Simultaneous sinus lift and implant placement using lateral approach in atrophic posterior maxilla with residual bone height of 5 mm or less. A systematic review

Aim To test both success and survival rate of implant placed simultaneously with sinus lift in atro-phic posterior maxilla with a residual bone height of less than 5 mm. Materials and methods A computer search strategy was developed for the following electronic databases: MEDLINE/ PubMed and EMBASE. All the relevant articles were screened involving controlled clinical trials, randomized clinical trials, prospective cohort studies. Results The selection process yielded 12 studies, published between 1999 and 2016, 6 of which were prospective, 1 was a randomized controlled trial, 5 were controlled studies. Conclusions Within the limitation of this systematic review, the qualitative data analysis revealed that the survival rate of implants placed in grafted sinus ranged from 61% to 100%; on the other hand, the success rate ranged between 75.3% to 94.8%. No significant differences were detected regarding different grafting materials used. In order to understand if the one-stage pro-cedure is an effective and predictable surgical alternative in critically resorbed maxillae, larger and well designed clinical trials are needed.