There are 2 surgical techniques to elevate the sinus floor: sinus lift with crestal approach (internal sinus lift [ISL]) and sinus lift with lateral wall approach (external sinus lift [ESL]). The aim of this study was to evaluate and compare the survival rates of implants placed in the posterior maxilla with ESL or ISL.
Ninety sinus lifts with lateral wall approach were performed in 82 patients, and 147 implants were inserted in these augmented sinuses in ESL group. Forty-five implants were inserted in maxilla in 33 patients with sinus lift with crestal approach in ISL group. The follow-up time was 33.8 and 15.6months for ESL and ISL groups, respectively.
One implant failure was observed in ESL group, and there was no implant failure in ISL group. All other implants were functioning well without any significant clinical finding. Implant survival was 99.2% in ESL group and 100% in ISL group.
The sinus lift with lateral wall approach and crestal approach were reliable methods for implant insertion in the posterior maxilla. Survival rates of the ISL were slightly higher than ESL group. However, follow-up time of the ISL was shorter.
*Professor, Baskent University School of Dentistry, Department of Oral and Maxillofacial Surgery, Ankara, Turkey. †Resident, Baskent University School of Dentistry, Department of Oral and Maxillofacial Surgery, Ankara, Turkey. ‡Fellow, Baskent University, Istanbul Research Hospital, Department of Oral and Maxillofacial Surgery, Ankara, Turkey.
Reprint requests and correspondence to: Sina Uckan, DDS, PhD, Baskent Universitesi, Dishekimligi Fakultesi, 11 sokak, No. 26, Bahcelievler, Ankara 06490, Turkey, Phone: +903122151336, Fax: +903122152962, E-mail: firstname.lastname@example.org