Current State, Treatment Modalities, and Future Perspectives of Sinus Floor Elevation (SFE)

 
Jensen (1994)
Zitzmann (1998)
Misch (1999)
Fugazzotto (2003)
Simion et al. (2004)
Chiapasco et al. (2008)
Wang and Katranji (2008)
Stern and Green (2012)
IIP
   
SA-1
cl. A
cl.A
 
cl.A
 
H ≥ 12
H = 10
H >6
H ≥10
W >5
 
BC-CEJ: 3
BC-CEJ ≤3
 
W ≥ 5
C + SI
 
H≥ 6
SA-2
cl. B
   
cl.B
H >8 (single)
H: 10–12
H: 7–9
H:6–9
W >5
BC-CEJ ≤3
W ≥5
C +/−GBR+/−SI
           
cl. Bh
 
H:6–9
BC-CEJ ≤3
W <5
C + onlay+/−expansion + SI
   
SA-2-B
         
H:10–12
W: 2.5–5
C + GBR + DI
           
cl. Bv
 
H:6–9
BC-CEJ >3
W ≥5
C + GBR/onlay + DI
           
cl. Bc
 
H: 6–9
BC-CEJ >3
W <5
L + SI
cl.A & B
H: 4–6
     
cl.A H 4–8
 
H: 5–10
H: 7–10
W >5
H >5 (single)
BC-CEJ ++
L + SI + onlay
         
cl. B H:4–8
   
W <5
BC-CEJ++
L+/−SI
cl.C
 
SA-3
cl. C
   
cl. C
 
H: 4–6
H ≥5
H: 4–6
H ≤5
BC-CEJ ≤3
W ≥5
L + DI
cl.D
H ≤4
SA-4
cl. D
cl. B
cl.C H <4
 
H ≤4
H <4
H <5
H: 1–3
H <6
W >5
BC-CEJ: 3
BC-CEJ ++
L + GBR/onlay + DI
         
cl.D H <4
cl. Ch
 
W <5
H ≤5
BC-CEJ ++
BC-CEJ ≤3
W <5
L + GBR+/−onlay + DI
           
cl. Cv & Cc
 
H ≤5
BC-CEJ >3
VRA
       
cl.C
     
H >6
BC-CEJ >3
L + VRA
       
cl.D
Cl. E H: 4–8
   
H <6
W >5
BC-CEJ >3
BC-CEJ − −
L + onlay + VRA
         
cl. F H:4–8
   
W <5
SFE sinus floor elevation; IIP immediate implant placement without a need for SFE; C crestal SFE, L lateral SFE, SI simultaneous implant placement, DI delayed implant placement, GBR guided bone regeneration, VRA vertical ridge augmentation, W width of the crest, BC-CEJ distance between the top of the bone crest and the Cemento-enamel junction
Table 9.2

SFE Technique selection in case of single edentulism
Parameters
Single edentulism
Residual bone height
≥4 mm
<4 mm
No septum
Crestal + SI
Crestal + DI
Lateral + DI
Apical septum
Lateral ± SI
Lateral + DI
Short implant
Lateral septum
Crestal + SI
Lateral + DI
Crestal + DI
Bold is used for the preferred technique
An apical septum emerges apically to the region needing an SFE
A lateral septum is located laterally to the region to be grafted: it is considered as an additional bony wall, considered as an added value in SFE following the principle of guided bone regeneration
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Nov 6, 2015 | Posted by in General Dentistry | Comments Off on Current State, Treatment Modalities, and Future Perspectives of Sinus Floor Elevation (SFE)
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