Bone Regeneration Using a Hollow Hydroxyapatite Space‐Maintaining Device for Maxillary Sinus Floor Augmentation – A Clinical Pilot Study
Identifieur interne : 000533 ( Istex/Corpus ); précédent : 000532; suivant : 000534Bone Regeneration Using a Hollow Hydroxyapatite Space‐Maintaining Device for Maxillary Sinus Floor Augmentation – A Clinical Pilot Study
Auteurs : Lars- Ke Johansson ; Sten Isaksson ; Erik Adolfsson ; Christina Lindh ; Lars SennerbySource :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2012-08.
English descriptors
- KwdEn :
- Alveolar crest, Augmentation, Autogenous, Autogenous bone, Blood clot, Bone formation, Bone grafts, Bone height, Bone reformation, Bone regeneration, Bone substitutes, Bone window, Cbct, Ceramic devices, Clin, Clin implant dent relat, Clinical implant dentistry, Elevation, Graft, Hsmd, Hydroxyapatite, Hydroxyapatite device, Implant, Implant installation, Implant integration, Implant placement, Implant position, Lateral, Lateral aspect, Lateral sinus wall, Marginal bone loss, Maxillary, Maxillary sinus, Maxillofac, Maxillofacial surgery, Morbidity, Morphometric measurements, Oral maxillofac surg, Panoramic radiograph, Perforated hsmd, Prospective study, Prosthetic, Prosthetic loading, Prosthetic treatment, Radiograph, Regeneration, Residual, Residual bone, Residual bone height, Schneiderian membrane, Sennerby, Sinus, Sinus cavity, Sinus membrane, Sinus mucosa, Soft tissue, Surg, Surgical technique, Systematic review, Void space, Wound area.
- Teeft :
- Alveolar crest, Augmentation, Autogenous, Autogenous bone, Blood clot, Bone formation, Bone grafts, Bone height, Bone reformation, Bone regeneration, Bone substitutes, Bone window, Cbct, Ceramic devices, Clin, Clin implant dent relat, Clinical implant dentistry, Elevation, Graft, Hsmd, Hydroxyapatite, Hydroxyapatite device, Implant, Implant installation, Implant integration, Implant placement, Implant position, Lateral, Lateral aspect, Lateral sinus wall, Marginal bone loss, Maxillary, Maxillary sinus, Maxillofac, Maxillofacial surgery, Morbidity, Morphometric measurements, Oral maxillofac surg, Panoramic radiograph, Perforated hsmd, Prospective study, Prosthetic, Prosthetic loading, Prosthetic treatment, Radiograph, Regeneration, Residual, Residual bone, Residual bone height, Schneiderian membrane, Sennerby, Sinus, Sinus cavity, Sinus membrane, Sinus mucosa, Soft tissue, Surg, Surgical technique, Systematic review, Void space, Wound area.
Abstract
Background: The mere lifting of the maxillary sinus membrane by implants protruding into the sinus cavity allows the establishment of a void space for blood clot and new bone formation.
