{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T01:56:03Z","timestamp":1782006963840,"version":"3.54.5"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T00:00:00Z","timestamp":1759104000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T00:00:00Z","timestamp":1759104000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Maxillofac Plast Reconstr Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>The posterior maxilla is often the site of early tooth loss, frequently requiring sinus augmentation to compensate for vertical bone deficiency. However, the influence of residual bone height (RBH) on clinical outcomes remains unclear.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Materials and methods<\/jats:title>\n            <jats:p>This retrospective study evaluated 42 patients who underwent maxillary sinus augmentation using either the lateral or transcrestal approach. Patients were divided into two groups: the severely atrophied group (RBH\u2009&lt;\u20093\u00a0mm) and the moderately atrophied group (RBH 3\u20135\u00a0mm). Clinical outcomes assessed included marginal bone loss (MBL), graft resorption, complications, and implant survival.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Clinical outcomes were comparable regardless of RBH. Even in severely atrophied maxillae with RBH\u2009&lt;\u20093\u00a0mm, favorable outcomes were achieved using appropriate surgical techniques.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>RBH should inform surgical planning but should not be considered a strict prognostic indicator.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s40902-025-00484-7","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T17:01:44Z","timestamp":1759165304000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical outcomes of maxillary sinus augmentation in atrophied posterior maxilla based on residual bone height"],"prefix":"10.1186","volume":"47","author":[{"given":"Donghyun","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinlee","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyejin","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seunggon","family":"Jung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min-Suk","family":"Kook","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong-Ju","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaeyoung","family":"Ryu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,9,29]]},"reference":[{"issue":"11","key":"484_CR1","doi-asserted-by":"publisher","first-page":"1910","DOI":"10.1902\/jop.2005.76.11.1910","volume":"76","author":"KF Al-Shammari","year":"2005","unstructured":"Al-Shammari KF, Al-Khabbaz AK, Al-Ansari JM, Neiva R, Wang HL (2005) Risk indicators for tooth loss due to periodontal disease. J Periodontol 76(11):1910\u20131918. https:\/\/doi.org\/10.1902\/jop.2005.76.11.1910","journal-title":"J Periodontol"},{"issue":"3 Suppl 1","key":"484_CR2","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1111\/j.1875-595x.1998.tb00711.x","volume":"48","author":"G Ong","year":"1998","unstructured":"Ong G (1998) Periodontal disease and tooth loss. Int Dent J 48(3 Suppl 1):233\u2013238. https:\/\/doi.org\/10.1111\/j.1875-595x.1998.tb00711.x","journal-title":"Int Dent J"},{"issue":"12","key":"484_CR3","doi-asserted-by":"publisher","first-page":"1568","DOI":"10.1111\/clr.14344","volume":"35","author":"L Lam","year":"2024","unstructured":"Lam L, Ivanovski S, Lee RSB (2024) Alveolar ridge preservation in posterior maxillary teeth for reduction in the potential need for sinus floor elevation procedures: a pilot study. Clin Oral Implants Res 35(12):1568\u20131584. https:\/\/doi.org\/10.1111\/clr.14344","journal-title":"Clin Oral Implants Res"},{"issue":"8","key":"484_CR4","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1038\/s41415-023-6391-7","volume":"235","author":"EM