Comparative evaluation of boné neoformation in immediate implants associated with the lifting of a bilateral maxillary sinus filled with a blood clot with or without autogenous boné
DOI:
https://doi.org/10.33448/rsd-v10i5.14763Keywords:
Blood clot; New bone fomation; Implant immediately.Abstract
The reduction in bone height in posterior regions of the maxilla is common in edentulous jaws. Patients who wish to undergo rehabilitation with implants need to undergo additional treatments to obtain bone gain in height. Among the most common treatments for vertical gain, lifting the maxillary sinus with filling the cavity with biomaterials and / or autogenous graft is the most reported form in the literature. Studies have shown that the use of a blood clot as a filling material and immediate implant installation enables bone neoformation and osseointegration. This paper aims to report a clinical case of bilateral sinus lift comparing the filling form (autogenous bone vs clot) and to evaluate differential aspects in bone neoformation with immediate implants. The procedure was performed on a 37-year-old male patient with the absence of elements 16 and 26. To fill the left sinus, particulate autogenous bone was used and the blood clot in the right sinus. During 1 year of follow-up, 5 computed tomography scans were performed, which revealed new bone formation in the two maxillary sinuses and the absence of membrane collapse. In the analysis of the variation of density as a function of time and type of treatment, a decrease in bone density was observed after a period of one year in both groups. In cross-sectional analyzes, it was observed that the two treatments have similar measures of density, indicating that the experimental treatment can be as effective as the control treatment. The results are considered positive considering the simplification of the technique used in comparison with that which requires a donor area.
References
Albuquerque, A. F., Cardoso, I., da Silva, J., Germano, A., Dantas, wagner, & Gondim, A. (2014). Levantamento de Seio maxilar utilizando osso liofilizado associado a instalação imediata de implante do tipo cone morse: relato de caso. Revista Da Faculdade De Odontologia - UPF, 19(1).
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.
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.
Betoni Junior, W., Esteves, J. C., Queiroz, T. P. (2012). Levantamento de seio maxilar com enxerto de coágulo sanguíneo / Sinus lifting associated to blood clot grafting. A report of two clinical cases. ImplantNews, 9(2), 249-254.
Burchardt, H. (1983). The biology of bone graft repair. Clin Orthop Relat Res., (174), 28-42.
Chen, T. W., Chang, H. S., Leung, K. W., Lai, Y. L., Kao, S. Y. (2007). Implant placement immediately after the lateral approach of the trap door window procedure to create a maxillary sinus lift without bone grafting: A 2- Year retrospective evaluation of 47 implants in 33 patients. Oral Maxillofac Surg., 65(11), 2324-2328.
David, G. M., Vermudt, A., Ghizoni, J. S., Pereira, J. R., Pamato, S. (2018). Levantamento de seio maxilar: Uma comparação de técnicas. Journal of Research in Dentistry, 6(2), 43-48.
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.
Ferreira, P. H. S. G., Bizelli, V. F., Bittencourt Junior, D., Fontão, F. G. K., Bassi, A. P. F. (2021). Avaliação tomográfica e histológica da técnica de levantamento de seio maxilar e instalação de implantes dentários sem utilização de biomaterial com acompanhamento de 36 meses: Relato de caso. Research, Society and Development, 10(2), e31810212558.
Fouad W., Osman A., Atef M., Hakam M. (2018). Elevação guiada do assoalho do seio maxilar usando osso bovino desproteinizado versus elevação da membrana Schneideriana sem enxerto com colocação simultânea de implante: ensaio clínico randomizado. Clin Implant Dent Relat Res., 20(3),424-433.
Guilherme, A. S.; Zavanelli, R. A.; Fernandes, J. M. A.; Castro, A. T.; Barros, C. A.; SOUZA, J. E. A. (2009). Implantes osseointegráveis em áreas com levantamento do seio maxilar e enxertos ósseos. RGO., 57(2), 157-163.
Kim H. R., Choi B. H., Xuan F., Jeong S.M. (2010). The use of autologous venous blood for maxillary sinus floor augmentation in conjunction with sinus membrane elevation: an experimental study. Clin. Oral Impl. Res., 21(3), 346–349.
Kürrkçü, M., Oz, I. A., Köksal, F., Benlidayi, E., Günesli, A. (2005). Microbial Analysis of the Autogenous Bone Collected by Bone Filter During Oral Surgery: A Clinical Study. Journal of Oral and Maxillofacial Surgery., 63(11), 1593-1598.
Lundgren, S., Andersson, S., Gualini, F., Sennerby, L. (2004). Bone reformation with sinus membrane elevation: a new surgical technique for maxillary sinus floor augmentation. Clin Implant Dent Relat Res., 6(3), 165-173.
Lundgren, S., Andersson, S., Sennerby, L. (2003). Spontaneous bone formation in maxillary sinus after removal of a cyst: Coincidence or consequence? Clin Implant Dent Relat Res., 5(2), 78-81.
Patel, S., Lee, D., Shiffler, K., Aghaloo, T., Moy, P., Pi-Anfrus, J. (2015). Resonance Frequency Analysis of Sinus Augmentation by Osteotome Sinus Floor Elevation and Lateral Window. Journal of Oral and Maxillofacial Surgery, 73(10), 1920-1925.
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.
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.
Terra, R. C., Betoni Júnior, W., Luvizuto, E. R., Queiroz, T. P. (2011). Aspectos biológicos da regeneração óssea em levantamento de seio maxilar / Biological aspects of bone regeneration in maxillary sinus lifting. ImplantNews.,8(6), 807-811.
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, 1), 64–72.
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Copyright (c) 2021 Ana Maira Pereira Baggio; Juan Marcelo Lassalle Olivera; Stéfani Caroline Ferriolli; Vinícius Ferreira Bizelli; Flávia Gasparini Kiatake Fontão; Ana Paula Farnezi Bassi
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