Tomographic and histological study of maxillary sinus lift technique and dental implants placement without use of biomaterial with a 36-month followup: Case Report
DOI:
https://doi.org/10.33448/rsd-v10i2.12558Keywords:
Bone neoformation; Blood clot; Immediate implants; Bone density.Abstract
The aim of this study was to quantitatively and qualitatively evaluate peri-implant bone formation in maxillary sinus lift surgery without using biomaterial by means of tomographic and histological analysis. Patient attended the Latin American Institute of Dental Education and Research (ILAPEO) for rehabilitation of the posterior region of bilateral maxilla with low bone volume, sinus lift, and implant placements without biomaterial were performed. The postoperative follow-up was conducted through clinical and tomographic conditions, in the immediate postoperative, 3, 6, 9, and 36 months. During the postoperative period of 9 months, a local biopsy was performed with the aid of a 2 mm trephine to perform a histological analysis. It can be observed tomographically that the highest density found in the evaluated periods was 36 months (buccal 1766,5 and palatal 1716,75), that is, after application of functional load. Histological analysis showed that at 9 months the biopsy removed by trephine was composed of 52% of bone tissue and 48% of connective tissue, presenting a bone cytoarchitecture compatible with mature bone with few areas of immature bone. In conclusion, this technique, can be performed successfully, obtaining a gain of peri-implant bone volume with quality.
References
Thor, A., Sennerby, L., Hirsch, J. M., & Rasmusson, L. (2007). Bone formation at the maxillary sinus floor following simultaneous elevation of the mucosal lining and implant installation without graft material: an evaluation of 20 patients treated with 44 Astra Tech implants. Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons, 65(7 Suppl 1), 64–72. https://doi.org/10.1016/j.joms.2006.10.047
Stern, A., & Green, J. (2012). Sinus lift procedures: an overview of current techniques. Dental clinics of North America, 56(1), 219–x. https://doi.org/10.1016/j.cden.2011.09.003
Lin, I. C., Gonzalez, A. M., Chang, H. J., Kao, S. Y., & Chen, T. W. (2011). A 5-year follow-up of 80 implants in 44 patients placed immediately after the lateral trap-door window procedure to accomplish maxillary sinus elevation without bone grafting. The International Journal of Oral & maxillofacial implants, 26(5), 1079–1086.
Pinchasov, G., & Juodzbalys, G. (2014). Graft-free sinus augmentation procedure: a literature review. Journal of oral & maxillofacial research, 5(1), e1. https://doi.org/10.5037/jomr.2014.5101
Moon, J. W., Sohn, D. S., Heo, J. U., Shin, H. I., & Jung, J. K. (2011). New bone formation in the maxillary sinus using peripheral venous blood alone. Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons, 69(9), 2357–2367. https://doi.org/10.1016/j.joms.2011.02.092
Sohn, D. S., Lee, J. S., Ahn, M. R., & Shin, H. I. (2008). New bone formation in the maxillary sinus without bone grafts. Implant dentistry, 17(3), 321–331. https://doi.org/10.1097/ID.0b013e318182f01b
Bassi, A. P., Pioto, R., Faverani, L. P., Canestraro, D., & Fontão, F. G. (2015). Maxillary sinus lift without grafting, and simultaneous implant placement: a prospective clinical study with a 51-month follow-up. International Journal of oral and maxillofacial surgery, 44(7), 902–907. https://doi.org/10.1016/j.ijom.2015.03.016
Falah, M., Sohn, D. S., & Srouji, S. (2016). Graftless sinus augmentation with simultaneous dental implant placement: clinical results and biological perspectives. International Journal of oral and maxillofacial surgery, 45(9), 1147–1153. https://doi.org/10.1016/j.ijom.2016.05.006
Lundgren, S., Cricchio, G., Palma, V. C., Salata, L. A., & Sennerby, L. (2008). Sinus membrane elevation and simultaneous insertion of dental implants: a new surgical technique in maxillary sinus floor augmentation. Periodontology 2000, 47, 193–205. https://doi.org/10.1111/j.1600-0757.2008.00264.x
Pereira, A. S., Shitsuka, D.M., Parreira, F.J., Shitsuka R. (2018). Metodologia da Pesquisa Científica (1a ed. E-book). Santa Maria: UAB/NTE/UFSM
Riben, C., & Thor, A. (2012). The Maxillary Sinus Membrane Elevation Procedure: Augmentation of Bone around Dental Implants without Grafts-A Review of a Surgical Technique. International journal of dentistry, 2012, 105483. https://doi.org/10.1155/2012/105483
Bassi, A. P., Pioto, R., Faverani, L. P., Canestraro, D., & Fontão, F. G. (2015). Dental implant placement after maxillary sinus lift without a graft: a feasible option. International journal of oral and maxillofacial surgery, 44(12), 1583–1584. https://doi.org/10.1016/j.ijom.2015.08.991
Srouji, S., Kizhner, T., Ben David, D., Riminucci, M., Bianco, P., & Livne, E. (2009). The Schneiderian membrane contains osteoprogenitor cells: in vivo and in vitro study. Calcified tissue international, 84(2), 138–145. https://doi.org/10.1007/s00223-008-9202-x
Tawil, G., & Mawla, M. (2001). Sinus floor elevation using a bovine bone mineral (Bio-Oss) with or without the concomitant use of a bilayered collagen barrier (Bio-Gide): a clinical report of immediate and delayed implant placement. The International journal of oral & maxillofacial implants, 16(5), 713–721.
Wallace, S. S., Froum, S. J., Cho, S. C., Elian, N., Monteiro, D., Kim, B. S., & Tarnow, D. P. (2005). Sinus augmentation utilizing anorganic bovine bone (Bio-Oss) with absorbable and nonabsorbable membranes placed over the lateral window: histomorphometric and clinical analyses. The International journal of periodontics & restorative dentistry, 25(6), 551–559.
Nkenke, E., Lehner, B., Weinzierl, K., Thams, U., Neugebauer, J., Steveling, H., Radespiel-Tröger, M., & Neukam, F. W. (2003). Bone contact, growth, and density around immediately loaded implants in the mandible of mini pigs. Clinical oral implants research, 14(3), 312–321. https://doi.org/10.1034/j.1600-0501.2003.120906.x
Tavares, M. G., de Oliveira, P. T., Nanci, A., Hawthorne, A. C., Rosa, A. L., & Xavier, S. P. (2007). Treatment of a commercial, machined surface titanium implant with H2SO4/H2O2 enhances contact osteogenesis. Clinical oral implants research, 18(4), 452–458. https://doi.org/10.1111/j.1600-0501.2007.01344.x
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Pedro Henrique Silva Gomes Ferreira; Vinícius Ferreira Bizelli; Dercelino Bittencourt Junior; Flavia Gasparini Kiatake Fontão; Ana Paula Farnezi Bassi
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.