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Chang X, Wang M, Du L, Liao L, He L, Zhou H, He L. A Pilot Investigation Generating an Alternative Therapeutic Strategy Combining Deproteinized Bovine Bone and Gelatin Sponge for a Novel Implant Material in Sinus Floor Elevation Operation. Med Sci Monit 2021; 27:e930785. [PMID: 34465716 PMCID: PMC8420676 DOI: 10.12659/msm.930785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Background Implant placement in the posterior maxilla is typically complicated by a shortage of bone. Gelatin sponge could be combined with an appropriate material to enhance mechanical strength and maintain stability of an implant. This study aimed to evaluate the clinical application of bone grafting with bovine bone mixed with gelatin sponge. Material/Methods Fifty-four patients were divided into a control group (deproteinized bovine bone, n=26) and a test group (deproteinized bovine bone combined with gelatin sponge, n=28). Implants were placed in patients simultaneously after surgery (operation). Cone-beam computed tomography examination was carried out immediately and 6 months after surgery. Space with grafting materials was measured with Mimics software (version 16.0). Results No remarkable differences were found for simultaneous placement, height of residual bone, delayed placement, width of residual bone, graft volume immediately after surgery (V1), graft volume 6 months after surgery (V2), or volumetric change rate between the test group and the control group (P>0.05). Graft volume V2 was remarkably decreased compared with V1 in the control and test groups (P=0.01). There were no significant differences for bone height immediately after surgery (H1) and bone height at 6 months after surgery (H2) between the 2 groups. Bone height H2 was markedly decreased compared with H1 (P<0.05). At 1 year after implantation, there was 1 implant loss in the control group and 2 in the test group. The implant survival rate in the control group was 97.62% and 95.24% in the test group. Conclusions Absorbable gelatin sponge combined with bovine bone particles was an effective and economical material for use in routine sinus floor elevation surgery.
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Affiliation(s)
- Xiaofeng Chang
- Department of Implant Dentistry, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, China (mainland).,Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Xi'an, Shaanxi, China (mainland)
| | - Miao Wang
- Department of Implant Dentistry, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, China (mainland)
| | - Liangzhi Du
- Department of Implant Dentistry, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, China (mainland).,Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Xi'an, Shaanxi, China (mainland)
| | - Lifan Liao
- Department of Implant Dentistry, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, China (mainland).,Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Xi'an, Shaanxi, China (mainland)
| | - Lixing He
- Department of Implant Dentistry, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, China (mainland)
| | - Huixia Zhou
- Department of Implant Dentistry, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, China (mainland)
| | - Longlong He
- Department of Implant Dentistry, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, China (mainland).,Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Xi'an, Shaanxi, China (mainland)
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2
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Ye M, Liu W, Cheng S, Yan L. Outcomes of implants placed after osteotome sinus floor elevation without bone grafts: a systematic review and meta-analysis of single-arm studies. Int J Implant Dent 2021; 7:72. [PMID: 34368916 PMCID: PMC8349946 DOI: 10.1186/s40729-021-00358-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Accepted: 05/13/2021] [Indexed: 12/29/2022] Open
Abstract
Background The aim of this study is to evaluate the implant survival/success rate, gain in alveolar bone height, crestal bone loss, and complications associated with implants placed in the posterior maxilla after osteotome sinus floor elevation without bone substitutes. Methods The electronic databases, such as MEDLINE, EMBASE, CENTRAL, and SCOPUS were systematically and manually searched for publications in peer-reviewed journals. The included articles were subjected to qualitative and quantitative analyses, and the meta-analysis was carried out for single-arm studies. Methodological quality assessment was made for all the included studies. Results The included studies were of moderate quality, with the overall implant success and survival rates of 98.3% and 97.9% respectively. The most frequent intra-surgical complication was sinus membrane perforation, accounting for 3.08% of the total implants with reported perforations. The overall crestal bone loss in patients with immediate implants placed with OSFE after a 5-year follow-up was 0.957 mm 95%CI (0.538, 1.377). Conclusion Within the limitations of this review, it can be concluded that the survival and success rates of implants placed immediately along with OSFE without any bone substitutes are acceptable and show adequate implant stability with less crestal bone loss over 5 years.
