Abstract
Objective
This systematic review aimed at assessing the effect of the repositioned bone lid on bone augmentation in lateral sinus lift in pre-clinical in vivo and clinical studies. Secondary aims were to report on the healing of the bone window and to assess the implant survival rate.
Material and methods
Animal and human studies comparing lateral maxillary sinus floor elevation in combination or not with the repositioned bone lid were retrieved from MEDLINE (PubMed), Web of Science and Cochrane online library. Studies published in English up to April 2022 and reporting on histological and/or radiographic outcomes were considered. Case reports, case series and reviews were excluded. A hand search was also conducted. Risk of bias was assessed and meta-analysis performed to investigate the effect of the bone lid on new bone formation.
Results
After screening, 5 animal studies (4 in rabbits, 1 in sheep) and 2 clinical studies (1 RCT, 1 case–control) were included. Meta-analysis confirmed a higher new bone formation in rabbits at 2 and 8 weeks using the bone lid. The two clinical studies investigated lateral sinus lift with concomitant implant placement and reported similar results and high short-term implant success rate in both test and control groups.
Conclusions
The meta-analysis provided moderate evidence that the repositioned bone lid favored the formation of new bone to a higher extent as compared to resorbable membranes in animal studies. Implant success seems not to be influenced by the technique in the short term.
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Details
; Ferrante, Giada 1 ; Del Fabbro, Massimo 3 ; Botticelli, Daniele 4 ; Khoury, Fouad 5 ; Sivolella, Stefano 1 1 University of Padova, Department of Neurosciences, Dentistry Section, Padua, Italy (GRID:grid.5608.b) (ISNI:0000 0004 1757 3470)
2 University of Padova, Department of Neurosciences, Dentistry Section, Padua, Italy (GRID:grid.5608.b) (ISNI:0000 0004 1757 3470); University Clinic of Düsseldorf, Department of Oral Surgery, Düsseldorf, Germany (GRID:grid.14778.3d) (ISNI:0000 0000 8922 7789)
3 Università Degli Studi di Milano, Department of Biomedical, Surgical and Dental Sciences, Milan, Italy (GRID:grid.4708.b) (ISNI:0000 0004 1757 2822); Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy (GRID:grid.414818.0) (ISNI:0000 0004 1757 8749)
4 ARDEC Academy, Rimini, Italy (GRID:grid.414818.0)
5 University of Munster, Department of Oral and Maxillofacial Surgery, Munster, Germany (GRID:grid.5949.1) (ISNI:0000 0001 2172 9288); Private Clinic Schloss Schellenstein, International Dental Implant Center, Olsberg, Germany (GRID:grid.5949.1)




