Skip to main content
Top
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Research

Early tissue and healing responses after maxillary sinus augmentation using horizontal platelet rich fibrin bone blocks

Authors: Shimin Yu, Yinping Tian BD, Yan Wei BD, Mengge Feng BD, Sensen Li BMed, Guoyong Tong BMed, Zhouqing Yu BMed, Richard J. Miron, Yufeng Zhang, Zaibo Yang, Yulan Wang

Published in: BMC Oral Health | Issue 1/2023

Login to get access

Abstract

Background

The effects of horizontal platelet-rich fibrin (H-PRF) bone block on the healing and immune response during sinus augmentation have not been fully investigated histologically at early time points.

Methods

Eighteenth male New Zealand white rabbits underwent bilateral sinus augmentation and were divided into two groups: deproteinized bovine bone mineral (DBBM) alone and H-PRF + DBBM (H-PRF bone block) group. Maxilla samples were collected at 3, 7 and 14 days post sinus augmentation procedures and analyzed using histological staining for the number of inflammatory cells, new blood vessels and evidence for early osteoclast bone turnover/remodeling. Furthermore, the effects of H-PRF bone blocks on the migration of osteoblasts and THP-1 macrophages were evaluated using a Transwell assay in vitro.

Results

A higher number of immune cells were found in the H-PRF bone block group at 3 and 7 days post-surgery when compared to the DBBM alone group,most notably in the regions close to the mucosal lining and bone plates. Furthermore, a significantly greater number of new blood vessel formations and early signs of osteoclast development were found in the H-PRF bone block group at 14 days. The in vitro transwell assay further confirmed that culture medium from H-PRF bone block markedly promote the migration of osteoblasts and THP-1 macrophages.

