Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지
DOI QR코드

DOI QR Code

The Efficacy of the Graft Materials after Sinus Elevation: Retrospective Comparative Study Using Panoramic Radiography

  • Jeong, Tae Min (Division of Oral and Maxillofacial Surgery, Department of Dentistry, Ajou University School of Medicine) ;
  • Lee, Jeong Keun (Division of Oral and Maxillofacial Surgery, Department of Dentistry, Ajou University School of Medicine)
  • Received : 2014.05.05
  • Accepted : 2014.07.15
  • Published : 2014.07.31
Download PDF
⟨ Previous Next ⟩

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.

Keywords

References

  1. Aghaloo TL, Moy PK. Which hard tissue augmentation techniques are the most successful in furnishing bony support for implant placement? Int J Oral Maxillofac Implants 2007;22 Suppl:49-70.
  2. Jensen OT, Shulman LB, Block MS, Iacono VJ. Report of the Sinus Consensus Conference of 1996. Int J Oral Maxillofac Implants 1998;13 Suppl:11-45.
  3. Nystrom E, Legrell PE, Forssell A, Kahnberg KE. Combined use of bone grafts and implants in the severely resorbed maxilla. Postoperative evaluation by computed tomography. Int J Oral Maxillofac Surg 1995;24:20-5. https://doi.org/10.1016/S0901-5027(05)80851-3
  4. McAllister BS, Margolin MD, Cogan AG, Buck D, Hollinger JO, Lynch SE. Eighteen-month radiographic and histologic evaluation of sinus grafting with anorganic bovine bone in the chimpanzee. Int J Oral Maxillofac Implants 1999;14:361-8.
  5. Hurzeler MB, Kirsch A, Ackermann KL, Quinones CR. Reconstruction of the severely resorbed maxilla with dental implants in the augmented maxillary sinus: a 5-year clinical investigation. Int J Oral Maxillofac Implants 1996;11:466-75.
  6. GaRey DJ, Whittaker JM, James RA, Lozada JL. The histologic evaluation of the implant interface with heterograft and allograft materials--an eight-month autopsy report, part II. J Oral Implantol 1991;17:404-8.
  7. Hatano N, Shimizu Y, Ooya K. A clinical long-term radiographic evaluation of graft height changes after maxillary sinus floor augmentation with a 2:1 autogenous bone/xenograft mixture and simultaneous placement of dental implants. Clin Oral Implants Res 2004;15:339-45. https://doi.org/10.1111/j.1600-0501.2004.00996.x
  8. Gamradt SC, Lieberman JR. Bone graft for revision hip arthroplasty: biology and future applications. Clin Orthop Relat Res 2003;(417):183-94.
  9. Sailer HF, Weber FE. Bone substitutes. Mund Kiefer Gesichtschir 2000;4 Suppl 1:S384-91. https://doi.org/10.1007/PL00014562
  10. Wallace SS, Froum SJ. Effect of maxillary sinus augmentation on the survival of endosseous dental implants. A systematic review. Ann Periodontol 2003;8:328-43. https://doi.org/10.1902/annals.2003.8.1.328
  11. Del Fabbro M, Testori T, Francetti L, Weinstein R. Systematic review of survival rates for implants placed in the grafted maxillary sinus. Int J Periodontics Restorative Dent 2004;24:565-77.
  12. Hong SM. The literature review on the sinus bone graft using deproteinized bovine bone mineral with lateral approach. J Korean Assoc Oral Maxillofac Surg 2006;32:482-7.
  13. Zijderveld SA, Zerbo IR, van den Bergh JP, Schulten EA, ten Bruggenkate CM. Maxillary sinus floor augmentation using a beta-tricalcium phosphate (Cerasorb) alone compared to autogenous bone grafts. Int J Oral Maxillofac Implants 2005;20:432-40.
  14. Martinez H, Davarpanah M, Missika P, Celletti R, Lazzara R. Optimal implant stabilization in low density bone. Clin Oral Implants Res 2001;12:423-32. https://doi.org/10.1034/j.1600-0501.2001.120501.x
