THE GRAFT HEIGHT CHANGES AFTER SINUS AUGMENTATION PROCEDURES USING DEPROTEINIZED BOVINE BONE MINERAL AND BETA-TRICALCIUM PHOSPHATE - A RETROSPECTIVE COMPARATIVE STUDY USING PANORAMIC RADIOGRAPHY

탈단백 우골과 제3인산칼슘을 이용한 상악동 골이식 후 이식재의 높이 변화 - 파노라마 방사선 사진을 이용한 후향적 대조 연구

  • Kim, Jong-Sik (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Park, Tae-Il (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Seo, Hyun-Soo (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Song, Yun-Jung (Department of Operative Dentistry, College of Medicine, Hallym University) ;
  • Hong, Soon-Min (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Choi, Mee-Ra (Department of Prosthodontics, College of Medicine, Hallym University) ;
  • Park, Jun-Woo (Department of Oral & Maxillofacial Surgery, College of Medicine, Hallym University)
  • 김종식 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 박태일 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 서현수 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 송윤정 (한림대학교 의과대학 치과보존학교실) ;
  • 홍순민 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 최미라 (한림대학교 의과대학 치과보철학교실) ;
  • 박준우 (한림대학교 의과대학 구강악안면외과학교실)
  • Published : 2008.08.29

Abstract

Purpose: Previous clinical investigations of sinus floor augmentation have demonstrated repneumatization of grafted sinus. The aim of this study is to evaluate and compare the height changes of sinus floor after grafting with deprotenized bovine bone mineral (DBBM) and beta tricalcium phosphate (TCP). Materials and methods: 34 sinuses in 28 patients were augmented with 100% DBBM or 100% TCP through lateral approaches. Sinusgraft height was measured before, immediately after, and 6 months after bone graft with panoramic radiography. Result: After 6 months, the decreases of graft heights were 14.53% for DBBM group and 15.15% for TCP group. There was no statistically significant difference. Discussion and Conclusion: Long-term stability of sinus-graft height represents an important factor for implant success. After the uses of DBBM and TCP for maxillary sinus floor augmentations, acceptable graft height maintenances were observed.