Conclusions

The findings from this study have shown that H-PRF bone block is capable of increasing early immune cell infiltration leading to the acceleration of neovascularization and speeding the process of bone metabolism in vivo following maxillary sinus grafting with DBBM.
Literature
1.
go back to reference Jensen T, Schou S, Stavropoulos A, Terheyden H, Holmstrup P. Maxillary sinus floor augmentation with Bio-Oss or Bio-Oss mixed with autogenous bone as graft: a systematic review. Clin Oral Implants Res. 2012;23(3):263–73.CrossRefPubMed Jensen T, Schou S, Stavropoulos A, Terheyden H, Holmstrup P. Maxillary sinus floor augmentation with Bio-Oss or Bio-Oss mixed with autogenous bone as graft: a systematic review. Clin Oral Implants Res. 2012;23(3):263–73.CrossRefPubMed
2.
go back to reference Esposito M, Felice P, Worthington HV. Interventions for replacing missing teeth: augmentation procedures of the maxillary sinus. Cochrane Database Syst Rev. 2014(5):CD008397. Esposito M, Felice P, Worthington HV. Interventions for replacing missing teeth: augmentation procedures of the maxillary sinus. Cochrane Database Syst Rev. 2014(5):CD008397.
3.
go back to reference Chaushu L, Chaushu G, Better H, Naishlos S, Kolerman R, Aragoneses JM et al. Sinus augmentation with Simultaneous, non-submerged, Implant Placement using a minimally invasive hydraulic technique. Med (Kaunas). 2020;56(2). Chaushu L, Chaushu G, Better H, Naishlos S, Kolerman R, Aragoneses JM et al. Sinus augmentation with Simultaneous, non-submerged, Implant Placement using a minimally invasive hydraulic technique. Med (Kaunas). 2020;56(2).
4.
go back to reference Tetsch J, Tetsch P, Lysek DA. Long-term results after lateral and osteotome technique sinus floor elevation: a retrospective analysis of 2190 implants over a time period of 15 years. Clin Oral Implants Res. 2010;21(5):497–503.CrossRefPubMed Tetsch J, Tetsch P, Lysek DA. Long-term results after lateral and osteotome technique sinus floor elevation: a retrospective analysis of 2190 implants over a time period of 15 years. Clin Oral Implants Res. 2010;21(5):497–503.CrossRefPubMed
5.
go back to reference Schmitt CM, Moest T, Lutz R, Neukam FW, Schlegel KA. Anorganic bovine bone (ABB) vs. autologous bone (AB) plus ABB in maxillary sinus grafting. A prospective non-randomized clinical and histomorphometrical trial. Clin Oral Implants Res. 2015;26(9):1043–50.CrossRefPubMed Schmitt CM, Moest T, Lutz R, Neukam FW, Schlegel KA. Anorganic bovine bone (ABB) vs. autologous bone (AB) plus ABB in maxillary sinus grafting. A prospective non-randomized clinical and histomorphometrical trial. Clin Oral Implants Res. 2015;26(9):1043–50.CrossRefPubMed
6.
go back to reference Shi JY, Montero E, Wu XY, Palombo D, Wei SM, Sanz-Sanchez I. Bone preservation or augmentation simultaneous with or prior to dental implant placement: a systematic review of outcomes and outcome measures used in clinical trials in the last 10 years. J Clin Periodontol. 2023;50(Suppl 25):67–82.CrossRefPubMed Shi JY, Montero E, Wu XY, Palombo D, Wei SM, Sanz-Sanchez I. Bone preservation or augmentation simultaneous with or prior to dental implant placement: a systematic review of outcomes and outcome measures used in clinical trials in the last 10 years. J Clin Periodontol. 2023;50(Suppl 25):67–82.CrossRefPubMed
7.
go back to reference Couso-Queiruga E, Weber HA, Garaicoa-Pazmino C, Barwacz C, Kalleme M, Galindo-Moreno P, et al. Influence of healing time on the outcomes of alveolar ridge preservation using a collagenated bovine bone xenograft: a randomized clinical trial. J Clin Periodontol. 2023;50(2):132–46.CrossRefPubMed Couso-Queiruga E, Weber HA, Garaicoa-Pazmino C, Barwacz C, Kalleme M, Galindo-Moreno P, et al. Influence of healing time on the outcomes of alveolar ridge preservation using a collagenated bovine bone xenograft: a randomized clinical trial. J Clin Periodontol. 2023;50(2):132–46.CrossRefPubMed
8.
