#Education 13. Feb 2025

Implant Stability After Graftless Motor-Driven Crestal Sinus Elevation: A Cohort Study

By Fawaz M Alzoubi, Hamad S AlRumaih, Abdulkareem A Alhumaida, Woroud Al-Sulimmani. A selected scientific recommendation by Dr. Marcin Maj.

STUDY OBJECTIVES AND METHODS

The aim of this study was to evaluated the stability of implants installed using this technique. Twenty-nine Straumann BLT (bone level tapered) implants in 29 patients were included in the sample. Average implant stability quotients (ISQ) were measured immediately after surgery (mean: 73.5 ± 9.2) and after a period of healing (mean: 77.1 ± 4.5) using resonance frequency analysis (RFA).

RESULTS

  • There was a significant increase in implant stability after healing (P = .035). The healing duration did not significantly influence how implant stability increased (P =.373).
  • The mean ISQ after healing was significantly higher than the clinically acceptable stability value of 65 ISQ (P < .001). Implant length and width were not significantly correlated with ISQ increase (P = .764 and P = .085, respectively).
  • In addition, there were no significant differences in average ISQ values measured immediately postsurgery (at baseline) or after healing between implants with and without registered perforations during surgery (P = .118 and P = .366, respectively).
  • The posthealing stability of 4 implants that did not achieve primary stability was not significantly less stable after the healing period than those that had achieved primary stability (P = .086).
  • Moreover, the level of insertion torque significantly impacted implant stability immediately postsurgery (P < .001), but the ISQ values measured after healing were not significantly different based on the initial insertion torque values (P = .131).

CONCLUSIONS

This study suggests that implants installed using graftless motor-driven crestal sinus elevation may achieve clinically acceptable stability as measured by RFA.

Adapted from F M Alzoubi et al., J Oral Implantol. 2024 Oct 1;50(5):461-467, for more info about this publication, click HERE

This review is part of the Straumann "Scientific Highlights Newsletter 6/24"

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