Url:
DOI: 10.1111/j.1708-8208.2010.00293.x
Links to Exploration step
ISTEX:0B1D7D32EE06E7AA243B3D63B74D09D03621E47DLe document en format XML
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Johansson</name><affiliation><mods:affiliation>Consultant, Division of Prosthetic Dentistry, Maxillofacial Unit, Specialisttandvården, Länssjukhuset, Halmstad, Sweden and Department of Biomaterials, Institute for Clinical Sciences, University of Gothenburg, Gothenburg, Sweden;</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: lars‐ake.johansson@lthalland.se</mods:affiliation></affiliation></author><author><name sortKey="Isaksson, Sten" sort="Isaksson, Sten" uniqKey="Isaksson S" first="Sten" last="Isaksson">Sten Isaksson</name><affiliation><mods:affiliation>professor, Division of Oral and Maxillofacial Surgery, Maxillofacial Unit, Specialisttandvården, Länssjukhuset, Halmstad, Sweden and Department of Oral and Maxillofacial Surgery, Faculty of Odontology, Malmö University, Malmö, Sweden;</mods:affiliation></affiliation></author><author><name sortKey="Adolfsson, Erik" sort="Adolfsson, Erik" uniqKey="Adolfsson E" first="Erik" last="Adolfsson">Erik Adolfsson</name><affiliation><mods:affiliation>researcher, Swerea IVF, Mölndal, Sweden;</mods:affiliation></affiliation></author><author><name sortKey="Lindh, Christina" sort="Lindh, Christina" uniqKey="Lindh C" first="Christina" last="Lindh">Christina Lindh</name><affiliation><mods:affiliation>professor, Department of Oral Radiology, Faculty of Odontology, Malmö University, Malmö, Sweden;</mods:affiliation></affiliation></author><author><name sortKey="Sennerby, Lars" sort="Sennerby, Lars" uniqKey="Sennerby L" first="Lars" last="Sennerby">Lars Sennerby</name><affiliation><mods:affiliation>professor, Department of Biomaterials, Institute for Clinical Sciences, University of Gothenburg, Gothenburg, Sweden</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY RELATED RESEARCH</title><idno type="ISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><imprint><biblScope unit="vol">14</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="575">575</biblScope><biblScope unit="page" to="584">584</biblScope><biblScope unit="page-count">10</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2012-08">2012-08</date></imprint><idno type="ISSN">1523-0899</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1523-0899</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alveolar crest</term><term>Augmentation</term><term>Autogenous</term><term>Autogenous bone</term><term>Blood clot</term><term>Bone formation</term><term>Bone grafts</term><term>Bone height</term><term>Bone reformation</term><term>Bone regeneration</term><term>Bone substitutes</term><term>Bone window</term><term>Cbct</term><term>Ceramic devices</term><term>Clin</term><term>Clin implant dent relat</term><term>Clinical implant dentistry</term><term>Elevation</term><term>Graft</term><term>Hsmd</term><term>Hydroxyapatite</term><term>Hydroxyapatite device</term><term>Implant</term><term>Implant installation</term><term>Implant integration</term><term>Implant placement</term><term>Implant position</term><term>Lateral</term><term>Lateral aspect</term><term>Lateral sinus wall</term><term>Marginal bone loss</term><term>Maxillary</term><term>Maxillary sinus</term><term>Maxillofac</term><term>Maxillofacial surgery</term><term>Morbidity</term><term>Morphometric measurements</term><term>Oral maxillofac surg</term><term>Panoramic radiograph</term><term>Perforated hsmd</term><term>Prospective study</term><term>Prosthetic</term><term>Prosthetic loading</term><term>Prosthetic treatment</term><term>Radiograph</term><term>Regeneration</term><term>Residual</term><term>Residual bone</term><term>Residual bone height</term><term>Schneiderian membrane</term><term>Sennerby</term><term>Sinus</term><term>Sinus cavity</term><term>Sinus membrane</term><term>Sinus mucosa</term><term>Soft tissue</term><term>Surg</term><term>Surgical technique</term><term>Systematic review</term><term>Void space</term><term>Wound area</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Alveolar crest</term><term>Augmentation</term><term>Autogenous</term><term>Autogenous bone</term><term>Blood clot</term><term>Bone formation</term><term>Bone grafts</term><term>Bone height</term><term>Bone reformation</term><term>Bone regeneration</term><term>Bone substitutes</term><term>Bone window</term><term>Cbct</term><term>Ceramic devices</term><term>Clin</term><term>Clin implant dent relat</term><term>Clinical implant dentistry</term><term>Elevation</term><term>Graft</term><term>Hsmd</term><term>Hydroxyapatite</term><term>Hydroxyapatite device</term><term>Implant</term><term>Implant