Published online Mar 31, 2009.
https://doi.org/10.5051/jkape.2009.39.1.95
Maxillary sinus floor augmentation with anorganic bovine bone : Histologic evaluation in humans
Abstract
Purpose
The aim of this report is to investigate the efficacy of anorganic bovine bone xenograft(Bio-Oss®) at maxillary sinus floor augmentation.
Materials and methods
Two male patients who missed maxillary posterior teeth were included. They were performed maxillary sinus floor augmentation using anorganic bovine bone xenograft(Bio-Oss®). After 10 or 13 months, the regenerated tissues were harvested using trephine drills with 2 or 4mm diameter and non-decalcified specimens were made. The specimens were examined histologically and histomorphometrically to investigate graft resorption and new bone formation.
Results
Newly formed bone was in contact with Bio-Oss® particles directly without any gap between the bone and the particles. The proportions of newly formed bone were 23.4~25.3% in patient 1(Pt.1) and 28.8% in patient 2(Pt.2). And the proportions of remained Bio-Oss® were 29.7~30.2% in Pt.1 and 29.2% in Pt.2. The fixtures installed at augmented area showed good stability and the augmented bone height was maintained well.
Conclusion
Anorganic bovine bone xenograft(Bio-Oss®) has high osteoconductivity and helps new bone formation, so that it can be used in maxillary sinus floor augmentation.
Figure 1
Preoperative panoramic view.
Figure 2
Intraoperative view of Right side.
Figure 3
Intraoperative view of Left side.
Figure 4
Postoperative panoramic view(10months).
Figure 5
Histologic view after 10months.
Figure 6
Preoperative panoramic view.
Figure 7
Intraoperative view.
Figure 8
Postoperative panoramic view(13months).
Figure 9
Histologic view after 13months.
Table 1
Histomorphometric analysis(%)
References
-
Bays R. The pathophysiology and anatomy of edentulous bone loss. Reconstructive Preprosthetic Oral and Maxillofacial Surgery 1986;1:1–17.
-
-
Galindo-Moreno P, Avila G, Fernandez-Barbero JE, et al. Evaluation of sinus floor elevation using a composite bone graft mixture. Clin Oral Impl Res 2007;18:376–382.
-
-
Zinner ID, Small SA. In: Implant Dentistry:From Failure to Success. 1st edition. Hong kong: Quintessence Books; 2004. Maxillary sinus grafts and prosthetic management; pp. 99-100.
-
-
Kamada M, Shimazu K, Aoki H, et al. Maxillary sinusitis caused by oral implants. Practica Oto-Rhino-Laryngologic 2003;96:231–236.
-
-
Galindo-Moreno P, Sanchez-Fernandez E, Avila G, et al. Migration of implants into the maxillary sinus: two clinical cases. Int J Oral Maxillofac Implants 2005;20:291–295.
-
-
Van den Bergh JPA, Ten Bruggenkate CM, Disch FJM, et al. Anatomical aspects of sinus floor elevation. Clin Oral Impl Res 2000;11:256–265.
-
-
Jensen OT. In: The Sinus Bone Graft. 2nd edition. Quintessence Books; 2006. pp. 211-219.
-
-
Del Fabbro M, Testori T, Francetti L, et al. Systematic review of survival rates for implants placed in the grafted maxillary sinus. Int J Periodontics Restorative Dent 2004;24:565–577.
-
-
Daelemans P, Hermans M, Godet F, et al. Autologous bone graft to augment the maxillary sinus in conjunction with immediate endosseous implants: a retrospective study up to 5 years. Int J Periodontics Restorative Dent 1997;17:27–39.
-
-
Hallman M, Sennerby L, Lundgren S. A clinical and histologic evaluation of implant integration in the posterior maxilla after sinus floor augmentation with autogenous bone, bovine hydroxyapatite, or a 20:80 mixture. Int J Oral Maxillofac Implants 2002;17:635–643.
-
-
Valentini P, Abensur DJ. Maxillary sinus grafting with anorganic bovine bone: A clinical report of long-term results. Int J Oral Maxillofac Implants 2003;18:556–560.
-
-
Piattelli M, Favero GA, Scarano A, et al. Bone reactions to anorganic bovine bone(BioOss) used in sinus augmentation procedures: A histologic long-term report of 20 cases in humans. Int J Oral Maxillofac Implants 1999;14:835–840.
-
-
Lee YM, Shin SY, Kim JY, et al. Bone reaction to bovine hydroxyapatite for maxillary sinus floor augmentation: Histologic results in humans. Int J Periodontics Restorative Dent 2006;26:471–481.
-
-
Valentini P, Abensur D, Wenz B, et al. Sinus grafting with porous bone mineral(BioOss) for implant placement: A 5-year study on 15 patients. Int J Periodontics Restorative Dent 2000;20:245–253.
-
-
Hammerle CHF, Chiantella GC, Karring T, et al. The effect of a deproteinized bovine bone mineral on bone regeneration around titanium dental implants. Clin Oral Impl Res 1998;9:151–162.
-
-
Valentini P, Abensur D, Densari D, et al. Histological evaluation of BioOss in a 2-stage sinus floor elevation and implantation procedure. A human case report. Clin Oral Impl Res 1998;9:59–64.
-