  15. Le Guéhennec L, Soueidan A, Layrolle P, Amouriq Y. Surface treatments of titanium dental implants for rapid osseointegration. Dent Mater 2007;23:844-54. https://doi.org/10.1016/j.dental.2006.06.025
  16. Akkocaoglu M, Uysal S, Tekdemir I, Akca K, Cehreli MC. Implant design and intraosseous stability of immediately placed implants: a human cadaver study. Clin Oral Implants Res 2005;16:202-9. https://doi.org/10.1111/j.1600-0501.2004.01099.x
  17. Strietzel FP, Nowak M, Küchler I, Friedmann A. Peri-implant alveolar bone loss with respect to bone quality after use of the osteotome technique: results of a retrospective study. Clin Oral Implants Res 2002;13:508-13. https://doi.org/10.1034/j.1600-0501.2002.130510.x
  18. Nedir R, Bischof M, Briaux JM, Beyer S, Szmukler-Moncler S, Bernard JP. A 7-year life table analysis from a prospective study on ITI implants with special emphasis on the use of short implants. Results from a private practice. Clin Oral Implants Res 2004;15:150-7. https://doi.org/10.1111/j.1600-0501.2004.00978.x
  19. Aparicio C, Perales P, Rangert B. Tilted implants as an alternative to maxillary sinus grafting: a clinical, radiologic, and periotest study. Clin Implant Dent Relat Res 2001;3:39-49. https://doi.org/10.1111/j.1708-8208.2001.tb00127.x
  20. Landes CA. Zygoma implant-supported midfacial prosthetic rehabilitation: a 4-year follow-up study including assessment of quality of life. Clin Oral Implants Res 2005;16:313-25. https://doi.org/10.1111/j.1600-0501.2005.01096.x
  21. Johansson B, Grepe A, Wannfors K, Hirsch JM. A clinical study of changes in the volume of bone grafts in the atrophic maxilla. Dentomaxillofac Radiol 2001;30:157-61. https://doi.org/10.1038/sj.dmfr.4600601
  22. Schlegel KA, Fichtner G, Schultze-Mosgau S, Wiltfang J. Histologic findings in sinus augmentation with autogenous bone chips versus a bovine bone substitute. Int J Oral Maxillofac Implants 2003;18:53-8.
  23. Wanschitz F, Figl M, Wagner A, Rolf E. Measurement of volume changes after sinus floor augmentation with a phycogenic hydroxyapatite. Int J Oral Maxillofac Implants 2006;21:433-8.
  24. Kim JS, Park TI, Seo HS, et al. The graft height changes after sinus augmentation procedures using deproteinized bovine bone mineral and beta-tricalcium phosphate: a retrospective comparative study using panoramic radiography. J Korean Assoc Oral Maxillofac Surg 2008;34:468-74.
  25. Hallman M, Hedin M, Sennerby L, Lundgren S. A prospective 1-year clinical and radiographic study of implants placed after maxillary sinus floor augmentation with bovine hydroxyapatite and autogenous bone. J Oral Maxillofac Surg 2002;60:277-84. https://doi.org/10.1053/joms.2002.30576
  26. Nkenke E, Schultze-Mosgau S, Radespiel-Tröger M, Kloss F, Neukam FW. Morbidity of harvesting of chin grafts: a prospective study. Clin Oral Implants Res 2001;12:495-502. https://doi.org/10.1034/j.1600-0501.2001.120510.x
  27. Nkenke E, Radespiel-Tröger M, Wiltfang J, Schultze-Mosgau S, Winkler G, Neukam FW. Morbidity of harvesting of retromolar bone grafts: a prospective study. Clin Oral Implants Res 2002;13:514-21. https://doi.org/10.1034/j.1600-0501.2002.130511.x
  28. Thorwarth M, Srour S, Felszeghy E, Kessler P, Schultze-Mosgau S, Schlegel KA. Stability of autogenous bone grafts after sinus lift procedures: a comparative study between anterior and posterior aspects of the iliac crest and an intraoral donor site. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;100:278-84. https://doi.org/10.1016/j.tripleo.2004.12.017
  29. Valentini P, Abensur D. Maxillary sinus floor elevation for implant placement with demineralized freeze-dried bone and bovine bone (Bio-Oss): a clinical study of 20 patients. Int J Periodontics Restorative Dent 1997;17:232-41.
