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Vertical Augmentation of Maxillary Posterior Alveolar Ridge Using Allogenic Block Bone Graft and Simultaneous Maxillary Sinus Graft

  • Lee, Eun-Young (Department of Oral and Maxillofacial Surgery, Medical Research Institute, College of Medicine, Chungbuk National University) ;
  • Kim, Eun-Suk (Department of Oral and Maxillofacial Surgery, Jukjeon Dental Hospital, College of Dentistry, Dankook University) ;
  • Kim, Kyoung-Won (Department of Oral and Maxillofacial Surgery, Medical Research Institute, College of Medicine, Chungbuk National University)
  • Received : 2014.08.07
  • Accepted : 2014.09.22
  • Published : 2014.09.30

Abstract

The maxillary posterior area is the most challenging site for the dental implant. Although the sinus graft is a predictable and successful technique for rehabilitation of atrophic and pneumatized posterior maxilla, when there is severe destruction of alveolar bone, a very long crown length remains challenging after successful dental implants installation with sinus graft. We performed vertical augmentation of the maxillary posterior alveolar ridge using the allogenic block bone graft with a simultaneous sinus graft using allogenic and heterogenic bone chips. After about six months, we installed the dental implant. After this procedure, we achieved a more favorable crown-implant fixture ratio and better results clinically and biomechanically. This is a preliminary report of vertical augmentation of maxillary posterior alveolar ridge using allogenic block bone graft and simultaneous maxillary sinus graft. Further research requires longer observation and more patients.

Keywords

References

  1. Lorenzetti M, Mozzati M, Campanino PP, Valente G. Bone augmentation of the inferior floor of the maxillary sinus with autogenous bone or composite bone grafts: a histologic- histomorphometric preliminary report. Int J Oral Maxillofac Implants 1998;13:69-76.
  2. Barone A, Santini S, Sbordone L, Crespi R, Covani U. A clinical study of the outcomes and complications associated with maxillary sinus augmentation. Int J Oral Maxillofac Implants 2006;21:81-5.
  3. 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.
  4. Kim KW, Lee EY. Inus graft and vertical augmentation of maxillary posterior alveolar ridge using mandibular ramal block bone graft. J Korean Assoc Maxillofac Plast Reconstr Surg 2010;32:276-81.
  5. Kim KW, Lee EY. Layered graft technique with allogenic and heterogenic graft materials in maxillary sinus graft. Chungbuk Med J 2013;23:115-23.
  6. John HD, Wenz B. Histomorphometric analysis of natural bone mineral for maxillary sinus augmentation. Int J Oral Maxillofac Implants 2004;19:199-207.
  7. McDermott NE, Chuang SK, Woo VV, Dodson TB. Maxillary sinus augmentation as a risk factor for implant failure. Int J Oral Maxillofac Implants 2006;21:366-74.
  8. Sorni M, Guarinos J, Garcia O, Penarrocha M. Implant rehabilitation of the atrophic upper jaw: a review of the literature since 1999. Med Oral Patol Oral Cir Bucal 2005;10 Suppl 1:E45-56.
  9. Jensen T, Schou S, Stavropoulos A, Terheyden H, Holmstrup P. Maxillary sinus floor augmentation with Bio-Oss or Bio-Oss mixed with autogenous bone as graft: a systematic review. Clin Oral Implants Res 2012;23:263-73. https://doi.org/10.1111/j.1600-0501.2011.02168.x
  10. Hallman M, Nordin T. Sinus floor augmentation with bovine hydroxyapatite mixed with fibrin glue and later placement of nonsubmerged implants: a retrospective study in 50 patients. Int J Oral Maxillofac Implants 2004;19:222-7.
  11. Kim KW, Lee EY. Management of sinus membrane perforation during maxillay sinus bone graft. Chungbuk Med J 2011;21:195-205.

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