installation</term><term>Implant integration</term><term>Implant placement</term><term>Implant position</term><term>Lateral</term><term>Lateral aspect</term><term>Lateral sinus wall</term><term>Marginal bone loss</term><term>Maxillary</term><term>Maxillary sinus</term><term>Maxillofac</term><term>Maxillofacial surgery</term><term>Morbidity</term><term>Morphometric measurements</term><term>Oral maxillofac surg</term><term>Panoramic radiograph</term><term>Perforated hsmd</term><term>Prospective study</term><term>Prosthetic</term><term>Prosthetic loading</term><term>Prosthetic treatment</term><term>Radiograph</term><term>Regeneration</term><term>Residual</term><term>Residual bone</term><term>Residual bone height</term><term>Schneiderian membrane</term><term>Sennerby</term><term>Sinus</term><term>Sinus cavity</term><term>Sinus membrane</term><term>Sinus mucosa</term><term>Soft tissue</term><term>Surg</term><term>Surgical technique</term><term>Systematic review</term><term>Void space</term><term>Wound area</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Background: The mere lifting of the maxillary sinus membrane by implants protruding into the sinus cavity allows the establishment of a void space for blood clot and new bone formation.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>implant</json:string><json:string>hsmd</json:string><json:string>sinus</json:string><json:string>maxillary</json:string><json:string>bone formation</json:string><json:string>augmentation</json:string><json:string>maxillary sinus</json:string><json:string>clin</json:string><json:string>hydroxyapatite</json:string><json:string>prosthetic</json:string><json:string>radiograph</json:string><json:string>maxillofac</json:string><json:string>implant installation</json:string><json:string>sinus membrane</json:string><json:string>cbct</json:string><json:string>graft</json:string><json:string>surg</json:string><json:string>prosthetic loading</json:string><json:string>morbidity</json:string><json:string>autogenous</json:string><json:string>oral maxillofac surg</json:string><json:string>sennerby</json:string><json:string>bone window</json:string><json:string>residual</json:string><json:string>bone regeneration</json:string><json:string>sinus cavity</json:string><json:string>clin implant dent relat</json:string><json:string>clinical implant dentistry</json:string><json:string>residual bone</json:string><json:string>implant placement</json:string><json:string>hydroxyapatite device</json:string><json:string>autogenous bone</json:string><json:string>lateral</json:string><json:string>prospective study</json:string><json:string>blood clot</json:string><json:string>soft tissue</json:string><json:string>residual bone height</json:string><json:string>sinus mucosa</json:string><json:string>bone grafts</json:string><json:string>wound area</json:string><json:string>regeneration</json:string><json:string>surgical technique</json:string><json:string>implant position</json:string><json:string>prosthetic treatment</json:string><json:string>morphometric measurements</json:string><json:string>ceramic devices</json:string><json:string>bone height</json:string><json:string>bone reformation</json:string><json:string>panoramic radiograph</json:string><json:string>lateral sinus wall</json:string><json:string>lateral aspect</json:string><json:string>schneiderian membrane</json:string><json:string>implant integration</json:string><json:string>alveolar crest</json:string><json:string>maxillofacial surgery</json:string><json:string>perforated hsmd</json:string><json:string>marginal bone loss</json:string><json:string>void space</json:string><json:string>systematic review</json:string><json:string>bone substitutes</json:string><json:string>elevation</json:string></teeft></keywords><author><json:item><name>Lars‐Åke Johansson DDS</name><affiliations><json:string>Consultant, Division of Prosthetic Dentistry, Maxillofacial Unit, Specialisttandvården, Länssjukhuset, Halmstad, Sweden and Department of Biomaterials, Institute for Clinical Sciences, University of Gothenburg, Gothenburg, Sweden;</json:string><json:string>E-mail: lars‐ake.johansson@lthalland.se</json:string></affiliations></json:item><json:item><name>Sten Isaksson MD, DDS, PhD</name><affiliations><json:string>professor, Division of Oral and Maxillofacial Surgery, Maxillofacial Unit, Specialisttandvården, Länssjukhuset, Halmstad, Sweden and Department of Oral and Maxillofacial Surgery, Faculty of Odontology, Malmö University, Malmö, Sweden;</json:string></affiliations></json:item><json:item><name>Erik Adolfsson PhD</name><affiliations><json:string>researcher, Swerea IVF, Mölndal, Sweden;</json:string></affiliations></json:item><json:item><name>Christina