go back to reference Jensen SS, Aaboe M, Janner SF, Saulacic N, Bornstein MM, Bosshardt DD, et al. 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. Clin Implant Dent Relat Res. 2015;17(2):274–85.CrossRefPubMed Jensen SS, Aaboe M, Janner SF, Saulacic N, Bornstein MM, Bosshardt DD, et al. 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. Clin Implant Dent Relat Res. 2015;17(2):274–85.CrossRefPubMed
9.
go back to reference Jensen SS, Bosshardt DD, Gruber R, Buser D. Long-term stability of contour augmentation in the esthetic zone: histologic and histomorphometric evaluation of 12 human biopsies 14 to 80 months after augmentation. J Periodontol. 2014;85(11):1549–56.CrossRefPubMed Jensen SS, Bosshardt DD, Gruber R, Buser D. Long-term stability of contour augmentation in the esthetic zone: histologic and histomorphometric evaluation of 12 human biopsies 14 to 80 months after augmentation. J Periodontol. 2014;85(11):1549–56.CrossRefPubMed
10.
go back to reference Nizam N, Eren G, Akcali A, Donos N. Maxillary sinus augmentation with leukocyte and platelet-rich fibrin and deproteinized bovine bone mineral: a split-mouth histological and histomorphometric study. Clin Oral Implants Res. 2018;29(1):67–75.CrossRefPubMed Nizam N, Eren G, Akcali A, Donos N. Maxillary sinus augmentation with leukocyte and platelet-rich fibrin and deproteinized bovine bone mineral: a split-mouth histological and histomorphometric study. Clin Oral Implants Res. 2018;29(1):67–75.CrossRefPubMed
11.
go back to reference Kargarpour Z, Panahipour L, Miron RJ, Gruber R. Blood clots versus PRF: activating TGF-beta signaling and inhibiting inflammation in Vitro. Int J Mol Sci. 2022;23(11). Kargarpour Z, Panahipour L, Miron RJ, Gruber R. Blood clots versus PRF: activating TGF-beta signaling and inhibiting inflammation in Vitro. Int J Mol Sci. 2022;23(11).
12.
go back to reference Miron RJ, Zucchelli G, Pikos MA, Salama M, Lee S, Guillemette V, et al. Use of platelet-rich fibrin in regenerative dentistry: a systematic review. Clin Oral Investig. 2017;21(6):1913–27.CrossRefPubMed Miron RJ, Zucchelli G, Pikos MA, Salama M, Lee S, Guillemette V, et al. Use of platelet-rich fibrin in regenerative dentistry: a systematic review. Clin Oral Investig. 2017;21(6):1913–27.CrossRefPubMed
13.
go back to reference Isik G, Ozden Yuce M, Kocak-Topbas N, Gunbay T. Guided bone regeneration simultaneous with implant placement using bovine-derived xenograft with and without liquid platelet-rich fibrin: a randomized controlled clinical trial. Clin Oral Investig. 2021;25(9):5563–75.CrossRefPubMed Isik G, Ozden Yuce M, Kocak-Topbas N, Gunbay T. Guided bone regeneration simultaneous with implant placement using bovine-derived xenograft with and without liquid platelet-rich fibrin: a randomized controlled clinical trial. Clin Oral Investig. 2021;25(9):5563–75.CrossRefPubMed
14.
go back to reference Aboelela SAA, Atef M, Shawky M, Fattouh H. Ridge augmentation using autologous concentrated growth factors enriched bone graft matrix versus guided bone regeneration using native collagen membrane in horizontally deficient maxilla: a randomized clinical trial. Clin Implant Dent Relat Res. 2022;24(5):569–79.CrossRefPubMed Aboelela SAA, Atef M, Shawky M, Fattouh H. Ridge augmentation using autologous concentrated growth factors enriched bone graft matrix versus guided bone regeneration using native collagen membrane in horizontally deficient maxilla: a randomized clinical trial. Clin Implant Dent Relat Res. 2022;24(5):569–79.CrossRefPubMed
15.
go back to reference Feng M, Wang Y, Wei Y, Zhang X, Xiao L, Gong Z, et al. Preparation, characterization and biological properties of a novel bone block composed of platelet rich fibrin and a deproteinized bovine bone mineral. Fundamental Res. 2022;2(2):321–8.CrossRef Feng M, Wang Y, Wei Y, Zhang X, Xiao L, Gong Z, et al. Preparation, characterization and biological properties of a novel bone block composed of platelet rich fibrin and a deproteinized bovine bone mineral. Fundamental Res. 2022;2(2):321–8.CrossRef
16.
