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Clinical Oral Investigations

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01-08-2019 | Original Article

Sinus augmentation analysis of the gradient of graft consolidation: a split-mouth histomorphometric study

Authors: Roni Kolerman, Joseph Nissan, Marina Rahmanov, José Luis Calvo-Guirado, Nirit Tager Green, Haim Tal

Published in: Clinical Oral Investigations | Issue 8/2019

Abstract

Objective

The aim of this study was to histomorphometrically test the hypothesis that graft consolidation originates from the sinus floor.

Materials and methods

This prospective, randomized split-mouth study investigated patients undergoing bilateral maxillary lateral sinus floor augmentation using either freeze-dried bone allografts (FDBAs) or biphasic calcium phosphate (BCP) bone substitute. Apico-coronal core biopsies were harvested during implant placement 9 months after sinus floor augmentation, processed for histological observation, and measured histomorphometrically.

Results

Biopsies were taken from 26 bilateral sites in 13 patients. The density of new bone (NB) decreased with increasing distance from the sinus floor. The percentage mean surface of NB ranged from 31 ± 9.5% at 2 mm from the sinus floor (G1) to 27.7 ± 11.2% at 4 mm (G2) for the FDBA specimens and from 30.0 ± 11.0% at G1 to 23.5 ± 9.9% at G2 for the BCP specimens. Evaluation of the residual graft particle (GP) area alone as a function of distance from the floor revealed a clear inverse gradient of 7.1 ± 6.6 to 9.1 ± 10.3 between G1 and G2 for the FDBA allografts, with the same tendency for the BCP alloplasts (21.9 ± 9.9 to 27.7 ± 6.6, respectively).

Conclusion

Our results support the concept that osteogenesis initiates in regions proximal to the bony walls of the maxillary sinus and may be enhanced by them.

Clinical relevance

The nature of the grafting material had a greater influence on the degree of NB formation in regions distant from the native walls where there is reduced inherent osteogenic potential.

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Title: Sinus augmentation analysis of the gradient of graft consolidation: a split-mouth histomorphometric study
Authors: Roni Kolerman
Joseph Nissan
Marina Rahmanov
José Luis Calvo-Guirado
Nirit Tager Green
Haim Tal
Publication date: 01-08-2019
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 8/2019
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-018-2793-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Sinus augmentation analysis of the gradient of graft consolidation: a split-mouth histomorphometric study

Abstract

Objective

Materials and methods

Results

Conclusion

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Materials and methods

Results

Conclusion

Clinical relevance

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