Transsinus Implantation and Immediate Function for Full-Arch Reconstruction

Transsinus Implantation and Immediate Function for Full-Arch Reconstruction

Authors

  • Andrei Correa Guandalini Faculdade ILAPEO Author
  • Nayara Diniz de Queiroz UNESP - Araraquara Author
  • Guilherme Bulgarelli Starling Faculdade ILAPEO Author
  • Anderson Kovaleski Faculdade ILAPEO Author
  • Hélvio Henrique Araújo de Almeida Faculdade ILAPEO Author
  • Élcio Marcantonio Júnior Faculdade ILAPEO Author

DOI:

https://doi.org/10.51473/rcmos.v1i1.2026.2119

Keywords:

Immediate loading, Angled implants, Transsinus implants

Abstract

This case report describes the rehabilitation of an atrophic maxilla in a 67-year-old male patient with a history of osseointegration failure of previous implants. After clinical and tomographic evaluation, two implants were placed: a conventional implant in the region of tooth 22 and a long transsinus implant in the region of tooth 24, due to significant bone loss. The procedure involved the use of angled implants with immediate loading, followed by bone grafting in the maxillary sinus. A fixed prosthesis was installed two days after surgery. After 18 months of follow-up, the implants showed primary stability, bone levels remained stable, and no complications were observed. This case demonstrates that the angled implant technique, including the transsinus approach, with immediate loading, can be an effective alternative for the rehabilitation of atrophic maxillae. 

Downloads

Download data is not yet available.

References

AALAM, A. A. et al. Trans-sinus dental implants, for immediate placement when insufficient alveolar height is present: an alternative to zygomatic implants – surgical case series. Annals of Medicine & Surgery, [S. l.], v. 85, n. 1, p. 51–56, 2023.

CAVALLARO JUNIOR, J.; GREENSTEIN, G. Angled implant abutments: a practical application of available knowledge. Journal of the American Dental Association, [S. l.], v. 142, n. 2, p. 150-158, fev. 2011.

CAWOOD, J. I.; HOWELL, R. A. A classification of the edentulous jaws. International Journal of Oral and Maxillofacial Surgery, [S. l.], v. 17, n. 4, p. 232–236, 1988.

CHIU, T. S. et al. Histomorphometric Results of a Randomized Controlled Clinical Trial Studying Maxillary Sinus Augmentation with Two Different Biomaterials and Simultaneous Implant Placement. International Journal of Oral & Maxillofacial Implants, [S. l.], v. 33, n. 6, p. 1320–1330, 2018.

GELPI, F. et al. A Retrospective Multicentric Study of 52 Nasal and Transnasal Implants in 31 Severely Atrophic Patients to Reduce Anterior Cantilever Bending in Full-Arch Implant-Supported Fixed Rehabilitations. International Journal of Oral & Maxillofacial Implants, [S. l.], v. 40, n. 1, p. 69-75, fev. 2025.

GIANFREDA, F. et al. Indications, techniques and complications associated with full-arch rehabilitation using trans-sinus implants: A systematic review and prevalence meta-analysis. International Journal of Oral Implantology, [S. l.], v. 18, n. 2, p. 105-116, maio 2025.

GRANDI, T. et al. Immediate fixed rehabilitation of severe maxillary atrophies using trans-sinus tilted implants with or without sinus bone grafting: One-year results from a randomised controlled trial. International Journal of Oral Implantology, [S. l.], v. 12, n. 2, p. 141–152, 2019.

HSU, Y. et al. Complications of sinus floor elevation procedure and management strategies: A systematic review. Clinical Implant Dentistry and Related Research, [S. l.], v. 24, n. 6, p. 740–765, 2022.

JENSEN, O. T. et al. Trans-Sinus Dental Implants, Bone Morphogenetic Protein 2, and Immediate Function for All-on-4 Treatment of Severe Maxillary Atrophy. Journal of Oral and Maxillofacial Surgery, [S. l.], v. 70, n. 1, p. 141–148, 2012.

JENSEN, O. T. et al. Maxillary V-4: Four implant treatment for maxillary atrophy with dental implants fixed apically at the vomer-nasal crest, lateral pyriform rim, and zygoma for immediate function. The Journal of Prosthetic Dentistry, [S. l.], v. 114, n. 6, p. 810–817, 2015.

MALÓ, P.; NOBRE, M. de A.; LOPES, A. Immediate loading of ‘All-on-4’ maxillary prostheses using trans-sinus tilted implants without sinus bone grafting: a retrospective study reporting the 3-year outcome. European Journal of Oral Implantology, [S. l.], v. 6, n. 3, p. 273–283, 2013.

MOLINA, A. et al. Complications in sinus lifting procedures: Classification and management. Periodontology 2000, [S. l.], v. 88, n. 1, p. 103–115, 2022.

NORTON, M. R. The Influence of Insertion Torque on the Survival of Immediately Placed and Restored Single-Tooth Implants. International Journal of Oral & Maxillofacial Implants, [S. l.], v. 26, n. 6, p. 1333–1343, 2011.

OZAN, O.; KURTULMUS-YILMAZ, S. Biomechanical Comparison of Different Implant Inclinations and Cantilever Lengths in All-on-4 Treatment Concept by Three-Dimensional Finite Element Analysis. International Journal of Oral & Maxillofacial Implants, [S. l.], v. 33, n. 1, p. 64–71, 2018.

SALES, P. H. D. H. et al. Effectiveness of trans-sinus dental implants in the complete arch rehabilitation of the edentulous maxilla: A systematic review and meta-analysis. The Journal of Prosthetic Dentistry, [S. l.], set. 2024.

SETHI, A. et al. Relationship between surface texture and clinical performance of a hollow-cylinder implant: 7-year results of a prospective study on 2329 titanium plasma-sprayed implants. International Journal of Oral & Maxillofacial Implants, [S. l.], v. 15, n. 5, p. 674-682, set./out. 2000.

SILVA, F. M. Reabilitação total imediata maxilo-mandibular com prótese fixa sobre implantes com conceito All-on-Four: relato de caso. 2019. Monografia (Especialização em Implantodontia) – Faculdade Ilapeo, Curitiba, 2019.

SILVA, F. B. D. Reabilitação total imediata maxilo-mandibular com prótese fixa sobre implantes com conceito All-on-Four: relato de caso. 2019. Monografia (Especialização em Implantodontia) – Faculdade Ilapeo, Curitiba, 2019.

STARCH-JENSEN, T. et al. Maxillary Sinus Floor Augmentation With Synthetic Bone Substitutes Compared With Other Grafting Materials: A Systematic Review and Meta-analysis. Implant Dentistry, [S. l.], v. 27, n. 3, p. 363–374, 2018.

Published

2026-03-09

How to Cite

GUANDALINI , Andrei Correa; QUEIROZ, Nayara Diniz de; STARLING, Guilherme Bulgarelli; KOVALESKI , Anderson; ALMEIDA, Hélvio Henrique Araújo de; JÚNIOR, Élcio Marcantonio. Transsinus Implantation and Immediate Function for Full-Arch Reconstruction: Transsinus Implantation and Immediate Function for Full-Arch Reconstruction. Multidisciplinary Scientific Journal The Knowledge, Brasil, v. 1, n. 1, 2026. DOI: 10.51473/rcmos.v1i1.2026.2119. Disponível em: https://submissoesrevistarcmos.com.br/rcmos/article/view/2119. Acesso em: 10 mar. 2026.