Sinus Elevation: Are Bone Grafts Needed?

Would an implant placed after sinus elevation without a bone graft provide a satisfactory long-term outcome? A recent study 1 evaluated the long-term clinical and radiographic outcomes of dental implant placed using osteotome sinus floor elevation (OSFE) without bone grafts.

The results:

Osteotome sinus floor elevation without bone grafts is a predictable treatment modality in the long run. But it should be used with caution when the initial bone height of the edentulous site is lower than 5 mm. The final endo-sinus bone height was found to be positively correlated to implant protrusion length measured on radiographs immediately after implant installation.

Anyone else attempt to just use an osteotome sinus elevation without grafting prior to implant placement? Results?

Read the Full Abstract Here

1. Clin Oral Implants Res. 2016 Nov Long-term outcomes of osteotome sinus floor elevation without bone grafts: a clinical retrospective study of 4-9 years.
.Si MS

One thought on “Sinus Elevation: Are Bone Grafts Needed?

  1. Dennis Flanagan DDS MSc says:

    Bone graft studies can include histology supporting bone growth. Nonetheless is this bone truly supportive of loaded implants. Grafted bone sites have a higher failure rate than natural bne sites. DOes this mean that the grafted bone doesn’t support appropriately? Stability testing for all these studies should be important but initial stability may not indicate the supportive nature of the grafted bone.
    The primary function of graft material, irrespective of its origin, is to maintain space for angiogenesis and osteogenesis. Any space providing mechanism would probably OK. But can we predict the support the new bone will provide. While most of the implants will succeed, how can we know what parameters to monitor to insure success?
    Dennis Flanagan DDS MSc

Leave a Comment:

Comment Guidelines: Be Yourself. Be Respectful. Add Value. For more details, read our comment guidelines. Though we require an email to comment, we will NEVER publish your email.
Required fields are marked *

Posted in Implant News, Regenerative.
Bookmark Sinus Elevation: Are Bone Grafts Needed?

Videos to Watch:

Dental Implant for Lower Right Second Molar

This video shows implant placement on the lower right second molar.[...]

Watch Now!
Saving a Bridge with Periodontal Therapy

This video shows a case involving a 48-year-old male who was referred for periodontal treatment[...]

Watch Now!
Immediate Loading Full Arch

This video shows a case of Immediate loading of a full arch with simultaneous guided[...]

Watch Now!
Apically Repositioned Flap Technique Around Implants

The apically positioned flap is a commonly used surgical approach, that may help the long[...]

Watch Now!
Digitally Planned Bone Augmentation and Immediate Implantation

This video shows a case using the Ring technique to provide bone augmentation along with[...]

Watch Now!
AnyRidge Implants: Replacement of Upper Left Molars

This video shows the replacement of maxillary upper left molars with Megagen AnyRidge Implants.[...]

1 Comment

Watch Now!
Guided Implant Surgery & Immediate Temporisation

This video demonstrates the placement of a missing pre-molar using computer-guided surgery and immediate temporization.[...]

1 Comment

Watch Now!
Implantoplasty to Treat Peri-implantitis

This video shows the use of the Implantoplasty technique to treat peri-implantits. Granulation tissue and[...]


Watch Now!
Placement of Implant Using EZ Devices

This video demonstrates the placement of a dental implant in the upper jaw using the[...]

Watch Now!
BonePen: Improve Positioning of Implants

A short video demonstrating close up the use of the BonePen Kit, a set of[...]

Watch Now!
Vertical and Horizontal Bone Augmentation with Khoury Bone Plates

This video shows a way to utilize thin autogenous bone plates to create stunning bone.[...]


Watch Now!
Maxgraft bonering: immediate implant placement

This video shows a live surgery using the maxgraft bonering, which is a pre-fabricated[...]

1 Comment

Watch Now!