scholarly journals Preliminary Study with the Use of a Titanium Mesh as Space Maker and Implant Primary Stabilization for One-Stage Sinus Lift in Cases with Less Than 1.5 mm Residual Bone

2021 ◽  
Vol 10 (21) ◽  
pp. 4853
Author(s):  
Iulian Filipov ◽  
Federico Bolognesi ◽  
Lucian Chirila ◽  
Corina Marilena Cristache ◽  
Giuseppe Corinaldesi ◽  
...  
Keyword(s):  
Survival Rate ◽  
Alveolar Bone ◽  
Graft Material ◽  
One Stage ◽  
Implant Placement ◽  
Healing Period ◽  
Sinus Lifting ◽  
The Mean ◽  
Preliminary Study ◽  
Bone Height

(1) Background: In the lateral area of the maxilla, the alveolar bone can lose significant volume due to maxillary sinus pneumatization following teeth extractions. This preliminary study evaluated the effectiveness of a novel technique for one-stage sinus lifting and simultaneous implant placement in cases with less than 1.5 mm residual alveolar bone. The subsequent survival rate at 1-year post-occlusal loading was assessed. (2) Methods: 15 patients were selected, the main inclusion criteria were the partially edentulous area in the posterior maxilla with alveolar bone height of less than 1.5 mm below the sinus. All of the patients underwent one-stage sinus lifting, along with simultaneous implant placement using a “butterfly” anchorage device to optimize the primary stability and xenograft bone as graft material. At 6 to 9 months after surgery, the anchorage device was removed and implants were loaded. Panoramic x-ray images were used to assess the new bone formation, while the biological stability was measured using resonance frequency analysis. (3) Results: 15 implants were inserted. The mean implant stability quotient (ISQ) value was 71.3 (SD = ±2.51) and the mean healing period was 7.3 (SD = ±1.23) months. The mean bone height after the healing period was 14.4 (SD = ±2.05). A statistically significant correlation was found between the healing period and the ISQ value (Spearman rho = 0.684, sig. = 0.005). No statistically significant correlation was found between the ISQ value and the new regenerated bone height (Person r = 0.389, sig. = 0.152). Smoking was identified as a risk factor involved in postoperative complications. (4) Conclusions: The results of the present preliminary study demonstrated that the proposed “butterfly” technique was effective when performing one-stage sinus lifting and simultaneous implant placement in cases with less than 1.5 mm of residual alveolar bone. The survival rate was 100% at 1-year post occlusal loading.

scholarly journals Maxillary Sinus Floor Augmentation to Enable One-Stage Implant Placement by Using Bovine Bone Substitute and Platelet-Rich Fibrin

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Horia Mihail Barbu ◽  
Claudia Florina Andreescu ◽  
Monica Raluca Comaneanu ◽  
Daniel Referendaru ◽  
Eitan Mijiritsky
Keyword(s):  
Bone Substitutes ◽  
Bovine Bone ◽  
Graft Material ◽  
Sinus Lift ◽  
Platelet Rich Fibrin ◽  
One Stage ◽  
Implant Placement ◽  
Posterior Maxilla ◽  
The Mean ◽  
Bone Height

Nowadays it is possible to perform an optimal implant placement and to achieve a good long-term prognosis for an implant-borne prosthesis in the grafted posterior maxilla. This study evaluates the efficiency of one-stage piezosurgery by using as graft material a combination of particulate bovine bone substitutes with platelet-rich fibrin to achieve sinus lift. We included in this study 14 cases of one-stage sinus lift surgeries during which we placed 30 standard implants. The mean vertical bone height gain was 10.12 mm six months after surgery, and the mean postoperative follow-up time was 43.79 months. There were no major complications during or after surgery, and all implants are in use. Therefore, it can be concluded that one-stage sinus piezosurgery using particulate bovine bone substitutes and platelet-rich fibrin can be applied as a predictable and effective technique in the treatment of the posterior edentulous maxilla ensuring 4-5 mm vertical bone height.

