Minimally invasive transcrestal sinus floor elevation with deproteinized bovine bone or β‐tricalcium phosphate: a multicenter, double‐blind, randomized, controlled clinical trial

Trombelli, Leonardo; Franceschetti, Giovanni; Stacchi, Claudio; Minenna, Luigi; Riccardi, Orio; Raimondo, Rosario Di; Rizzi, Alessandro; Farina, Roberto

doi:10.1111/jcpe.12210

Cited by 50 publications

(88 citation statements)

References 28 publications

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“…In the 1980s, a less invasive, one‐stage technique was introduced (Boyne & James, ) and thereafter modified by Summers (). Only a few modifications have been proposed since then (Rosen et al., ; Trombelli, Minenna, Franceschetti, Minenna, & Farina, ; Trombelli et al., ). Within this technique, osteotomes are applied via a transcrestal approach, to elevate the floor of the sinus and to advance bone substitutes beyond the level of the original sinus floor, and as such elevate the mucosal lining.…”

Section: Introductionmentioning

confidence: 99%

Volumetric changes of grafted volumes and the Schneiderian membrane after transcrestal and lateral sinus floor elevation procedures: A clinical, pilot study

Temmerman

Dessel²,

Cortellini

et al. 2017

J Clinic Periodontology

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All SFE techniques provided sufficient graft volume for implant treatment. All techniques provoke a partially transient swelling of the Schneiderian membrane. All techniques resulted in a decrease in graft volume after 6 weeks; however, no significant differences were obtained between treatments. Furthermore, no statistical significant correlation between the post-operative swelling of the Schneiderian membrane and reduction in graft volume at 6 weeks could be obtained.

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Section: Introductionmentioning

confidence: 99%

Volumetric changes of grafted volumes and the Schneiderian membrane after transcrestal and lateral sinus floor elevation procedures: A clinical, pilot study

Temmerman

Dessel²,

Cortellini

et al. 2017

J Clinic Periodontology

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“…Widespread consensus [5, 6] about it has been reached, and it has been further refined [1, 7] to make it less invasive, spare the patient discomfort, and lower the rate of intra- and postsurgical complications. Along with the lateral approach originally proposed by Tatum Jr. et al, and Boyne and James, technique variants involving a crestal approach were later implemented by Summers [8] and other authors [7, 9–11]. The crestal approach, however, is not indicated if the residual bone ridge height is less than 4-5 mm [12].…”

Section: Introductionmentioning

confidence: 99%

A Rational Approach to Sinus Augmentation: The Low Window Sinus Lift

Zaniol¹,

Zaniol²

2017

Case Reports in Dentistry

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Sinus augmentation is a well-known approach to treating alveolar bone ridge atrophy in the posterior maxilla. The preparation of the lateral window is crucial. Its size, design, and position in the vestibular sinus wall may affect the intra- and postsurgical complication rates and affect the intrasurgical activity of both surgeons and assistants. The present paper describes a rational technique that also exploits the guided surgery approach for design and preparation of a lateral window for sinus augmentation, the Low Window Sinus Lift. To illustrate the use of this approach, a case is presented in which the 50-year-old patient had the left maxillary first molar extracted, followed two months later by sinus augmentation and placement of three implants. One year after delivery of the definitive prosthesis, all three implants were successful, and the prosthesis was fully functional. Controlled studies should be undertaken to assess whether this technique provides significant advantages compared to other sinus augmentation approaches.

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“…48 The appositional bone growth from the surrounding bone forms a bone bridge between and around granules. 55 Pigs have been used for animal studies for dental implant or orthopedics for many years. 50,51 Complete resorption of this graft material is questionable; however, Sartori et al proved in their 10-year study that resorption of DBBM is a slow but continuous process.…”

Section: Discussionmentioning

confidence: 99%

Bone formation following sinus grafting with an alloplastic biphasic calcium phosphate in Lanyu Taiwanese mini‐pigs

Hung

Chiu

et al. 2019

Journal of Periodontology

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Background To evaluate the new bone formation after grafting with a synthetic biphasic calcium phosphate in sinuses with minimal bone height, the alloplastic and xenograft materials were compared after grafting into Lanyu Taiwanese mini‐pig sinuses via split‐mouth design. Methods In six mini‐pigs, synthetic hydroxyapatite/tricalcium phosphate (HA/TCP) particles were inserted into one of the sinus cavities using the extra‐oral approach, where deproteinized bovine bone mineral (DBBM) particles were placed contralaterally. Fluorescent bony labels of Alizarin and Calcein green were delivered at weeks 4 and 8, respectively. Animals were sacrificed at week 12 and the augmented tissues were evaluated by cone‐beam computed tomography, microcomputed tomography, and histology. Results By radiographic examination, the mean thicknesses of sinus cortexes for DBBM and HA/TCP groups were similar (0.35 versus 0.38 cm) and the mean volumes augmented were also indifferent (1.29 versus 1.64 cm3). The distributions of bones, residual particles, and non‐mineralized tissues in augmented masses between groups were undistinguishable. Under microscopy, however, macroporosities of osteons were filled with HA/TCP residual particles, whereas the newly formed bones lay on top of DBBM particle surfaces. Although the mineral deposition rates between groups were indifferent, the mean labeled surface in the HA/TCP group was significantly greater than those in the DBBM group at week 4 (35.16% versus 14.00% for HA/TCP and DBBM, respectively) but less than that at week 8 (19.33% versus 39.16%, respectively). Conclusion Sinus augmentation with synthetic HA/TCP and DBBM exhibited similar effectiveness in new bone formation.

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Minimally invasive transcrestal sinus floor elevation with deproteinized bovine bone or β‐tricalcium phosphate: a multicenter, double‐blind, randomized, controlled clinical trial

Abstract: The Smart Lift technique in conjunction with the additional use of either DBBM or β-TCP may provide a substantial elevation of the maxillary sinus floor along with limited post-surgical complications and post-operative pain/discomfort.

Cited by 50 publications

References 28 publications

Volumetric changes of grafted volumes and the Schneiderian membrane after transcrestal and lateral sinus floor elevation procedures: A clinical, pilot study

Volumetric changes of grafted volumes and the Schneiderian membrane after transcrestal and lateral sinus floor elevation procedures: A clinical, pilot study

A Rational Approach to Sinus Augmentation: The Low Window Sinus Lift

Bone formation following sinus grafting with an alloplastic biphasic calcium phosphate in Lanyu Taiwanese mini‐pigs

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