King","year":"2023","unstructured":"King EM, Schofield J (2023) Restoratively driven planning for implants in the posterior maxilla - part 1: alveolar bone healing, bone assessment and clinical classifications. Br Dent J 235(8):585\u2013592. https:\/\/doi.org\/10.1038\/s41415-023-6391-7","journal-title":"Br Dent J"},{"issue":"2","key":"484_CR5","first-page":"152","volume":"15","author":"RB Summers","year":"1994","unstructured":"Summers RB (1994) A new concept in maxillary implant surgery: the osteotome technique. Compend Contin Educ Dent 15(2):152\u2013162","journal-title":"Compend Contin Educ Dent"},{"issue":"6","key":"484_CR6","doi-asserted-by":"publisher","first-page":"740","DOI":"10.1111\/cid.13086","volume":"24","author":"YT Hsu","year":"2022","unstructured":"Hsu YT, Rosen PS, Choksi K, Shih MC, Ninneman S, Lee CT (2022) Complications of sinus floor elevation procedure and management strategies: a systematic review. Clin Implant Dent Relat Res 24(6):740\u2013765. https:\/\/doi.org\/10.1111\/cid.13086","journal-title":"Clin Implant Dent Relat Res"},{"issue":"1","key":"484_CR7","doi-asserted-by":"publisher","DOI":"10.1186\/s40729-023-00510-1","volume":"9","author":"M Shalash","year":"2023","unstructured":"Shalash M, Mounir M, Elbanna T (2023) Evaluation of crestal sinus floor elevation in cases exhibiting an oblique sinus floor with a residual bone height of 4.0-7.0 mm using densah burs with simultaneous implant placement: a prospective clinical study. Int J Implant Dent 9(1):41. https:\/\/doi.org\/10.1186\/s40729-023-00510-1","journal-title":"Int J Implant Dent"},{"issue":"8","key":"484_CR8","first-page":"613","volume":"38","author":"PJ Boyne","year":"1980","unstructured":"Boyne PJ, James RA (1980) Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 38(8):613\u2013616","journal-title":"J Oral Surg"},{"key":"484_CR9","doi-asserted-by":"publisher","unstructured":"Beretta M, Cicciu M, Bramanti E, Maiorana C (2012) Schneider membrane elevation in presence of sinus septa: anatomic features and surgical management. Int J Dent 2012:261905. https:\/\/doi.org\/10.1155\/2012\/261905","DOI":"10.1155\/2012\/261905"},{"issue":"1","key":"484_CR10","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1186\/s40729-017-0114-2","volume":"4","author":"C Jordi","year":"2018","unstructured":"Jordi C, Mukaddam K, Lambrecht JT, Kuhl S (2018) Membrane perforation rate in lateral maxillary sinus floor augmentation using conventional rotating instruments and piezoelectric device-a meta-analysis. Int J Implant Dent 4(1):3. https:\/\/doi.org\/10.1186\/s40729-017-0114-2","journal-title":"Int J Implant Dent"},{"issue":"1","key":"484_CR11","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1038\/s41368-023-00248-x","volume":"15","author":"M Lyu","year":"2023","unstructured":"Lyu M, Xu D, Zhang X, Yuan Q (2023) Maxillary sinus floor augmentation: a review of current evidence on anatomical factors and a decision tree. Int J Oral Sci 15(1):41. https:\/\/doi.org\/10.1038\/s41368-023-00248-x","journal-title":"Int J Oral Sci"},{"issue":"6","key":"484_CR12","doi-asserted-by":"publisher","first-page":"827","DOI":"10.1111\/cid.12067","volume":"16","author":"S Gonzalez","year":"2014","unstructured":"Gonzalez S, Tuan MC, Ahn KM, Nowzari H (2014) Crestal approach for maxillary sinus augmentation in patients with \u2264 4 mm of residual alveolar bone. Clin Implant Dent Relat Res 16(6):827\u2013835. https:\/\/doi.org\/10.1111\/cid.12067","journal-title":"Clin Implant Dent Relat Res"},{"issue":"8 Suppl","key":"484_CR13","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1111\/j.1600-051X.2008.01272.x","volume":"35","author":"BE Pjetursson","year":"2008","unstructured":"Pjetursson BE, Tan WC, Zwahlen M, Lang NP (2008) A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. J Clin Periodontol 35(8 Suppl):216\u2013240. https:\/\/doi.org\/10.1111\/j.1600-051X.2008.01272.x","journal-title":"J Clin Periodontol"},{"issue":"1","key":"484_CR14","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1016\/j.ijom.2021.03.016","volume":"51","author":"SAN Lie","year":"2022","unstructured":"Lie SAN, Claessen RMMA, Leung CAW, Merten HA, Kessler PAWH (2022) Non-grafted versus grafted sinus lift procedures for implantation in the atrophic maxilla: a systematic review and meta-analysis of randomized controlled trials. Int J Oral Maxillofac Surg 51(1):122\u2013132. https:\/\/doi.org\/10.1016\/j.ijom.2021.03.016","journal-title":"Int J Oral Maxillofac Surg"},{"issue":"4","key":"484_CR15","doi-asserted-by":"publisher","first-page":"292","DOI":"10.5125\/jkaoms.2020.46.4.292","volume":"46","author":"YK Kim","year":"2020","unstructured":"Kim YK, Ku JK (2020) Sinus membrane elevation and implant placement. J Korean Assoc Oral Maxillofac Surg 46(4):292\u2013298. https:\/\/doi.org\/10.5125\/jkaoms.2020.46.4.292","journal-title":"J Korean Assoc Oral Maxillofac Surg"},{"issue":"7","key":"484_CR16","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1111\/clr.14099","volume":"34","author":"J Gao","year":"2023","unstructured":"Gao J, Yin W, Liu Y, Zhao X, Huangphattarakul V, Qu Y et al (2023) Cushioned grind-out technique transcrestal sinus floor elevation for simultaneous implantation in severe atrophic maxilla: a retrospective study with up to 7 years of follow-up. Clin Oral Implants Res 34(7):727\u2013740. https:\/\/doi.org\/10.1111\/clr.14099","journal-title":"Clin Oral Implants Res"},{"issue":"1","key":"484_CR17","doi-asserted-by":"publisher","first-page":"622","DOI":"10.1186\/s12903-022-02592-6","volume":"22","author":"X Wang","year":"2022","unstructured":"Wang X, Sun L, Wang L, Shi S, Zhang S, Song Y (2022) Predictors of peri-implant bone remodeling outcomes after the osteotome sinus floor elevation: a retrospective study. BMC Oral Health 22(1):622. https:\/\/doi.org\/10.1186\/s12903-022-02592-6","journal-title":"BMC Oral Health"},{"issue":"22","key":"484_CR18","doi-asserted-by":"publisher","first-page":"5093","DOI":"10.3390\/ma13225093","volume":"13","author":"S Taschieri","year":"2020","unstructured":"Taschieri S, Ofer M, Corbella S, Testori T, Dellavia C, Nemcovsky C et al (2020) The influence of residual alveolar bone height on graft composition after maxillary sinus augmentation using two different xenografts: a histomorphometric comparative study. Materials 13(22):5093. https:\/\/doi.org\/10.3390\/ma13225093","journal-title":"Materials"},{"issue":"46","key":"484_CR19","doi-asserted-by":"publisher","first-page":"e23180","DOI":"10.1097\/MD.0000000000023180","volume":"99","author":"CF Tsai","year":"2020","unstructured":"Tsai CF, Pan WL, Pan YP, Chan CP, Ju YR, Wang YM et al (2020) Comparison of 4 sinus augmentation techniques for implant placement with residual alveolar bone height \u22643 mm. Medicine (Baltimore) 99(46):e23180. https:\/\/doi.org\/10.1097\/MD.0000000000023180","journal-title":"Medicine (Baltimore)"},{"issue":"10","key":"484_CR20","doi-asserted-by":"publisher","first-page":"311","DOI":"10.3390\/dj12100311","volume":"12","author":"HL Stiller","year":"2024","unstructured":"Stiller HL, Ionfrida J, Kammerer PW, Walter C (2024) The effects of smoking on dental implant failure: a current literature update. Dent J (Basel) 12(10):311. https:\/\/doi.org\/10.3390\/dj12100311","journal-title":"Dent J (Basel)"},{"issue":"6","key":"484_CR21","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1111\/j.1600-0722.2008.00571.x","volume":"116","author":"M Del Fabbro","year":"2008","unstructured":"Del Fabbro M, Rosano G, Taschieri S (2008) Implant survival rates after maxillary