scholarly journals Maxillary Sinus Augmentation with Decellularized Bovine Compact Particles: A Radiological, Clinical, and Histologic Report of 4 Cases

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Antonio Scarano
Keyword(s):  
Postoperative Period ◽  
Compact Bone ◽  
Automated System ◽  
Graft Material ◽  
Sinus Augmentation ◽  
Endosseous Implants ◽  
Implant Placement ◽  
Posterior Maxilla ◽  
The Mean ◽  
Vertical Height

Background. One of the most problematic regions for endosseous implants is the posterior maxilla, not only having poor bone density, but also lacking adequate vertical height as a result of sinus pneumatization. The purpose of the present study was a radiologic, histological, and histomorphometrical evaluation, in humans, of specimens retrieved from sinuses augmented with decellularized bovine compact particles, after a healing period of 6 months. Methods. Four patients, with atrophic resorbed maxillas, underwent a sinus lift augmentation with decellularized bovine compact bone from bovine femur. The size of the particles used was 0.25–1 mm. A total of four grafts and 5 biopsies were retrieved and processed to obtain thin ground sections with the Precise 1 Automated System. Results. The mean volume after graft elevation calculated for each of the 4 patients was 2106 mm3 in the immediate postoperative period (5–7 days), ranging from 1408.8 to 2946.4 mm3. In the late postoperative period (6 months) it was 2053 mm3, ranging from 1339.9 to 2808.9 mm3. Histomorphometry showed that newly formed bone was 36±1.6% and marrow spaces were 34±1.6%, while the residual graft material was 35±1.4%. Conclusion. In conclusion, based on the outcome of the present study, Re-Bone® can be used with success in sinus augmentation procedures and 6 months are considered an adequate time for maturation before implant placement.

scholarly journals Bone Regeneration Using a Three-Dimensional Hexahedron Channeled BCP Block Combined with Bone Morphogenic Protein-2 in Rat Calvarial Defects

Materials ◽  
2019 ◽  
Vol 12 (15) ◽  
pp. 2435 ◽  
Author(s):  
So-Yeun Kim ◽  
Eun-Bin Bae ◽  
Jae-Woong Huh ◽  
Jong-Ju Ahn ◽  
Hyun-Young Bae ◽  
...  
Keyword(s):  
Bone Regeneration ◽  
Alveolar Bone ◽  
Three Dimensional ◽  
Bone Morphogenetic Protein 2 ◽  
Graft Material ◽  
Implant Placement ◽  
Morphogenetic Protein ◽  
Human Bone Morphogenetic Protein ◽  
Calvarial Defects ◽  
Rat Calvarial Defect

It is important to obtain sufficient bone mass before implant placement on alveolar bone, and synthetic bone such as biphasic calcium phosphate (BCP) has been studied to secure this. This study used a BCP block bone with a specific structure of the three-dimensional (3D) hexahedron channel and coating with recombinant human bone morphogenetic protein-2 (rhBMP-2) impregnated carboxymethyl cellulose (CMC) was used to examine the enhancement of bone regeneration of this biomaterial in rat calvarial defect. After the preparation of critical-size calvarial defects in fifteen rats, defects were divided into three groups and were implanted with the assigned specimen (n = 5): Boneplant (untreated 3D hexahedron channeled BCP block), Boneplant/CMC (3D hexahedron channeled BCP block coated with CMC), and Boneplant/CMC/BMP (3D hexahedron channeled BCP block coated with CMC containing rhBMP-2). After 4 weeks, the volumetric, histologic, and histometric analyses were conducted to measure the newly formed bone. Histologically, defects in the Boneplant/CMC/BMP group were almost completely filled with new bone compared to the Boneplant and Boneplant/CMC groups. The new bone volume (P < 0.05) and area (P < 0.001) in the Boneplant/CMC/BMP group (20.12% ± 2.17, 33.79% ± 3.66) were much greater than those in the Boneplant (10.77% ± 4.8, 16.48% ± 9.11) and Boneplant/CMC (10.72% ± 3.29, 16.57% ± 8.94) groups, respectively. In conclusion, the 3D hexahedron channeled BCP block adapted rhBMP-2 with carrier CMC showed high possibility as an effective bone graft material.

