Long-term results of new deproteinized bovine bone material in a maxillary sinus graft procedure
Identifieur interne : 000229 ( Pmc/Curation ); précédent : 000228; suivant : 000230Long-term results of new deproteinized bovine bone material in a maxillary sinus graft procedure
Auteurs : Seung-Yun Shin [Corée du Sud] ; You-Jeong Hwang [Corée du Sud] ; Jung-Hoon Kim [Corée du Sud] ; Yang-Jo Seol [Corée du Sud]Source :
- Journal of Periodontal & Implant Science [ 2093-2278 ] ; 2014.
Abstract
The aim of this case report is to present the longitudinal results of sinus grafting using a new demineralized bovine bone material (DBBM) in human cases.
A patient with a resorbed maxilla was treated by maxillary sinus grafting using a new deproteinized bovine bone material. After a healing period of 6.5 months, three implants were placed and restored. The patient was periodically recalled and followed up for 5 years after restoration.
Twelve partially edentulous patients (average age, 55.7 years) were followed up. All patients had insufficient residual height in their maxillary posterior area and underwent maxillary sinus graft surgery to increase the height of their maxilla. In all, 27 fixtures were placed in the augmented bone area. On average, 8.6 months later, implants were loaded using provisional or final restorations. The observation period ranged from 27 to 75 months (average, 43.3 months), and the patients did not show any severe resorption of the graft material or any infection during this time.
Our results show that the new DBBM is useful for a maxillary sinus graft procedure. Good healing responses as well as reliable results were obtained for an average follow-up period of 43.3 months.
Url:
DOI: 10.5051/jpis.2014.44.5.259
PubMed: 25368815
PubMed Central: 4216403
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<author><name sortKey="Shin, Seung Yun" sort="Shin, Seung Yun" uniqKey="Shin S" first="Seung-Yun" last="Shin">Seung-Yun Shin</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department Periodontology, Kyung Hee University School of Dentistry, Seoul, Korea.</nlm:aff>
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<author><name sortKey="Hwang, You Jeong" sort="Hwang, You Jeong" uniqKey="Hwang Y" first="You-Jeong" last="Hwang">You-Jeong Hwang</name>
<affiliation wicri:level="1"><nlm:aff id="A2">Department of Dentistry, CHA Bundang Medical Center, CHA University, Seongnam, Korea.</nlm:aff>
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<author><name sortKey="Kim, Jung Hoon" sort="Kim, Jung Hoon" uniqKey="Kim J" first="Jung-Hoon" last="Kim">Jung-Hoon Kim</name>
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<author><name sortKey="Seol, Yang Jo" sort="Seol, Yang Jo" uniqKey="Seol Y" first="Yang-Jo" last="Seol">Yang-Jo Seol</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Long-term results of new deproteinized bovine bone material in a maxillary sinus graft procedure</title>
<author><name sortKey="Shin, Seung Yun" sort="Shin, Seung Yun" uniqKey="Shin S" first="Seung-Yun" last="Shin">Seung-Yun Shin</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department Periodontology, Kyung Hee University School of Dentistry, Seoul, Korea.</nlm:aff>
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<wicri:regionArea>Department Periodontology, Kyung Hee University School of Dentistry, Seoul</wicri:regionArea>
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<author><name sortKey="Hwang, You Jeong" sort="Hwang, You Jeong" uniqKey="Hwang Y" first="You-Jeong" last="Hwang">You-Jeong Hwang</name>
<affiliation wicri:level="1"><nlm:aff id="A2">Department of Dentistry, CHA Bundang Medical Center, CHA University, Seongnam, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Dentistry, CHA Bundang Medical Center, CHA University, Seongnam</wicri:regionArea>
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<author><name sortKey="Kim, Jung Hoon" sort="Kim, Jung Hoon" uniqKey="Kim J" first="Jung-Hoon" last="Kim">Jung-Hoon Kim</name>
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<wicri:regionArea>Department of Periodontology, Dankook University Dental Hospital, Cheonan</wicri:regionArea>
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<author><name sortKey="Seol, Yang Jo" sort="Seol, Yang Jo" uniqKey="Seol Y" first="Yang-Jo" last="Seol">Yang-Jo Seol</name>
