Trans-sinus implants suitable option for rehabilitation of atrophic edentulous jaws, finds study

According to predetermined inclusion and exclusion criteria and the question if trans-sinus implants can be an appropriate choice for the rehabilitation of the atrophic maxilla, five databases including the nonpeer-reviewed literature up until March 2024. Using a 95% confidence interval, the Revman software tool was employed for the meta-analysis of the variables implant loss and marginal bone loss. The ROBINS I technique was used to assess the studies' risk of bias.

4 of the 1884 articles that were initially discovered in the databases under investigation were included in this systematic evaluation. One was a randomized clinical study, while the other 3 were observational studies. With a 97.2% efficacy rate, a total of 144 patients with 658 implants (207 of which were trans-sinus) were assessed. When comparing trans-sinus implants to conventional implants, there was no statistically significant difference in efficacy, and there was no statistically significant difference in the marginal bone loss of the groups. A low risk of bias was not found in any of the examined research.

Overall, a viable and highly successful approach for the rehabilitation of atrophic edentulous jaws is the use of trans-sinus implants. The limited amount of controlled research on the topic and the significant chance of bias, however, are crucial aspects that need to be taken into account before selecting this treatment.

Reference:

Sales, P. H. da H., Diniz, D. A., Silva, P. G. de B., Carvalho, A. de A. T., Vescovi, P., Meleti, M., & Leão, J. C. (2024). Effectiveness of trans-sinus dental implants in the complete arch rehabilitation of the edentulous maxilla: A systematic review and meta-analysis. In The Journal of Prosthetic Dentistry. Elsevier BV. https://doi.org/10.1016/j.prosdent.2024.08.003