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

被引：105

作者：

Handschel J. ^{[1
]}

Simonowska M. ^{[1
]}

Naujoks C. ^{[1
]}

Depprich R.A. ^{[1
]}

Ommerborn M.A. ^{[2
]}

Meyer U. ^{[1
]}

Kübler N.R. ^{[2
]}

机构：

[1] Department for Cranio- and Maxillofacial Surgery, Heinrich-Heine-Universität, D-40225 Düsseldorf

[2] Department for Operative and Preventive Dentistry and Endodontics, Heinrich-Heine-University Düsseldorf, D-40225 Düsseldorf

来源：

Head & Face Medicine | / 5卷 / 1期

关键词：

Autogenous Bone; Osteogenic Cell; Bovine Bone; Sinus Floor; Bone Grafting Material;

D O I：

10.1186/1746-160X-5-12

中图分类号：

学科分类号：

摘要：

Several grafting materials have been used in sinus augmentation procedures including autogenous bone, demineralized freeze-dried bone (DFDBA), hydroxyapatite, -tricalcium phosphate (-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. Purpose. 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. Materials and methods. 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. Results. 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. Conclusion. 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. © 2009 Handschel et al.

引用

共 51 条

[11]

Kaptein M.L.A., Hoogstraten J., De Putter C., De Lange G.L., Blijdorp P.A., Dental implants in the atrophic maxilla: Measurements of patients' satisfaction and treatment experience, Clinical Oral Implants Research, 9, 5, pp. 321-326, (1998)

[12]

Tadjoedin E.S., De Lange G.L., Lyaruu D.M., Kuiper L., Burger E.H., High concentrations of bioactive glass material (BioGran) vs. autogenous bone for sinus floor elevation, Clinical Oral Implants Research, 13, pp. 428-436, (2002)

[13]

Normand S.L., Meta-analysis: Formulating, evaluating, combining, and reporting, Stat Med, 18, pp. 321-359, (1999)

[14]

Artzi Z., Nemcovsky C.E., Dayan D., Nonceramic hydroxyapatite bone derivative in sinus augmentation procedures: Clinical and histomorphometric observations in 10 consecutive cases, International Journal of Periodontics and Restorative Dentistry, 23, 4, pp. 381-389, (2003)

[15]

Artzi Z., Kozlovsky A., Nemcovsky C.E., Weinreb M., The amount of newly formed bone in sinus grafting procedures depends on tissue depth as well as the type and residual amount of the grafted material, J Clin Periodontol. 2005, 32, 2, pp. 193-199, (2005)

[16]

Artzi Z., Nemcovsky C.E., Dayan D., Bovine-HA spongiosa blocks and immediate implant placement in sinus augmentation procedures. Histopathological and histomorphometric observations on different histological stainings in 10 consecutive patients, Clinical Oral Implants Research, 13, pp. 420-427, (2002)

[17]

Artzi Z., Nemcovsky C.E., Tal H., Dayan D., Histopathological morphometric evaluation of 2 different hydroxyapatite-bone derivatives in sinus augmentation procedures: A comparative study in humans, J Periodontol., 72, 7, pp. 911-920, (2001)

[18]

Boeck-Neto R.J., Gabrielli M., Lia R., Marcantonio E., Shibli J.A., Jr M.E., Histomorphometrical analysis of bone formed after maxillary sinus floor augmentation by grafting with a combination of autogenous bone and demineralized freeze-dried bone allograft or hydroxyapatite, Journal Periodontology, 73, pp. 266-270, (2002)

[19]

Degidi M., Piattelli M., Scarano A., Iezzi G., Piattelli A., Maxillary sinus augmentation with a synthetic cell-binding peptide: Histological and histomorphometrical results in humans, Journal Oral Implantology, 30, pp. 376-383, (2004)

[20]

Froum S.J., Wallace S.S., Tarnow D.P., Cho S.C., Effect of platelet-rich plasma on bone growth and osseointegration in human maxillary sinus grafts: Three bilateral case reports, Int J Periodontics Restorative Dent., 22, 1, pp. 45-53, (2002)

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