The use of a biphasic calcium phosphate in a maxillary sinus floor elevation procedure: a clinical, radiological, histological, and histomorphometric evaluation with 9- and 12-month healing times
Identifieur interne : 000025 ( Main/Exploration ); précédent : 000024; suivant : 000026The use of a biphasic calcium phosphate in a maxillary sinus floor elevation procedure: a clinical, radiological, histological, and histomorphometric evaluation with 9- and 12-month healing times
Auteurs : W. F. Bouwman [Pays-Bas] ; N. Bravenboer [Pays-Bas] ; J. W. F. H. Frenken [Pays-Bas] ; C. M. Ten Bruggenkate [Pays-Bas] ; E. A. J. M. Schulten [Pays-Bas]Source :
- International Journal of Implant Dentistry [ 2198-4034 ] ; 2017.
Abstract
This study evaluates the clinical, radiological, histological, and histomorphometric aspects of a fully synthetic biphasic calcium phosphate (BCP) (60% hydroxyapatite and 40% ß-tricalcium phosphate), used in a human maxillary sinus floor elevation (MSFE) procedure with 9- and 12-month healing time.
A unilateral MSFE procedure, using 100% BCP, was performed in two series of five patients with healing times of 9 and 12 months respectively. Clinical and radiological parameters were measured up to 5 years postoperatively. Biopsy retrieval was carried out during dental implants placement. Histology and histomorphometry were performed on 5-μm sections of undecalcified bone biopsies.
The MSFE procedure with BCP showed uneventful healing in all cases. All dental implants appeared to be well osseointegrated after 3 months. Radiological evaluation showed less than 1 mm tissue height loss from MSFE to the 5-year follow-up examination. No signs of inflammation were detected on histological examination. Newly formed mineralized tissue was found cranially from the native bone. The BCP particles were surrounded by connective tissue, osteoid islands, and newly formed bone. Mineralized bone tissue was in intimate contact with the BCP particles. After 12 months, remnants of BCP were still present. The newly formed bone had a trabecular structure. Bone maturation was demonstrated by the presence of lamellar bone. Histomorphometric analysis showed at 9 and 12 months respectively an average vital bone volume/total volume of 35.2 and 28.2%, bone surface/total volume of 4.2 mm2/mm3 and 8.3 mm2/mm3, trabecular thickness of 224.7 and 66.7 μm, osteoid volume/bone volume of 8.8 and 3.4%, osteoid surface/bone surface (OS/BS) of 42.4 and 8.2%, and osteoid thickness of 93.9 and 13.6 μm.
MFSE with BCP resulted in new bone formation within the augmented sinus floor and allowed the osseointegration of dental implants in both groups. From a histological and histomorphometric perspective, a 9-month healing time for this type of BCP may be the optimal time for placement of dental implants.
Url:
DOI: 10.1186/s40729-017-0099-x
PubMed: 28741276
PubMed Central: 5524657
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The use of a biphasic calcium phosphate in a maxillary sinus floor elevation procedure: a clinical, radiological, histological, and histomorphometric evaluation with 9- and 12-month healing times</title><author><name sortKey="Bouwman, W F" sort="Bouwman, W F" uniqKey="Bouwman W" first="W. F." last="Bouwman">W. F. Bouwman</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0435 165X</institution-id><institution-id institution-id-type="GRID">grid.16872.3a</institution-id><institution>Department of Oral and Maxillofacial Surgery/Oral Pathology,</institution><institution>VU University Medical Center/Academic Centre for Dentistry Amsterdam (ACTA),</institution></institution-wrap>P.O. Box 7057, 1007 MB Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>P.O. Box 7057, 1007 MB Amsterdam</wicri:regionArea><wicri:noRegion>1007 MB Amsterdam</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff5">Department of Oral and Maxillofacial Surgery, The Tergooi Hospital, Blaricum, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, The Tergooi Hospital, Blaricum</wicri:regionArea><wicri:noRegion>Blaricum</wicri:noRegion></affiliation></author><author><name sortKey="Bravenboer, N" sort="Bravenboer, N" uniqKey="Bravenboer N" first="N." last="Bravenboer">N. Bravenboer</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0435 165X</institution-id><institution-id institution-id-type="GRID">grid.16872.3a</institution-id><institution>Department of Clinical Chemistry,</institution><institution>VU University Medical Center,</institution></institution-wrap>Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Amsterdam</wicri:regionArea></affiliation></author><author><name sortKey="Frenken, J W F H" sort="Frenken, J W F H" uniqKey="Frenken J" first="J. W. F. H." last="Frenken">J. W. F. H. 