Maxillary sinus floor augmentation with anorganic bovine bone : Histologic evaluation in humans

Anorganic bovine bone을 이용한 상악동저 거상술의 조직학적 평가

  • Son, Woo-Kyung (Department of Periodontics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Shin, Seung-Yun (Department of Periodontics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Yang, Seung-Min (Department of Periodontics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kye, Seung-Beom (Department of Periodontics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 손우경 (삼성서울병원, 성균관대학교 의과대학 치주과) ;
  • 신승윤 (삼성서울병원, 성균관대학교 의과대학 치주과) ;
  • 양승민 (삼성서울병원, 성균관대학교 의과대학 치주과) ;
  • 계승범 (삼성서울병원, 성균관대학교 의과대학 치주과)
  • Published : 2009.03.31

Abstract

Purpose: The aim of this report is to investigate the efficacy of anorganic bovine bone xenograft(Bio-$Oss^{(R)}$) at maxillary sinus floor augmentation. Materials and methods: Two male patients who missed maxillary posterior teeth were included. They were performed maxillary sinus floor augmentation using anorganic bovine bone xenograft(Bio-$Oss^{(R)}$). After 10 or 13 months, the regenerated tissues were harvested using trephine drills with 2 or 4mm diameter and non-decalcified specimens were made. The specimens were examined histologically and histomorphometrically to investigate graft resorption and new bone formation. Results: Newly formed bone was in contact with Bio-$Oss^{(R)}$ particles directly without any gap between the bone and the particles. The proportions of newly formed bone were $23.4{\sim}25.3%$ in patient 1(Pt.1) and 28.8% in patient 2(Pt.2). And the proportions of remained Bio-$Oss^{(R)}$ were $29.7{\sim}30.2%$ in Pt.1 and 29.2% in Pt.2. The fixtures installed at augmented area showed good stability and the augmented bone height was maintained well. Conclusion: Anorganic bovine bone xenograft(Bio-$Oss^{(R)}$) has high osteoconductivity and helps new bone formation, so that it can be used in maxillary sinus floor augmentation.

Keywords

References

  1. Bays R. The pathophysiology and anatomy of edentulous bone loss. Reconstructive Preprosthetic Oral and Maxillofacial Surgery 1986;1:1-17
  2. Galindo-Moreno P, Avila G, Fernandez-Barbero JE et al. Evaluation of sinus floor elevation using a composite bone graft mixture. Clin Oral Impl Res 2007;18:376-382 https://doi.org/10.1111/j.1600-0501.2007.01337.x
  3. Zinner ID, Small SA. Maxillary sinus grafts and prosthetic management. Implant Dentistry:From Failure to Success. 1st edition. Hong kong. Quintessence Books 2004;99-100
  4. Kamada M, Shimazu K, Aoki H et al. Maxillary sinusitis caused by oral implants. Practica Oto-Rhino-Laryngologica 2003;96:231-236 https://doi.org/10.5631/jibirin.96.231
  5. Galindo-Moreno P, Sanchez-Fernandez E, Avila G et al. Migration of implants into the maxillary sinus: two clinical cases. Int J Oral Maxillofac Implants. 2005;20:291-295
  6. Van den Bergh JPA, Ten Bruggenkate CM, Disch FJM et al. Anatomical aspects of sinus floor elevation. Clin Oral Impl Res 2000;11:256-265 https://doi.org/10.1034/j.1600-0501.2000.011003256.x
  7. Jensen OT. The Sinus Bone Graft. 2nd edition. Quintessence Books. 2006;211-219
  8. Davies JE. In vitro modeling of the bone/implant interface. Anatomical Record. 1996;245:426-445 https://doi.org/10.1002/(SICI)1097-0185(199606)245:2<426::AID-AR21>3.0.CO;2-Q
  9. 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
  10. Del Fabbro M, Testori T, Francetti L et al. Systematic review of survival rates for implants placed in the grafted maxillary sinus. Int J Periodontics Restorative Dent. 2004;24: 565-577
  11. Daelemans P, Hermans M, Godet F et al. Autologous bone graft to augment the maxillary sinus in conjunction with immediate endosseous implants: a retrospective study up to 5 years. Int J Periodontics Restorative Dent. 1997;17:27-39
  12. Hallman M, Sennerby L, Lundgren S. A clinical and histologic evaluation of implant integration in the posterior maxilla after sinus floor augmentation with autogenous bone, bovine hydroxyapatite, or a 20:80 mixture. Int J Oral Maxillofac Implants. 2002;17:635-643
  13. Valentini P, Abensur DJ. Maxillary sinus grafting with anorganic bovine bone: A clinical report of long-term results. Int J Oral Maxillofac Implants. 2003;18:556-560
  14. Piattelli M, Favero GA, Scarano A et al. Bone reactions to anorganic bovine bone(BioOss) used in sinus augmentation procedures: A histologic long-term report of 20 cases in humans. Int J Oral Maxillofac Implants. 1999;14:835-840
  15. Lee YM, Shin SY, Kim JY et al. Bone reaction to bovine hydroxyapatite for maxillary sinus floor augmentation: Histologic results in humans. Int J Periodontics Restorative Dent. 2006;26:471-481
  16. Valentini P, Abensur D, Wenz Bet al. Sinus grafting with porous bone mineral(BioOss) for implant placement: A 5-year study on 15 patients. Int J Periodontics Restorative Dent. 2000;20:245-253
  17. Hammerle CHF, Chiantella GC, Karring T et al. The effect of a deproteinized bovine bone mineral on bone regeneration around titanium dental implants. Clin Oral Impl Res. 1998;9:151-162 https://doi.org/10.1034/j.1600-0501.1998.090302.x
  18. Valentini P, Abensur D, Densari D ct a1. Histological evaluationof BioOss in a 2-stage sinus floor elevation and implantation procedure. A human case report. Clin Oral Impl Res. 1998;9:59-64 https://doi.org/10.1034/j.1600-0501.1998.090108.x
  19. Scarano A, Pecora G, Piattelli M et al. Osseointegration in a sinus augmented with bovine porous mineral: Histological results in an implant retrieved 4 years after insertion. A case report. J Periodontol. 2004;75:1161-1166 https://doi.org/10.1902/jop.2004.75.8.1161