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Affiliation(s)
- Mingfu Ye
- Department of Oral Implantology, Stomatological Hospital of Xiamen Medical College, Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, 1309, Lvling Road, Xiamen, 361008, Fujian Province, People's Republic of China.
| | - Wenjun Liu
- Department of Oral Implantology, Stomatological Hospital of Xiamen Medical College, Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, 1309, Lvling Road, Xiamen, 361008, Fujian Province, People's Republic of China
| | - Shaolong Cheng
- Department of Oral Implantology, Stomatological Hospital of Xiamen Medical College, Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, 1309, Lvling Road, Xiamen, 361008, Fujian Province, People's Republic of China
| | - Lihui Yan
- Department of Oral Implantology, Stomatological Hospital of Xiamen Medical College, Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, 1309, Lvling Road, Xiamen, 361008, Fujian Province, People's Republic of China
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3
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Huang JQ, Hu CQ, Xia X, Guo SG, Gong JM, Wei HW. [Retrospective study on transcrestal sinus floor elevation with simultaneous implantation of short implants]. HUA XI KOU QIANG YI XUE ZA ZHI = HUAXI KOUQIANG YIXUE ZAZHI = WEST CHINA JOURNAL OF STOMATOLOGY 2020; 38:667-671. [PMID: 33377345 DOI: 10.7518/hxkq.2020.06.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To explore the changes in bone height of the maxillary sinus floor at different sinus ridge heights after transcrestal sinus floor elevation (tSFE) with the simultaneous implantation of short implants. METHODS A total of 74 Bicon short implants were implanted into 37 patients during the same period of maxillary sinus elevation. The residual bone height (RBH)<4 mm group has 43 sites, and the RBH≥4 mm group has 31 sites. After 5 years of follow-up observation, the implant survival rate and the change in bone height achieved in the maxillary sinus over time were measured and analyzed via clinical examination and X-ray imaging. RESULTS In the 74 implantation sites, the elevation height of the sinus floor was (6.64±1.32) mm and the bone height of the sinus floor was (3.35±1.29) mm 5 years after loading. No statistical difference was observed in the bone resorption of the implant neck between the RBH<4 mm and RBH≥4 mm groups. Meanwhile, a statistical difference was noted in the bone height obtained in the maxillary sinus between the two groups. CONCLUSIONS When RBH in the maxillary posterior tooth area was <4 mm, the simultaneous implantation of Bicon short implants with tSFE can achieve a high implant survival rate and bone gain in the maxillary sinus, but does not increase the absorption of the alveolar ridge bone.
