{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T16:57:13Z","timestamp":1787936233063,"version":"build-2784847793"},"reference-count":58,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,1,28]],"date-time":"2013-01-28T00:00:00Z","timestamp":1359331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Implant Dent Rel Res"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>This study describes a new procedure for sinus elevation using computer\u2010guided planning and guided surgical approach through the use of computer\u2010aided design (CAD)\/computer\u2010aided manufacturing (CAM)\u2010generated surgical template in combination with expander\u2010condensing osteotomes thus providing a minimally invasive surgical technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Sixty\u2010six consecutive patients were treated with 136 implants placed by transcrestal\u2010guided sinus floor elevation technique and the patients were followed for at least 3\u2009years in function. The drilling protocol is customized based on the bone density of each implant site to achieve an insertion torque ranging between 45 and 55\u2009<jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>cm. Titanium temporary abutments were connected to the implants with prosthetic screws tightened to 35\u2009<jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>cm and an acrylic resin provisional restoration was adapted and delivered immediately. Six months after initial loading, a definitive <jats:styled-content style=\"fixed-case\">CAD<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">CAM<\/jats:styled-content>\u2010generated restoration was delivered. Outcome measurements assessed were implant and prosthesis survival rate, biological or biomechanical complications, marginal bone level changes, total alveolar ridge bone height before and after procedure, periodontal parameters measured as well as patient's perception of pain levels during recovery period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean follow\u2010up was 43.96 (range from 36 to 52) months. Cumulative implant survival rate was 98.53% at 3 years. No biological or mechanical complications were encountered and no prosthetic failures occurred during the entire follow\u2010up period. Mean marginal bone loss (<jats:styled-content style=\"fixed-case\">MBL<\/jats:styled-content>) during the first year of function was 0.33\u2009\u00b1\u20090.36\u2009mm, while at the 3\u2010year follow\u2010up, the mean <jats:styled-content style=\"fixed-case\">MBL<\/jats:styled-content> was 0.51\u2009\u00b1\u20090.29\u2009mm. The mean residual bone height of the alveolar crest prior to grafting was of 6.7\u2009\u00b1\u20091.6\u2009mm (range 5.1\u20139.2\u2009mm), while, the mean bone height gained was 6.4\u2009\u00b1\u20091.6\u2009mm (range 3.2\u20138.1\u2009mm). All patients reported low levels of pain and found to have normal periodontal parameters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This proof\u2010of\u2010concept study suggests that the use of guided surgery to perform transcrestal maxillary sinus floor elevation for alveolar ridge height augmentation is a successful minimally invasive technique for the short\u2010 to medium\u2010term follow\u2010up, thus avoiding the extended treatment time and morbidities associated with maxillary sinus floor augmentation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cid.12034","type":"journal-article","created":{"date-parts":[[2013,1,29]],"date-time":"2013-01-29T00:43:43Z","timestamp":1359420223000},"page":"582-593","source":"Crossref","is-referenced-by-count":27,"title":["Minimally Invasive Transcrestal Guided Sinus Lift (<scp>TGSL<\/scp>): A Clinical Prospective Proof\u2010of\u2010Concept Cohort Study up to 52 Months"],"prefix":"10.1111","volume":"16","author":[{"given":"Alessandro","family":"Pozzi","sequence":"first","affiliation":[{"name":"Department of Oral Rehabilitation University of Rome Tor Vergata  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter K.","family":"Moy","sequence":"additional","affiliation":[{"name":"Surgical Implant Dentistry University of California  Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,1,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1902\/annals.2003.8.1.328"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2010.01984.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1902\/annals.2000.5.1.22"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1708-8208.2011.00423.x"},{"key":"e_1_2_6_6_1","first-page":"191","article-title":"Treatment of the atrophic edentulous maxilla: short implants versus bone augmentation for placing longer implants. 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