The International journal of oral & maxillofacial implants · 2026
Rehabilitation Of Atrophic Maxilla With Immediate Loading And Long Trans-Sinus Implants: 5 Year Prospective Case Series.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Carvalho Alexandre M, Carvalho Liliane Pacheco, Carvalho Laura F, Silva Thamyres Vitor, Conceição Vinicius Carvalho, Benalcázar-Jalkh Ernesto B, Fermino Elisa Souza, Cheng Yu-Chi, Bonfante Estevam A
Аннотация
PURPOSE: This prospective clinical case series evaluated the 5-year success of a bone anchorage technique using long trans-sinus implants for the rehabilitation of atrophic maxilla.
MATERIALS AND METHODS: Twenty patients were treated according to the all-on-four concept, receiving 45 standard implants and 35 long implants (18-24 mm) placed through the maxillary sinus. All patients were rehabilitated with metal-acrylic resin fixed complete prostheses. Prosthesis survival was defined as the presence of the prosthesis, with or without modifications. Follow-ups were conducted every 6 months, including hygiene instruction, prosthesis polishing, and clinical evaluation for suppuration, sinus pathology, peri-implantitis, gingival bleeding, pain, bleeding on probing, or implant mobility.
RESULTS: At the 5-year follow-up, clinical and radiographic examinations revealed no cases of sinus pathology or suppuration. All implants remained osseointegrated and functional, with a success rate of 100% (95% CI: 100-100%). Prosthesis survival was also 100% (95% CI: 100-100%), while prosthesis success was 48.1% (95% CI: 28.7-65.2%) after 5 years.
CONCLUSION: The use of long trans-sinus implants for immediate loading demonstrated predictable long-term outcomes, with excellent implant survival and high prosthesis survival.
CLINICAL RELEVANCE: This technique may provide clinicians with a reliable treatment option for rehabilitating atrophic maxillae, potentially reducing the need for grafting procedures while ensuring long-term functional stability.
MATERIALS AND METHODS: Twenty patients were treated according to the all-on-four concept, receiving 45 standard implants and 35 long implants (18-24 mm) placed through the maxillary sinus. All patients were rehabilitated with metal-acrylic resin fixed complete prostheses. Prosthesis survival was defined as the presence of the prosthesis, with or without modifications. Follow-ups were conducted every 6 months, including hygiene instruction, prosthesis polishing, and clinical evaluation for suppuration, sinus pathology, peri-implantitis, gingival bleeding, pain, bleeding on probing, or implant mobility.
RESULTS: At the 5-year follow-up, clinical and radiographic examinations revealed no cases of sinus pathology or suppuration. All implants remained osseointegrated and functional, with a success rate of 100% (95% CI: 100-100%). Prosthesis survival was also 100% (95% CI: 100-100%), while prosthesis success was 48.1% (95% CI: 28.7-65.2%) after 5 years.
CONCLUSION: The use of long trans-sinus implants for immediate loading demonstrated predictable long-term outcomes, with excellent implant survival and high prosthesis survival.
CLINICAL RELEVANCE: This technique may provide clinicians with a reliable treatment option for rehabilitating atrophic maxillae, potentially reducing the need for grafting procedures while ensuring long-term functional stability.