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<series><title level="j">Journal of Periodontal & Implant Science</title>
<idno type="ISSN">2093-2278</idno>
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<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>The aim of this case report is to present the longitudinal results of sinus grafting using a new demineralized bovine bone material (DBBM) in human cases.</p>
</sec>
<sec><title>Methods</title>
<p>A patient with a resorbed maxilla was treated by maxillary sinus grafting using a new deproteinized bovine bone material. After a healing period of 6.5 months, three implants were placed and restored. The patient was periodically recalled and followed up for 5 years after restoration.</p>
</sec>
<sec><title>Results</title>
<p>Twelve partially edentulous patients (average age, 55.7 years) were followed up. All patients had insufficient residual height in their maxillary posterior area and underwent maxillary sinus graft surgery to increase the height of their maxilla. In all, 27 fixtures were placed in the augmented bone area. On average, 8.6 months later, implants were loaded using provisional or final restorations. The observation period ranged from 27 to 75 months (average, 43.3 months), and the patients did not show any severe resorption of the graft material or any infection during this time.</p>
</sec>
<sec><title>Conclusions</title>
<p>Our results show that the new DBBM is useful for a maxillary sinus graft procedure. Good healing responses as well as reliable results were obtained for an average follow-up period of 43.3 months.</p>
</sec>
<sec><title>Graphical Abstract</title>
<p><graphic xlink:href="jpis-44-259-ab001.jpg" position="float" orientation="portrait"></graphic>
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Periodontal Implant Sci</journal-id>
<journal-id journal-id-type="iso-abbrev">J Periodontal Implant Sci</journal-id>
<journal-id journal-id-type="publisher-id">JPIS</journal-id>
<journal-title-group><journal-title>Journal of Periodontal & Implant Science</journal-title>
</journal-title-group>
<issn pub-type="ppub">2093-2278</issn>
<issn pub-type="epub">2093-2286</issn>
<publisher><publisher-name>Korean Academy of Periodontology</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25368815</article-id>
<article-id pub-id-type="pmc">4216403</article-id>
<article-id pub-id-type="doi">10.5051/jpis.2014.44.5.259</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Long-term results of new deproteinized bovine bone material in a maxillary sinus graft procedure</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0001-6980-7556</contrib-id>
<name><surname>Shin</surname>
<given-names>Seung-Yun</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0003-3797-6106</contrib-id>
<name><surname>Hwang</surname>
<given-names>You-Jeong</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-6468-6510</contrib-id>
<name><surname>Kim</surname>
<given-names>Jung-Hoon</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-2076-5452</contrib-id>
<name><surname>Seol</surname>
<given-names>Yang-Jo</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department Periodontology, Kyung Hee University School of Dentistry, Seoul, Korea.</aff>
<aff id="A2"><label>2</label>
Department of Dentistry, CHA Bundang Medical Center, CHA University, Seongnam, Korea.</aff>
<aff id="A3"><label>3</label>
Department Periodontology, Seoul National University School of Dentistry, Seoul, Korea.</aff>
<aff id="A4"><label>4</label>
Department of Periodontology, Dankook University Dental Hospital, Cheonan, Korea.</aff>
<author-notes><corresp>Correspondence: Yang-Jo Seol. Department Periodontology, Seoul National University School of Dentistry, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Korea. <email>yjseol@snu.ac.kr</email>
, Tel: +82-2-2072-2662, Fax: +82-2-2072-8841</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>10</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>29</day>
<month>10</month>
<year>2014</year>
</pub-date>
<volume>44</volume>
<issue>5</issue>
<fpage>259</fpage>
<lpage>264</lpage>
<history><date date-type="received"><day>10</day>
<month>8</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>30</day>
<month>9</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2014 Korean Academy of Periodontology</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
).</license-p>
</license>
</permissions>