go back to reference Lundgren S, Cricchio G, Hallman M, Jungner M, Rasmusson L, Sennerby L. Sinus floor elevation procedures to enable implant placement and integration: techniques, biological aspects and clinical outcomes. Periodontol 2000. 2017;73(1):103–20.CrossRefPubMed Lundgren S, Cricchio G, Hallman M, Jungner M, Rasmusson L, Sennerby L. Sinus floor elevation procedures to enable implant placement and integration: techniques, biological aspects and clinical outcomes. Periodontol 2000. 2017;73(1):103–20.CrossRefPubMed
17.
go back to reference Soares CS, Babo PS, Faria S, Pires MA, Carvalho PP. Standardized platelet-rich fibrin (PRF) from canine and feline origin: an analysis on its secretome pattern and architectural structure. Cytokine. 2021;148:155695.CrossRefPubMed Soares CS, Babo PS, Faria S, Pires MA, Carvalho PP. Standardized platelet-rich fibrin (PRF) from canine and feline origin: an analysis on its secretome pattern and architectural structure. Cytokine. 2021;148:155695.CrossRefPubMed
19.
go back to reference Ali S, Bakry SA, Abd-Elhakam H. Platelet-Rich Fibrin in Maxillary Sinus Augmentation: a systematic review. J Oral Implantol. 2015;41(6):746–53.CrossRefPubMed Ali S, Bakry SA, Abd-Elhakam H. Platelet-Rich Fibrin in Maxillary Sinus Augmentation: a systematic review. J Oral Implantol. 2015;41(6):746–53.CrossRefPubMed
20.
go back to reference Bolukbasi N, Ersanli S, Keklikoglu N, Basegmez C, Ozdemir T. Sinus augmentation with platelet-rich fibrin in combination with bovine bone graft versus bovine bone graft in combination with collagen membrane. J Oral Implantol. 2015;41(5):586–95.CrossRefPubMed Bolukbasi N, Ersanli S, Keklikoglu N, Basegmez C, Ozdemir T. Sinus augmentation with platelet-rich fibrin in combination with bovine bone graft versus bovine bone graft in combination with collagen membrane. J Oral Implantol. 2015;41(5):586–95.CrossRefPubMed
21.
go back to reference Sohn DS, Moon YS. Histomorphometric study of rabbit’s maxillary sinus augmentation with various graft materials. Anat Cell Biol. 2018;51(Suppl 1):1–S12.CrossRef Sohn DS, Moon YS. Histomorphometric study of rabbit’s maxillary sinus augmentation with various graft materials. Anat Cell Biol. 2018;51(Suppl 1):1–S12.CrossRef
22.
go back to reference Xu X, Sohn DS, Kim HG, Lee SJ, Moon YS. Comparative histomorphometric analysis of Maxillary Sinus Augmentation with deproteinized bovine bone and demineralized particulate human tooth graft: an experimental study in rabbits. Implant Dent. 2018;27(3):324–31.CrossRefPubMed Xu X, Sohn DS, Kim HG, Lee SJ, Moon YS. Comparative histomorphometric analysis of Maxillary Sinus Augmentation with deproteinized bovine bone and demineralized particulate human tooth graft: an experimental study in rabbits. Implant Dent. 2018;27(3):324–31.CrossRefPubMed
23.
go back to reference Song YW, Rafikov K, Paeng KW, Kim MJ, Cha JK, Thoma DS, et al. Dimensional changes of the maxillary sinus augmented with a collagenated synthetic bone block or synthetic bone particulates: a pre-clinical study in rabbits. J Clin Periodontol. 2020;47(11):1416–26.CrossRefPubMed Song YW, Rafikov K, Paeng KW, Kim MJ, Cha JK, Thoma DS, et al. Dimensional changes of the maxillary sinus augmented with a collagenated synthetic bone block or synthetic bone particulates: a pre-clinical study in rabbits. J Clin Periodontol. 2020;47(11):1416–26.CrossRefPubMed
24.
go back to reference Kim BJ, Kwon TK, Baek HS, Hwang DS, Kim CH, Chung IK, et al. A comparative study of the effectiveness of sinus bone grafting with recombinant human bone morphogenetic protein 2-coated tricalcium phosphate and platelet-rich fibrin-mixed tricalcium phosphate in rabbits. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;113(5):583–92.CrossRefPubMed Kim BJ, Kwon TK, Baek HS, Hwang DS, Kim CH, Chung IK, et al. A comparative study of the effectiveness of sinus bone grafting with recombinant human bone morphogenetic protein 2-coated tricalcium phosphate and platelet-rich fibrin-mixed tricalcium phosphate in rabbits. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;113(5):583–92.CrossRefPubMed
25.
go back to reference Kim S, Chung JH, Shin SY, Shin SI, Hong JY, Lim HC. Collagenated Synthetic Bone Substitute Material for Sinus Floor Elevation at Sites with a perforated Schneiderian membrane. J Clin Med. 2020;9(11). Kim S, Chung JH, Shin SY, Shin SI, Hong JY, Lim HC. Collagenated Synthetic Bone Substitute Material for Sinus Floor Elevation at Sites with a perforated Schneiderian membrane. J Clin Med. 2020;9(11).
