2018/07/11 by Roberto Farina, Roberto Fariña, Giovanni Franceschetti +9 · 1 citation
Dentistry · Medicine · #Dental Implant Techniques and Outcomes #Orthodontics and Dentofacial Orthopedics #Sinusitis and nasal conditions
paper · pdf · doi:10.1111/jcpe.12985
openalex publication_date 2018/07/11 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/28
Abstract Aim To comparatively evaluate the morbidity following maxillary sinus floor elevation according to either transcrestal ( tSFE ) or lateral ( lSFE ) approach with concomitant implant placement. Materials & Methods Patients with ≥1 edentulous maxillary posterior site with residual bone height ( RBH ) of 3–6 mm were enrolled. tSFE was performed in association with a xenograft and a collagen matrix. For lSFE , the sinus was grafted with the xenograft, and the antrostomy was covered with a membrane. Implants were inserted concomitantly. The postoperative course was assessed through questionnaires. Pain level ( VAS pain ) was recorded using a 100‐mm visual analogue scale. Results Twenty‐nine and 28 patients were included in tSFE and lSFE group, respectively. On the day of surgery, VAS pain was significantly higher for tSFE compared to lSFE , and similar from day 1 to 14. tSFE was characterized by significantly lower incidence of swelling, bruising and nasal discharge/bleeding. Significantly less severe limitation in swallowing, continuing daily activities, eating, speaking, opening the mouth and going to school/work was found for tSFE only at specific postsurgery intervals. Conclusions lSFE was associated with lower pain on the day of surgery, and tSFE revealed lower postoperative morbidity as well as more tolerable postoperative course.