Clinical and histologic outcomes after the use of a novel allograft for maxillary sinus augmentation: a case series.

Abstract:

PURPOSE:To document the clinical and histologic outcomes of sinus augmentation using a novel allogenic bone substitute as a sole grafting material. MATERIALS:Patients in need of sinus augmentation before implant placement were recruited for this study. Sinus augmentation procedures were performed following a lateral approach, using a freeze-dried allograft as the only grafting material. Patients were followed up postoperatively for 6 months. Plaque score, wound healing, and patient discomfort were recorded at each follow-up visit. Implants were placed between 6 and 7 months after sinus augmentation and restored 6 months later. Bone core biopsy specimens were harvested at the time of implant placement and processed for histologic and histomorphometrical analysis. Vital bone, remaining allograft (RA) particles, and nonmineralized tissue percentages were assessed on each sample. Results were expressed as mean percentages with SD. RESULTS:Of the 23 sinus patients, 20 patients underwent sinus augmentation surgery. All patients had satisfactory postoperative healing in the absence of complications. A total of 39 implants were placed. One implant failed and was replaced 3 months later. Histologic analysis revealed the presence of well-organized lamellar bone, in direct contact with RA particles. Mean vital bone was 23.02 +/- 19.11%, mean RA was 22.25 +/- 20.30%, and average nonmineralized tissue was 54.73 +/- 13.51%. CONCLUSION:Clinical and histologic findings support the suitability of an allograft consisting of a combination of cortical and cancellous chips for sinus augmentation procedures.

journal_name

Implant Dent

journal_title

Implant dentistry

authors

Avila G,Neiva R,Misch CE,Galindo-Moreno P,Benavides E,Rudek I,Wang HL

doi

10.1097/ID.0b013e3181e59b32

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

330-41

issue

4

eissn

1056-6163

issn

1538-2982

pii

00008505-201008000-00009

journal_volume

19

pub_type

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