Long-term effectiveness of maxillary sinus floor augmentation: A systematic review and meta-analysis

Raghoebar, G. M., Onclin, P., Boven, G. C., Vissink, A. & Meijer, H. J. A., Jun-2019, In : Journal of Clinical Periodontology. 46, p. 307-318 12 p.

Research output: Contribution to journalReview articleAcademicpeer-review

Copy link to clipboard



AIM: To assess the long-term effectiveness (≥5 years) of maxillary sinus floor augmentation (MSFA) procedures applying the lateral window technique and to determine possible differences in outcome between simultaneous and delayed implant placement, partially and fully edentulous patients, and grafting procedures.

MATERIALS AND METHODS: MEDLINE (1950-May 2018), EMBASE (1966-May 2018) and Cochrane Central Register of Controlled Trials (1800-May 2018) were searched. Inclusion criteria were prospective studies with follow-up ≥5 years and a residual bone height ≤6 mm. Outcome measures included implant loss, peri-implant bone level change, suprastructure survival, patient-reported outcome measures and overall complications. Data were pooled and analyzed using a random effects model.

RESULTS: Out of 2873 selected articles, 11 studies fulfilled all inclusion criteria. Meta-analysis revealed a weighted annual implant loss of 0.43% (95% CI: 0.37%-0.49%). Meta-regression analysis did not reveal significant differences in implant loss neither between edentulous and dentate patients, nor implants placed simultaneously with or delayed after MSFA, nor implants placed in MSFA using solely autologous bone or bone substitutes. The results of the other outcome measures were favorable and overall complications were low.

CONCLUSION: MSFA is a reliable procedure in the partially and fully edentulous maxilla for support of dental implants. This article is protected by copyright. All rights reserved.

Original languageEnglish
Pages (from-to)307-318
Number of pages12
JournalJournal of Clinical Periodontology
Early online date9-Jan-2019
Publication statusPublished - Jun-2019


  • biological complications, bone augmentation, dental implants, lateral approach, maxillary sinus floor elevation, meta-analysis, sinus lift, systematic review, SIMULTANEOUS IMPLANT PLACEMENT, DEPROTEINIZED BOVINE BONE, PLATELET-RICH PLASMA, POSTERIOR MAXILLA, AUTOGENOUS BONE, ELEVATION PROCEDURES, GRAFTING MATERIALS, COMBINATION, SURVIVAL, REHABILITATION

Download statistics

No data available

ID: 73939125