Lindh DDS, PhD</name><affiliations><json:string>professor, Department of Oral Radiology, Faculty of Odontology, Malmö University, Malmö, Sweden;</json:string></affiliations></json:item><json:item><name>Lars Sennerby DDS, PhD</name><affiliations><json:string>professor, Department of Biomaterials, Institute for Clinical Sciences, University of Gothenburg, Gothenburg, Sweden</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>bone formation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>endosseous implants</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>hydroxyapatite</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>maxillary sinus</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>partially dentate maxillae</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>sinus 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Study</title><pmid><json:string>20586781</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Clinical Implant Dentistry and Related Research</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1708-8208</json:string></doi><issn><json:string>1523-0899</json:string></issn><eissn><json:string>1708-8208</json:string></eissn><publisherId><json:string>CID</json:string></publisherId><volume>14</volume><issue>4</issue><pages><first>575</first><last>584</last><total>10</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>2012</json:string></date><geogName></geogName><orgName><json:string>Malmö University</json:string><json:string>Department of Biomaterials, Institute for Clinical Sciences, University of Gothenburg, Gothenburg, Sweden INTRODUCTION Prosthetic</json:string><json:string>Related Research, Volume</json:string><json:string>Department of Oral Radiology, 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e‐mail: lars‐ake.johansson@lthalland.se</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Sten</forename><surname>Isaksson</surname><roleName type="degree">MD, DDS, PhD</roleName></persName><affiliation>professor, Division of Oral and Maxillofacial Surgery, Maxillofacial Unit, Specialisttandvården, Länssjukhuset, Halmstad, Sweden and Department of Oral and Maxillofacial Surgery, Faculty of Odontology, Malmö University, Malmö, Sweden;<address><country key="SE"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Erik</forename><surname>Adolfsson</surname><roleName type="degree">PhD</roleName></persName><affiliation>researcher, Swerea IVF, Mölndal, Sweden;<address><country key="SE"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Christina</forename><surname>Lindh</surname><roleName type="degree">DDS, PhD</roleName></persName><affiliation>professor, Department of Oral Radiology, Faculty of Odontology, Malmö University, Malmö, Sweden;<address><country key="SE"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Lars</forename><surname>Sennerby</surname><roleName type="degree">DDS, PhD</roleName></persName><affiliation>professor, Department of Biomaterials, Institute for Clinical Sciences, University of Gothenburg, Gothenburg, Sweden<address><country key="SE"></country></address></affiliation></author><idno type="istex">0B1D7D32EE06E7AA243B3D63B74D09D03621E47D</idno><idno type="ark">ark:/67375/WNG-JZ5SGJKF-D</idno><idno type="DOI">10.1111/j.1708-8208.2010.00293.x</idno><idno type="unit">CID293</idno><idno type="toTypesetVersion">file:CID.CID293.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY RELATED RESEARCH</title><idno type="pISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><idno type="book-DOI">10.1111/(ISSN)1708-8208</idno><idno type="book-part-DOI">10.1111/cid.2012.14.issue-4</idno><idno type="product">CID</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">14</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="575">575</biblScope><biblScope unit="page" to="584">584</biblScope><biblScope unit="page-count">10</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2012-08"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>ABSTRACT</head><p><hi rend="bold">Background:</hi> The mere lifting of the maxillary sinus membrane by implants protruding into the sinus cavity allows the establishment of a void space for blood clot and new bone formation.</p><p><hi rend="bold">Purpose:</hi> To evaluate bone formation by using a spherical, hollow, and perforated hydroxyapatite space‐maintaining device (HSMD) in a two‐stage sinus lift procedure where residual alveolar bone height was ≤2 mm.