sinus floor augmentation. Eur J Oral Sci 116(6):497\u2013506. https:\/\/doi.org\/10.1111\/j.1600-0722.2008.00571.x","journal-title":"Eur J Oral Sci"},{"issue":"21","key":"484_CR22","doi-asserted-by":"publisher","first-page":"4996","DOI":"10.3390\/jcm10214996","volume":"10","author":"P Pesce","year":"2021","unstructured":"Pesce P, Menini M, Canullo L, Khijmatgar S, Modenese L, Gallifante G et al (2021) Radiographic and histomorphometric evaluation of biomaterials used for lateral sinus augmentation: a systematic review on the effect of residual bone height and vertical graft size on new bone formation and graft shrinkage. J Clin Med 10(21):4996. https:\/\/doi.org\/10.3390\/jcm10214996","journal-title":"J Clin Med"},{"issue":"12","key":"484_CR23","doi-asserted-by":"publisher","first-page":"1607","DOI":"10.1111\/clr.14349","volume":"35","author":"C Barausse","year":"2024","unstructured":"Barausse C, Pistilli R, Bonifazi L, Tayeb S, Pellegrino G, Ravid\u00e0 A et al (2024) Four-mm-short implants in the rehabilitation of posterior atrophic jaws: a retrospective study on 212 patients with a mean follow-up of 8.02 years. Clin Oral Implants Res 35(12):1607\u20131615. https:\/\/doi.org\/10.1111\/clr.14349","journal-title":"Clin Oral Implants Res"},{"issue":"6","key":"484_CR24","doi-asserted-by":"publisher","first-page":"1121","DOI":"10.11607\/jomi.7355","volume":"34","author":"C Garaicoa-Pazmi\u00f1o","year":"2019","unstructured":"Garaicoa-Pazmi\u00f1o C, Ravid\u00e0 A, Barootchi S et al (2019) The effect of crown-to-implant ratio on the clinical outcomes of dental implants: a systematic review. J Oral Maxillofac Implants 34(6):1121\u20131131. https:\/\/doi.org\/10.11607\/jomi.7355","journal-title":"J Oral Maxillofac Implants"},{"issue":"Suppl 6","key":"484_CR25","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1111\/j.1600-0501.2012.02550.x","volume":"23","author":"I Naert","year":"2012","unstructured":"Naert I, Duyck J, Vandamme K (2012) Occlusal overload and bone\/implant loss. Clin Oral Implants Res 23(Suppl 6):95\u2013107. https:\/\/doi.org\/10.1111\/j.1600-0501.2012.02550.x","journal-title":"Clin Oral Implants Res"},{"issue":"10","key":"484_CR26","doi-asserted-by":"publisher","first-page":"1684","DOI":"10.3390\/diagnostics13101684","volume":"13","author":"N Morgan","year":"2023","unstructured":"Morgan N, Meeus J, Shujaat S, Cortellini S, Bornstein MM, Jacobs R (2023) Cbct for diagnostics, treatment planning and monitoring of sinus floor elevation procedures. Diagnostics 13(10):1684. https:\/\/doi.org\/10.3390\/diagnostics13101684","journal-title":"Diagnostics"}],"container-title":["Maxillofacial Plastic and Reconstructive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40902-025-00484-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40902-025-00484-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40902-025-00484-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T17:01:44Z","timestamp":1759165304000},"score":1,"resource":{"primary":{"URL":"https:\/\/jkamprs.springeropen.com\/articles\/10.1186\/s40902-025-00484-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,29]]},"references-count":26,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["484"],"URL":"https:\/\/doi.org\/10.1186\/s40902-025-00484-7","relation":{},"ISSN":["2288-8586"],"issn-type":[{"value":"2288-8586","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,29]]},"assertion":[{"value":"26 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 September 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 September 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Institutional Review Board of Chonnam National University Dental Hospital (IRB No. CNUDH-2025-017). All procedures were conducted in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"26"}}