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Clinical Oral Investigations
Published in: Clinical Oral Investigations 3/2017

01-04-2017 | Original Article

Histological and radiological evaluation of sintered and non-sintered deproteinized bovine bone substitute materials in sinus augmentation procedures. A prospective, randomized-controlled, clinical multicenter study

Authors: Tim Fienitz, Ofer Moses, Christoph Klemm, Arndt Happe, Daniel Ferrari, Matthias Kreppel, Zeev Ormianer, Moti Gal, Daniel Rothamel

Published in: Clinical Oral Investigations | Issue 3/2017

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Abstract

Objectives

The objective of this study is to histologically and radiologically compare a sintered and a non-sintered bovine bone substitute material in sinus augmentation procedures.

Materials and methods

Thirty-three patients were included in the clinically controlled randomized multicentre study resulting in a total of 44 treated sinuses. After lateral approach, sinuses were filled with either a sintered (SBM, Alpha Bio’s Graft®) or a non-sintered (NSBM, Bio Oss®) deproteinized bovine bone substitute material. The augmentation sites were radiologically assessed before and immediately after the augmentation procedure as well as prior to implant placement. Bone trephine biopsies for histological analysis were harvested 6 months after augmentation whilst preparing the osteotomies for implant placement.

Results

Healing was uneventful in all patients. After 6 months, radiological evaluation of 43 sinuses revealed a residual augmentation height of 94.65 % (±2.74) for SBM and 95.76 % (±2.15) for NSBM. One patient left the study for personal reasons. Histological analysis revealed a percentage of new bone of 29.71 % (±13.67) for SBM and 30.57 % (±16.07) for NSBM. Residual bone substitute material averaged at 40.68 % (±16.32) for SBM compared to 43.43 % (±19.07) for NSBM. All differences between the groups were not statistically significant (p > 0.05, Student’s t test).

Conclusion

Both xenogeneic bone substitute materials showed comparable results regarding new bone formation and radiological height changes in external sinus grafting procedures.

Clinical relevance

Both bone substitute materials allow for a predictable new bone formation following sinus augmentation procedures.
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Metadata
Title
Histological and radiological evaluation of sintered and non-sintered deproteinized bovine bone substitute materials in sinus augmentation procedures. A prospective, randomized-controlled, clinical multicenter study
Authors
Tim Fienitz
Ofer Moses
Christoph Klemm
Arndt Happe
Daniel Ferrari
Matthias Kreppel
Zeev Ormianer
Moti Gal
Daniel Rothamel
Publication date
01-04-2017
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 3/2017
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-016-1829-9

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