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Affiliation(s)
- Jiang-Qin Huang
- Dept. of Stomatology, The Fourth Affiliated Hospital of Nanchang University, Nanchang 330009, China
| | - Chang-Qi Hu
- Dept. of Stomatology, The Fourth Affiliated Hospital of Nanchang University, Nanchang 330009, China
| | - Xun Xia
- Dept. of Stomatology, The Fourth Affiliated Hospital of Nanchang University, Nanchang 330009, China
| | - Shui-Gen Guo
- Dept. of Stomatology, The Fourth Affiliated Hospital of Nanchang University, Nanchang 330009, China
| | - Jin-Mei Gong
- Dept. of Stomatology, The Fourth Affiliated Hospital of Nanchang University, Nanchang 330009, China
| | - Hong-Wu Wei
- Dept. of Stomatology, The Fourth Affiliated Hospital of Nanchang University, Nanchang 330009, China
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4
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Guo T, Gulati K, Shen Z, Han P, Fan Z. Therapeutic outcomes of non-grafted and platelet concentrations-grafted transcrestal maxillary sinus elevation (TSFE): a systematic review and meta-analysis. Sci Rep 2020; 10:5935. [PMID: 32245996 PMCID: PMC7125188 DOI: 10.1038/s41598-020-62407-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2019] [Accepted: 03/11/2020] [Indexed: 12/28/2022] Open
Abstract
To evaluate and compare the stability, quantity and quality of bone augmentation at maxillary sinus elevation sites by non-grafted transcrestal sinus floor elevation (TSFE) and platelet concentration grafted transcrestal sinus floor elevation (PC-TSFE). A complete literature search was performed up to April 2019. Clinical controlled trials, retrospective cohort studies, and prospective cohort studies were selected based on inclusion criteria. The clinical outcomes were implant survival rate (ISR), marginal/crestal bone loss (MBL/CBL) and endo-sinus bone gain (ESBG). Meta‐analysis was conducted on these 1-year based values. Furthermore, another meta-analysis on 1-year ISR value was conducted among studies with different residual bone heights (RBH) within the non-grafted TSFE group. A total of 18 studies were included: 13 in TSFE group and 5 in PC-TSFE group. No significant differences were displayed between the 1-year ISR of TSFE (97%, 95%CI = 0.96–0.99) and PC-TSFE group (99%, 95%CI = 0.97–1.00). Among the various studies with different RBH within TSFE group, no significant differences in 1-year ISR were displayed. The 1-year MBL/CBL value of PC-TSFE group (0.73 mm, 95%CI = 0.43–1.13 mm) did not show significant difference as compared to TSFE group (0.60 mm, 95%CI = 0.10–1.10 mm). Furthermore, no significant enhancement was observed on 1-year ESBG value on PC-TSFE group (3.51 mm, 95%CI = 2.31–4.71 mm) in comparison with the TSFE group (2.87 mm, 95%CI = 2.18m–3.55 mm). Grafting platelet concentrations around dental implants at TSFE sites did not significantly enhance the adjacent bone regeneration. Moreover, TSFE was shown to be a reliable therapeutic option for implant sites that need simultaneous maxillary sinus augmentation, even under limited RBH.
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Affiliation(s)
- Tianqi Guo
- The University of Queensland, School of Dentistry, Herston, QLD 4006, Australia
| | - Karan Gulati
- The University of Queensland, School of Dentistry, Herston, QLD 4006, Australia
| | - Ziyun Shen
- Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, 200072, PR China.,Department of Oral Implant, School and Hospital of Stomatology, Tongji University, Shanghai, 200072, PR China
| | - Pingping Han
- The University of Queensland, School of Dentistry, Herston, QLD 4006, Australia
| | - Zhen Fan
- Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, 200072, PR China. .,Department of Oral Implant, School and Hospital of Stomatology, Tongji University, Shanghai, 200072, PR China.
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Ranaan J, Bassir SH, Andrada L, Shamshiri AR, Maksoud M, Raanan R, Guze K. Clinical efficacy of the graft free slit-window sinus floor elevation procedure: A 2-year randomized controlled clinical trial. Clin Oral Implants Res 2018; 29:1107-1119. [DOI: 10.1111/clr.13374] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2017] [Revised: 08/16/2018] [Accepted: 08/28/2018] [Indexed: 12/29/2022]
