ELEVACIÓN DEL SENO MAXILAR: COMPARACIÓN ENTRE LA TÉCNICA DE VENTANA LATERAL Y LA TÉCNICA TRANSCRESTAL
DOI:
https://doi.org/10.56238/levv17n59-008Palabras clave:
Elevación del Seno Maxilar, Implantes Dentales, Ventana Lateral, Técnica Transcrestal, Injerto ÓseoResumen
El levantamiento de seno maxilar es un procedimiento ampliamente utilizado para permitir la colocación de implantes dentales en el maxilar posterior en casos de altura ósea reducida. Entre las técnicas disponibles, destacan el abordaje por ventana lateral y la técnica transcrestal, que difieren en cuanto a invasividad, ganancia ósea y morbilidad postoperatoria. Este estudio tuvo como objetivo realizar una revisión bibliográfica integradora, comparando estas dos técnicas en cuanto a sus indicaciones, ventajas, limitaciones y resultados clínicos. La búsqueda se realizó en las bases de datos PubMed, SciELO y ScienceDirect, utilizando descriptores específicos combinados con operadores booleanos. Se incluyeron estudios clínicos, ensayos aleatorizados, revisiones sistemáticas y estudios observacionales publicados entre 2012 y 2025. Los resultados demostraron que ambas técnicas presentan altas tasas de éxito y supervivencia de los implantes. La técnica por ventana lateral demostró ser superior en términos de ganancia ósea, especialmente en casos de atrofia severa, mientras que la técnica transcrestal mostró menor morbilidad y mayor comodidad para el paciente. Se concluye que la elección de la técnica debe individualizarse, considerando factores anatómicos, altura ósea residual y la complejidad del caso clínico.
Descargas
Referencias
AVILA-ORTIZ, G. et al. Effect of alveolar ridge preservation interventions following tooth extraction: a systematic review and meta-analysis. Journal of Clinical Periodontology, v. 41, p. S195–S223, 2014. DOI: https://doi.org/10.1111/jcpe.13057
BOYNE, P. J.; JAMES, R. A. Grafting of the maxillary sinus floor with autogenous marrow and bone. Journal of Oral Surgery, v. 38, n. 8, p. 613–616, 1980.
DEL FABBRO, M. et al. Systematic review of survival rates for implants placed in the grafted maxillary sinus. Clinical Oral Implants Research, v. 23, p. 1–21, 2012.
DI FRISCHIA, C. et al. Safe crestal sinus elevation below 3 mm residual bone with tissue-level implant placement: a case report. Reports, Basel, v. 8, n. 4, p. 228, 2025. DOI: https://doi.org/10.3390/reports8040228
ESFAHANIZADEH, N. et al. Comparison of lateral window and osteotome techniques in sinus augmentation: histological and histomorphometric evaluation. Journal of Dentistry, Tehran, v. 9, n. 3, p. 237–244, 2012.
FARINA, R. et al. Morbidity following transcrestal and lateral sinus floor elevation: a randomized trial. Journal of Clinical Periodontology, v. 45, n. 9, p. 1128–1139, 2018. DOI: https://doi.org/10.1111/jcpe.12985
JENSEN, O. T.; TERHEYDEN, H. Bone augmentation procedures in localized defects in the alveolar ridge: clinical results with different bone grafts and bone-substitute materials. International Journal of Oral & Maxillofacial Implants, v. 24, p. 218–236, 2009.
LYU, M. et al. Maxillary sinus floor augmentation: a review of current evidence on anatomical factors and a decision tree. International Journal of Oral Science, v. 15, n. 1, p. 41, 2023. DOI: https://doi.org/10.1038/s41368-023-00248-x
PIJETURSSON, B. E. et al. A systematic review of the survival and complication rates of implants in sinus floor elevation procedures. Clinical Oral Implants Research, v. 19, p. 216–233, 2008.
POMMER, B. et al. Immediate loading of dental implants in the posterior maxilla: a systematic review. Clinical Oral Implants Research, v. 23, p. 1–15, 2012.
SCHNEIDER, A. C. et al. Influence of anatomical factors on Schneiderian membrane perforation. Clinical Oral Implants Research, v. 25, n. 4, p. 481–487, 2014.
STACCHI, C. et al. Intraoperative complications during sinus floor elevation with lateral approach: a systematic review. International Journal of Oral and Maxillofacial Implants, v. 32, p. e107–e118, 2017. DOI: https://doi.org/10.11607/jomi.4884
SUMMERS, R. B. A new concept in maxillary implant surgery: the osteotome technique. Compendium, v. 15, n. 2, p. 152–162, 1994.
TAN, W. C. et al. A systematic review of post-extraction alveolar bone dimensional changes in humans. Clinical Oral Implants Research, v. 23, p. 1–21, 2012. DOI: https://doi.org/10.1111/j.1600-0501.2011.02375.x
TATUM, H. Maxillary and sinus implant reconstructions. Dental Clinics of North America, v. 30, n. 2, p. 207–229, 1986. DOI: https://doi.org/10.1016/S0011-8532(22)02107-3
TORRES, J. et al. Minimally invasive transcrestal sinus lift techniques: a systematic review. Journal of Oral Implantology, v. 43, n. 5, p. 345–353, 2017.
TSAI, C.-F. et al. Comparison of 4 sinus augmentation techniques for implant placement with residual alveolar bone height ≤3 mm. Medicine, v. 99, n. 46, e23180, 2020. DOI: https://doi.org/10.1097/MD.0000000000023180
WALLACE, S. S.; FROUM, S. J. Effect of maxillary sinus augmentation on the survival of endosseous dental implants: a systematic review. Annals of Periodontology, v. 8, n. 1, p. 328–343, 2003. DOI: https://doi.org/10.1902/annals.2003.8.1.328
WHITTEMORE, R.; KNAFL, K. The integrative review: updated methodology. Journal of Advanced Nursing, v. 52, n. 5, p. 546–553, 2005. DOI: https://doi.org/10.1111/j.1365-2648.2005.03621.x
ZHOU, Y. et al. The comparative evaluation of transcrestal and lateral sinus floor elevation in sites with residual bone height ≤6 mm: a two-year prospective randomized study. Clinical Oral Implants Research, 2020. DOI: https://doi.org/10.1111/clr.13688