</p><p><hi rend="bold">Material and Methods:</hi> Spherical, hollow, and perforated HSMDs with a diameter of 12 mm were manufactured for this pilot study. Three patients with a residual bone height of 1–2 mm, as verified clinically and radiographically, and in need of a sinus augmentation procedure prior to implant installation were selected for the study. The HSMD and bone formation was evaluated by cone beam computerized tomography (CBCT) 6 months after augmentation procedure. Implants were installed 6 to 9 months after augmentation. The implant sites were prepared by a trephine drill to obtain a specimen of HSMD and bone for histological evaluation. After implant installation, the condition of the sinus membrane adjacent to the HSMD was evaluated endoscopically. After an additional 8 weeks, fixed partial prostheses were fabricated.</p><p><hi rend="bold">Results:</hi> Bone formation verified by CBCT was found around and inside the device in all three patients after 6 months. Despite the fact that residual bone before augmentation was ≤2 mm, 12‐mm‐long implants with diameter of 4.8 mm could be inserted with preservation of an intact and healthy sinus membrane verified endoscopically. Bone formation inside HSMDs was noted histologically in two out of three HSMDs. Implants were stable and without any marginal bone loss after 1 year of prosthetic loading.</p><p><hi rend="bold">Conclusion:</hi> A spherical, hollow, and perforated HSMD used in sinus lift procedures can produce a void space for blood clot and new bone formation and subsequent implant installation.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">bone formation</term><term xml:id="k2">endosseous implants</term><term xml:id="k3">hydroxyapatite</term><term xml:id="k4">maxillary sinus</term><term xml:id="k5">partially dentate maxillae</term><term xml:id="k6">sinus augmentation</term></keywords><keywords rend="tocHeading1"><term>ARTICLES</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/0B1D7D32EE06E7AA243B3D63B74D09D03621E47D/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1708-8208</doi><issn type="print">1523-0899</issn><issn type="electronic">1708-8208</issn><idGroup><id type="product" value="CID"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CLINICAL IMPLANT DENTISTRY RELATED RESEARCH">Clinical Implant Dentistry and Related Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="08104"><doi origin="wiley">10.1111/cid.2012.14.issue-4</doi><numberingGroup><numbering type="journalVolume" number="14">14</numbering><numbering type="journalIssue" number="4">4</numbering></numberingGroup><coverDate startDate="2012-08">August 2012</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="13" status="forIssue"><doi origin="wiley">10.1111/j.1708-8208.2010.00293.x</doi><idGroup><id type="unit" value="CID293"></id></idGroup><countGroup><count type="pageTotal" number="10"></count></countGroup><titleGroup><title type="tocHeading1">ARTICLES</title></titleGroup><copyright>© 2010 Wiley Periodicals, Inc.</copyright><eventGroup><event type="firstOnline" date="2010-06-25"></event><event type="publishedOnlineAcceptedOrEarlyUnpaginated" date="2010-06-25"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:3.1.6 mode:FullText" date="2012-08-01"></event><event type="publishedOnlineFinalForm" date="2012-08-01"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-15"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.3.4 mode:FullText" date="2015-02-25"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="575">575</numbering><numbering type="pageLast" number="584">584</numbering></numberingGroup><correspondenceTo>Dr. Lars‐Åke Johansson, Länssjukhuset, SE‐301 85 Halmstad, Sweden; e‐mail: <email normalForm="lars-ake.johansson@lthalland.se">lars‐ake.johansson@lthalland.se</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CID.CID293.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="6"></count><count type="tableTotal" number="2"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="41"></count><count type="wordTotal" number="3577"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Bone Regeneration Using a Hollow Hydroxyapatite Space‐Maintaining Device for Maxillary Sinus Floor Augmentation – A Clinical Pilot Study</title><title type="shortAuthors">Clinical Implant Dentistry and Related Research, Volume *, Number *, 2010</title><title type="short">Bone Regeneration Using HSMD</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Lars‐Åke</givenNames><familyName>Johansson</familyName><degrees>DDS</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Sten</givenNames><familyName>Isaksson</familyName><degrees>MD, DDS, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a3"><personName><givenNames>Erik</givenNames><familyName>Adolfsson</familyName><degrees>PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a4"><personName><givenNames>Christina</givenNames><familyName>Lindh</familyName><degrees>DDS, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a5"><personName><givenNames>Lars</givenNames><familyName>Sennerby</familyName><degrees>DDS, PhD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="SE"><unparsedAffiliation>Consultant, Division