26.
go back to reference Feng M, Wang Y, Zhang P, Zhao Q, Yu S, Shen K, et al. Antibacterial effects of platelet-rich fibrin produced by horizontal centrifugation. Int J Oral Sci. 2020;12(1):32.CrossRefPubMedPubMedCentral Feng M, Wang Y, Zhang P, Zhao Q, Yu S, Shen K, et al. Antibacterial effects of platelet-rich fibrin produced by horizontal centrifugation. Int J Oral Sci. 2020;12(1):32.CrossRefPubMedPubMedCentral
27.
go back to reference Fujioka-Kobayashi M, Kono M, Katagiri H, Schaller B, Zhang Y, Sculean A, et al. Histological comparison of platelet rich fibrin clots prepared by fixed-angle versus horizontal centrifugation. Platelets. 2021;32(3):413–9.CrossRefPubMed Fujioka-Kobayashi M, Kono M, Katagiri H, Schaller B, Zhang Y, Sculean A, et al. Histological comparison of platelet rich fibrin clots prepared by fixed-angle versus horizontal centrifugation. Platelets. 2021;32(3):413–9.CrossRefPubMed
28.
go back to reference Hong JY, Kim MS, Lim HC, Lee JS, Choi SH, Jung UW. A high concentration of recombinant human bone morphogenetic protein-2 induces low-efficacy bone regeneration in sinus augmentation: a histomorphometric analysis in rabbits. Clin Oral Implants Res. 2016;27(12):e199–e205.CrossRefPubMed Hong JY, Kim MS, Lim HC, Lee JS, Choi SH, Jung UW. A high concentration of recombinant human bone morphogenetic protein-2 induces low-efficacy bone regeneration in sinus augmentation: a histomorphometric analysis in rabbits. Clin Oral Implants Res. 2016;27(12):e199–e205.CrossRefPubMed
29.
go back to reference Miron RJ, Chai J, Zheng S, Feng M, Sculean A, Zhang Y. A novel method for evaluating and quantifying cell types in platelet rich fibrin and an introduction to horizontal centrifugation. J Biomed Mater Res A. 2019;107(10):2257–71.CrossRefPubMed Miron RJ, Chai J, Zheng S, Feng M, Sculean A, Zhang Y. A novel method for evaluating and quantifying cell types in platelet rich fibrin and an introduction to horizontal centrifugation. J Biomed Mater Res A. 2019;107(10):2257–71.CrossRefPubMed
30.
go back to reference Duda GN, Geissler S, Checa S, Tsitsilonis S, Petersen A, Schmidt-Bleek K. The decisive early phase of bone regeneration. Nat Rev Rheumatol. 2023;19(2):78–95.CrossRefPubMed Duda GN, Geissler S, Checa S, Tsitsilonis S, Petersen A, Schmidt-Bleek K. The decisive early phase of bone regeneration. Nat Rev Rheumatol. 2023;19(2):78–95.CrossRefPubMed
31.
go back to reference Kumlien J, Schiratzki H. The vascular arrangement of the sinus mucosa. A study in rabbits. Acta Otolaryngol. 1985;99(1–2):122–32.CrossRefPubMed Kumlien J, Schiratzki H. The vascular arrangement of the sinus mucosa. A study in rabbits. Acta Otolaryngol. 1985;99(1–2):122–32.CrossRefPubMed
32.
go back to reference Wu Y, Xiao P, Xu A, He F. Radiographic assessment of deproteinized bovine bone mineral (DBBM) and collagen-stabilized DBBM for transalveolar sinus floor elevation: a 2-year retrospective cohort study. Clin Implant Dent Relat Res. 2022;24(2):176–87.CrossRefPubMed Wu Y, Xiao P, Xu A, He F. Radiographic assessment of deproteinized bovine bone mineral (DBBM) and collagen-stabilized DBBM for transalveolar sinus floor elevation: a 2-year retrospective cohort study. Clin Implant Dent Relat Res. 2022;24(2):176–87.CrossRefPubMed
33.
go back to reference Taschieri S, Ofer M, Corbella S, Testori T, Dellavia C, Nemcovsky C et al. The Influence of Residual Alveolar Bone Height on Graft Composition after Maxillary Sinus Augmentation Using Two Different Xenografts: A Histomorphometric Comparative Study. Materials (Basel). 2020;13(22). Taschieri S, Ofer M, Corbella S, Testori T, Dellavia C, Nemcovsky C et al. The Influence of Residual Alveolar Bone Height on Graft Composition after Maxillary Sinus Augmentation Using Two Different Xenografts: A Histomorphometric Comparative Study. Materials (Basel). 2020;13(22).
34.
