Histological Outcomes on the Development of New Space-making Devices for Maxillary Sinus Floor Augmentation

Cricchio, Giovanni; Palma, V.C.; Faria, Paolo E. P.; Olivera, José Americo de; Lundgren, Stefan; Sennerby, Lars; Salata, Luiz Antônio

doi:10.1111/j.1708-8208.2009.00208.x

Cited by 51 publications

(53 citation statements)

References 22 publications

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“…Bone formation by sinus membrane elevation has been proven in several studies (Lundgren et al, 2004(Lundgren et al, , 2008Palma et al, 2006;Cricchio et al, 2011aCricchio et al, , 2011bCricchio et al, , 2014Jungner et al, 2014).…”

Section: Resultsmentioning

confidence: 98%

“…The ideal membrane has maybe yet to be found. It must have the following properties: sufficient stability combined with a short degradation time, no negative effects on the bone forming process in the space between the Schneiderian membrane and the surrounding tissues (Cricchio et al, 2011a). A perforated mesh design seems to be logical to allow vascular ingrowth.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Elevation of the maxillary sinus membrane for de-novo bone formation: First results of a prospective study in humans

Lie¹,

Merten²,

Meyns³

et al. 2015

Journal of Cranio-Maxillofacial Surgery

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Section: Resultsmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Elevation of the maxillary sinus membrane for de-novo bone formation: First results of a prospective study in humans

Lie¹,

Merten²,

Meyns³

et al. 2015

Journal of Cranio-Maxillofacial Surgery

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“…The TGSL technique represents a transcrestal minimally invasive procedure that avoids the setting up of flaps extended and the removal of the side wall of the maxillary sinus. The main advantages of the TGSL technique include less bone resorption as there is a full thickness skeletonization, keeping the blood supply to the alveolar process (62), minimal postoperative discomfort, and greater patient acceptance for this surgical procedure. The minimal invasiveness of TGSL is reflected Copyright © 2016 CIC Edizioni Internazionali Unauthorized reproduction of this article is prohibited.…”

Section: Discussionmentioning

confidence: 99%

“…The amount of bone gain reported with TGSL technique used in this study was 6.4 ± 1.6 millimeters and this gain was maintained for all 3 years of radiographic examinations. The main contribution to the success of the technique TGSL is the use of a surgical template that guides the placement of the implant so that the membrane is raised and kept on by the implant, that's used as a space maintainer to stabilize the clot and to start the physiological intrasinusal bone regeneration (62). Furthermore, the procedure TGSL assisted by the surgical mask CAD/CAM has enabled the physician to carry out the elevation of the Schneider membrane without sinus penetration which increases the potential for tearing of the membrane itself.…”

Section: Discussionmentioning

confidence: 99%

Transcrestal guided sinus lift without grafting materials: a 36 months clinical prospective study

Spinelli¹,

Vico²,

Condò

et al. 2015

ORL

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SUMMARYPurpose. This study describes the ability to perform a technique for bone regeneration in maxillary posterior deficit (TGSL) without the use of bone grafting materials using a highly minimally invasive protocol. Materials and methods. Sixty six implants have been inserted in the sinus floor of a total of 39 patients through the transcrestal guided sinus lift technique (TGSL). All patients have been followed for at least three years in function. The drilling protocol was adapted on the basis of bone density of each implant site to achieve a torque between 45 and 55 Ncm. Healing titanium abutments tightened to 35 Ncm have been used. A CAD/CAM metal ceramics final prosthetic restoration has been generated a six months after the tissues healing and the provisional functionalization of the occlusion. Survival rate of implants and prostheses, biological and biomechanical complications, changes in marginal bone levels, and total height of alveolar crest bone before and after surgery have been evaluate and measured by the results obtained in this prospective study. It was also measured the periodontal parameters as well as levels of perception of pain by the patient during the entire recovery period.Results. The result of the data of follow-up was 41.96 (24 to 36) months. Cumulative implant survival was 98.53% at 3 years. There were no biological and mechanical complications and there were no prosthetic failures during the whole period of follow-up. The Marginal Bone Loss (MBL) average during the first year of operation was from 0.33 to 0.36 mm, while the 3-year follow-up, the MBL average was 0.51 to 0.29 mm. The average of residual bone height of alveolar ridge before treatment was 6.7 to 1.6 mm (range 5.1 to 9.2 mm), while the average bone height was gained 6,4 -1.6 mm (range 3.2 to 8.1 mm). All patients reported lower pain levels and found to have normal periodontal parameters. Conclusions. This study suggests that the use of guided surgery to perform transcrestal maxillary sinus lift to increase the sub-antral crestal height is a minimally invasive technique of success for the short and medium-term of follow-up, thus avoiding the extended treatment time and reducing the morbidity associated with the lifting of the floor of the maxillary sinus with traditional technique using bone grafting materials. Furthermore, this protocol without the use of graft materials does not vary the final outcome that have demonstrated the presence of newly formed bone around implants offering always predictable results, and giving a further reduction in the costs of the procedure rehabilitation.