scholarly journals Comparison of 4 sinus augmentation techniques for implant placement with residual alveolar bone height ≤3 mm

Medicine ◽  
2020 ◽  
Vol 99 (46) ◽  
pp. e23180
Author(s):  
Chia-Fang Tsai ◽  
Whei-Lin Pan ◽  
Yi-Ping Pan ◽  
Chiu-Po Chan ◽  
Yuh-Ren Ju ◽  
...  
Keyword(s):  
Alveolar Bone ◽  
Sinus Augmentation ◽  
Implant Placement ◽  
Augmentation Techniques ◽  
Bone Height

scholarly journals CBCT ANALYSIS OF ALVEOLAR BONE DIMENSIONS IN MANDIBULAR POSTERIOR TEETH: A PRELIMINARY STUDY

2019 ◽  
pp. 1-3
Author(s):  
cristalle Soman* ◽  
Alanoud Almuhrij ◽  
Alghusen Alghusen ◽  
Faizal Abdulrahman Alsubaie ◽  
Manal Aljamal ◽  
...  
Keyword(s):  
Alveolar Bone ◽  
Statistical Significance ◽  
Mandibular Canal ◽  
Success Rates ◽  
Posterior Teeth ◽  
Implant Placement ◽  
Immediate Implant ◽  
Preliminary Study ◽  
Mandibular Posterior Teeth ◽  
Bone Dimensions

OBJECTIVES: Extraction of mandibular posterior teeth followed by immediate implant placement is considered as an optimal technique of immediate prosthetic rehabilitation. The analysis of alveolar bone dimensions with Cone Beam Computerized Tomography prior to implant placement is a prime determinant in treatment planning. Hence this preliminary study was conducted to analyze the alveolar bone dimensions in dentate mandibular posterior teeth to evaluate the available bone which can be utilized for immediate implant placements. MATERIALS AND METHODS: Retrospective data of 200 cases of full volume CBCT was procured from Riyadh Elm University (REU) database and reviewed for eligibility. Atotal of 10 cases were included in the study. Scans were assessed for thickness of buccal and lingual walls at 4mm below the CEJ (MP1) and at midroot level (MP2). Alveolar width was assessed at most coronal point on alveolar bone (BW1) and at superior border of mandibular canal (BW2). The height was be calculated by measuring the vertical distance between BW1 and BW2. Data was tabulated and statistically analyzed using unpaired t-test. RESULTS: The results of our study indicates that dimensions of buccal and lingual bone walls of all teeth at MP1 and MP2 in PM1, PM2 and M1 were statistically significant. Also only the 1st premolar (PM1) showed statistical significance with regard to dimensions at BW1 and BW2. CONCLUSION: The present study highlights the need for further studies with larger samples which can impact the immediate implant success rates in mandibular posterior teeth.

scholarly journals Different Techniques For Sinus Floor Elevation: A Review Part II – Indirect Techniques

2021 ◽  
Vol 9 (1) ◽  
pp. 1-4
Author(s):  
Nitin Kothari ◽  
Vivek Jadhav ◽  
Snigdha Patil
Keyword(s):  
Minimally Invasive ◽  
Maxillary Sinus ◽  
Alveolar Bone ◽  
Effective Solution ◽  
Sinus Floor Elevation ◽  
Less Invasive ◽  
Implant Placement ◽  
Sinus Floor ◽  
Bone Height

The bone available for implant placement may be limited by the presence of the maxillary sinus togetherwith loss of alveolar bone height and it may be increased by augmentation. Minimally invasive sinusaugmentation is an effective solution for this problem. This review explains indirect sinus augmentationprocedures which are less invasive and highly successful if done using prescribed technique.