Keywords

References

  1. 소현자, 정동근, 권진희, 유소현, 김형섭: 상악동 중격 : 임플란트 수술 계획시 파노라마와 치과용 전산화 단층 촬영 분석. 대한치주과학회지 2006;36:147-153
  2. Wallace SS, Froum SJ: Effect of Maxillary Sinus Augmentation on the Survival of Endosseous Dental Implants. A Systematic Review Ann Periodontol 2003;8:328-343 https://doi.org/10.1902/annals.2003.8.1.328
  3. Fabbro MD, Testori T, Francetti L, Weinstein R: Systematic Review of Survival Rates for Implants Placed in the Grafted Maxillary Sinus. Int J Periodontics Restorative Dent 2004;24:565-577
  4. Aghaloo TL, Moy PK: Which hard tissue augmentation techniques are the most successful in furnishing bony support for implant placement? Int J Oral Maxillofac Implants 2007;22 Suppl:49-70
  5. Jensen OT, Shulman LB, Block MS, Iacono VJ: Report of the Sinus Consensus Conference of 1996. Int J Oral Maxillofac Implants 1998;13 Suppl:11-45
  6. Bradley S. McAllister D, Mark D, Margolin D, Allan G. Cogan D, Dave Buck M, Jeffrey O. Hollinger D, Samuel E, Lynch D: Eighteen-Month Radiographic and Histologic Evaluation of Sinus Grafting with Anorganic Bovine Bone in the Chimpanzee. Int J Oral Maxillofac Implants 1999;14:361-68
  7. Hurzeler MB, Kirsch A, Ackermann KL, Quinones CR: Reconstruction of the severely resorbed maxilla with dental implants in the augmented maxillary sinus: a 5-year clinical investigation. Int J Oral Maxillofac Implants 1996;11:466-475
  8. GaRey DJ, Whittaker JM, James RA, Lozada JL: The histologic evaluation of the implant interface with heterograft and allograft materials-an eight-month autopsy report, Part II. J Oral Implantol 1991;17:404-408
  9. Hatano N, Shimizu Y, Ooya K: A clinical long-term radiographic evaluation of graft height changes after maxillary sinus floor augmentation with a 2:1 autogenous bone/xenograft mixture and simultaneous placement of dental implants. Clin Oral Implants Res 2004;15:339-345 https://doi.org/10.1111/j.1600-0501.2004.00996.x
  10. Nystrom E, Legrell PE, Forssell A, Kahnberg KE: Combined use of bone grafts and implants in the severely resorbed maxilla. Postoperative evaluation by computed tomography. Int J Oral Maxillofac Surg 1995;24:20-25 https://doi.org/10.1016/S0901-5027(05)80851-3
  11. Johansson B, Grepe A, Wannfors K, Hirsch J-M: A clinical study of changes in the volume of bone grafts in the atrophic maxilla. Dentomaxillofacial Radiology 2001;39:157-161
  12. Hallman M, Hedin M, Sennerby L, Lundgren S: A prospective 1-year clinical and radiographic study of implants placed after maxillary sinus floor augmentation with bovine hydroxyapatite and autogenous bone. J Oral Maxillofac Surg 2002;60:277-284 https://doi.org/10.1053/joms.2002.30576
  13. Velich N, Nemeth Z, Toth C, Szabo G: Long-term results with different bone substitutes used for sinus floor elevation. J Craniofac Surg 2004;15:38-41 https://doi.org/10.1097/00001665-200401000-00013
  14. 홍순민: 탈단백 우골(Deproteinized Bovine Bone Mineral)을 이용한 상악동 골이식술 : 측면 접근법의 문헌 고찰. J Kor Oral Maxillofac Surg 2006;32:482-487
  15. Zijderveld SA, Zerbo IR, van den Bergh JP, Schulten EA, ten Bruggenkate CM: Maxillary sinus floor augmentation using a beta-tricalcium phosphate (Cerasorb) alone compared to autogenous bone grafts. Int J Oral Maxillofac Implants 2005;20:432-440
  16. Artzi Z, Kozlovsky A, Nemcovsky CE, 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;32:193-199 https://doi.org/10.1111/j.1600-051X.2005.00656.x
  17. Artzi Z, Weinreb M, Givol N, et al.: Biomaterial resorption rate and healing site morphology of inorganic bovine bone and betatricalcium phosphate in the canine: a 24-month longitudinal histologic study and morphometric analysis. Int J Oral Maxillofac Implants 2004;19:357-368
  18. Schlegel KA, Fichtner G, Schultze-Mosgau S, Wiltfang J: Histologic findings in sinus augmentation with autogenous bone chips versus a bovine bone substitute. Int J Oral Maxillofac Implants 2003;18:53-58
  19. Wiltfang J, Merten HA, Schlegel KA, et al.: Degradation characteristics of alpha and beta tri-calcium-phosphate (TCP) in minipigs. J Biomed Mater Res 2002;63:115-121 https://doi.org/10.1002/jbm.10084
  20. 지재휴, 여환호, 윤광철: 상악동 거상술을 동반한 임플란트 시술 : 증례보고. Oral Biology Research 1997;21:45-52
  21. 김지선, 이서경, 채경준, et al.: 상악동 골이식술을 동반한 임프란트 식립 시 골이식재의 높이 변화에 대한 방사선학적 평가. 대한치주과학회지 2007;37:277-286 https://doi.org/10.5051/jkape.2007.37.2.277