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“…6 Some authors have also supported the non-utilization of cavity filling. 7 Other available techniques to increase the maxillary height include bone splitting, bone sandwich graft after LeFort-type osteotomy, and onlay grafts.…”

Section: Introductionmentioning

confidence: 99%

Maxillary sinus augmentation with bovine hydroxyapatite alone: A safe technique with predictable outcomes in patients with severe maxillary atrophy

López

Pozo

Muela

et al. 2015

Revista Española de Cirugía Oral y Maxilofacial

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Severe atrophyDental implants Bovine hydroxyapatite a b s t r a c t Sinus augmentation is a preprosthetic technique for rehabilitating posterior sector of the atrophied maxilla with implant-supported prosthesis. We retrospectively analyzed 34 consecutive sinus augmentations performed using only bovine hydroxyapatite.The presurgical height in 92% of the cases was 4 mm or less.The success rate of the maxillary sinus augmentation was 100% for this technique. 13.4% of the implants were placed immediately with a success rate of implants placement of 93.9%. The non-osseointegrated implants were all successfully replaced. Follow-up period was 1268 days.The success rate obtained using bovine hydroxyapatite alone is similar to that using other types of materials, while avoids morbidity of the autologous bone donor area. © 2014 SECOM. Published by Elsevier España, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Elevación del seno maxilar con hidroxiapatita bovina sola: Una técnica segura con resultados predecibles en pacientes con atrofia maxilar grave Palabras clave: Elevación del seno maxilar Atrofia grave Implantes dentales Hidroxiapatita bovina r e s u m e n La elevación del seno es una técnica preprotésica para la rehabilitación del sector posterior atrofiado del maxilar con una prótesis de implantación. Analizamos retrospectivamente 34 casos consecutivos de elevación del seno maxilar con el empleo de tan solo hidroxiapatita bovina sola.La altura prequirúrgica era de 4 mm o menos en el 92% de los casos.El porcentaje de éxitos de la elevación del seno maxilar con esta técnica fue del 100%.Un 13,4% de los implantes se colocaron inmediatamente, con un porcentaje de éxitos de la BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). 88 r e v e s p c i r o r a l m a x i l o f a c . 2 0 1 5;3 7(2):87-92implantación del 93,9%. Los implantes no osteointegrados se sustituyeron todos con éxito.El periodo de seguimiento fue de 1268 días.El porcentaje de éxitos obtenido con el empleo de hidroxiapatita bovina sola es similar al de otros tipos de materiales, al tiempo que se evita la morbilidad en el área donante de hueso autólogo.

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Histological Outcomes on the Development of New Space-making Devices for Maxillary Sinus Floor Augmentation

Cited by 51 publications

References 22 publications

Elevation of the maxillary sinus membrane for de-novo bone formation: First results of a prospective study in humans

Elevation of the maxillary sinus membrane for de-novo bone formation: First results of a prospective study in humans

Transcrestal guided sinus lift without grafting materials: a 36 months clinical prospective study

Maxillary sinus augmentation with bovine hydroxyapatite alone: A safe technique with predictable outcomes in patients with severe maxillary atrophy

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