<abstract abstract-type="graphical"><sec><title>Purpose</title>
<p>The aim of this case report is to present the longitudinal results of sinus grafting using a new demineralized bovine bone material (DBBM) in human cases.</p>
</sec>
<sec><title>Methods</title>
<p>A patient with a resorbed maxilla was treated by maxillary sinus grafting using a new deproteinized bovine bone material. After a healing period of 6.5 months, three implants were placed and restored. The patient was periodically recalled and followed up for 5 years after restoration.</p>
</sec>
<sec><title>Results</title>
<p>Twelve partially edentulous patients (average age, 55.7 years) were followed up. All patients had insufficient residual height in their maxillary posterior area and underwent maxillary sinus graft surgery to increase the height of their maxilla. In all, 27 fixtures were placed in the augmented bone area. On average, 8.6 months later, implants were loaded using provisional or final restorations. The observation period ranged from 27 to 75 months (average, 43.3 months), and the patients did not show any severe resorption of the graft material or any infection during this time.</p>
</sec>
<sec><title>Conclusions</title>
<p>Our results show that the new DBBM is useful for a maxillary sinus graft procedure. Good healing responses as well as reliable results were obtained for an average follow-up period of 43.3 months.</p>
</sec>
<sec><title>Graphical Abstract</title>
<p><graphic xlink:href="jpis-44-259-ab001.jpg" position="float" orientation="portrait"></graphic>
</p>
</sec>
</abstract>
<kwd-group><kwd>Bone substitute</kwd>
<kwd>Maxillary sinus</kwd>
<kwd>Sinus floor augmentation</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><fig id="F1" orientation="portrait" position="float"><label>Figure 1</label>
<caption><p>New demineralized bovine bone material particles (particle size, 1-2 mm; original magnification, ×2).</p>
</caption>
<graphic xlink:href="jpis-44-259-g001"></graphic>
</fig>
<fig id="F2" orientation="portrait" position="float"><label>Figure 2</label>
<caption><p>Clinical and radiographic images of patient 5. (A) Panoramic view at the first visit of the patient. (B) Panoramic view before the maxillary sinus graft procedure. The left second premolar was extracted before surgery. (C) Cross-sectional computerized tomography image of the #26 edentulous area. (D) Clinical view on the buccal side of the edentulous area. (E) Window opening of the lateral wall of the left sinus. (F) Demineralized bovine bone material grafting through the window opening. (G) Panoramic view after the maxillary sinus graft procedure. (H) Panoramic view at 6.5 months after the maxillary sinus graft procedure. (I) Panoramic view after fixture installation. (J) Panoramic view after the 2nd implant surgery 6.5 months after the implant fixture installation. (K) The final restoration was delivered 18 months after the maxillary sinus graft procedure. (L) Six years and 3 months after the maxillary sinus graft procedure.</p>
</caption>
<graphic xlink:href="jpis-44-259-g002"></graphic>
</fig>
<fig id="F3" orientation="portrait" position="float"><label>Figure 3</label>
<caption><p>Clinical and radiographic images of patient 3. (A) Panoramic view before the maxillary sinus graft procedure. The right molars were missing. (B) Clinical view on the buccal side of the edentulous area. (C) Window opening of the lateral wall of the right sinus. (D) Demineralized bovine bone material grafting through the window opening. (E) Panoramic view after the maxillary sinus graft procedure. (F) Panoramic view at 6 months after the maxillary sinus graft procedure. Radiopacity was increased in the graft area. (G) Panoramic view after the fixture installation. (H) The final restoration was delivered 13 months after the maxillary sinus graft procedure. (I) Four years and 4 months after the maxillary sinus graft procedure.</p>
</caption>
<graphic xlink:href="jpis-44-259-g003"></graphic>
</fig>
<table-wrap id="T1" orientation="portrait" position="float"><label>Table 1</label>
<caption><p>Summary of 12 patients (11 males and 1 female) who underwent sinus graft surgery using the new deproteinized bovine bone material.</p>
</caption>
<graphic xlink:href="jpis-44-259-i001"></graphic>
<table-wrap-foot><fn><p>SD: standard deviation.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
</record>
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