Graft-Free Sinus Augmentation Procedure: a Literature Review
Identifieur interne : 000748 ( Main/Exploration ); précédent : 000747; suivant : 000749Graft-Free Sinus Augmentation Procedure: a Literature Review
Auteurs : Ginnady Pinchasov ; Gintaras JuodzbalysSource :
- Journal of Oral & Maxillofacial Research [ 2029-283X ] ; 2014.
Abstract
The restoration of edentulous posterior maxilla with dental implants is challenging due to a deficient posterior alveolar ridge. Over the last decade an advance in the graftless bone augmentation procedures had occurred where the space left beneath the Schneiderian membrane is filled with blood clot in order to produce bone formation. The aim of present article is to review the scientific literature with respect to bone formation in the sinus, after membrane elevation procedure, without using any bone substitutes.
A comprehensive review of the current literature was conducted according to the PRISMA guidelines by accessing the NCBI PubMed database. The articles were searched from 1993 to 2013. English language articles with minimum one year patient follow-up and radiological and/or histological diagnostics of newly formed bone were included. Articles were excluded, if usage of bone graft or bone substitutes and/or usage of osteotome has been made during sinus lift operation.
A total of 19 studies were included: 2 studies were related to the sinus membrane’s osteogenic potential, 3 to the histological evidence of bone formation in monkeys and humans, 12 to the radiologic evidence of bone gain, and 2 to the space-maintaining management. 100% of the reviewed articles presented with increased bone formation and high implant survival rates resulting from the graft-free technique.
It is clearly shown in the review that the potential of the maxillary sinus to heal and to form new bone without bone grafts or substitutes is of high nature.
Url:
DOI: 10.5037/jomr.2014.5101
PubMed: 24800051
PubMed Central: 4007367
Affiliations:
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Department of Oral and Maxillofacial Surgery, Kaunas University of Medicine</institution>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Graft-Free Sinus Augmentation Procedure: a Literature Review</title>
<author><name sortKey="Pinchasov, Ginnady" sort="Pinchasov, Ginnady" uniqKey="Pinchasov G" first="Ginnady" last="Pinchasov">Ginnady Pinchasov</name>
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Department of Oral and Maxillofacial Surgery, Kaunas University of Medicine</institution>
<country>Lithuania.</country>
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<wicri:noCountry code="nlm country">Lithuania.</wicri:noCountry>
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<author><name sortKey="Juodzbalys, Gintaras" sort="Juodzbalys, Gintaras" uniqKey="Juodzbalys G" first="Gintaras" last="Juodzbalys">Gintaras Juodzbalys</name>
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Department of Oral and Maxillofacial Surgery, Kaunas University of Medicine</institution>
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<series><title level="j">Journal of Oral & Maxillofacial Research</title>
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<front><div type="abstract" xml:lang="en"><title>ABSTRACT</title>
<sec sec-type="objectives"><title>Objectives</title>
<p>The restoration of edentulous posterior maxilla
with dental implants is challenging due to a deficient posterior
alveolar ridge. Over the last decade an advance in the graftless bone
augmentation procedures had occurred where the space left beneath the
Schneiderian membrane is filled with blood clot in order to produce bone
formation. The aim of present article is to review the scientific
literature with respect to bone formation in the sinus, after membrane
elevation procedure, without using any bone substitutes.</p>
</sec>
<sec sec-type="material and methods"><title>Material and Methods</title>
<p>A comprehensive review of the current literature was
conducted according to the PRISMA guidelines by accessing the NCBI PubMed
database. The articles were searched from 1993 to 2013. English language
articles with minimum one year patient follow-up and radiological and/or
histological diagnostics of newly formed bone were included. Articles were
excluded, if usage of bone graft or bone substitutes and/or usage of osteotome
has been made during sinus lift operation.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>A total of 19
studies were included: 2 studies were related to the sinus membrane’s osteogenic
potential, 3 to the histological evidence of bone formation in monkeys and
humans, 12 to the radiologic evidence of bone gain, and 2 to the
space-maintaining management. 100% of the reviewed articles presented with
increased bone formation and high implant survival rates resulting from the
graft-free technique.</p>
</sec>
<sec sec-type="conclusions"><title>Conclusions</title>
<p>It is clearly shown in the
review that the potential of the maxillary sinus to heal and to form new bone
without bone grafts or substitutes is of high nature.</p>
</sec>
</div>
</front>
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