β-TCP/HA with or without enamel matrix proteins for maxillary sinus floor augmentation: a histomorphometric analysis of human biopsies
Identifieur interne : 000002 ( Main/Exploration ); précédent : 000001; suivant : 000003β-TCP/HA with or without enamel matrix proteins for maxillary sinus floor augmentation: a histomorphometric analysis of human biopsies
Auteurs : James Carlos Nery ; Luís Antônio Violin Dias Pereira ; George Furtado Guimarães ; Cassio Rocha Scardueli [Danemark] ; Fabiana Mantovani Gomes França ; Rubens Spin-Neto [Danemark] ; Andreas Stavropoulos [Suède]Source :
- International Journal of Implant Dentistry [ 2198-4034 ] ; 2017.
Abstract
It is still unclear whether enamel matrix proteins (EMD) as adjunct to bone grafting enhance bone healing. This study compared histomorphometrically maxillary sinus floor augmentation (MSFA) with β-TCP/HA in combination with or without EMD in humans.
In ten systemically healthy patients needing bilateral MSFA, one side was randomly treated using β-TCP/HA mixed with EMD (BC + EMD) and the other side using only β-TCP/HA (BC). After 6 months, biopsies were harvested from grafted areas during implant installation, being histologically and histomorphometrically analyzed. Differences between the groups considering new bone formation, soft tissues, and remaining BC were statistically evaluated.
All patients showed uneventful healing after MSFA, and dental implant installation was possible in all patients after 6 months. Histological analysis showed newly formed bone that was primarily woven in nature; it was organized in thin trabeculae, and it was occasionally in contact with residual bone substitute particles, which appeared in various forms and sizes and in advanced stage of degradation. Mean bone area was 43.4% (CI95 38.9; 47.8) for the BC group and 43.0% (CI95 36.6; 49.5) for the BC + EMD group. Mean soft tissue area was 21.3% (CI95 16.5; 26.2) for BC group and 21.5% (CI95 17.7; 25.3) for BC + EMD group, while the remaining biomaterial was 35.3% (CI95 36.6; 49.5) and 35.5% (CI95 29.6; 41.3) for BC and BC + EMD group, respectively.
MSFA with BC resulted in adequate amounts of new bone formation allowing successful implant installation; adding EMD did not have a significant effect.
Url:
DOI: 10.1186/s40729-017-0080-8
PubMed: 28474322
PubMed Central: 5418178
Affiliations:
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Brazil</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff6">Implant Center, SEPS 710/910, Lotes CD, Office 226, CEP: 70390-108 Brasília, DF Brazil</nlm:aff><wicri:noCountry code="subfield">DF Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Pereira, Luis Antonio Violin Dias" sort="Pereira, Luis Antonio Violin Dias" uniqKey="Pereira L" first="Luís Antônio Violin Dias" last="Pereira">Luís Antônio Violin Dias Pereira</name><affiliation><nlm:aff id="Aff2">Department of Biochemistry and Tissue Biology, UNICAMP – State University of Campinas, Institute of Biology, Campinas, São Paulo Brazil</nlm:aff><wicri:noCountry code="subfield">São Paulo Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Guimaraes, George Furtado" sort="Guimaraes, George Furtado" uniqKey="Guimaraes G" first="George Furtado" last="Guimarães">George Furtado Guimarães</name><affiliation><nlm:aff id="Aff1">Department of Implantology, São Leopoldo Mandic Research Center, Brasília, DF Brazil</nlm:aff><wicri:noCountry code="subfield">DF Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Scardueli, Cassio Rocha" sort="Scardueli, Cassio Rocha" uniqKey="Scardueli C" first="Cassio Rocha" last="Scardueli">Cassio Rocha Scardueli</name><affiliation><nlm:aff id="Aff3">Department of Periodontology, UNESP – Univ. Estadual Paulista, Araraquara Dental School, Araraquara, São Paulo Brazil</nlm:aff><wicri:noCountry code="subfield">São Paulo Brazil</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 1956 2722</institution-id><institution-id institution-id-type="GRID">grid.7048.b</institution-id><institution>Department of Dentistry and Oral Health – Oral Radiology,</institution><institution>Aarhus University,</institution></institution-wrap>Aarhus, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Aarhus</wicri:regionArea></affiliation></author><author><name sortKey="Franca, Fabiana Mantovani Gomes" sort="Franca, Fabiana Mantovani Gomes" uniqKey="Franca F" first="Fabiana Mantovani Gomes" last="França">Fabiana Mantovani Gomes França</name><affiliation><nlm:aff id="Aff1">Department of Implantology, São Leopoldo Mandic Research Center, Brasília, DF Brazil</nlm:aff><wicri:noCountry code="subfield">DF Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Spin Neto, Rubens" sort="Spin Neto, Rubens" uniqKey="Spin Neto R" first="Rubens" last="Spin-Neto">Rubens Spin-Neto</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 1956 2722</institution-id><institution-id institution-id-type="GRID">grid.7048.b</institution-id><institution>Department of Dentistry and Oral Health – Oral Radiology,</institution><institution>Aarhus University,</institution></institution-wrap>Aarhus, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Aarhus</wicri:regionArea></affiliation></author><author><name sortKey="Stavropoulos, Andreas" sort="Stavropoulos, Andreas" uniqKey="Stavropoulos