Full Text:


영남의대학술지 Vol.24_No.2 Suppl. P.S463-471, Dec. 2007

Original Article

임플란트 식립을 위한 상악동 점막 거상술과 Osteotome을 이용한 상악동저 거상술의 결과

Results of Maxillary Sinus Lift and Maxillary Sinus Floor Elevation with Osteotome for Endosseous Implant Placement

김미령, 진병로
영남대학교 의과대학 치과학교실
책임저자:진병로, 대구광역시 남구 대명동 317-1, 영남대학교 의과대학 치과학교실
Tel: (053) 620-3282, Fax: (053) 629-1772
E-mail: brchin@med.yu.ac.kr

December 30, 2007


Background:Dental implantation has become predictable treatment for dental prosthodontics. But maxillary posterior jaw region is often complicated by the pneumatization of the maxillary sinus and physiological resorption of the alveolar bone. When this occurs, the residual bone between the floor of the sinus and the crestal ridge is inadequate for the placement of implants. The sinus lift and sinus floor elevation with osteotome procedures provide a way to increase the amount of available bone and to allow the placement of longer implants.
Materials & methods:We studied 26 patients requiring the implant placements and the maxillary sinus elevation simultaneously from 1996 to 2007 in our clinic. Twenty were males and six were females, aged from 25 to 73 (mean=52.3). Fourteen patients had medical compromised states; angina pectoris, diabetes, hypertension, hepatitis, Penicillin allergy. All of the patients didn’t show any pathologic findings clinically or radiographically. We studied the success and survival rate of implants and factors increasing the osseointegrating capacity of implants.
Results:The success rate of osseointegration of implants with the maxillary sinus lift was 94%. The success rate of osseointegration of implants with the maxiilary sinus floor elevation used osteotome was 100%. At least 6 months after loading on implants, the survival rate of implants with the maxillary sinus lift was 82.3% and the survival rate of implants with the maxillary sinus floor elevation used osteotome was 100%. Autogenous bone graft and adequate residual bone height (>6mm) increased survival rate of implants.
Conclusion:Successful implant placement with maxillary sinus lift and maxillary sinus floor elevation used osteotome mainly depends on sufficient residual bone height, healthy maxillary sinus, autogenous bone graft.

Key Words: Maxillary sinus lift, Maxillary sinus floor elevation with osteotme, Endoosseous implant, Bone graft


1. Zitzmann NU, Scharer P. Sinus elevation procedures in the resorbed posterior maxilla. Oral Surg Oral Med Oral Patho. 1998;8:85-8.

2. Zinner ID, Small SA, Panno FV, Pines MS. Provisional and definitive prostheses following sinus lift and augmentation procedures. Implant Dent 1994;3:24-8.

3. Nishibori M, Betts NJ, Salama H, Listgarten MA. Short-term healing of autogenous and allogenic bone grafts after sinus augmentation: a report of 2 cases. J Periodontol 1994;65:958- 66.

4. Coatoam GW, Krieger JT. A four-year study examining the results of indirect sinus augmen- tation procedures. J Oral Implantol 1997;23: 117-27.

5. Neyt LF, De Clercq CA, Abeloos JV, Mommaerts MY. Reconstruction of the severely resorbed maxilla with a combination of sinus augmen- tation, onlay bone grafting, and implants. J Oral Maxillofac Surg 1997;55:1397-401.

6. Nevins M, Kirker-Head C, Nevins M, Wozney JA, Palmer R, Graham D. Bone formation in the goat maxillary sinus induced by absorbable collagen sponge implants impregnated with recombinant human bone morphogenetic protein-2. Int J Periodontics 1996;16:8-19.

7. 김현철. Sinus lift의 consensus. 한국퀸트센스저널 1999;1:26-48.

8. 최장우. 상악동저 거상술-골이식을 포함하는 개념. 치과임상 1998;18:66-8.

9. Boyne PJ, James RA, Linda L. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1996;16:8-19.

10. Tatum H. Maxillary and sinus implant reconstruction. Dent Clinics North Am 1986; 30:207-29.

11. Fugazzotto PA. Maxillary sinus grafting with and without simultaneous implant placement: technical considerations and case reports. Int J Periodont Rest Dent 1994;14:544-51.

12. Jensen OT, Greer R. Immediate placement of osseointegrated implants into the maxillary sinus with mineralized cancellous allograft and Gore-tex: second stage surgical and histological findings. Quintessence, Chicago. 1991;1:321-32.

13. Misch CE. Maxillary sinus augmentation for endosteal implants: organized alternative treatment plans. Int J Oral Implantol. 1987;13: 49-58.

14. Wheeler SL, Homes RE, Calhoun CJ. Six-year clinical and histologic study of sinus-lift graft. Int J Oral Maxillofac Implants 1996;11:26-34.

15. Lozada JL, Emanuelli S, James RA, Boskovic M, Lindsted K. Root-form implants placed in subantral grafted sites. J Calif Dent Assoc 1993;1:21-31.

16. Peter K, Stefan L, Ralph E. Maxillary sinus augmentation: histomorphometric analysis of graft materials for maxillary sinus floor augmentation. J Oral Maxillofac Surg 1993;51: 857-62.

17. Misch CM. The pharmacologic management of maxillary sinus elevation surgery. J Oral Implant 1992;18:15-23.