Sinus floor augmentation using mixture of mineralized cortical bone and cancellous bone allografts: Radiographic and histomorphometric evaluation

Background/purpose: Due to the pneumatization of the maxillary sinus, the sinus floor augmentation is often performed to implant placement in the maxillary posterior region. The aim was to perform radiographic and histomorphometric evaluation after placement of mixed allografts (cortical freeze-drie...

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Main Authors: Hyun-Woo Kim, Kyeong-Ok Lim, Won-Pyo Lee, Yo-Seob Seo, Hong-In Shin, Seong-Ho Choi, Byung-Ock Kim, Sang-Joun Yu
Format: Article
Language:English
Published: Elsevier 2020-09-01
Series:Journal of Dental Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1991790220301240
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author Hyun-Woo Kim
Kyeong-Ok Lim
Won-Pyo Lee
Yo-Seob Seo
Hong-In Shin
Seong-Ho Choi
Byung-Ock Kim
Sang-Joun Yu
author_facet Hyun-Woo Kim
Kyeong-Ok Lim
Won-Pyo Lee
Yo-Seob Seo
Hong-In Shin
Seong-Ho Choi
Byung-Ock Kim
Sang-Joun Yu
author_sort Hyun-Woo Kim
collection DOAJ
description Background/purpose: Due to the pneumatization of the maxillary sinus, the sinus floor augmentation is often performed to implant placement in the maxillary posterior region. The aim was to perform radiographic and histomorphometric evaluation after placement of mixed allografts (cortical freeze-dried bone allograft [FDBA] 50%:cancellous FDBA 50%) during sinus floor augmentation. Materials and methods: In 37 patients, anorganic bovine bone (ABB, sites = 16), mineralized cancellous bone allograft (MCBA, sites = 15), and mixed allografts (Mixed AG, sites = 20) were placed during sinus floor elevation via the lateral approach (LSFE), at total 51 sites with residual alveolar bone height (RBH) < 5 mm. Cone-beam computed tomography images were obtained before LSFE (T0), after surgery (T1), and 6 months after surgery (T2) for radiographic analysis. After a 6-month healing period, core biopsies were harvested and histomorphometric analysis was performed. Results: The mean augmented bone height (ABH) of ABB, MCBA, and mixed AG groups after surgery was similar (13.86 ± 4.19 mm, 13.99 ± 4.07 mm, and 14.20 ± 3.12 mm, respectively; P > 0.05). The mean ABH of ABB, MCBA, and mixed AG groups after 6 months was similar (13.72 ± 4.55 mm, 11.83 ± 3.31 mm, and 12.53 ± 2.97 mm, respectively; P > 0.05). In the ABB, MCBA, and mixed AG groups, the proportion of newly formed bone (NB) was similar (36.13 ± 10.01%, 39.26 ± 10.72%, and 31.27 ± 18.31%, respectively; P > 0.05). Conclusion: This result demonstrated that mixed AG led to sufficient bone augmentation and histologically comparable NB formation as compared to ABB and MCBA for sinus floor augmentation.