scholarly journals Alveolar Crestal Approach for Maxillary Sinus Membrane Elevation with <4 mm of Residual Bone Height: A Case Report

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Jae Won Jang ◽  
Hee-Yung Chang ◽  
Sung-Hee Pi ◽  
Yoon-Sang Kim ◽  
Hyung-Keun You
Keyword(s):  
Maxillary Sinus ◽  
Success Rates ◽  
Marginal Bone Loss ◽  
Reliable Technique ◽  
Implant Placement ◽  
The Mean ◽  
Window Approach ◽  
Bone Height ◽  
Sinus Membrane Elevation ◽  
Sinus Membrane

Introduction. For maxillary sinus membrane elevation (MSME), the lateral window approach and crestal approach are available, and high success rates have been achieved with low residual bone height as a development of technology. Objective. To evaluate MSME using the crestal approach with a rotary-grind bur (RGB (including reamer or sinus bur)) in patients with residual bone height of <4 mm. Materials and Methods. Ten implants were placed in 10 patients with residual bone height of <4 mm, by sinus elevation using an RGB. The implant stability quotient (ISQ) was measured immediately after implant placement (ISQ 1) and before taking impression for the final prosthesis (ISQ 2). The extent of marginal bone loss was measured on periapical radiographs. Results. The mean residual bone height before implant placement was 3.41 ± 0.53 mm; no complications, including membrane perforation, severe postoperative pain, or discomfort, occurred either during or after surgery. The mean ISQ 1 was 63.4 ± 12.1, whereas the mean ISQ 2 was 77.6 ± 5.8. The mean marginal bone resorption was 0.23 ± 0.18 mm on periapical radiographs. Conclusions. MSME using the crestal approach with an RGB is a reliable technique for implant placement in sites where available bone is insufficient.

Bone Spreader Technique: A Preliminary 3-Year Study

2009 ◽  
Vol 35 (6) ◽  
pp. 289-294 ◽  
Author(s):  
Renato Sussumu Nishioka ◽  
Francisley Avila Souza
Keyword(s):  
Survival Rate ◽  
Invasive Procedure ◽  
Insertion Torque ◽  
Clinical Use ◽  
Medullary Bone ◽  
Cumulative Survival ◽  
The Third ◽  
Implant Placement ◽  
Immediate Implant ◽  
Preliminary Study

Abstract The purpose of this study was to observe the clinical outcome of bone spreading and standardized dilation of horizontally resorbed bone during immediate implant placement using a “screw-type” configuration of expansion and threadformers. Fifty-three patients were included in this study, and 41 edentulous areas in anterior and posterior maxillas were treated. Sixty-eight implants were placed using an insertion torque of at least 40 Ncm. Abutments were delivered 4 to 6 months after implant placement. The overall failure percentage was 4.41% (3 failures). A retrieved analysis of 1 implant removed at 3 years after placement demonstrated bone resorption down to the level of the third thread. The bone spreader technique is different from Summers' osteotome, both in clinical use and in armamentarium. The main advantage of the crest-expanding technique is that it is a less invasive procedure; the facial wall expands after the medullary bone is compressed against the cortical wall. Within the limits of this preliminary study, the cumulative survival rate for this method of implant placement is 95.58% at 3 years. This study confirms that a bone spreader used in the maxilla shows an unusually low failure rate after 3 years.

‘Butterfly’: a residual bone independent technique for one-stage sinus lift

2020 ◽  
Vol 13 (10) ◽  
pp. e236245
Author(s):  
Iulian Filipov ◽  
Federico Bolognesi ◽  
Lucian Chirila
Keyword(s):  
Maxillary Sinus ◽  
Surgical Approach ◽  
Sinus Lift ◽  
One Stage ◽  
Implant Placement ◽  
Independent Technique ◽  
Sinus Lifting

A 29-year-old woman with an extreme pneumatisation of the maxillary sinus and a missing molar was treated with one-stage sinus lifting and implant placement in a novel surgical approach.

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