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Box 7057, 1007 MB Amsterdam</wicri:regionArea><wicri:noRegion>1007 MB Amsterdam</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.476994.1</institution-id><institution>Department of Oral and Maxillofacial Surgery,</institution><institution>Alrijne Hospital,</institution></institution-wrap>Leiderdorp, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Leiderdorp</wicri:regionArea></affiliation></author><author><name sortKey="Schulten, E A J M" sort="Schulten, E A J M" uniqKey="Schulten E" first="E. A. J. M." last="Schulten">E. A. J. M. Schulten</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0435 165X</institution-id><institution-id institution-id-type="GRID">grid.16872.3a</institution-id><institution>Department of Oral and Maxillofacial Surgery/Oral Pathology,</institution><institution>VU University Medical Center/Academic Centre for Dentistry Amsterdam (ACTA),</institution></institution-wrap>P.O. Box 7057, 1007 MB Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>P.O. 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F." last="Bouwman">W. F. Bouwman</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0435 165X</institution-id><institution-id institution-id-type="GRID">grid.16872.3a</institution-id><institution>Department of Oral and Maxillofacial Surgery/Oral Pathology,</institution><institution>VU University Medical Center/Academic Centre for Dentistry Amsterdam (ACTA),</institution></institution-wrap>P.O. Box 7057, 1007 MB Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>P.O. Box 7057, 1007 MB Amsterdam</wicri:regionArea><wicri:noRegion>1007 MB Amsterdam</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff5">Department of Oral and Maxillofacial Surgery, The Tergooi Hospital, Blaricum, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, The Tergooi Hospital, Blaricum</wicri:regionArea><wicri:noRegion>Blaricum</wicri:noRegion></affiliation></author><author><name sortKey="Bravenboer, N" sort="Bravenboer, N" uniqKey="Bravenboer N" first="N." last="Bravenboer">N. Bravenboer</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0435 165X</institution-id><institution-id institution-id-type="GRID">grid.16872.3a</institution-id><institution>Department of Clinical Chemistry,</institution><institution>VU University Medical Center,</institution></institution-wrap>Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Amsterdam</wicri:regionArea></affiliation></author><author><name sortKey="Frenken, J W F H" sort="Frenken, J W F H" uniqKey="Frenken J" first="J. W. F. H." last="Frenken">J. W. F. H. Frenken</name><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0622 1269</institution-id><institution-id institution-id-type="GRID">grid.415960.f</institution-id><institution>Department of Oral and Maxillofacial Surgery,</institution><institution>St. Antonius Hospital,</institution></institution-wrap>Nieuwegein, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Nieuwegein</wicri:regionArea></affiliation></author><author><name sortKey="Ten Bruggenkate, C M" sort="Ten Bruggenkate, C M" uniqKey="Ten Bruggenkate C" first="C. M." last="Ten Bruggenkate">C. M. Ten Bruggenkate</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0435 165X</institution-id><institution-id institution-id-type="GRID">grid.16872.3a</institution-id><institution>Department of Oral and Maxillofacial Surgery/Oral Pathology,</institution><institution>VU University Medical Center/Academic Centre for Dentistry Amsterdam (ACTA),</institution></institution-wrap>P.O. Box 7057, 1007 MB Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>P.O. Box 7057, 1007 MB Amsterdam</wicri:regionArea><wicri:noRegion>1007 MB Amsterdam</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.476994.1</institution-id><institution>Department of Oral and Maxillofacial Surgery,</institution><institution>Alrijne Hospital,</institution></institution-wrap>Leiderdorp, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Leiderdorp</wicri:regionArea></affiliation></author><author><name sortKey="Schulten, E A J M" sort="Schulten, E A J M" uniqKey="Schulten E" first="E. A. J. M." last="Schulten">E. A. J. M. Schulten</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0435 165X</institution-id><institution-id institution-id-type="GRID">grid.16872.3a</institution-id><institution>Department of Oral and Maxillofacial Surgery/Oral Pathology,</institution><institution>VU University Medical Center/Academic Centre for Dentistry Amsterdam (ACTA),</institution></institution-wrap>P.O. Box 7057, 1007 MB Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>P.O. Box 7057, 1007 MB Amsterdam</wicri:regionArea><wicri:noRegion>1007 MB Amsterdam</wicri:noRegion></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 id="Par1">This study evaluates the clinical, radiological, histological, and histomorphometric aspects of a fully synthetic biphasic calcium phosphate (BCP) (60% hydroxyapatite and 40% ß-tricalcium phosphate), used in a human maxillary sinus floor elevation (MSFE) procedure with 9- and 12-month healing time.