Retrospective data from sinus floor augmentation bone grafts were coll
ected from 38 surgeons for 1007 sinus grafts that involved the placeme
nt of 2997 implants over a 10-year period, with the majority of the im
plants followed for 3 years or more postrestoration. There were 229 im
plant failures reported. Various root-form implants and grafting modal
ities were used. A consensus conference was organized to evaluate the
data and reach a consensus on optimal treatment protocols. The complet
e database demonstrated a 90.0% success rate for implants placed in si
nus grafts with at least 3 years of function. Differences in grafting
materials, implant surfaces, and timing protocols were statistically a
nalyzed. However, the database was so multivariate and multifactorial
that it was difficult to draw definitive conclusions; these must await
controlled prospective studies. The consensus conference therefore de
veloped and voted on multiple consensus statements derived by committe
e review for bone graft materials, type of implants, timing for implan
t placement, failure analysis, radiographic analysis, indications/cont
raindications, prosthetics, and nomenclature. Several consensus statem
ents were obtained, the most significant being that the sinus graft sh
ould now be considered a highly predictable and effective therapeutic
modality.