Avaliação de implantes instalados em seios maxilares enxertados após reabilitação protética

Autores

DOI:

https://doi.org/10.33448/rsd-v11i14.35943

Palavras-chave:

Enxerto ósseo; Levantamento do assoalho do seio maxilar; Implante dentário.

Resumo

Objetivo: Comparar a estabilidade e perda óssea de implantes instalados no seio maxilar após elevação do seio maxilar utilizando Bio-ossä Small e Large, antes da carga funcional (T1) e após a mesma (T2). Métodos: Dez pacientes receberam enxerto ósseo no seio maxilar em duas granulações diferentes: Bio-ossä Small e Large, com uma granulação por seio. Após 8 meses, os implantes foram instalados. A confecção e instalação da prótese ocorreu após seis meses. De 10 pacientes, seis (13 implantes) foram selecionados, com média de idade de 53,4 anos. A estabilidade foi mensurada por meio da frequência de ressonância e todos os implantes instalados apresentaram valores elevados em ambos grupos. Resultados: A comparação entre os tempos mostrou diferença estatística com as partículas Bio-ossä Large, em que T1 (64,21±7,41) foi menor que T2 (69,96±4,95; P=0,003). No entanto, a comparação entre as diferentes dimensões de partículas no mesmo período não mostrou diferença estatística. Em relação à perda óssea marginal, não houve diferença estatística entre as dimensões das partículas. Não houve correlação entre estabilidade e perda óssea marginal e entre as diferentes dimensões das partículas do biomaterial. Conclusão: Os implantes instalados no seio maxilar enxertado com ambas as dimensões de partículas de Bio-Ossä apresentaram comportamento semelhante, permitindo estabilidade do implante e carga funcional.

Referências

Assaf, F., Siqueira-Ibelli, G., Margonar, R., Santos, P.L., Souza-Faloni, A.P., Queiroz, T.P. (2020). Survival of short dental implants in atrophied jaw: a systematic review. International Journal Inteedisciplinary Dentistry. 13(1); 44-46,

Barewal, R.M., Stanford, C. & Weesner, T.C. (2012). A Randomized Controlled Clinical Trial Comparing the Effects of Three Loading Protocols on Dental Implant Stability. International Journal Oral Maxillofacial Implants. 27:945–956.

Bornstein, M.M., Chappuis, V., von Arx, T. & Buser, D. (2008). Performance of dental implants after staged sinus floor elevation procedures: 5-year results of a prospective study in partially edentulous patients. Clinical Oral Implant Research, 19: 1034–1043.

Bragger, U., Gerber, C., Joss, A., Haenni, S., Meier, A., Hashorva, E. & Lang, N.P. (2004). Patterns of tissue remodeling after placement of ITIsdental implants using an osteotome technique: a longitudinal radiographic case cohort study. Clinical Oral Implant Research, 15: 158–166.

Browaeys, H., Vandeweghe, S., Johansson, C.B., Jimbo, R., Deschepper, E. & De Bruyn H. (2013). The histological evaluation of osseointegration of surface enhanced microimplants immediately loaded in conjunction with sinus lifting in humans. Clinical Oral Implant Research, 24(1):36-44.

Chackartchi, T., Iezzi, G., Goldstein, M., Klinger, A., Soskolne, A., Piattelli, A. & Shapira, L. (2011) Sinus floor augmentation using large (1–2 mm) or small (0.25–1 mm) bovine bone mineral particles: a prospective, intra-individual controlled clinical, micro-computerized tomography and histomorphometric study. Clinical Oral Implant Research, 22:473–480.

Consolaro, A., de Carvalho, R.S., Francischone Jr., C.E., Consolaro, M.F.M.O. & Francischone, C.E. (2010). Saucerização de implantes osseointegrados e o planejamento de casos clínicos ortodônticos simultâneos. Dental Press Journal Orthodontics, 15(3):19-30.

