MAXILLARY SINUS LIFT WITH AND WITHOUT SELF HARDENING BIPHASIC CALCIUM PHOSPHATE AND SIMULTANEOUS IMPLANT PLACEMENT

Document Type : Original Article

Authors

1 Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University

2 Professor of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery Faculty of Dentistry, Alexandria University, Egypt.

Abstract

Introduction: Resorption of the upper alveolar bone occurs due to loss of maxillary posterior teeth with subsequent pneumatization of the maxillary sinuses. This bone atrophy may jeopardize the osseointegration of dental implants, therefore it is recommended to increase the bone volume by augmentation of the maxillary sinus floor in order to allow dental implant placement. Sinus lift with biphasic calcium phosphate which is a reliable sinus grafting materials and sinus lift with blood clot only as filling material are two applicable modalities.
Objectives: This study was carried out to compare the outcome of sinus lift without grafting material, versus the use of moldable, self hardening calcium phosphate biomaterials with simultaneous implant placement.
Materials and methods: This study was designed as a randomized controlled clinical trial, the study population consisted of 20 patients with missing maxillary posterior teeth and residual bone height 5-7mm. The sample was selected conveniently according to a list of inclusion and exclusion criteria, the participants were allocated randomly into two equal groups. All patients had sinus lift using piezosurgery device with simultaneous implant placement. In group I, no grafting material was used. In group II, moldable, self-hardening calcium phosphate was the filling material. Clinical and radiographic evaluations were done through 6 months postoperatively.
Results: 6 months postoperatively, Cone beam computerized tomography showed insignificant difference between both groups regarding bone height, density and marginal bone loss.
Conclusion: The difference was insignificant regarding bone height, density and marginal bone loss between sinus lift with and without biphasic calcium phosphate.

