LAB Publishers - Scientific Publisher

Clinical Trial

SAFETY AND EFFICACY OF THE “ RIALTO” TECHNIQUE: AN EXPLORATIVE TRIAL

S. Volpe1 ORCID, M. Di Girolamo2 , S. Zicari3 , F. Cecchetti4 , L. Volpe1, M. Turco1

1 Private Practice, Rome, Italy
2 Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, Rome, Italy
3 Department of SARAS, Sapienza University of Rome, Rome, Italy
4 Department of Social Dentistry and Gnathological Rehabilitation, National Institute for Health, Migration and Poverty (NIHMP), Rome, Italy

Correspondence to:

Stefano Volpe, DDS
Private Practice,
Piazza del Fante 10,
00195, Rome, Italy
e-mail: studiostefanovolpe@tiscali.it

Annals of Stomatology 2024 September-December; 4(3): Ahead of Print
DOI https://doi.org/10.69129/stomatol/2024v4iss3_3


Received: 24 September 2024 Accepted: 26 October 2024

Copyright © by LAB srl 2024 ISSN 2975-1276
This publication and/or article is for individual use only and may not be further reproduced without written permission from the copyright holder. Unauthorized reproduction may result in financial and other penalties. Disclosure: All authors report no conflicts of interest relevant to this article.

Download Download PDF

Abstract

A series of patients were treated with the “Rialto” maxillary sinus lift technique. The primary aim of the present study is to evaluate the percentage of intraoperative complications such as perforation of the sinus mucosa and benign paroxysmal positional vertigo (BPPV). The second aim is to assess bone regeneration within the maxillary sinus with the sole use of collagen and clotting after 9-24 months of prosthetic loading. Twenty patients, 8 females and 12 males aged between 20 and 72 years participated in this study, treated consecutively from 2019 to 2021 with the “Rialto” surgical technique to obtain transcrestal maxillary sinus lift and simultaneous implant positioning. Nine implants with ∅ 4x 9 mm (Neoss straight, Neoss Ltd, Arrogate, UK) n. 6 BTK evo ∅ 4x 10 mm and n. 5 BTK safe ∅ 3.7 x 10 mm [Biotec srl Povolaro di Dueville (VI)] Italy The implants were allowed to heal for 4 months before the second surgery. Osseointegration was evident in all 20 patients. The median vertical bone height (VBH) values ​​increased significantly between the first surgery (median 6 mm; 25th-75th percentile, 5 mm-6 mm) and the follow-up (median 9 mm; 25°-75th percentile, 8 mm-9 mm). No case of rupture of the sinus mucosa was detected. No patient complained of benign paroxysmal positional vertigo. The transveolar approach using the “Rialto” technique provides high predictability for elevating the maxillary sinus floor. The method, which has minimally invasive characteristics, reduces the most common complications, such as perforation of the sinus mucosa and BPPV.

Keywords: , , , , ,