Maxillary sinus balloon lifting and deferred implantation of 50 osseointegrated implants: a prospective, observational, non-controlled study

López-Quiles Martínez, Juan; Melero-Alarcón, C.; Cano-Durán JA; Sánchez-Martínez-Sauceda EI; Ortega Aranegui, Ricardo

Maxillary sinus balloon lifting and deferred implantation of 50 osseointegrated implants: a prospective, observational, non-controlled study

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Official URL

http://www.journals.elsevier.com/international-journal-of-oral-and-maxillofacial-surgery/

Publication date

2018

Authors

López-Quiles Martínez, Juan

Melero-Alarcón, C.

Cano-Durán JA

Sánchez-Martínez-Sauceda EI

Ortega Aranegui, Ricardo

Publisher

Elsevier

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URI

https://hdl.handle.net/20.500.14352/95287

Citation

López-Quiles J, Melero-Alarcón C, Cano-Duran JA, Sánchez-Martínez-Sauceda EI, Ortega R. Maxillary sinus balloon lifting and deferred implantation of 50 osseointegrated implants: a prospective, observational, non-controlled study. Int J Oral Maxillofac Surg 2018;47(10):1343-1349.

Abstract

The aim of this study was to assess the effectiveness of minimally invasive antral membrane balloon elevation (MIAMBE). Twenty-seven patients with severe resorption of the posterior maxilla were treated by balloon catheter-assisted sinus lift procedure with deferred implant placement. Panoramic radiographs and computed tomography scans were obtained prior to surgery and at 6 months after surgery, before implantation. Data collected following surgery included inflammation, pain, bleeding, infection, and haematoma. Pain and inflammation were recorded using a six-point verbal rating scale (VRS). The patients were followed up for an average of 15 months. The initial sinus floor height was measured for each planned implant and compared with the height at 6 months post-surgery. The average bone height gain was 8.10 ± 3.45 mm (range 0.5–13.95 mm). Inflammation on the VRS ranged from 0 to 3 (mean 0.97 ± 0.85), while pain ranged from 0 to 4 (mean 0.87 ± 1.19). There was a perforation of the Schneiderian membrane smaller than 2 mm in one case. In another case, the balloon lift procedure had to be aborted and changed to the conventional Tatum technique due to breakage of the balloon inside the sinus. The results of this study show the balloon sinus lift technique to be an easy procedure to perform, with apparently low rates of inflammation and pain, and to provide sufficient quantity and quality of bone for the placement of osseointegrated implants.