of Prosthetic Dentistry, Maxillofacial Unit, Specialisttandvården, Länssjukhuset, Halmstad, Sweden and Department of Biomaterials, Institute for Clinical Sciences, University of Gothenburg, Gothenburg, Sweden;</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="SE"><unparsedAffiliation>professor, Division of Oral and Maxillofacial Surgery, Maxillofacial Unit, Specialisttandvården, Länssjukhuset, Halmstad, Sweden and Department of Oral and Maxillofacial Surgery, Faculty of Odontology, Malmö University, Malmö, Sweden;</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="SE"><unparsedAffiliation>researcher, Swerea IVF, Mölndal, Sweden;</unparsedAffiliation></affiliation><affiliation xml:id="a4" countryCode="SE"><unparsedAffiliation>professor, Department of Oral Radiology, Faculty of Odontology, Malmö University, Malmö, Sweden;</unparsedAffiliation></affiliation><affiliation xml:id="a5" countryCode="SE"><unparsedAffiliation>professor, Department of Biomaterials, Institute for Clinical Sciences, University of Gothenburg, Gothenburg, Sweden</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">bone formation</keyword><keyword xml:id="k2">endosseous implants</keyword><keyword xml:id="k3">hydroxyapatite</keyword><keyword xml:id="k4">maxillary sinus</keyword><keyword xml:id="k5">partially dentate maxillae</keyword><keyword xml:id="k6">sinus augmentation</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">ABSTRACT</title><p><b>Background:</b> The mere lifting of the maxillary sinus membrane by implants protruding into the sinus cavity allows the establishment of a void space for blood clot and new bone formation.</p><p><b>Purpose:</b> To evaluate bone formation by using a spherical, hollow, and perforated hydroxyapatite space‐maintaining device (HSMD) in a two‐stage sinus lift procedure where residual alveolar bone height was ≤2 mm.</p><p><b>Material and Methods:</b> Spherical, hollow, and perforated HSMDs with a diameter of 12 mm were manufactured for this pilot study. Three patients with a residual bone height of 1–2 mm, as verified clinically and radiographically, and in need of a sinus augmentation procedure prior to implant installation were selected for the study. The HSMD and bone formation was evaluated by cone beam computerized tomography (CBCT) 6 months after augmentation procedure. Implants were installed 6 to 9 months after augmentation. The implant sites were prepared by a trephine drill to obtain a specimen of HSMD and bone for histological evaluation. After implant installation, the condition of the sinus membrane adjacent to the HSMD was evaluated endoscopically. After an additional 8 weeks, fixed partial prostheses were fabricated.</p><p><b>Results:</b> Bone formation verified by CBCT was found around and inside the device in all three patients after 6 months. Despite the fact that residual bone before augmentation was ≤2 mm, 12‐mm‐long implants with diameter of 4.8 mm could be inserted with preservation of an intact and healthy sinus membrane verified endoscopically. Bone formation inside HSMDs was noted histologically in two out of three HSMDs. Implants were stable and without any marginal bone loss after 1 year of prosthetic loading.</p><p><b>Conclusion:</b> A spherical, hollow, and perforated HSMD used in sinus lift procedures can produce a void space for blood clot and new bone formation and subsequent implant installation.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Bone Regeneration Using a Hollow Hydroxyapatite Space‐Maintaining Device for Maxillary Sinus Floor Augmentation – A Clinical Pilot Study</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Bone Regeneration Using HSMD</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Bone Regeneration Using a Hollow Hydroxyapatite Space‐Maintaining Device for Maxillary Sinus Floor Augmentation – A Clinical Pilot Study</title></titleInfo><name type="personal"><namePart type="given">Lars‐Åke</namePart><namePart type="family">Johansson</namePart><namePart type="termsOfAddress">DDS</namePart><affiliation>Consultant, Division of Prosthetic Dentistry, Maxillofacial Unit, Specialisttandvården, Länssjukhuset, Halmstad, Sweden and Department of Biomaterials, Institute for Clinical Sciences, University of Gothenburg, Gothenburg, Sweden;</affiliation><affiliation>E-mail: lars‐ake.johansson@lthalland.se</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Sten</namePart><namePart type="family">Isaksson</namePart><namePart