go back to reference Asai S, Shimizu Y, Ooya K. Maxillary sinus augmentation model in rabbits: effect of occluded nasal ostium on new bone formation. Clin Oral Implants Res. 2002;13(4):405–9.CrossRefPubMed Asai S, Shimizu Y, Ooya K. Maxillary sinus augmentation model in rabbits: effect of occluded nasal ostium on new bone formation. Clin Oral Implants Res. 2002;13(4):405–9.CrossRefPubMed
35.
go back to reference Iida T, Baba S, Botticelli D, Masuda K, Xavier SP. Comparison of histomorphometry and microCT after sinus augmentation using xenografts of different particle sizes in rabbits. Oral Maxillofac Surg. 2020;24(1):57–64.CrossRefPubMed Iida T, Baba S, Botticelli D, Masuda K, Xavier SP. Comparison of histomorphometry and microCT after sinus augmentation using xenografts of different particle sizes in rabbits. Oral Maxillofac Surg. 2020;24(1):57–64.CrossRefPubMed
36.
go back to reference Kargarpour Z, Panahipour L, Miron RJ, Gruber R. Fibrinogen concentrations in Liquid PRF using various centrifugation protocols. Molecules. 2022;27(7). Kargarpour Z, Panahipour L, Miron RJ, Gruber R. Fibrinogen concentrations in Liquid PRF using various centrifugation protocols. Molecules. 2022;27(7).
37.
go back to reference Gheno E, Alves GG, Ghiretti R, Mello-Machado RC, Signore A, Lourenco ES et al. “Sticky Bone” Preparation Device: A Pilot Study on the Release of Cytokines and Growth Factors. Mater (Basel). 2022;15(4). Gheno E, Alves GG, Ghiretti R, Mello-Machado RC, Signore A, Lourenco ES et al. “Sticky Bone” Preparation Device: A Pilot Study on the Release of Cytokines and Growth Factors. Mater (Basel). 2022;15(4).
38.
go back to reference Wang Z, Mudalal M, Sun Y, Liu Y, Wang J, Wang Y, et al. The Effects of leukocyte-platelet Rich Fibrin (L-PRF) on suppression of the Expressions of the pro-inflammatory cytokines, and proliferation of Schwann Cell, and neurotrophic factors. Sci Rep. 2020;10(1):2421.CrossRefPubMedPubMedCentral Wang Z, Mudalal M, Sun Y, Liu Y, Wang J, Wang Y, et al. The Effects of leukocyte-platelet Rich Fibrin (L-PRF) on suppression of the Expressions of the pro-inflammatory cytokines, and proliferation of Schwann Cell, and neurotrophic factors. Sci Rep. 2020;10(1):2421.CrossRefPubMedPubMedCentral
39.
go back to reference Nasirzade J, Kargarpour Z, Hasannia S, Strauss FJ, Gruber R. Platelet-rich fibrin elicits an anti-inflammatory response in macrophages in vitro. J Periodontol. 2020;91(2):244–52.CrossRefPubMed Nasirzade J, Kargarpour Z, Hasannia S, Strauss FJ, Gruber R. Platelet-rich fibrin elicits an anti-inflammatory response in macrophages in vitro. J Periodontol. 2020;91(2):244–52.CrossRefPubMed
40.
go back to reference Kostenuik P, Mirza FM. Fracture healing physiology and the quest for therapies for delayed healing and nonunion. J Orthop Res. 2017;35(2):213–23.CrossRefPubMed Kostenuik P, Mirza FM. Fracture healing physiology and the quest for therapies for delayed healing and nonunion. J Orthop Res. 2017;35(2):213–23.CrossRefPubMed
42.
go back to reference Diomede F, Marconi GD, Fonticoli L, Pizzicanella J, Merciaro I, Bramanti P et al. Functional relationship between Osteogenesis and Angiogenesis in tissue regeneration. Int J Mol Sci. 2020;21(9). Diomede F, Marconi GD, Fonticoli L, Pizzicanella J, Merciaro I, Bramanti P et al. Functional relationship between Osteogenesis and Angiogenesis in tissue regeneration. Int J Mol Sci. 2020;21(9).
43.
go back to reference Bauer SM, Bauer RJ, Velazquez OC. Angiogenesis, vasculogenesis, and induction of healing in chronic wounds. Vasc Endovascular Surg. 2005;39(4):293–306.CrossRefPubMed Bauer SM, Bauer RJ, Velazquez OC. Angiogenesis, vasculogenesis, and induction of healing in chronic wounds. Vasc Endovascular Surg. 2005;39(4):293–306.CrossRefPubMed
Metadata
Title
Early tissue and healing responses after maxillary sinus augmentation using horizontal platelet rich fibrin bone blocks
Authors
Shimin Yu
Yinping Tian BD
Yan Wei BD
Mengge Feng BD
Sensen Li BMed
Guoyong Tong BMed
Zhouqing Yu BMed
Richard J. Miron
Yufeng Zhang
Zaibo Yang
Yulan Wang
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-03228-z

Other articles of this Issue 1/2023

BMC Oral Health 1/2023 Go to the issue