Osseodensification technique in crestal maxillary sinus elevation—A narrative review

João Gaspar, Ziv Mazor, Estevam A. Bonfante

Research output: Contribution to journalReview articlepeer-review

Abstract

Osseodensification is a novel approach that has significantly advanced the field of implant dentistry, particularly in the context of transcrestal maxillary sinus floor elevation. This technique involves the use of specially designed burs that compact and densify bone along the osteotomy walls, thereby enhancing implant primary stability and facilitating osseointegration in low-density bone. This article reviews the historical evolution of implant site preparation, and the biomechanical, histological, and clinical evidence of osseodensification with a special focus on its application in sinus floor augmentation. The integration of this technique into contemporary practice represents a paradigm shift, offering a minimally invasive and efficient solution for addressing the challenges of posterior maxilla, with improved patient-reported outcomes and low complication rate. Three different protocols for sinus lift and implant placement using osseodensification burs are proposed based on available literature, and risk factors for Schneiderian membrane perforation based on residual bone height are discussed, along with implant-related outcomes and patient-reported outcome measures. The potential for osseodensification to become a standard practice in sinus floor augmentation is emphasized, highlighting key aspects such as surgical protocol and patient selection.

Original languageEnglish
Article numbere13399
JournalClinical Implant Dentistry and Related Research
Volume27
Issue number1
DOIs
Publication statusPublished - Feb 2025

Keywords

  • dental implants
  • membrane perforation
  • Osseodensification
  • Osseointegration
  • sinus floor elevation

Fingerprint

Dive into the research topics of 'Osseodensification technique in crestal maxillary sinus elevation—A narrative review'. Together they form a unique fingerprint.

Cite this