A histomorphometric meta-analysis of sinus elevation with various grafting materials

<p>Abstract</p> <p/> <p>Several grafting materials have been used in sinus augmentation procedures including autogenous bone, demineralized freeze-dried bone (DFDBA), hydroxyapatite, β-tricalcium phosphate (β-TCP), anorganic deproteinized bovine bone and combination of these...

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Main Authors: Handschel Jörg, Simonowska Melani, Naujoks Christian, Depprich Rita A, Ommerborn Michelle A, Meyer Ulrich, Kübler Norbert R
Format: Article
Language:English
Published: BMC 2009-06-01
Series:Head & Face Medicine
Online Access:http://www.head-face-med.com/content/5/1/12
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author Handschel Jörg
Simonowska Melani
Naujoks Christian
Depprich Rita A
Ommerborn Michelle A
Meyer Ulrich
Kübler Norbert R
author_facet Handschel Jörg
Simonowska Melani
Naujoks Christian
Depprich Rita A
Ommerborn Michelle A
Meyer Ulrich
Kübler Norbert R
author_sort Handschel Jörg
collection DOAJ
description <p>Abstract</p> <p/> <p>Several grafting materials have been used in sinus augmentation procedures including autogenous bone, demineralized freeze-dried bone (DFDBA), hydroxyapatite, β-tricalcium phosphate (β-TCP), anorganic deproteinized bovine bone and combination of these and others. Up to now a subject of controversy in maxillofacial surgery and dentistry is, what is the most appropriate graft material for sinus floor augmentation.</p> <p>Purpose</p> <p>The aim of this study is to provide a body of evidence-based data regarding grafting materials in external sinus floor elevation concerning the fate of the augmented material at the histomorphological level, through a meta-analysis of the available literature.</p> <p>Materials and methods</p> <p>The literature searches were performed using the National Library of Medicine. The search covered all English and German literature from 1995 until 2006. For analyzing the amount of bone the parameter "Total Bone Volume" (TBV) was assessed. TBV is determined as the percentage of the section consisting of bone tissue.</p> <p>Results</p> <p>In a relatively early phase after implantation the autogenous bone shows the highest TBV values. Interestingly, the different TBV levels approximate during the time. After 9 months no statistically significant differences can be detected between the various grafting materials.</p> <p>Conclusion</p> <p>From a clinical point of view, the use of autogenous bone is advantageous if a prosthetic rehabilitation (with functional loading) is expected within 9 months. In other cases the use of anorganic deproteinized bovine bone in combination with autogenous bone seems to be preferable. Donor side morbidity is ignored in this conclusion.</p>
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spelling doaj.art-b8e421b2a2984587ac440344c3acdc2d2022-12-21T18:49:47ZengBMCHead & Face Medicine1746-160X2009-06-01511210.1186/1746-160X-5-12A histomorphometric meta-analysis of sinus elevation with various grafting materialsHandschel JörgSimonowska MelaniNaujoks ChristianDepprich Rita AOmmerborn Michelle AMeyer UlrichKübler Norbert R<p>Abstract</p> <p/> <p>Several grafting materials have been used in sinus augmentation procedures including autogenous bone, demineralized freeze-dried bone (DFDBA), hydroxyapatite, β-tricalcium phosphate (β-TCP), anorganic deproteinized bovine bone and combination of these and others. Up to now a subject of controversy in maxillofacial surgery and dentistry is, what is the most appropriate graft material for sinus floor augmentation.</p> <p>Purpose</p> <p>The aim of this study is to provide a body of evidence-based data regarding grafting materials in external sinus floor elevation concerning the fate of the augmented material at the histomorphological level, through a meta-analysis of the available literature.</p> <p>Materials and methods</p> <p>The literature searches were performed using the National Library of Medicine. The search covered all English and German literature from 1995 until 2006. For analyzing the amount of bone the parameter "Total Bone Volume" (TBV) was assessed. TBV is determined as the percentage of the section consisting of bone tissue.</p> <p>Results</p> <p>In a relatively early phase after implantation the autogenous bone shows the highest TBV values. Interestingly, the different TBV levels approximate during the time. After 9 months no statistically significant differences can be detected between the various grafting materials.</p> <p>Conclusion</p> <p>From a clinical point of view, the use of autogenous bone is advantageous if a prosthetic rehabilitation (with functional loading) is expected within 9 months. In other cases the use of anorganic deproteinized bovine bone in combination with autogenous bone seems to be preferable. Donor side morbidity is ignored in this conclusion.</p>http://www.head-face-med.com/content/5/1/12
spellingShingle Handschel Jörg
Simonowska Melani
Naujoks Christian
Depprich Rita A
Ommerborn Michelle A
Meyer Ulrich
Kübler Norbert R
A histomorphometric meta-analysis of sinus elevation with various grafting materials
Head & Face Medicine
title A histomorphometric meta-analysis of sinus elevation with various grafting materials
title_full A histomorphometric meta-analysis of sinus elevation with various grafting materials
title_fullStr A histomorphometric meta-analysis of sinus elevation with various grafting materials
title_full_unstemmed A histomorphometric meta-analysis of sinus elevation with various grafting materials
title_short A histomorphometric meta-analysis of sinus elevation with various grafting materials
title_sort histomorphometric meta analysis of sinus elevation with various grafting materials
url http://www.head-face-med.com/content/5/1/12
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