  22. Martinez H, Davarpanah M, Missika P, Celletti R, Lazzara R: Optimal implant stabilization in low density bone. Clin Oral Implants Res 2001;12:423-432 https://doi.org/10.1034/j.1600-0501.2001.120501.x
  23. Le Guehennec L, Soueidan A, Layrolle P, Amouriq Y: Surface treatments of titanium dental implants for rapid osseointegration. Dent Mater 2007;23:844-854 https://doi.org/10.1016/j.dental.2006.06.025
  24. Akkocaoglu M, Uysal S, Tekdemir I, Akca K, Cehreli MC: Implant design and intraosseous stability of immediately placed implants: a human cadaver study. Clin Oral Implants Res 2005;16:2002-2009
  25. Strietzel FP, Nowak M, Kuchler I, Friedmann A: Peri-implant alveolar bone loss with respect to bone quality after use of the osteotome technique: results of a retrospective study. Clin Oral Implants Res 2002;13:508-513 https://doi.org/10.1034/j.1600-0501.2002.130510.x
  26. Nedir R, Bischof M, Briaux JM, Beyer S, Szmukler-Moncler S, Bernard JP: A 7-year life table analysis from a prospective study on ITI implants with special emphasis on the use of short implants. Results from a private practice. Clin Oral Implants Res 2004;15:150-157 https://doi.org/10.1111/j.1600-0501.2004.00978.x
  27. Aparicio C, Perales P, Rangert B: Tilted implants as an alternative to maxillary sinus grafting: a clinical, radiologic, and periotest study. Clin Implant Dent Relat Res 2001;3:39-49 https://doi.org/10.1111/j.1708-8208.2001.tb00127.x
  28. Landes CA: Zygoma implant-supported midfacial prosthetic rehabilitation: a 4-year follow-up study including assessment of quality of life. Clin Oral Implants Res 2005;16:313-325 https://doi.org/10.1111/j.1600-0501.2005.01096.x
  29. Wanschitz F, Figl M, Wagner A, Rolf E: Measurement of volume changes after sinus floor augmentation with a phycogenic hydroxyapatite. Int J Oral Maxillofac Implants 2006;21:433-438
  30. Thorwarth M, Srour S, Felszeghy E, Kessler P, Schultze-Mosgau S, Schlegel KA: Stability of autogenous bone grafts after sinus lift procedures: a comparative study between anterior and posterior aspects of the iliac crest and an intraoral donor site. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;100:278-284 https://doi.org/10.1016/j.tripleo.2004.12.017
  31. Lu M, Rabie AB: Microarchitecture of rabbit mandibular defects grafted with intramembranous or endochondral bone shown by micro-computed tomography. Br J Oral Maxillofac Surg 2003;41:385-391 https://doi.org/10.1016/S0266-4356(03)00169-4
  32. 김형욱, 이슬기, 정재안, et al.: 상악동 골이식술을 위한 이식재의 부피 측정 - CT 를 이용한 환자 대조군 연구. J Kor Oral Maxillofac Surg 2007;33:511-517
  33. Traini T, Valentini P, Iezzi G, Piattelli A: A histologic and histomorphometric evaluation of anorganic bovine bone retrieved 9years after a sinus augmentation procedure. J Periodontol 2007;78:955-961 https://doi.org/10.1902/jop.2007.060308
  34. Horch HH, Sader R, Pautke C, Neff A, Deppe H, Kolk A: Synthetic, pure-phase beta-tricalcium phosphate ceramic granules (Cerasorb) for bone regeneration in the reconstructive surgery of the jaws. Int J Oral Maxillofac Surg 2006;35:708-713 https://doi.org/10.1016/j.ijom.2006.03.017
  35. Ozyuvaci H, Bilgic B, Firatli E: Radiologic and histomorphometric evaluation of maxillary sinus grafting with alloplastic graft materials. J Periodontol 2003;74:909-915 https://doi.org/10.1902/jop.2003.74.6.909
  36. Szabo G, Suba Z, Hrabak K, Barabas J, Nemeth Z: Autogenous bone versus beta-tricalcium phosphate graft alone for bilateral sinus elevations (2- and 3-dimensional computed tomographic, histologic, and histomorphometric evaluations): preliminary results. Int J Oral Maxillofac Implants 2001;16:681-692
  37. Zerbo IR, Bronckers AL, de Lange GL, van Beek GJ, Burger EH: Histology of human alveolar bone regeneration with a porous tricalcium phosphate. A report of two cases. Clin Oral Implants Res 2001;12:379-384 https://doi.org/10.1034/j.1600-0501.2001.012004379.x
  38. Szabo G, Huys L, Coulthard P, et al.: A prospective multicenter randomized clinical trial of autogenous bone versus beta-tricalcium phosphate graft alone for bilateral sinus elevation: histologic and histomorphometric evaluation. Int J Oral Maxillofac Implants 2005;20:371-381
  39. Wiltfang J, Schlegel KA, Schultze-Mosgau S, Nkenke E, Zimmermann R, Kessler P: Sinus floor augmentation with betatricalciumphosphate (beta-TCP): does platelet-rich plasma promote its osseous integration and degradation? Clin Oral Implants Res 2003;14:213-218 https://doi.org/10.1034/j.1600-0501.2003.140212.x