De Molon, R.S., Magalhaes-Tunes, F.S., Semedo, C.V., Furlan, R.G., de Souza, L.G.L., de Souza Faloni, A.P., Marcantonio Jr, E. & Faeda, R.S. (2019). A randomized clinical trial evaluating maxillary sinus augmentation with different particle sizes of demineralized bovine bone mineral: histological and immunohistochemical analysis. International Journal Oral Maxillofacial Surgery, 48(6): 810-823

Degidi, M., Perotti, V., Piatelli, A. & Iezzi, G. (2010). Mineralized bone implant contact and implant stability quotient in 16 human implants retrieved after early healing periods: a histologic and histomorphometric evaluation. International Journal Oral Maxillofacial Implants, 25(1):45-48.

Dos Anjos, T.L., de Molon, R.S., Paim, P.R., Marcantonio, E., Marcantonio Jr, E. & Faeda, R.S. (2016). Implant stability after sinus floor augmentation with deproteinized bovine bone mineral particles of different sizes: a prospective, randomized and controlled split-mouth clinical trial. International Journal Oral Maxillofacial Surgery, 45(12):1556‐1563.

Fanuscu, M.I., Vu, H.V. & Poncelet, B. (2004). Implant biomechanics in grafted sinus: a finite element analysis. Journal Oral Implantology, 30(2):59-68.

Gabay, E., Cohen, O. & Machtei, E.E. (2012). A novel device for resonance frequency assessment of one-piece implants. International Journal Oral Maxillofacial Implants, 27: 523-527.

Gapski, R., Wang, H.L., Mascarenhas, P. & Lang, N.P. (2003). Critical review of immediate implant loading. Clinical Oral Implant Research, 14(5):515-527.

Hallman, M., Cederlund, A., Lindskog, S., Lundgren, S. & Sennerby, L. (2001). A clinical histologic study of bovine hydroxyapatite in combination with autogenous bone and fibrin glue for maxillary sinus floor augmentation. Results after 6 to 8 months of healing. Clinical Oral Implant Research, 12(2):135-143.

Haas R, Mailath G, Dortbudak O, Watzek, G. (1998). Bovine hydroxyapatite for maxillary sinus augmentation: analysis of interfacial bond strength of dental implants using pull-out tests. Clinical Oral Implant Research, 9: 117-122.

Herrero-Climent, M., Albertini, M., Rios-Santos, J.V., Lázaro-Calvo, P., Fernández-Palacín, A. & Bullon, P. (2012). Resonance frequency analysis-reliability in third generation instruments: Osstell mentor®. Medicina oral patología oral y cirugía bucal, 17(5): 801-806.

Iezzi, G., Scarano, A., Mangano, C., Cirotti, B. & Piattelli, A. (2008). Histologic Results From a Human Implant Retrieved Due to Fracture 5 Years After Insertion in a Sinus Augmented With Anorganic Bovine Bone. Journal Periodontology, 79:192-198.

Inglam, S., Suebnukarn, S., Tharanon, W., Apatananon, T. & Sitthiseripratip, K. (2010). Influence of graft quality and marginal bone loss on implants placed in maxillary grafted sinus: a finite element study. Medical & biological engineering & computing, 48:681–689.

Jensen, S.S., Aaboe, M., Janner, S.F., Saulacic, N., Bornstein, M.M., Bosshardt, D.D. & Buser, D. (2015). Influence of particle size of deproteinized bovine bone mineral on new bone formation and implant stability after simultaneous sinus floor elevation: a histomorphometric study in minipigs. Clinical Implant Dentistry Related Research, 17(2):274-285.

Jung, R.E., Windisch, S.I., Eggenschwiler, A.M., Thoma, D.S., Weber, F.E. & Hämmerle, C.H. (2009) A randomized-controlled clinical trial evaluating clinical and radiological outcomes after 3 and 5 years of dentalimplants placed in bone regenerated by means of GBR techniques with or without the addition of BMP-2. Clinical Oral Implant Research, 20: 660–666.