Affiliation(s)
- Justin Ranaan
- Division of Periodontology, Department of Oral Medicine, Infection, and Immunity; Harvard School of Dental Medicine; Boston Massachusetts
| | - Seyed Hossein Bassir
- Division of Periodontology, Department of Oral Medicine, Infection, and Immunity; Harvard School of Dental Medicine; Boston Massachusetts
- Department of Periodontology, School of Dental Medicine; Stony Brook University; Stony Brook New York
| | - Luciano Andrada
- Division of Periodontology, Department of Oral Medicine, Infection, and Immunity; Harvard School of Dental Medicine; Boston Massachusetts
| | - Ahmad Reza Shamshiri
- Department of Epidemiology and Biostatistics, School of Public Health; Tehran University of Medical Sciences; Tehran Iran
| | - Mohamed Maksoud
- Division of Periodontology, Department of Oral Medicine, Infection, and Immunity; Harvard School of Dental Medicine; Boston Massachusetts
| | | | - Kevin Guze
- Division of Periodontology, Department of Oral Medicine, Infection, and Immunity; Harvard School of Dental Medicine; Boston Massachusetts
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6
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Yan M, Liu R, Bai S, Wang M, Xia H, Chen J. Transalveolar sinus floor lift without bone grafting in atrophic maxilla: A meta-analysis. Sci Rep 2018; 8:1451. [PMID: 29362414 PMCID: PMC5780394 DOI: 10.1038/s41598-018-19515-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2016] [Accepted: 01/03/2018] [Indexed: 12/14/2022] Open
Abstract
We performed a meta-analysis aimed to assess the clinical results after transalveolar sinus floor lift without bone grafting in the atrophic maxilla. A systematic electronic literature search was conducted in PubMed, Embase and The Cochrane Library, followed by a manual search. Two reviewers independently extracted study data and conducted quality assessments. Ten non-controlled studies including 1484 implants and eight controlled studies (5 RCTs and 3 prospective studies) including 817 implants (451 implants in the non-graft group) were enrolled in this study. The survival rate of implants via the graft-free method was 98% (95%CI 96% to 100%). There was no significant difference in the survival rate between the non-graft group and the graft group (RR: 1.02; p = 0.18). No statistically significant difference in marginal bone loss was detected between the groups at 12 months (0.57, p = 0.07) or 36 months (0.05, p = 0.61). The endo-sinus bone gain in the non-graft group was significantly lower than in the graft group at 12 months (−1.10, p = 0.0001) and 36 months (−0.74, p = 0.02). Hence, the available evidence suggests that predictable results could be acquired through transalveolar sinus floor lift without bone grafting, while there may be a trend toward more endo-sinus bone gain with bone grafts.
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Affiliation(s)
- Mingdong Yan
- Department of Oral Implantology, Affiliated Stomatological Hospital of Fujian Medical University, Fuzhou, China.,The State Key Laboratory Breeding Base of Basic Science of Stomatology & Key Laboratory of Oral Biomedicine Ministry of Education, Wuhan University, Wuhan, China
| | - Ruimin Liu
- School of Stomatology, Fujian Medical University, Fuzhou, China
| | - Shuting Bai
- The State Key Laboratory Breeding Base of Basic Science of Stomatology & Key Laboratory of Oral Biomedicine Ministry of Education, Wuhan University, Wuhan, China
| | - Min Wang
- The State Key Laboratory Breeding Base of Basic Science of Stomatology & Key Laboratory of Oral Biomedicine Ministry of Education, Wuhan University, Wuhan, China.,Department of Oral Implantology, School and Hospital of Stomatology, Wuhan University, Wuhan, China
| | - Haibin Xia
- The State Key Laboratory Breeding Base of Basic Science of Stomatology & Key Laboratory of Oral Biomedicine Ministry of Education, Wuhan University, Wuhan, China. .,Department of Oral Implantology, School and Hospital of Stomatology, Wuhan University, Wuhan, China.
| | - Jiang Chen
- Department of Oral Implantology, Affiliated Stomatological Hospital of Fujian Medical University, Fuzhou, China.