  30. Valentini P, Abensur D, Wenz B, Peetz M, Schenk R. Sinus grafting with porous bone mineral (Bio-Oss) for implant placement: a 5-year study on 15 patients. Int J Periodontics Restorative Dent 2000;20:245-53.
  31. Yildirim M, Spiekermann H, Biesterfeld S, Edelhoff D. Maxillary sinus augmentation using xenogenic bone substitute material Bio-Oss in combination with venous blood. A histologic and histomorphometric study in humans. Clin Oral Implants Res 2000;11:217-29. https://doi.org/10.1034/j.1600-0501.2000.011003217.x
  32. Traini T, Valentini P, Iezzi G, Piattelli A. A histologic and histomorphometric evaluation of anorganic bovine bone retrieved 9 years after a sinus augmentation procedure. J Periodontol 2007;78:955-61. https://doi.org/10.1902/jop.2007.060308
  33. Kim YK, Kim SG, Byeon JH, et al. Development of a novel bone grafting material using autogenous teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:496-503. https://doi.org/10.1016/j.tripleo.2009.10.017
  34. Jeong KI, Kim SG, Oh JS, Lim SC. Maxillary sinus augmentation using autogenous teeth: preliminary report. J Korean Assoc Maxillofac Plast Reconstr Surg 2011;33:256-63.
  35. Han MW, Lee JK. Clinical study on the efficacy of the autogenous tooth bone graft material (AutoBT). J Korean Assoc Maxillofac Plast Reconstr Surg 2013;35:221-6. https://doi.org/10.14402/jkamprs.2013.35.4.221
  36. van den Bergh JP, ten Bruggenkate CM, Krekeler G, Tuinzing DB. Maxillary sinusfloor elevation and grafting with human demineralized freeze dried bone. Clin Oral Implants Res 2000;11:487-93. https://doi.org/10.1034/j.1600-0501.2000.011005487.x
  37. Kumar DS, Jayakumar ND, Padmalatha O, Sankari M, Varghese SS. Effect of maxillary sinus floor augmentation without bone grafts. J Pharm Bioallied Sci 2013;5:176-83.
  38. He L, Chang X, Liu Y. Sinus floor elevation using osteotome technique without grafting materials: a 2-year retrospective study. Clin Oral Implants Res 2013;24 Suppl A100:63-7.
  39. In YS, Park YW. Factors affecting survival of maxillary sinus augmented implants. J Korean Assoc Maxillofac Plast Reconstr Surg 2011;33:241-8.
  40. Del Fabbro M, Testori T, Francetti L, Weinstein R. Systematic review of survival rates for implants placed in the grafted maxillary sinus. Int J Periodontics Restorative Dent 2004;24:565-77.

Cited by

  1. Novel use of cranial epidural space in rabbits as an animal model to investigate bone volume augmentation potential of different bone graft substitutes vol.12, pp.1, 2016, https://doi.org/10.1186/s13005-016-0131-z
  2. Microarchitecture of the Augmented Bone Following Sinus Elevation with an Albumin Impregnated Demineralized Freeze-Dried Bone Allograft (BoneAlbumin) versus Anorganic Bovine Bone Mineral: A Randomized Prospective Clinical, Histomorphometric, and Micro-Computed Tomography Study vol.11, pp.2, 2018, https://doi.org/10.3390/ma11020202
  3. Influence of residual bone height and sinus width on the outcome of maxillary sinus bone augmentation using anorganic bovine bone vol.30, pp.4, 2014, https://doi.org/10.1111/clr.13417
  4. Growth‐Factor Free Multicomponent Nanocomposite Hydrogels That Stimulate Bone Formation vol.30, pp.14, 2014, https://doi.org/10.1002/adfm.201906205
  5. The rehabilitation of posterior atrophic maxilla by using the graftless option of short implant versus conventional long implant with sinus graft: A systematic review and meta-analysis of randomized c vol.21, pp.1, 2014, https://doi.org/10.4103/jips.jips_400_20