Clinical, Radiographic, and Histologic Evaluation of Maxillary Sinus Lift Procedure Using a Highly Purified Xenogenic Graft (Laddec®)
Identifieur interne : 000987 ( Main/Exploration ); précédent : 000986; suivant : 000988Clinical, Radiographic, and Histologic Evaluation of Maxillary Sinus Lift Procedure Using a Highly Purified Xenogenic Graft (Laddec®)
Auteurs : Renzo Guarnieri ; Fabrizio Belleggia ; Stefano Ippoliti ; Patrica Devilliers ; Luigi Vito Stefanelli ; Stefano Di Carlo ; Giorgio PompaSource :
- Journal of Oral & Maxillofacial Research [ 2029-283X ] ; 2016.
Abstract
The aim of this study was to evaluate the clinical, radiographic and histologic results when a highly purified xenogenic bone (Laddec®) was used as grafting material in maxillary sinuses.
In fifteen patients requiring unilateral maxillary sinus augmentation, the grafting procedure was performed with Laddec®. Forty-two implants were installed after a 6 month healing period. The height of the augmented sinus was measured radiographically immediately after augmentation and postoperatively up to 36 months. At the time of implant placement, a bone core was harvested in each patient for histological examination.
The cumulative implant survival rate was 97.6%. The original height was 3.65 (SD 0.7) mm and the augmented sinus height was 13.8 (SD 1.4) mm after the surgery. The reduced height of grafted xenogenic material (RDL) at the implant insertion was 0.83 (SD 0.38) mm, and at the final postoperative visit was 0.91 (SD 0.25) mm, showing no significant correlation with the follow-up periods by Spearman’s test (P = 0.118). In addition, no significant difference in the RDL was observed according to the site of implantation (P = 0.682). The mean implant marginal bone loss was 0.38 (SD 0.24) mm. Histological analysis showed the bone cores were composed of 64.72 (SD 3.44)% newly formed bone, 17.41 (SD 2.02)% connective tissue, 16.93 (SD 2.83)% residual graft particles, and 0.94 (SD 0.11)% inflammatory cells.
According to our data, the highly purified xenogenic bone (Laddec®), used as graft material in the sinus lift procedure, may create adequate bone volume, and appropriate osseointegration of dental implants.
Url:
DOI: 10.5037/jomr.2016.7103
PubMed: 27099697
PubMed Central: 4837607
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Clinical, Radiographic, and Histologic Evaluation of Maxillary Sinus Lift Procedure Using a Highly Purified Xenogenic Graft (Laddec<sup>®</sup>)</title><author><name sortKey="Guarnieri, Renzo" sort="Guarnieri, Renzo" uniqKey="Guarnieri R" first="Renzo" last="Guarnieri">Renzo Guarnieri</name><affiliation><nlm:aff id="aff1"><institution>Department of Dental and Maxillofacial Sciences, School of Dentistry, University La Sapienza, Roma</institution><country>Italy.</country></nlm:aff><wicri:noCountry code="nlm country">Italy.</wicri:noCountry></affiliation></author><author><name sortKey="Belleggia, Fabrizio" sort="Belleggia, Fabrizio" uniqKey="Belleggia F" first="Fabrizio" last="Belleggia">Fabrizio Belleggia</name><affiliation><nlm:aff id="aff2"><institution>Private Implant Practice, Roma</institution><country>Italy.</country></nlm:aff><wicri:noCountry code="nlm 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Belleggia</name><affiliation><nlm:aff id="aff2"><institution>Private Implant Practice, Roma</institution><country>Italy.</country></nlm:aff><wicri:noCountry code="nlm country">Italy.</wicri:noCountry></affiliation></author><author><name sortKey="Ippoliti, Stefano" sort="Ippoliti, Stefano" uniqKey="Ippoliti S" first="Stefano" last="Ippoliti">Stefano Ippoliti</name><affiliation><nlm:aff id="aff3"><institution>Private Prosthesis Practice, Roma</institution><country>Italy.</country></nlm:aff><wicri:noCountry code="nlm country">Italy.</wicri:noCountry></affiliation></author><author><name sortKey="Devilliers, Patrica" sort="Devilliers, Patrica" uniqKey="Devilliers P" first="Patrica" last="Devilliers">Patrica Devilliers</name><affiliation><nlm:aff id="aff4"><institution>Oral and Maxillofacial Pathology, Pathology Associates of Alabama, Birmingham, Alabama</institution><country>USA.</country></nlm:aff><wicri:noCountry code="nlm country">USA.</wicri:noCountry></affiliation></author><author><name sortKey="Stefanelli, Luigi Vito" sort="Stefanelli, Luigi Vito" uniqKey="Stefanelli L" first="Luigi Vito" last="Stefanelli">Luigi Vito Stefanelli</name><affiliation><nlm:aff id="aff1"><institution>Department of Dental and Maxillofacial Sciences, School of Dentistry, University La Sapienza, Roma</institution><country>Italy.</country></nlm:aff><wicri:noCountry code="nlm country">Italy.</wicri:noCountry></affiliation></author><author><name sortKey="Di Carlo, Stefano" sort="Di Carlo, Stefano" uniqKey="Di Carlo S" first="Stefano" last="Di Carlo">Stefano Di Carlo</name><affiliation><nlm:aff id="aff1"><institution>Department of Dental and Maxillofacial Sciences, School of Dentistry, University La Sapienza, Roma</institution><country>Italy.