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spelling doaj.art-636ddc0eccb94b12b572aa57f4b7264b2022-12-22T00:35:52ZengElsevierJournal of Dental Sciences1991-79022020-09-01153257264Sinus floor augmentation using mixture of mineralized cortical bone and cancellous bone allografts: Radiographic and histomorphometric evaluationHyun-Woo Kim0Kyeong-Ok Lim1Won-Pyo Lee2Yo-Seob Seo3Hong-In Shin4Seong-Ho Choi5Byung-Ock Kim6Sang-Joun Yu7Department of Periodontology, School of Dentistry, Chosun University, Gwangju, Republic of KoreaDepartment of Periodontology, School of Dentistry, Chosun University, Gwangju, Republic of KoreaDepartment of Periodontology, School of Dentistry, Chosun University, Gwangju, Republic of KoreaDepartment of Oral and Maxillofacial Radiology, School of Dentistry, Chosun University, Gwangju, Republic of KoreaDepartment of Oral Pathology, School of Dentistry, Kyungpook National University, Daegu, Republic of KoreaDepartment of Periodontology, Research Institute for Periodontal Regeneration, School of Dentistry, Yonsei University, Seoul, Republic of KoreaDepartment of Periodontology, School of Dentistry, Chosun University, Gwangju, Republic of KoreaDepartment of Periodontology, School of Dentistry, Chosun University, Gwangju, Republic of Korea; Corresponding author. Department of Periodontology, School of Dentistry, Chosun University, 309 Pilmun-Daero, Dong-gu, Gwangju, 61452, Republic of Korea. Fax: +82 62 224 4664.Background/purpose: Due to the pneumatization of the maxillary sinus, the sinus floor augmentation is often performed to implant placement in the maxillary posterior region. The aim was to perform radiographic and histomorphometric evaluation after placement of mixed allografts (cortical freeze-dried bone allograft [FDBA] 50%:cancellous FDBA 50%) during sinus floor augmentation. Materials and methods: In 37 patients, anorganic bovine bone (ABB, sites = 16), mineralized cancellous bone allograft (MCBA, sites = 15), and mixed allografts (Mixed AG, sites = 20) were placed during sinus floor elevation via the lateral approach (LSFE), at total 51 sites with residual alveolar bone height (RBH) < 5 mm. Cone-beam computed tomography images were obtained before LSFE (T0), after surgery (T1), and 6 months after surgery (T2) for radiographic analysis. After a 6-month healing period, core biopsies were harvested and histomorphometric analysis was performed. Results: The mean augmented bone height (ABH) of ABB, MCBA, and mixed AG groups after surgery was similar (13.86 ± 4.19 mm, 13.99 ± 4.07 mm, and 14.20 ± 3.12 mm, respectively; P > 0.05). The mean ABH of ABB, MCBA, and mixed AG groups after 6 months was similar (13.72 ± 4.55 mm, 11.83 ± 3.31 mm, and 12.53 ± 2.97 mm, respectively; P > 0.05). In the ABB, MCBA, and mixed AG groups, the proportion of newly formed bone (NB) was similar (36.13 ± 10.01%, 39.26 ± 10.72%, and 31.27 ± 18.31%, respectively; P > 0.05). Conclusion: This result demonstrated that mixed AG led to sufficient bone augmentation and histologically comparable NB formation as compared to ABB and MCBA for sinus floor augmentation.http://www.sciencedirect.com/science/article/pii/S1991790220301240AllograftsBone regenerationBone substitutesSinus floor augmentationXenografts
spellingShingle Hyun-Woo Kim
Kyeong-Ok Lim
Won-Pyo Lee
Yo-Seob Seo
Hong-In Shin
Seong-Ho Choi
Byung-Ock Kim
Sang-Joun Yu
Sinus floor augmentation using mixture of mineralized cortical bone and cancellous bone allografts: Radiographic and histomorphometric evaluation
Journal of Dental Sciences
Allografts
Bone regeneration
Bone substitutes
Sinus floor augmentation
Xenografts
title Sinus floor augmentation using mixture of mineralized cortical bone and cancellous bone allografts: Radiographic and histomorphometric evaluation
title_full Sinus floor augmentation using mixture of mineralized cortical bone and cancellous bone allografts: Radiographic and histomorphometric evaluation
title_fullStr Sinus floor augmentation using mixture of mineralized cortical bone and cancellous bone allografts: Radiographic and histomorphometric evaluation
title_full_unstemmed Sinus floor augmentation using mixture of mineralized cortical bone and cancellous bone allografts: Radiographic and histomorphometric evaluation
title_short Sinus floor augmentation using mixture of mineralized cortical bone and cancellous bone allografts: Radiographic and histomorphometric evaluation
title_sort sinus floor augmentation using mixture of mineralized cortical bone and cancellous bone allografts radiographic and histomorphometric evaluation
topic Allografts
Bone regeneration
Bone substitutes
Sinus floor augmentation
Xenografts
url http://www.sciencedirect.com/science/article/pii/S1991790220301240
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