type="termsOfAddress">MD, DDS, PhD</namePart><affiliation>professor, Division of Oral and Maxillofacial Surgery, Maxillofacial Unit, Specialisttandvården, Länssjukhuset, Halmstad, Sweden and Department of Oral and Maxillofacial Surgery, Faculty of Odontology, Malmö University, Malmö, Sweden;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Erik</namePart><namePart type="family">Adolfsson</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>researcher, Swerea IVF, Mölndal, Sweden;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Christina</namePart><namePart type="family">Lindh</namePart><namePart type="termsOfAddress">DDS, PhD</namePart><affiliation>professor, Department of Oral Radiology, Faculty of Odontology, Malmö University, Malmö, Sweden;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Lars</namePart><namePart type="family">Sennerby</namePart><namePart type="termsOfAddress">DDS, PhD</namePart><affiliation>professor, Department of Biomaterials, Institute for Clinical Sciences, University of Gothenburg, Gothenburg, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2012-08</dateIssued><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">6</extent><extent unit="tables">2</extent><extent unit="formulas">0</extent><extent unit="references">41</extent><extent unit="linksCrossRef">0</extent><extent unit="words">3577</extent></physicalDescription><abstract>Background: The mere lifting of the maxillary sinus membrane by implants protruding into the sinus cavity allows the establishment of a void space for blood clot and new bone formation.</abstract><abstract>Purpose: To evaluate bone formation by using a spherical, hollow, and perforated hydroxyapatite space‐maintaining device (HSMD) in a two‐stage sinus lift procedure where residual alveolar bone height was ≤2 mm.</abstract><abstract>Material and Methods: Spherical, hollow, and perforated HSMDs with a diameter of 12 mm were manufactured for this pilot study. Three patients with a residual bone height of 1–2 mm, as verified clinically and radiographically, and in need of a sinus augmentation procedure prior to implant installation were selected for the study. The HSMD and bone formation was evaluated by cone beam computerized tomography (CBCT) 6 months after augmentation procedure. Implants were installed 6 to 9 months after augmentation. The implant sites were prepared by a trephine drill to obtain a specimen of HSMD and bone for histological evaluation. After implant installation, the condition of the sinus membrane adjacent to the HSMD was evaluated endoscopically. After an additional 8 weeks, fixed partial prostheses were fabricated.</abstract><abstract>Results: Bone formation verified by CBCT was found around and inside the device in all three patients after 6 months. Despite the fact that residual bone before augmentation was ≤2 mm, 12‐mm‐long implants with diameter of 4.8 mm could be inserted with preservation of an intact and healthy sinus membrane verified endoscopically. Bone formation inside HSMDs was noted histologically in two out of three HSMDs. Implants were stable and without any marginal bone loss after 1 year of prosthetic loading.</abstract><abstract>Conclusion: A spherical, hollow, and perforated HSMD used in sinus lift procedures can produce a void space for blood clot and new bone formation and subsequent implant installation.</abstract><subject lang="en"><genre>keywords</genre><topic>bone formation</topic><topic>endosseous implants</topic><topic>hydroxyapatite</topic><topic>maxillary sinus</topic><topic>partially dentate maxillae</topic><topic>sinus augmentation</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Implant Dentistry and Related Research</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">1523-0899</identifier><identifier type="eISSN">1708-8208</identifier><identifier type="DOI">10.1111/(ISSN)1708-8208</identifier><identifier type="PublisherID">CID</identifier><part><date>2012</date><detail type="volume"><caption>vol.</caption><number>14</number></detail><detail type="issue"><caption>no.</caption><number>4</number></detail><extent unit="pages"><start>575</start><end>584</end><total>10</total></extent></part></relatedItem><identifier type="istex">0B1D7D32EE06E7AA243B3D63B74D09D03621E47D</identifier><identifier type="ark">ark:/67375/WNG-JZ5SGJKF-D</identifier><identifier type="DOI">10.1111/j.1708-8208.2010.00293.x</identifier><identifier type="ArticleID">CID293</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2010 Wiley Periodicals, Inc.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/0B1D7D32EE06E7AA243B3D63B74D09D03621E47D/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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