Analysis of Forces Applied During Transalveolar Sinus Lift: A Preliminary Clinical Study

Lorenzo Tavelli, Andrea Enrico Borgonovo, Andrea Ravidà, Muhammad H.A. Saleh, Emanuele Zappa, Tiziano Testori, Hom Lay Wang

Research output: Contribution to journalArticlepeer-review


PURPOSE: To introduce a novel modality that enables the measurement of forces applied during a transalveolar sinus floor elevation (tSFE) and to investigate the influence of anatomical and surgical factors on the necessitated force in sinus membrane detachment. MATERIAL AND METHODS: A new endosinus probe, innovated with a calibrated load cell, was used to test the forces needed to perforate ten maxillary sinuses in 5 human cadavers. The same probe was also used to detach the Schneiderian membrane from the bony floor of 21 human subjects undergoing tSFE. RESULTS: The force needed to cause membrane perforation in the cadaver sample was on average 3.46 ± 1.04 N. The maximum force applied in vivo to a sinus membrane without perforation was 2.01 ± 0.67 N on average. Regression analysis showed that smoking (P < 0.001), as well as 3.0 mm osteotomy (P < 0.001), was significantly correlated to increased forces during membrane detachment. CONCLUSIONS: The maximum force needed to detach the membrane was found to be, on average, lower than the membrane breaking load in cadavers. Furthermore, because of smoking and a 3.0-mm osteotomy diameter demonstrating a high association with increased forces during membrane detachment, they may be considered as risk factors of membrane perforation.

Original languageEnglish
Pages (from-to)630-637
Number of pages8
JournalImplant Dentistry
Issue number6
Publication statusPublished - Dec 1 2018
Externally publishedYes

ASJC Scopus subject areas

  • Oral Surgery


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