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Volumetric osseous changes in the completely edentulous maxilla after sinus grafting and lateral bone augmentation: a systematic review
Affiliation:1. Department of Oral and Maxillofacial Surgery, Rijnstate Hospital, Arnhem, Netherlands;2. Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium;3. Department of Oral and Maxillofacial Surgery, Onze-Lieve-Vrouw Ziekenhuis, Aalst, Belgium;4. OMFS–IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, Catholic University Leuven, Leuven, Belgium;1. Department of Oral and Maxillofacial Surgery, University Hospital of Besançon, Besançon, France;2. Medical Faculty, University of Franche-Comté, Besançon, France;3. University of Bourgogne Franche-Comté, INSERM, EFS BFC, UMR1098, Interactions Hôte-Greffon-Tumeur/Ingénierie Cellulaire et Génique, Besançon, France;4. Hospices Civils de Lyon — Université Claude Bernard Lyon 1, Maxillofacial and Stomatology, Lyon-Sud Hospital Center, Pierre-Benite, France;5. Nanomedicine Lab, Imagery and Therapeutics, EA 4662, Medical Faculty, University of Franche-Comté, Besançon, France;6. Department of Oral and Maxillofacial Surgery, University of Pierre Marie Curie-Paris 6, Pitié-Salpêtrière Hospital, Paris, France;7. Department of Maxillofacial and Plastic Surgery, University Hospital, and UFR Medicine, University of Strasbourg, Strasbourg, France;8. University of Strasbourg, Faculty of Medicine, Strasbourg, France;9. Laboratory of Engineering Science, Computer Science and Imaging, CNRS, ICUBE University of Strasbourg, Strasbourg, France;10. INSERM (French National Institute of Health and Medical Research), ‘Regenerative Nanomedicine’ Laboratory, UMR 1260, Faculty of Medicine, Strasbourg, France;1. Department of Oral and Maxillofacial Surgery, Amsterdam UMC/Emma Children’s Hospital, and Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam, Amsterdam, The Netherlands;2. Laboratory of Genome Diagnostics, Amsterdam UMC, University of Amsterdam, Department of Clinical Genetics, Amsterdam Reproduction and Development, Amsterdam, The Netherlands;3. Department of Oral and Maxillofacial Surgery, Spaarne Gasthuis, Haarlem, The Netherlands;4. Department of Paediatrics and Translational Genetics, Amsterdam UMC/Emma Children’s Hospital, University of Amsterdam, Amsterdam, The Netherlands;1. Faculty of Dentistry, Oral and Maxillofacial Surgery Department, Cairo University, Egypt;2. Faculty of Dentistry, Oral and Maxillofacial Surgery Department, M.S.A University, Cairo, Egypt;3. Faculty of Dentistry, Oral and Maxillofacial Surgery Department, Al Faraby University, Jeddah, Saudi Arabia;1. University Hospital Quirón Dexeus, Barcelona, Spain;2. Department of Odontoestomatology, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona, Barcelona, Spain;3. Oral Health and Masticatory System Group, Bellvitge Biomedical Research Institute (IDIBELL), L’Hospitalet de Llobregat, Barcelona, Spain;4. Faculty of Dentistry, University of Barcelona, Barcelona, Spain;5. Faculty of Dentistry, University of Seville, Seville, Spain;1. Doctoral School of Life Sciences and Medicine, Vrije Universiteit Brussel, Brussels, Belgium;2. Private Practice, Bologna, Italy;3. Department of Oro-Maxillo-Facial Surgery, General Hospital Oudenaarde, Oudenaarde, Belgium;4. Private Clinic Face Ahead Antwerp, Antwerp, Belgium;5. Division of Oro-Maxillo-Facial Surgery, GZA Hospitals, Antwerp, Belgium;6. Oral and Maxillofacial Surgery, ETZ Hospitals, Tilburg, The Netherlands;7. Oral and Maxillofacial Surgery Cosmipolis Clinic Brugge, Ghent University Hospital, AZ Zeno, Knokke-Blankenberge, Belgium;8. Department of Prosthetic Dentistry, KU Leuven, Leuven, Belgium;9. OMFS-IMPATH Research Group, Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium;10. Department of Oral and Maxillofacial Surgery, Rode Kruis Ziekenhuis Beverwijk, Beverwijk, The Netherlands;11. Elysee Dental, Herent, Belgium;12. Private Practice, Toronto, Canada;13. OMFS, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada;14. Humber River Hospital, Toronto, Canada;15. Private Clinic Orthoface Ghent, Ghent, Belgium;16. European Face Centre, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium;1. Department of Oral and Maxillofacial Surgery, Aalborg University Hospital, Aalborg, Denmark;2. Department of Oral and Maxillofacial Surgery, Public Health Service, Gävle, Sweden;3. Centre for Research and Development, Uppsala University/Gävleborg County Council, Gävleborg, Sweden;4. Department of Biomaterials, BIOMATCELL VINN Excellence Centre, Institute for Surgical Science, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;5. Department of Oral and Maxillofacial Surgery, NU-Hospital Organization, Trollhättan, Sweden;6. Unit of Epidemiology and Biostatistics, Aalborg University Hospital, Aalborg, Denmark
Abstract:The aim of this systematic review was to evaluate the volumetric changes associated with different bone grafting techniques in the completely edentulous atrophic maxilla before dental implant placement. A search was performed according to the PRISMA guidelines. A PICO question was formed, and the PubMed, Scopus, Embase, and Cochrane Library databases were searched, covering the period 2000–2018. Relevant data were extracted from the results regarding study population, surgical details, technical information on volumetric data acquirement, and volumetric outcome after bone augmentation procedures before implant placement. Six articles with a combined population of 84 patients were included. All patients had a completely edentulous maxilla, with a crestal horizontal width of <3–4 mm or a crestal vertical height of <6–7 mm. The iliac bone and ascending ramus were most frequently used as grafts. Five of the six studies reported volumes of sinus inlay graft (SIG) and four reported volumes of lateral bone augmentation (LBA). Radiographic analyses of the augmented areas differed among the studies. Volume loss after bone augmentation procedures ranged from 5% to 50% for SIG and from 5% to 47% for LBA. All surgical augmentation techniques for the edentulous maxilla are prone to resorption; no procedure seemed to be superior, but some interesting observations were made.
Keywords:edentulous maxilla  maxillary atrophy  bone graft  volumetric change  dental implant
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