Keywords

Main Subjects

References

  1. REFERENCES

    1. Browaeys H, Bouvy P, De Bruyn H. A literature review on biomaterials in sinus augmentation procedures. Clin Implant Dent Relat Res 2007;9:166-77.
    2. Shulman LB, Jensen OT. Sinus graft consensus conference. Introduction. Int J Oral Maxillofac Implants 1998;13:5-6.
    3. Geurs NC, Wang IC, Shulaman LB, Jeffcoat MK. Retrospective radiographic analysis of sinus graft and implant placement procedures form the academy of osseointegration consensus conference on sinus grafts. Int J Periodontics Restorative Dent 2001;21:517-23.
    4.  Jensen OT, Shulman LB, Block MS, Iacono VJ. Report of the sinus consensus conference of 1996. Int J Oral Maxillofac Implants. 1998;13:11-45.
    5. Wheeler SL, Holmes RE, Calhoun CJ. Six-year clinical and histologic study of sinus-lift grafts. Int J Oral Maxillofac Implants. 1996;11:26-34.
    6. Boyne PJ, James RA. Grafting of the maxillary sinus floor autogenous marrow and bone. J Oral Surg 1980;38:613-6.
    7. Kent JN, Block MS. Simultaneous maxillary sinus floor bone grafting and placement of hydroxylapatite-coated implants. J Oral Maxillofac Surg 1989;47:238-42.
    8. Mazor Z, Horowitz RA, Del Corso M, Prasad HS, Rohrer MD, Dohan Ehrenfest DM. Sinus floor augmentation with simultaneous implant placement using Choukroun’s platelet-rich fibrin as the sole grafting material: a radiologic and histologic study at 6 months. J Periodontal 2009; 80:2056-64.
    9. Del Fabbro M, Testori T, Francetti L, Weinstein R. Systematic review of survival rates for implants placed in the grafted maxillary sinus. Int Periodontics Restorative Dent 2004;24:656-77.
    10. Van den Bergh JP, ten Bruggenkate CM, Disch FJ, Tuinzing DB. Anatomical aspects of sinus floor elevations. Clin Oral Implants Res 2000;11:256-65.
    11. Cha HS, Kim A, Nowzari HS, Ahn KM. Simultaneous sinus lift and implant installation: prospective study of consecutive two hundred seventeen sinus lift and four hundred sixty-two implants. Clin Implant Dent Relat Res 2014;16:337-47.
    12. Wood RM, Moore DL. Grafting of the maxillary sinus with intraorally harvested autogenous bone prior to implant placement. Int J Oral Maxillofac Implants 1988;3:209-14.
    13. Becker ST, Terheyden H, Steinriede A, Behrens E, Springer I, Wiltfang J. Prospective observation of 41 perforations of the Schneiderian membrane during sinus floor elevation. Clin Oral Implants Res 2008;19:1285-9.
    14. Wallace SS, Mazor Z, Froum SJ, Cho SC, Tarnow DP. Schneiderian membrane perfornation rate during sinus elevation using piezosurgery: clinical results of 100 consecutive cases. Int J Periodontics Restorative Dent 2007:27:413-9.
    15. Blus C, Szmukler-Moncler S, Salama M, Salama H, Garber D. sinus bone grafting producers using ultrasonic bone surgery: 5-year experience. Int J Periodontics Dent 2008;28:221-9.
    16. Schaller BJ, Gruber R, Merten HA, Krushat T, Schliephake H, Buchfelder M. et al. Piezoelectric bone surgery: a revolutionary technique for minimally invasive surgery in cranial base and spinal surgery? Technical note. Neurosurgery 2005;57: E410.
    17. Vercellotti T. Technological characteristics and clinical indications of piezoelectric bone surgery. Minerva Stomatol 2004;53:207-14.
    18. Hoigne DJ, Stübinger S, Von Keanel O,Shamdasani S, Hasenboehler P. Piezoelectric osteotomy in hand surgery: first experiences with a new technique. BMC Musculoskelet 2007;7:36.
    19. Liu Y, Möller B, Wiltfang PH, Terheyden H. Tissue engineering of a vascularized bone graft of critical size with an osteogenic and angiogenic factor-based in vivo bioreactor. Tissue Eng Part A 2014;20:3189-97.
    20. Kim JW, Cho MH, Kim SJ, Kim MR. Alveolar distraction osteogenesis versus autogenous onlay bone graft for vertical augmentation of severely atrophied alveolar ridges after 12 years of long-term follow-up. Oral Surg Oral Med Oral Pathol Oral Radiol 2013;116:540-9.
    21. Rickert D, Slater JJ, Meijer HJ, Vissink A, Raghoebar GM. Maxillary sinus lift with solely autogenous bone compared to a combination of autogenous bone and growth factors or (solely) bone substitutes. A systematic review. Int J oral Maxillofac Surg 2012;41:160-7.
    22. Polo-Corrales L, Latorre-Esteves M, Ramirez-Vick JE. Scaffold design for bone regeneration. J Nanosci Nanotechnol 2014;14:15-56.
    23. Wanger W, Wiltfang J, Pistner H, Ploder B, Chapman M, Schiestl N, et al. Bone formation with a biphasic calcium phosphate combined with fibrin sealant in maxillary sinus floor elevation for delayed dental implant. Clin Oral Implants Res 2012;23:1112-7.
    24. Galindo-Moreno P, de Buitrago JG, Padial-Molina M, Fernández-Barbero JE2, Ata-Ali J, O Valle FHistopathological comparison of healing after maxillary sinus augmentation using xenograft mixed with autogenous bone versus allograft mixed with autogenous bone. Clin Oral Implants Res 2018;29:192-201.
    25. Mahesh L, Salama MA, Kurtzman GM, Joachim FP. Socket grafting with calcium phosphosilicate alloplast putty: a histomorphometric evaluation. Compend Contin Educ Dent 2012;33:e109-15.
    26. Kotsakis GA, Salama M, Chrepa V, Hinrichs JE, Gaillard P. A randomized, blinded, controlled clinical study of particulate anorganic bovine bone mineral and calcium phosphosilicate putty bone substitutes for socket preservation. Int J Oral Maxillofac Implants 2014;29:141-51. 
    27. Lundgren S, Andersson S, Sennerby L. Spontaneous bone formation in the maxillary sinus after removal of a cyst: coincidence or consequence?. Clin Implant Dent Relat Res 2003;5:78-81.
    28. Ahn JJ, Cho SA, Byrne G, Kim JH, Shin HI. New bone formation following sinus membrane elevation without bone grafting: histologic findings in humans. Int J Oral Maxillofac Implants 2011;26:83-90.
    29. Altintas NY, Senel FC, Kayıpmaz S, Taskesen F, Pampu AA. Comparative radiologic analyses of newly formed bone after maxillary sinus augmentation with and without bone grafting. J Oral Maxillofac Surg 2013;71:1520-30. 
    30. De Oliveira GR, Olate S, Cavalieri-Pereira L, Pozzer L, Asprino L, de Moraes M, et al. Maxillary sinus floor augmentation using blood without graft material. Preliminary results in 10 patients. J Oral Maxillofac Surg 2013;71:1670-5. 
    31. Chang DJ, Bird SR, Bohidar NR, King T. Analgesic efficacy of rofecoxib compared with codeine/acetaminophen using a model of acute dental pain. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;100:e74-80.
    32. Kotz S, Read CB,  Vidakovic B. Encyclopedia of Statistical Sciences. N.J. Wiley - Interscience; 2006. pp33-59.
    33. Mardinger O1, Chaushu G, Sigalov S, Herzberg R, Shlomi B, Schwartz-Arad D. Factors affecting changes in sinus graft height between and above the placed implants. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 Jan;111(1):e6-11.
    34. 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.
    35. Carini F, Saggese V, Porcaro G, Baldoni M. Piezolelectric surgery in dentistry: a review. Minerva Stomatol 2014;63:7-34.
    36. Gazdag AR, Lane JM, Glaser D, Forster RA. Alternatives to autogenous bone graft: efficacy and indication. J Am Acad Orthop Surg 1995;3:1-8.
    37. Lundgren S, Anderson S, Gualini F, Sennerby L. Bone reformation with sinus membrane elevation: a new surgical technique for maxillary sinus floor augmentation. Clin Implant Dent Relat Res 2004;6:165-73.
    38. Car-Fuentes M, Machuca-Ariza J, Ruiz-Martos A, Ramos-Robles MC, Martinez-Lara I. Long-term outcome of dental implants after maxillary augmentation with and without bone grafting. Med Oral Patol Oral Cir Bucal 2016;21:e229.
    39. Lambert F, Léonard A, Drion P, Sourice S, Layrolle P, Rompen E. Influence of space filling materials in subantral bone augmentation: blood clot VS autogenous bone chips VS bovine hydroxyapatite. Clin Oral Tmplant Res 2011;22:538-45.
Alexandria Dental Journal
Volume 46, Issue 3
A (Oral and maxillofacial surgery, oral medicine, periodontology, oral radiology, oral pathology, oral biology)
December 2021
Pages 8-14

Files

Share

How to cite

Statistics