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7
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Duan DH, Fu JH, Qi W, Du Y, Pan J, Wang HL. Graft-Free Maxillary Sinus Floor Elevation: A Systematic Review and Meta-Analysis. J Periodontol 2017; 88:550-564. [PMID: 28168901 DOI: 10.1902/jop.2017.160665] [Citation(s) in RCA: 37] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
BACKGROUND This systematic review and meta-analysis aims to investigate survival rates of dental implants placed simultaneously with graft-free maxillary sinus floor elevation (GFSFE). Factors influencing amount of vertical bone gain (VBG), protruded implant length (PIL) in sinus at follow-up (PILf), and peri-implant marginal bone loss (MBL) are also evaluated. METHODS Electronic and manual searches for human clinical studies on simultaneous implant placement and GFSFE using the lateral window or transcrestal approach, published in the English language from January 1976 to March 2016, were conducted. The random-effects model and mixed-effect meta-regression were used to analyze weighted mean values of clinical parameters and evaluate factors that influenced amount of VBG. RESULTS Of 740 studies, 22 clinical studies were included in this systematic review. A total of 864 implants were placed simultaneously with GFSFE at edentulous sites having mean residual bone height of 5.7 ± 1.7 mm. Mean implant survival rate (ISR) was 97.9% ± 0.02% (range: 93.5% to 100%). Weighted mean MBL was 0.91 ± 0.11 mm, and it was significantly associated with the postoperative follow-up period (r = 0.02; R2 = 43.75%). Weighted mean VBG was 3.8 ± 0.34 mm, and this parameter was affected significantly by surgical approach, implant length, and PIL immediately after surgery (PILi) (r = 2.82, 0.57, 0.80; R2 = 19.10%, 39.27%, 83.92%, respectively). Weighted mean PILf was 1.26 ± 0.33 mm (range: 0.3 to 2.1 mm). CONCLUSION Within limitations of the present systematic review, GFSFE with simultaneous implant placement can achieve satisfactory mean ISR of 97.9% ± 0.02%.
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Affiliation(s)
- Deng-Hui Duan
- Department of General Dentistry, School and Hospital of Stomatology, Peking University, Beijing, People's Republic of China
| | - Jia-Hui Fu
- Discipline of Periodontics, Faculty of Dentistry, National University of Singapore, Singapore, Republic of Singapore
| | - Wei Qi
- Department of Endodontics, Jinan Stomatology Hospital, Jinan, Shandong, People's Republic of China
| | - Yi Du
- Department of General Dentistry, School and Hospital of Stomatology, Peking University, Beijing, People's Republic of China
| | - Jie Pan
- Department of General Dentistry, School and Hospital of Stomatology, Peking University, Beijing, People's Republic of China
| | - Hom-Lay Wang
- Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, MI
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Malchiodi L, Cucchi A, Ghensi P, Caricasulo R, Nocini PF. The ‘Alternating Osteotome Technique’: a surgical approach for combined ridge expansion and sinus floor elevation. A multicentre prospective study with a three-year follow-up. BIOTECHNOL BIOTEC EQ 2016. [DOI: 10.1080/13102818.2016.1171732] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Affiliation(s)
- Luciano Malchiodi
- Department of Surgery, Section of Dentistry and Maxillofacial Surgery, University of Verona, Verona (VR), Italy
| | - Alessandro Cucchi
- Department of Biomedical and Neuromotorial Science, University of Bologna Bologna (BO), Italy
| | - Paolo Ghensi
- Centre for Integrative Biology (CIBIO), University of Trento, Trento (TN), Italy
| | - Riccardo Caricasulo
- Department of Surgery, Section of Dentistry and Maxillofacial Surgery, University of Verona, Verona (VR), Italy
| | - Pier Francesco Nocini
- Department of Surgery, Section of Dentistry and Maxillofacial Surgery, University of Verona, Verona (VR), Italy
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9