</p></sec><sec><title>Methods</title><p id="Par2">A unilateral MSFE procedure, using 100% BCP, was performed in two series of five patients with healing times of 9 and 12 months respectively. Clinical and radiological parameters were measured up to 5 years postoperatively. Biopsy retrieval was carried out during dental implants placement. Histology and histomorphometry were performed on 5-μm sections of undecalcified bone biopsies.</p></sec><sec><title>Results</title><p id="Par3">The MSFE procedure with BCP showed uneventful healing in all cases. All dental implants appeared to be well osseointegrated after 3 months. Radiological evaluation showed less than 1 mm tissue height loss from MSFE to the 5-year follow-up examination. No signs of inflammation were detected on histological examination. Newly formed mineralized tissue was found cranially from the native bone. The BCP particles were surrounded by connective tissue, osteoid islands, and newly formed bone. Mineralized bone tissue was in intimate contact with the BCP particles. After 12 months, remnants of BCP were still present. The newly formed bone had a trabecular structure. Bone maturation was demonstrated by the presence of lamellar bone. Histomorphometric analysis showed at 9 and 12 months respectively an average vital bone volume/total volume of 35.2 and 28.2%, bone surface/total volume of 4.2 mm<sup>2</sup>/mm<sup>3</sup> and 8.3 mm<sup>2</sup>/mm<sup>3</sup>, trabecular thickness of 224.7 and 66.7 μm, osteoid volume/bone volume of 8.8 and 3.4%, osteoid surface/bone surface (OS/BS) of 42.4 and 8.2%, and osteoid thickness of 93.9 and 13.6 μm.</p></sec><sec><title>Conclusions</title><p id="Par4">MFSE with BCP resulted in new bone formation within the augmented sinus floor and allowed the osseointegration of dental implants in both groups. From a histological and histomorphometric perspective, a 9-month healing time for this type of BCP may be the optimal time for placement of dental implants.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Boyne, Pj" uniqKey="Boyne P">PJ Boyne</name></author><author><name sortKey="James, Ra" uniqKey="James R">RA James</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tatum, H" uniqKey="Tatum H">H Tatum</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Del Fabbro, M" uniqKey="Del Fabbro M">M Del Fabbro</name></author><author><name sortKey="Rosano, G" uniqKey="Rosano G">G Rosano</name></author><author><name sortKey="Taschieri, S" uniqKey="Taschieri S">S Taschieri</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pjetursson, Be" uniqKey="Pjetursson B">BE Pjetursson</name></author><author><name sortKey="Tan, Wc" uniqKey="Tan 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uniqKey="Oldenburg B">B Oldenburg</name></author><author><name sortKey="Netelenbos, Jc" uniqKey="Netelenbos J">JC Netelenbos</name></author><author><name sortKey="Hommes, Dw" uniqKey="Hommes D">DW Hommes</name></author><author><name sortKey="Van Bodegraven, Aa" uniqKey="Van Bodegraven A">AA van Bodegraven</name></author><author><name sortKey="Lips, P" uniqKey="Lips P">P Lips</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Romeis, B" uniqKey="Romeis B">B Romeis</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Bouwman, W F" sort="Bouwman, W F" uniqKey="Bouwman W" first="W. F." last="Bouwman">W. F. Bouwman</name></noRegion><name sortKey="Bouwman, W F" sort="Bouwman, W F" uniqKey="Bouwman W" first="W. F." last="Bouwman">W. F. Bouwman</name><name sortKey="Bravenboer, N" sort="Bravenboer, N" uniqKey="Bravenboer N" first="N." last="Bravenboer">N. Bravenboer</name><name sortKey="Frenken, J W F H" sort="Frenken, J W F H" uniqKey="Frenken J" first="J. W. F. H." last="Frenken">J. W. F. H. Frenken</name><name sortKey="Schulten, E A J M" sort="Schulten, E A J M" uniqKey="Schulten E" first="E. A. J. M." last="Schulten">E. A. J. M. Schulten</name><name sortKey="Ten Bruggenkate, C M" sort="Ten Bruggenkate, C M" uniqKey="Ten Bruggenkate C" first="C. M." last="Ten Bruggenkate">C. M. Ten Bruggenkate</name><name sortKey="Ten Bruggenkate, C M" sort="Ten Bruggenkate, C M" uniqKey="Ten Bruggenkate C" first="C. M." last="Ten Bruggenkate">C. M. Ten Bruggenkate</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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