A" first="Andreas" last="Stavropoulos">Andreas Stavropoulos</name><affiliation wicri:level="1"><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9961 9487</institution-id><institution-id institution-id-type="GRID">grid.32995.34</institution-id><institution>Department Periodontology – Faculty of Odontology,</institution><institution>Malmö University,</institution></institution-wrap>Malmö, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Malmö</wicri:regionArea></affiliation></author></analytic><series><title level="j">International Journal of Implant Dentistry</title><idno type="eISSN">2198-4034</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>It is still unclear whether enamel matrix proteins (EMD) as adjunct to bone grafting enhance bone healing. This study compared histomorphometrically maxillary sinus floor augmentation (MSFA) with β-TCP/HA in combination with or without EMD in humans.</p></sec><sec><title>Methods</title><p>In ten systemically healthy patients needing bilateral MSFA, one side was randomly treated using β-TCP/HA mixed with EMD (BC + EMD) and the other side using only β-TCP/HA (BC). After 6 months, biopsies were harvested from grafted areas during implant installation, being histologically and histomorphometrically analyzed. Differences between the groups considering new bone formation, soft tissues, and remaining BC were statistically evaluated.</p></sec><sec><title>Results</title><p>All patients showed uneventful healing after MSFA, and dental implant installation was possible in all patients after 6 months. Histological analysis showed newly formed bone that was primarily woven in nature; it was organized in thin trabeculae, and it was occasionally in contact with residual bone substitute particles, which appeared in various forms and sizes and in advanced stage of degradation. Mean bone area was 43.4% (CI95 38.9; 47.8) for the BC group and 43.0% (CI95 36.6; 49.5) for the BC + EMD group. Mean soft tissue area was 21.3% (CI95 16.5; 26.2) for BC group and 21.5% (CI95 17.7; 25.3) for BC + EMD group, while the remaining biomaterial was 35.3% (CI95 36.6; 49.5) and 35.5% (CI95 29.6; 41.3) for BC and BC + EMD group, respectively.</p></sec><sec><title>Conclusions</title><p>MSFA with BC resulted in adequate amounts of new bone formation allowing successful implant installation; adding EMD did not have a significant effect.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Jungner, M" uniqKey="Jungner M">M Jungner</name></author><author><name sortKey="Cricchio, G" uniqKey="Cricchio G">G Cricchio</name></author><author><name sortKey="Salata, La" uniqKey="Salata L">LA Salata</name></author><author><name sortKey="Sennerby, L" uniqKey="Sennerby L">L Sennerby</name></author><author><name sortKey="Lundqvist, C" uniqKey="Lundqvist C">C Lundqvist</name></author><author><name sortKey="Hultcrantz, M" 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Pereira</name></author><author><name sortKey="Marcantonio, E" uniqKey="Marcantonio E">E Marcantonio</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Spin Neto, R" uniqKey="Spin Neto R">R Spin-Neto</name></author><author><name sortKey="Stavropoulos, A" uniqKey="Stavropoulos A">A Stavropoulos</name></author><author><name sortKey="Coletti, Fl" uniqKey="Coletti F">FL Coletti</name></author><author><name sortKey="Pereira, La" uniqKey="Pereira L">LA Pereira</name></author><author><name sortKey="Marcantonio, E" uniqKey="Marcantonio E">E Marcantonio</name></author><author><name sortKey="Wenzel, A" uniqKey="Wenzel A">A Wenzel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Corbella, S" uniqKey="Corbella S">S Corbella</name></author><author><name sortKey="Taschieri, S" uniqKey="Taschieri S">S Taschieri</name></author><author><name sortKey="Del Fabbro, M" uniqKey="Del Fabbro M">M Del Fabbro</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Danemark</li><li>Suède</li></country></list><tree><noCountry><name sortKey="Franca, Fabiana Mantovani Gomes" sort="Franca, Fabiana Mantovani Gomes" uniqKey="Franca F" first="Fabiana Mantovani Gomes" last="França">Fabiana Mantovani Gomes França</name><name sortKey="Guimaraes, George Furtado" sort="Guimaraes, George Furtado" uniqKey="Guimaraes G" first="George Furtado" last="Guimarães">George Furtado Guimarães</name><name sortKey="Nery, James Carlos" sort="Nery, James Carlos" uniqKey="Nery J" first="James Carlos" last="Nery">James Carlos Nery</name><name sortKey="Pereira, Luis Antonio Violin Dias" sort="Pereira, Luis Antonio Violin Dias" uniqKey="Pereira L" first="Luís Antônio Violin Dias" last="Pereira">Luís Antônio Violin Dias Pereira</name></noCountry><country name="Danemark"><noRegion><name sortKey="Scardueli, Cassio Rocha" sort="Scardueli, Cassio Rocha" uniqKey="Scardueli C" first="Cassio Rocha" last="Scardueli">Cassio Rocha Scardueli</name></noRegion><name sortKey="Spin Neto, Rubens" sort="Spin Neto, Rubens" uniqKey="Spin Neto R" first="Rubens" last="Spin-Neto">Rubens Spin-Neto</name></country><country name="Suède"><noRegion><name sortKey="Stavropoulos, Andreas" sort="Stavropoulos, Andreas" uniqKey="Stavropoulos A" first="Andreas" last="Stavropoulos">Andreas Stavropoulos</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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