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Anitua E, Flores J, Alkhraisat MH. Transcrestal Sinus Lift Using Platelet Concentrates in Association to Short Implant Placement: A Retrospective Study of Augmented Bone Height Remodeling. Clin Implant Dent Relat Res 2015; 18:993-1002. [DOI: 10.1111/cid.12383] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Affiliation(s)
- Eduardo Anitua
- Private practice in oral implantology; Vitoria Spain
- BTI Biotechnology Institute; Vitoria Spain
| | - Javier Flores
- Private practice in oral implantology; Vitoria Spain
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10
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Marković A, Mišić T, Calvo-Guirado JL, Delgado-Ruíz RA, Janjić B, Abboud M. Two-Center Prospective, Randomized, Clinical, and Radiographic Study Comparing Osteotome Sinus Floor Elevation with or without Bone Graft and Simultaneous Implant Placement. Clin Implant Dent Relat Res 2015; 18:873-882. [DOI: 10.1111/cid.12373] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Affiliation(s)
- Aleksa Marković
- Clinic of Oral Surgery; School of Dental Medicine; University of Belgrade; Belgrade Serbia
| | - Tijana Mišić
- Clinic of Oral Surgery; School of Dental Medicine; University of Belgrade; Belgrade Serbia
| | | | - Rafael Arcesio Delgado-Ruíz
- Department of Prosthodontics and Digital Technology; School of Dental Medicine; Stony Brook University; Stony Brook NY USA
| | - Bojan Janjić
- Clinic of Oral Surgery; School of Dental Medicine; University of Belgrade; Belgrade Serbia
| | - Marcus Abboud
- Department of Prosthodontics and Digital Technology; School of Dental Medicine; Stony Brook University; Stony Brook NY USA
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11
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Benic GI, Elmasry M, Hämmerle CHF. Novel digital imaging techniques to assess the outcome in oral rehabilitation with dental implants: a narrative review. Clin Oral Implants Res 2015; 26 Suppl 11:86-96. [DOI: 10.1111/clr.12616] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/16/2015] [Indexed: 11/26/2022]
Affiliation(s)
- Goran I. Benic
- Clinic of Fixed and Removable Prosthodontics and Dental Material Science; Center of Dental Medicine; University of Zurich; Zurich Switzerland
| | - Moustafa Elmasry
- Clinic of Fixed and Removable Prosthodontics and Dental Material Science; Center of Dental Medicine; University of Zurich; Zurich Switzerland
| | - Christoph H. F. Hämmerle
- Clinic of Fixed and Removable Prosthodontics and Dental Material Science; Center of Dental Medicine; University of Zurich; Zurich Switzerland
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12
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Pérez-Martínez S, Martorell-Calatayud L, Peñarrocha-Oltra D, García-Mira B, Peñarrocha-Diago M. Indirect sinus lift without bone graft material: Systematic review and meta-analysis. J Clin Exp Dent 2015; 7:e316-9. [PMID: 26155353 PMCID: PMC4483344 DOI: 10.4317/jced.51716] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2014] [Accepted: 08/12/2014] [Indexed: 11/26/2022] Open
Abstract
A systematic literature review and a meta-analysis of indirect sinus lift without the use of bone graft material was performed. A PubMed search was made from January 2005 to January 2012 with keywords: "sinus lift", "osteotome", "graft" and "maxillary sinus elevation". The inclusion criteria were: maxillary sinus lift technique with osteotomes with a minimum follow-up period of 5 months after surgery without bone graft material. 11 articles were included. The mean gain in residual crestal bone height after maxillary sinus lift without bone graft material was 3,43 mm ± 0,09 (2,5 mm - 4,4 mm). The survival rate ranged from 94% to 100%. Placement of implants with sinus lift without bone graft material, is a valid surgical technique to gain residual crestal height and placed implants in an atrophic posterior maxillary with a crestal height from 5 to 9 mm. Key words:Sinus lift, osteotome, graft, maxillary sinus elevation.
