Guided Lateral Maxillary Sinus Lift Procedure Using Stereolithographic Surgical Guide
Objectives: The goal of this study is to evaluate the efficacy of the stereolithographic surgical guide in reducing intraoperative and postoperative complication during lateral sinus lift operation. Mandelaris and Rosenfeld (2008) were the first to manufacture three-dimensional printed surgical guides for outlining the lateral windows. The technique was modified using various implant planning software to enhance its effectiveness. Methods: The study design was interventional prospective randomized clinical trials. The individual implant location serves as the analysis and randomization unit. The study was a double blinded study, both the outcome assessor and statistician were blinded. Using random.org, implant sites were assigned at random to each of the two groups. Group 1 (Study Group): Fifteen implants were placed in posterior edentulous maxillary areas through a lateral window utilizing a stereolithographic surgical guide. Group 2 (Control group): In posterior edentulous maxillary areas, 15 implants were placed through a lateral window using a traditional, freehand method. Results: There was no statistically significant difference between either group regarding intraoperative or postoperative complications. Regarding pain scores, after one day, there was no statistically significant difference between the two groups (P-value = 0.114, Effect size = 0.576). While after two days, study group showed statistically significantly lower pain score than control group (P-value = 0.0121, Effect size = 1) Furthermore, the study group showed statistically significantly higher prevalence of moderate and severe edema than control group which showed higher prevalence of mild edema. Conclusions: According to current study it has been concluded that there was no remarkable difference between the outcomes of both methods.