Browse > Article

SINUS AUGMENTATION WITH ${\beta}$-TCP  

Hwang, Kyung-Gyun (Division of Oral & Maxillofacial Surgery, Department of Dentistry, College of Medicine, Hanyang University)
Song, Seung-Il (Division of Oral & Maxillofacial Surgery, Department of Dentistry, College of Medicine, Ajou University)
Kim, Sang-Woo (Division of Oral & Maxillofacial Surgery, Department of Dentistry, College of Medicine, Hanyang University)
Lee, Sung-Hoon (Division of Oral & Maxillofacial Surgery, Department of Dentistry, College of Medicine, Hanyang University)
Kim, Young-Muen (Division of Oral & Maxillofacial Surgery, Department of Dentistry, College of Medicine, Hanyang University)
Shim, Kwang-Sup (Division of Oral & Maxillofacial Surgery, Department of Dentistry, College of Medicine, Hanyang University)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.30, no.5, 2004 , pp. 428-433 More about this Journal
Abstract
Sinus floor augmentation has been proven an effective treatment procedure to increase bone volume in the posterior edentulous maxilla. Autogenous bone considered to be the best material for reconstructive bone surgery and has been successfully used as a graft material to augment posterior maxilla. However, the collection of autogenous bone required extra risks for morbidity and complaints. So, various bone graft materials included ${\beta}$-tricalcium phosphate(${\beta}$-TCP) has been introduced for replacing the autogenous bone. The objective of this clinical study was to determine the predictability of endosseous implant placed in a maxillary sinus with ${\beta}$-TCP grafting. We performed sinus elevation with ${\beta}$-TCP to install the implant in the 10 maxillary cases. The prosthetic procedure was performed 6-9 months after. The implant-prosthetics was checked about 1 year. We checked the implant and measured the maximum bite force to evaluate the function of the implant. There was not observed the specific problem and complication in dental implant and maxillary sinus in the grafted materials. The maximum bite force was 558N in case of natural tooth, 365N in implant without grafting, 318N in implant with ${\beta}$-TCP grafting. There was no significant difference between with and without sinus grafting on maximum bite force(p>0.05). As though the long term check-up is needed, the grafting of ${\beta}$-TCP as a osteoconductive materials can expand the volume and induce dense new bone formation in maxillary sinus. So, this short-term results support that ${\beta}$-TCP can be a suitable material for sinus augmentation.
Keywords
Maxillary sinus; Augmentation; Bone graft; ${\beta}$-TCP; Maximum bite force;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Isaksson S: Evaluation of three bone grafting techniques for severely resorbed maxillae in conjunction with immediate endosseous implants. Int J Oral Maxillofac Implants 1994;9:679-688
2 Boyne PJ, James RA: Grafting of the maxillary sinus floor with autogenous marrow and bone. Oral Surg 1980;38:613-616
3 Wood RM, Moore DL: Grafting of the maxillary sinus with intraorally harvested autogenous bone prior to implant placement. Int J Oral Maxillofac Implants 1988;3: 209-214   PUBMED
4 Lemperle SM, Calhoun CJ, Curran RW et al: Bony healing of large cranial and mandibular defects protected from soft tissue interposition : a comparative study of spontaneous bone regeneration, osteoconduction, and cancellous autografting in dogs. Plast Reconstr Surg 1998;101:660-672   DOI   ScienceOn
5 Wiltfang J, Schlegel KA, Schultze-Mosgau S et al: Sinus floor augmentation mentation with beta-tricalciumphosphate (beta-TCP): does plateletrich plasma promote its osseous integration and degradation? Clin Oral Implants Res 2003;14:213-218
6 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   DOI   ScienceOn
7 Ducheyne P, Qiu Q: Bioactive ceramics: the effect of surface reactivity on bone formation and bone cell function. Biomaterials 1999;20:2287-2303   DOI   ScienceOn
8 Kim MJ, Kim TY, Hwang KG et al: Subantral augmentation with autogenous bone graft for simultaneous implant installation. J Kor Maxillofac Surg 2000;26:644-651
9 Kent JH, Block MS: Simultaneous maxillary sinus floor bone grafting and placement of hydroxylapatite-coated implants. J Oral Maxillofac Surg 1989;47:238-242   DOI   ScienceOn
10 Ewers R, Harle F: Experimental and clinical results of new advances in the treatment of facial trauma. Plast Reconstr Surg 1985;75:25-31   DOI   PUBMED   ScienceOn
11 Szabo G, Suba Z, Hrabak K et al: Autogenous bone versus $\beta$-tricalcium phosphate graft alone for bilateral sinus elevations(2-and 3- dimensional compute tomographic, histologic, and histomorphometric evaluations) : preliminary results. Int J Oral Maxillofac Implant 2001;16:681-692.