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Affiliation(s)
- Sara Pérez-Martínez
- Master in Oral Surgery and Implant Dentistry, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Spain
| | - Luis Martorell-Calatayud
- Collaborating Professor of the Master in Oral Surgery and Implant Dentistry, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Spain
| | - David Peñarrocha-Oltra
- Collaborating Professor of the Master in Oral Surgery and Implant Dentistry, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Spain
| | - Berta García-Mira
- Associate Professor of Oral Surgery, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Spain
| | - Miguel Peñarrocha-Diago
- Chairman of Oral Surgery, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Spain
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13
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Nedir R, Nurdin N, Khoury P, Bischof M. Short Implants Placed with or without Grafting in Atrophic Sinuses: The 3-Year Results of a Prospective Randomized Controlled Study. Clin Implant Dent Relat Res 2015; 18:10-8. [DOI: 10.1111/cid.12279] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Rabah Nedir
- Swiss Dental Clinics Group; Ardentis Clinique Dentaire; Vevey Switzerland
| | - Nathalie Nurdin
- Swiss Dental Clinics Group; Ardentis Clinique Dentaire; Vevey Switzerland
| | - Paul Khoury
- Swiss Dental Clinics Group; Ardentis Clinique Dentaire; Vevey Switzerland
- Department of Orofacial Rehabilitation, University Clinics of Dental Medicine; University of Geneva; Geneva Switzerland
| | - Mark Bischof
- Swiss Dental Clinics Group; Ardentis Clinique Dentaire; Lausanne Switzerland
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14
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Chipaila N, Marini R, Sfasciotti GL, Cielo A, Bonanome L, Monaco A. Graftless sinus augmentation technique with contextual placement of implants: a case report. J Med Case Rep 2014; 8:437. [PMID: 25515949 PMCID: PMC4301887 DOI: 10.1186/1752-1947-8-437] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2014] [Accepted: 10/07/2014] [Indexed: 11/10/2022] Open
Abstract
INTRODUCTION The positioning of implants in the jaw bones with contextual graftless lateral approach sinus lifting is finding an increasingly broad consensus in the literature. Since the 1970s, various clinical research projects have been conducted on applications of biological and synthetic biomaterials in bone regenerative surgery, both in sinus lift procedures and in cystic cavity filling after cystectomy or in bone defects in regenerative periodontal surgery. Currently, we are finding that there is an increasing trend of clinicians aiming to adopt graftless techniques, with satisfactory results in terms of implant survival in the long term. In our study, through a case report, we describe a variant of graftless sinus augmentation technique with contextual implant placement, emphasizing the role of the blood clot, combined with collagen sponges, as a natural scaffold and the osteogenic potential of the subantral membrane in guided bone regeneration, with reduced morbidity of the patient. CASE PRESENTATION To describe the surgical technique, the clinical case of a 38-year-old Caucasian woman with a lateral posterior edentulism was selected. The rehabilitation was solved by a graftless sinus augmentation technique with a contextual implant placement. For each implant, a resonance frequency analysis evaluation was reported as implant stability quotient values. The performance of the implant stability quotient values followed a gradual increase from time zero to the sixth month, as the clot was differentiated into osteoid tissue and then into bone tissue, due to the scaffold effect conferred by the equine collagen sponge. The stabilization phase took place between the fourth and the sixth month, according to the implant stability quotient values. CONCLUSIONS Our graftless sinus augmentation technique seems to be very predictable thanks to the osteoconductive principles on which it is based, and in association with the proper management of peri-implant soft tissue, so as to increase the amount of keratinized tissue, which could represent the new gold standard for this type of rehabilitation in the future.