</country></nlm:aff><wicri:noCountry code="nlm country">Italy.</wicri:noCountry></affiliation></author><author><name sortKey="Pompa, Giorgio" sort="Pompa, Giorgio" uniqKey="Pompa G" first="Giorgio" last="Pompa">Giorgio Pompa</name><affiliation><nlm:aff id="aff1"><institution>Department of Dental and Maxillofacial Sciences, School of Dentistry, University La Sapienza, Roma</institution><country>Italy.</country></nlm:aff><wicri:noCountry code="nlm country">Italy.</wicri:noCountry></affiliation></author></analytic><series><title level="j">Journal of Oral & Maxillofacial Research</title><idno type="eISSN">2029-283X</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>ABSTRACT</title><sec sec-type="objectives"><title>Objectives</title><p>The aim of this study was to evaluate the clinical, radiographic and histologic results when a highly purified xenogenic bone (Laddec<sup>®</sup>) was used as grafting material in maxillary sinuses.</p></sec><sec sec-type="material and methods"><title>Material and Methods</title><p>In fifteen patients requiring unilateral maxillary sinus augmentation, the grafting procedure was performed with Laddec<sup>®</sup>. Forty-two implants were installed after a 6 month healing period. The height of the augmented sinus was measured radiographically immediately after augmentation and postoperatively up to 36 months. At the time of implant placement, a bone core was harvested in each patient for histological examination.</p></sec><sec sec-type="results"><title>Results</title><p>The cumulative implant survival rate was 97.6%. The original height was 3.65 (SD 0.7) mm and the augmented sinus height was 13.8 (SD 1.4) mm after the surgery. The reduced height of grafted xenogenic material (RDL) at the implant insertion was 0.83 (SD 0.38) mm, and at the final postoperative visit was 0.91 (SD 0.25) mm, showing no significant correlation with the follow-up periods by Spearman’s test (P = 0.118). In addition, no significant difference in the RDL was observed according to the site of implantation (P = 0.682). The mean implant marginal bone loss was 0.38 (SD 0.24) mm. Histological analysis showed the bone cores were composed of 64.72 (SD 3.44)% newly formed bone, 17.41 (SD 2.02)% connective tissue, 16.93 (SD 2.83)% residual graft particles, and 0.94 (SD 0.11)% inflammatory cells.</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>According to our data, the highly purified xenogenic bone (Laddec<sup>®</sup>), used as graft material in the sinus lift procedure, may create adequate bone volume, and appropriate osseointegration of dental implants.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Esposito, M" uniqKey="Esposito M">M Esposito</name></author><author><name sortKey="Felice, P" uniqKey="Felice P">P Felice</name></author><author><name sortKey="Worthington, Hv" uniqKey="Worthington H">HV Worthington</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Del Fabbro, M" uniqKey="Del Fabbro M">M Del Fabbro</name></author><author><name 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sortKey="Salter, Dm" uniqKey="Salter D">DM Salter</name></author><author><name sortKey="Dedhar, S" uniqKey="Dedhar S">S Dedhar</name></author><author><name sortKey="Simpson, R" uniqKey="Simpson R">R Simpson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zambonin Zallone, A" uniqKey="Zambonin Zallone A">A Zambonin-Zallone</name></author><author><name sortKey="Teti, A" uniqKey="Teti A">A Teti</name></author><author><name sortKey="Grano, M" uniqKey="Grano M">M Grano</name></author><author><name sortKey="Rubinacci, A" uniqKey="Rubinacci A">A Rubinacci</name></author><author><name sortKey="Abbadini, M" uniqKey="Abbadini M">M Abbadini</name></author><author><name sortKey="Gaboli, M" uniqKey="Gaboli M">M Gaboli</name></author><author><name sortKey="Marchisio, Pc" uniqKey="Marchisio P">PC Marchisio</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Belleggia, Fabrizio" sort="Belleggia, Fabrizio" uniqKey="Belleggia F" first="Fabrizio" last="Belleggia">Fabrizio Belleggia</name><name sortKey="Devilliers, Patrica" sort="Devilliers, Patrica" uniqKey="Devilliers P" first="Patrica" last="Devilliers">Patrica Devilliers</name><name sortKey="Di Carlo, Stefano" sort="Di Carlo, Stefano" uniqKey="Di Carlo S" first="Stefano" last="Di Carlo">Stefano Di Carlo</name><name sortKey="Guarnieri, Renzo" sort="Guarnieri, Renzo" uniqKey="Guarnieri R" first="Renzo" last="Guarnieri">Renzo Guarnieri</name><name sortKey="Ippoliti, Stefano" sort="Ippoliti, Stefano" uniqKey="Ippoliti S" first="Stefano" last="Ippoliti">Stefano Ippoliti</name><name sortKey="Pompa, Giorgio" sort="Pompa, Giorgio" uniqKey="Pompa G" first="Giorgio" last="Pompa">Giorgio Pompa</name><name sortKey="Stefanelli, Luigi Vito" sort="Stefanelli, Luigi Vito" uniqKey="Stefanelli L" first="Luigi Vito" last="Stefanelli">Luigi Vito Stefanelli</name></noCountry></tree></affiliations></record>Pour manipuler ce 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