received sinus elevation and a total of 92 dental implants. Thirteen patients received 47 implants with a turned surface, and 15 patients received 45 implants with an oxidized surface. Mean follow-up was 10 years (range, 5 to 19 years). No significant difference was found between the two implant surfaces in terms of PD, BoP, MBL, or ABL. Four patients (14%) exhibited radiographic signs of sinus pathology, with opacification, polyplike structures, and thickening of the sinus membrane. Radiographic signs of sinus pathology were not correlated to implant survival or to the investigated parameters. Conclusion: Grafting of the maxillary sinus floor with intraorally harvested bone and delayed placement of either turned or oxidized implants results in equally high long-term survival rates, stable marginal and apical bone levels, and good peri-implant soft tissue health.

Place, publisher, year, edition, pages
Quintessence Publishing , 2014. Vol. 29, no 6, 1380-1387 p.
Keyword [en]
bone graft, dental implants, maxillary sinus, surface properties
National Category
Dentistry
Identifiers
URN: urn:nbn:se:umu:diva-97895ISI: 000346121900019OAI: oai:DiVA.org:umu-97895DiVA: diva2:779201
Available from: 2015-01-12 Created: 2015-01-08 Last updated: 2017-12-05Bibliographically approved

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