12 Marx RE: Autogenous grafting in oral and maxillofacial surgery: Philosophy and particulars of autogenous bone grafting. Oral Maxillofac Surg North Am 1993;5:599-612
13 Ogose A, Hotta T, Hatano H, et al: Histological examination of betatricalcium phosphate graft in human femur. J Biomed Mater Res 2002;63:601-604   DOI   ScienceOn
14 Lu JX, Gallur A, Flautre B et al: Comparative study of tissue reactions to calcium phosphate ceramics among cancellous, cortical, and medullar bone sites in rabbits. J Biomed Mater Res 1998;42:357-367   DOI   ScienceOn
15 Lee SJ, Jang HS, Lee BK, Kwon JJ, Rim JS: A clinical study of maxillary sinus lift for dental implant. J Kor Plast Reconstr Surg 1999;21:376-381
16 Miura H, Watanabe S, Isogai E, Miura K: Comparison of maximum bite force and dentate status between healthy and frail elderly persons. J Oral Rehabil. 2001;28:592-595   DOI   ScienceOn
17 Kim SG, Kim SM, Park IS: Maxillary sinus graft for endoesseous implant placement : Review of the Literatures. J Kor Oral Maxillofac Surg 2000;26:527-532
18 Cho IH: Clinical Application of Resonance Frequency Analysis on Implant Restoration. J Kor Dent Assoc 2003;41:148-152
19 Tatum H: Maxillary and sinus implant reconstructions. Dent Clinics North Am 1986;30:207-229
20 Kleinfelder JW, Ludwigt K: Maximal bite force in patients with reduced periodontal tissue support with and without splinting. J Periodontol 2002;73:1184-1187   DOI   ScienceOn
21 Gisep A, Wieling R, Bohner M, et al: Resorption patterns of calciumphosphate cements in bone. J Biomed Mater Res 2003;66A:532-540   DOI
22 Wiltfang J, Schlegel KA, Schultze-Mosgau S et al: Sinus floor augmentation with beta-tricalciumphosphate (beta-TCP): does plateletrich plasma promote its osseous integration and degradation? Clin Oral Implants Res 2003;14:213-218
23 Lu J, Descamps M, Dejou J et al: The biodegradation mechanism of calcium phosphate biomaterials in bone J Biomed Mater Res 2002;63:408-412
24 Oklund SA, Prolo DJ, Gutierrez RV et al: Quantitative camparision of healing in cranial fresh autografts, and allografts in canine skull defects. Clin Orthop 1986;205:269-291
25 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   PUBMED
26 Miyaura K, Matsuka Y, Morita M, Yamashita A, Watanabe T: Comparison of biting forces in different age and sex groups: a study of biting efficiency with mobile and non-mobile teeth. J Oral Rehabil 1999;26:223-227   DOI   ScienceOn
27 Misch C: Maxillary sinus augmentation for endosteal implants. Int J Oral Implantol 1987;4:49-58   PUBMED
28 Marx RE, Stevens MR: Morbidity from bone harvest in major jaw reconstruction: A randomized trial comparing the lateral anterior and posterior approaches to the ileum. J Oral Maxillofac Surg 1988;48:196-203
29 Merkx MAW, Maltha JC, Stoelinga PJW: Assessment of the value of anorganic bone additives in sinus floor augmentation: a review of clinical reports. Int J Oral Maxillofac Surg 2003;32:1-6   DOI   ScienceOn
30 Goldberg VM, Stevenson S: Nature history of autograft and allograft. Clin Orthop 1987;225:7-16
31 Manjubala I, Sivakumar M, Sureshkumar RV, et al: Bioactivity and osseointegration study of calcium phosphate ceramic of different chemical composition. J Biomed Mater Res 2002;63:200-208   DOI   ScienceOn