{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T23:38:46Z","timestamp":1783640326668,"version":"3.55.0"},"reference-count":56,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,1,4]],"date-time":"2019-01-04T00:00:00Z","timestamp":1546560000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Implant Dent Rel Res"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Evaluating the extent of and the factors affecting marginal bone level (MBL) alterations and consecutively implant success and implant health for implants placed in staged maxillary sinus floor (SF) augmentation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A 5\u2010year prospective, cohort study was conducted on 85 patients with 124 maxillary sinus augmentation procedure and 295 implants placed. Peri\u2010implant MBL alterations (reductions) were evaluated radiographically at the first year, third year, and fifth year postloading follow\u2010ups and were considered to patient\u2010related risk factors (age, gender, diabetes mellitus, smoking, rheumatic disorders, and history of periodontal disease [PD]), to clinican\/surgically related risk factors (membrane perforations, sinus site, and residual ridge height), to implant\/prosthesis\u2010related features (implant length, diameter, location, keratinized gingiva, and restoration gap), and to the plaque score. Additionally, implant and prostheses survival\/success rate and peri\u2010implant health (mucositis\/peri\u2010implantitis) were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>About 267\/295 implants (drop\u2010out:n9 pat; 28 implants: 9%) were followed for 5\u2009years (survival\/success: 99.3%\/96.5%), presenting significant (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) differences of MBL alterations (\u22121.45\u2009\u00b1\u20090.38\u2009mm) over time. The univariate analysis demonstrated differences of MBL alterations for smokers versus nonsmokers (<jats:italic>P<\/jats:italic>\u2009=\u2009.005), for patients with versus without history of PD (<jats:italic>P<\/jats:italic>\u2009=\u2009.001), and presence versus absence of plaque (<jats:italic>P<\/jats:italic>\u2009=\u2009.041). In the 5\u2010year multivariate analysis, MBL alteration was influenced by time (<jats:italic>P<\/jats:italic>\u2009=\u2009.001) and was related to risk factors as smoking (<jats:italic>P<\/jats:italic>\u2009=\u2009.001; odds ratio [OR]\u2009=\u20096.563) and history of PD (<jats:italic>P<\/jats:italic>\u2009=\u2009.015; OR\u2009=\u20094.450). Significant ORs for MBL alterations were also found for a restoration gap used for a full\u2010arch dentures (<jats:italic>P<\/jats:italic>\u2009=\u2009.001; OR\u2009=\u20098.275) associated with reduced (\u22643\u2009mm) residual ridge height (<jats:italic>P<\/jats:italic>\u2009=\u2009.015; OR\u2009=\u20091.365). The overall 5\u2009year incidence of peri\u2010implant mucositis and peri\u2010implantitis was 25.3% and 3.7% at implant level and 30.3% and 6.6% at patient level, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Apart from the high success rate and healthy status of implant placed in staged SF seen, MBL alteration increased over time and was negatively affected predominately by patient\u2010specific risk factors such as smoking status and previous history of periodontitis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cid.12684","type":"journal-article","created":{"date-parts":[[2019,1,4]],"date-time":"2019-01-04T19:26:59Z","timestamp":1546630019000},"page":"32-41","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Implant health and factors affecting peri\u2010implant marginal bone alteration for implants placed in staged maxillary sinus augmentation: A 5\u2010year prospective study"],"prefix":"10.1111","volume":"21","author":[{"given":"Stefan","family":"Krennmair","sequence":"first","affiliation":[{"name":"Ludwig\u2010Maximilian University  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Hunger","sequence":"additional","affiliation":[{"name":"Department of Oral Maxillofacial Surgery Johannes Kepler University  Linz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Forstner","sequence":"additional","affiliation":[{"name":"Department of Applied Systems Research Statistics Johannes Kepler University  Linz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Malek","sequence":"additional","affiliation":[{"name":"Department of Oral Maxillofacial Surgery Johannes Kepler University  Linz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9940-1300","authenticated-orcid":false,"given":"Gerald","family":"Krennmair","sequence":"additional","affiliation":[{"name":"Dental School Sigmund Freud University Vienna  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Stimmelmayr","sequence":"additional","affiliation":[{"name":"Prosthodontics, Dental School Ludwig\u2010Maximilian University  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,1,4]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"635","article-title":"Oral implant treatment in posterior partially edentulous jaws: a 5\u2010year follow\u2010up report","volume":"8","author":"Jemt T","year":"1993","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_6_3_1","first-page":"10","article-title":"The maxillary sinus: challenges and treatments for implant placement","volume":"32","author":"Tasoulis G","year":"2011","journal-title":"Compend Contin Educ Dent"},{"key":"e_1_2_6_4_1","first-page":"11","article-title":"Report of the sinus consensus conference of 1996","volume":"13","author":"Jensen OT","year":"1998","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_6_5_1","first-page":"565","article-title":"Systematic review of survival rates for implants placed in the grafted maxillary sinus","volume":"24","author":"Del Fabbro M","year":"2004","journal-title":"Int J Periodont Restorative Dent"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2008.01272.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1708-8208.2004.tb00030.x"},{"key":"e_1_2_6_8_1","first-page":"613","article-title":"Grafting of the maxillary sinus floor with autogenous marrow and bone","volume":"38","author":"Boyne PJ","year":"1980","journal-title":"J Oral Surg"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0011-8532(22)02107-3"},{"key":"e_1_2_6_10_1","first-page":"625","article-title":"A prospective randomized study of 1\u2010 and 2\u2010stage sinus inlay bone grafts: 1\u2010year follow\u2010up","volume":"15","author":"Wannfors K","year":"2000","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1902\/annals.2003.8.1.328"},{"key":"e_1_2_6_12_1","first-page":"876","article-title":"Sinus lift procedure using a 2\u2010stage surgical technique: I. 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