Patient Preference and Adherence (May 2023)

Efficacy of Two Different Hydrodynamic Sinus Lift Systems for Atraumatic Elevation in Immediate Implant Placement

  • Praveen AA,
  • Venkadassalapathy S,
  • Victor DJ,
  • Prakash PSG,
  • Umesh SG,
  • Ali Baeshen H,
  • Balaji TM,
  • Patil S,
  • Reda R,
  • Testarelli L

Journal volume & issue
Vol. Volume 17
pp. 1197 – 1207

Abstract

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Arockia Antony Praveen,1 Santhosh Venkadassalapathy,1 Dhayanand John Victor,1 PSG Prakash,1 Santo Grace Umesh,1 Hosam Ali Baeshen,2 Thodur Madapusi Balaji,3 Shankargouda Patil,4 Rodolfo Reda,5 Luca Testarelli5 1Department of Periodontics, SRM Dental College, Chennai, TN, India; 2Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, 21589, Saudi Arabia; 3Department of Dentistry, Bharathiraja Hospital, Chennai, TN, India; 4College of Dental Medicine, Roseman University of Health Sciences, South Jordan, UT, 84095, USA; 5Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, 00161, ItalyCorrespondence: Shankargouda Patil, College of Dental Medicine, Roseman University of Health Sciences, South Jordan, UT, AH 84095, USA, Email [email protected] PSG Prakash, Department of Periodontics, SRM Dental College, SRM IST, Ramapuram, Chennai, Tamil Nadu, India, Email [email protected]: To evaluate the efficacy of two hydrodynamic sinus lifting procedures and to successfully place immediate implants in maxillary posterior sites that have a compromised native bone as a result of periodontal or endodontic disease.Patients and Methods: A total of 26 patient sites were enrolled with 13 sites each in the Minimally Invasive Antral Membrane Balloon Elevation (MIAMBE) and Drill Integrated Hydrodynamics for the transcrestal sinus floor elevation (DIHSFE) groups who received transcrestal sinus floor elevation followed by immediate implant placement. Clinical parameters such as sinus membrane perforations, nasal bleeding, postoperative sinusitis, VAS scores at Day-7 for pain and discomfort, primary implant stability and time taken were evaluated.Results: The DIHSFE had greater sinus membrane perforations and incidence of nasal bleeding when compared with MIAMBE with (p = 0.066) and (p = 0.141). Post-operative sinusitis was evident in both the groups with (p = 0.619). The mean VAS score was statistically significant between both the groups (p ≤ 0.005). The insertion torque values, and mean time taken for surgical procedure was not statistically significant between groups.Conclusion: The present study highlighted that MIAMBE is superior to DIHSFE in its ability to cause less severe patient morbidities and post-operative complications.Keywords: immediate implants, insertion torque values, Minimally Invasive Antral Membrane Balloon Elevation, postoperative sinusitis, sinus membrane perforation

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