Kwon, B. & Kim, S. (2006). Finite Element Analysis of Different Bone Substitutes in the Bone Defects Around Dental Implants. Implant Dentistry, 15(3):254-264;

Meijer, H.J.A., Starmans, F.J.M., Steen, W.H.A. & Bosman, F. (1993). A three-dimensional, finite-element analysis of bone around dental implants in na edentulous human mandible. Archives Oral Biology, 38(6): 491-496.

Oliveira, R., Hage, M.E., Carrel, J., Lombardi, T. & Bernard, J.P. (2012). Rehabilitation of the Edentulous Posterior Maxilla After Sinus Floor Elevation Using Deproteinized Bovine Bone: A 9-Year Clinical Study. Implant Dentistry, 21 (5): 422-426.

Romanos, G.E., Toh, C.G., Siar, C.H., Wicht, H., Yacoob, H. & Nentwig, G.H. (2003). Bone-implant interface around titanium implants under different loading conditions: a histomorphometrical analysis in the Macaca fascicularis monkey. J Periodontology, 74(10):1483-1490.

Santos, P.L., Gulinelli, J.L., Telles, S., Betoni Júnior, W. Okamoto, R., Chiacchio Buchignani, V. & Queiroz, T.P. (2013) Bone substitutes for peri-implant defects of postextraction implants.International Journal Biomaterials.307136.

Scarano, A., Degidi, M., Iezzi, G., Pecora, G., Piattelli, M., Orsini, G., Caputi, S., Perrotti, V., Mangano, C. & Piattelli, A. (2006). Maxillary Sinus Augmentation With Different Biomaterials: A Comparative Histologic and Histomorphometric Study in Man. Implant Dentistry, 15(2): 197-207.

Shen, Y., Rodriguez, E.D., Wei, F., Tsai, C.Y. & Chang, Y.M. (2015). Aesthetic and Functional Mandibular Reconstruction With Immediate Dental Implants in a Free Fibular Flap and a Low-Profile Reconstruction Plate (Five-Year Follow-up). Annals of plastic Surgery, 74: 442-446.

Testori, T., Wallace, S.S., Trisi, P., Capelli, M., Zuffetti, F. & Del Fabbro, M. (2013). Effect of xenograft (ABBM) particle size on vital bone formation following maxillary sinus augmentation: a multicenter, randomized, controlled clinical histomorphometric trial. International Journal Periodontics Restorative Dentistry, 33:467–475.

Vandamme, K., Naert, I., Geris, L., Vander Sloten, J., Puers, R. & Duyck, J. (2007). The effect of micro-motion on the tissue response around immediately loaded roughened titanium implants in the rabbit. European Journal of Oral Sciences, 115(1):21-29.

Waite, P.D., Sastravaha, P. & Lemons, J.E. Biologic Mechanical Advantages of 3 Different Cranial Bone Grafting Techniques for Implant Reconstruction of the Atrophic Maxilla. Journal Oral Maxillofacial Surgery, 2005; 63(1):63-67.

Wallace, S.S. & Froum, S.J. (2003). Effect of maxillary sinus augmentation on the survival of endosseous dental implants. A systematic review. Annals Periodontology, 8:328–343.

Wang, F., Zhou, W., Monje, A., Huang, W., Wang, Y. & Wu, Y. (2017). Influence of Healing Period Upon Bone Turn Over on Maxillary Sinus Floor Augmentation Grafted Solely with Deproteinized Bovine Bone Mineral: A Prospective Human Histological and Clinical Trial. Clinical Implant Dentistry Related Research, 19(2): 341-350.

Downloads

Publicado

26/10/2022

Como Citar

GALLETTI, L. D. .; SANTOS, P. L.; MARCANTONIO JUNIOR, E. .; MARGONAR, R.; FAEDA, R. S. . Avaliação de implantes instalados em seios maxilares enxertados após reabilitação protética. Research, Society and Development, [S. l.], v. 11, n. 14, p. e259111435943, 2022. DOI: 10.33448/rsd-v11i14.35943. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/35943. Acesso em: 17 jul. 2024.

Edição

Seção

Ciências da Saúde