The Effect of the Bone Window Dimension on the Outcomes of Maxillary Sinus Floor Elevation：Meta-Analysis

Nan MA; Yan NIU; Jiemei ZHAI; Zhigang XIE

doi:10.12259/j.issn.2095-610X.S20230905

Volume 44 Issue 9

Sep. 2023

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Article Navigation > Journal of Kunming Medical University > 2023 > 44(9): 39-48

Nan MA, Yan NIU, Jiemei ZHAI, Zhigang XIE. The Effect of the Bone Window Dimension on the Outcomes of Maxillary Sinus Floor Elevation：Meta-Analysis[J]. Journal of Kunming Medical University, 2023, 44(9): 39-48. doi: 10.12259/j.issn.2095-610X.S20230905

Citation:

Nan MA, Yan NIU, Jiemei ZHAI, Zhigang XIE. The Effect of the Bone Window Dimension on the Outcomes of Maxillary Sinus Floor Elevation：Meta-Analysis[J]. Journal of Kunming Medical University, 2023, 44(9): 39-48. doi: 10.12259/j.issn.2095-610X.S20230905

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The Effect of the Bone Window Dimension on the Outcomes of Maxillary Sinus Floor Elevation：Meta-Analysis

doi: 10.12259/j.issn.2095-610X.S20230905

Nan MA^{1, 2},
Yan NIU³,
Jiemei ZHAI^{1, 2
,
,},
Zhigang XIE^{1, 2
,
,}

1.
The Affiliated Stomatology Hospital of Kunming Medical University，Kunming Yunnan 650106
2.
Yunnan Key Laboratory of Stomatology，Kunming Yunnan 650106，China
3.
Dept. of Stomatology，Qujing City Qilin District People’s Hospital，Qujing Yunnan 65500，China

Received Date: 2023-06-13
Available Online: 2023-09-23
Publish Date: 2023-09-30

Abstract

Abstract

Objective Maxillary sinus floor elevation is an effective way to increase the vertical bone mass of maxillary posterior region, and its success is closely related to the formation of new bone. In this study, a systematic review and meta-analysis was used to evaluate the correlation between bone window dimension and postoperative outcomes after maxillary sinus floor elevation. Methods An electronic search strategy was performed on Medline, Pubmed, Embase, Cochrane Library database, Chinese Biology Medicine disc （CBMdisc）, China National Knowledge Infrastructure （CNKI）, and National Library of Medicine （NLM） up to November 2022. Clinical and animal studies that analyzed the effect of bone window dimension and postoperative outcomes using lateral window elevation were included. Clinical studies with at least ten patients, and a minimum follow-up period of 6 months were included. According to the inclusion and exclusion criteria, three evaluators independently screened related studies, extracted data, and evaluated risk bias. Meta-analysis was performed by Revman 5.3 software. Results A total of 14 studies were included for the systematic review after the full text reading. 6 studies with low risk of bias, 2 studies with moderate risk of bias and 1 study with high risk of bias were controlled clinical studies. Both of the two bone window dimensions achieved ideal maxillary sinus bone regeneration and similar biological outcomes. The Meta-analysis results showed that mineralized bone% was negatively correlated with the bone window dimension （P < 0.01）. There was no significant difference in the new bone%, residual graft material% between the small bone window and the large bone window groups. Conclusion Negative correlation has been observed between the mineralized bone%and the dimension of bone window. Therefore, the lateral wall should be preserved as much as possible during the maxillary sinus floor elevation. Reducing the bone window has a positive effect on the maturity and mineralization of new bone.
- Maxillary sinus floor elevation,
- Dental implants,
- Bone window dimension,
- Bone regeneration.

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References(42)

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