This study aims to investigate the effects of various external sinus lifting techniques on patient comfort and perioperative complications.
Patients who met the inclusion criteria and were admitted for posterior maxilla rehabilitation participated in this prospective, randomized, controlled clinical trial. The three methods used to lift the sinuses were randomized: piezosurgery using a surgical guide, a drill specifically made for lateral sinus lift, and traditional drills. Recorded were the duration of the procedure, accessibility, and intraoperative complications. During the first week following surgery, analgesic intake and pain using a visual analog scale (VAS) were assessed assessed. Preoperatively and on the second and seventh postoperative days, edema was assessed. Preoperatively and on the seventh postoperative day, the patient\'s quality of life using the OHIP-14 questionnaire, experiences, and expectations were evaluated.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
27
Lateral window created with specially designed burs for lateral sinus lift
lateral window was created using piezo surgery and surgical guide
the lateral window was created with conventional rotary instrument burs
Ordu University
Ordu, Altınordu, Turkey (Türkiye)
Operation Time
The time from the osteotomy of the sinus window to completation of membrane elevation
Time frame: from the osteotomy of the sinus window to completation of membrane elevation
Patient Experience
Patients asked to rate their postoperative experience with a 3-point scale (0, my expectation and experience were the same/similar; 1, my experience was better than my expectation; 2, my experience was worse than my expectation)
Time frame: 7th postoperative day
Pain
intensity of pain experienced by patients assessed using a 10-cm Visual Analogue Scale (VAS)
Time frame: from 6 hours to postoperative 7 days
Analgesic Consumption
need for analgesics
Time frame: from 6 hours to 7 days postoperatively
Edema
Swelling after surgery measurements collected of a anatomical locations on the face that served as reference points. Reference points included the tragus, alare, lateral corner of the eye, gonion, soft tissue pogonion, and external corner of the mouth. The average of each measurement was used to calculate the edema level.
Time frame: on the 2nd and 7th days
Quality of Life
The OHIP-14 used to measure quality of life. Scores ranged from 0 (no impact) to 56 (all oral health concerns encountered extremely frequently). It was scored as follows: Never (0 points); Seldom (1 point); Sometimes (2 points); Frequently (3 points); and Very frequently (4 points).
Time frame: preoperatively and on postoperative day 7
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Surgeon;s Comfort
The comfort of the access to the operation site evaluated by the surgeon on a 4-point scale (0, very poor visibility; 1, fair visibility; 2, good visibility; 3, excellent visibility)
Time frame: Immediately after surgery