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Affiliation(s)
- Nicolae Chipaila
- />University of L’Aquila, Department of Life, Health and Environmental Sciences, Unit of Dentistry, Delta 6 building, Via Vetoio, 1, 67100 L’Aquila, Italy
| | - Roberta Marini
- />‘Sapienza’ University of Rome - Department of Oral and Maxillofacial Sciences, Via Caserta, 6, 00161 Rome, Italy
| | - Gian Luca Sfasciotti
- />‘Sapienza’ University of Rome - Department of Oral and Maxillofacial Sciences, Via Caserta, 6, 00161 Rome, Italy
| | | | - Laura Bonanome
- />‘Private Practice, Via Regina Elena 287/A, 00161 Rome, Italy
| | - Annalisa Monaco
- />University of L’Aquila, Department of Life, Health and Environmental Sciences, Unit of Dentistry, Delta 6 building, Via Vetoio, 1, 67100 L’Aquila, Italy
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Spinato S, Bernardello F, Galindo-Moreno P, Zaffe D. Maxillary sinus augmentation by crestal access: a retrospective study on cavity size and outcome correlation. Clin Oral Implants Res 2014; 26:1375-82. [DOI: 10.1111/clr.12477] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/29/2014] [Indexed: 02/02/2023]
Affiliation(s)
- Sergio Spinato
- Unit of Periodontology and Implantology; Department of Biomedical and Neuromotor Sciences; School of Dentistry; University of Bologna; Bologna Italy
| | | | - Pablo Galindo-Moreno
- Department of Oral Surgery and Implant Dentistry; School of Dentistry; University of Granada; Granada Spain
| | - Davide Zaffe
- Department of Biomedical, Metabolic and Neural Sciences; University of Modena and Reggio Emilia; Modena Italy
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Jeong TM, Lee JK. The Efficacy of the Graft Materials after Sinus Elevation: Retrospective Comparative Study Using Panoramic Radiography. Maxillofac Plast Reconstr Surg 2014; 36:146-53. [PMID: 27489826 PMCID: PMC4281913 DOI: 10.14402/jkamprs.2014.36.4.146] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2014] [Revised: 05/26/2014] [Accepted: 07/15/2014] [Indexed: 11/19/2022] Open
Abstract
Purpose: This study compares and evaluates the efficacy of graft materials after maxillary sinus bone grafts with autogenous tooth bone graft material (AutoBT), demineralized freeze-dried bone allograft (DFDBA) and deproteinized bovine bone mineral (DBBM). Methods: The study involved 30 sinuses in 26 patients who visited the Division of Oral and Maxillofacial Surgery, Department of Dentistry in Ajou University Hospital and received either AutoBT, DFDBA or DBBM with sinus elevation using the lateral window technique. Sinus graft height was measured before, immediately after, and six months after bone graft with panoramic radiography and the height changes of the sinus floor was compared according to the graft materials. Results: After six months, the decrease ratio of graft heights were 13.57% for AutoBT group, 14.30% for DFDBA group, and 11.92% for DBBM group. There was no statistically significant difference. Conclusion: The new maxillary sinus floor formed by the upper border of bone graft material, can repneumatize after the maxillary sinus elevation. Thus, long-term stability of sinus graft height represents an important factor for implant success. We found that the three graft materials for sinus elevation do not differ significantly and all three graft materials showed excellent resistance to maxillary sinus repneumatization. However, due to the special circumstances of the maxillary sinus and small sample, the actual difference between the three graft materials may not have been detectable. Therefore further study needs to be conducted for more reliable study results.
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Affiliation(s)
- Tae Min Jeong
- Division of Oral and Maxillofacial Surgery, Department of Dentistry, Ajou University School of Medicine
| | - Jeong Keun Lee
- Division of Oral and Maxillofacial Surgery, Department of Dentistry, Ajou University School of Medicine
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Rammelsberg P, Mahabadi J, Eiffler C, Koob A, Kappel S, Gabbert O. Radiographic Monitoring of Changes in Bone Height after Implant Placement in Combination with an Internal Sinus Lift without Graft Material. Clin Implant Dent Relat Res 2013; 17 Suppl 1:e267-74. [DOI: 10.1111/cid.12138] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Peter Rammelsberg
- Department of Prosthodontics; Heidelberg University Hospital; Heidelberg Germany
| | - Jaleh Mahabadi
- Department of Prosthodontics; Heidelberg University Hospital; Heidelberg Germany
| | - Constantin Eiffler
- Department of Prosthodontics; Heidelberg University Hospital; Heidelberg Germany
| | - Andreas Koob
- Department of Prosthodontics; Heidelberg University Hospital; Heidelberg Germany
| | - Stefanie Kappel
- Department of Prosthodontics; Heidelberg University Hospital; Heidelberg Germany
| | - Olaf Gabbert
- Department of Prosthodontics; Heidelberg University Hospital; Heidelberg Germany
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