Incomplete bone formation after sinus augmentation: A case report on radiological findings by computerized tomography at follow-up
Identifieur interne : 004C82 ( Main/Exploration ); précédent : 004C81; suivant : 004C83Incomplete bone formation after sinus augmentation: A case report on radiological findings by computerized tomography at follow-up
Auteurs : Kyung-Shil Lee [Corée du Sud] ; Young-Hyuk Kwon [Corée du Sud] ; Yeek Herr [Corée du Sud] ; Seung-Il Shin [Corée du Sud] ; Ji-Yeon Lee [Corée du Sud] ; Jong-Hyuk Chung [Corée du Sud]Source :
- Journal of Periodontal & Implant Science [ 2093-2278 ] ; 2010.
Abstract
The aim of this case report is to present a case of incomplete bone formation after sinus augmentation.
A patient having alveolar bone resorption of the maxillary posterior edentulous region and advanced pneumatization of the maxillary sinus was treated with sinus elevation using deproteinized bovine bone in the Department of Periodontology, Kyung Hee University School of Dentistry and re-evaluated with computed tomography (CT) follow-up.
Even though there were no significant findings or abnormal radiolucency on the panoramic radiograph, incomplete bone formation in the central portion of the augmented sinus was found fortuitously in the CT scan. The CT scan revealed peri-implant radiolucency in the apical portion of the implant placed in the augmented maxillary sinus. Nevertheless, the dental implants placed in the grafted sinus still functioned well at over 15 months follow-up.
The result of this case suggests that patients who received maxillary sinus augmentation may experience incomplete bone formation. It is possible that 1) osteoconductive graft material with poor osteogenic potential, 2) overpacking of graft material that restricts the blood supply, and 3) bone microbial contamination may cause the appearance of incomplete bone formation after sinus augmentation. Further studies are needed to elucidate the mechanism of this unexpected result and care must be taken to prevent it.
Url:
DOI: 10.5051/jpis.2010.40.6.283
PubMed: 21246019
PubMed Central: 3021169
Affiliations:
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wicri:level="3"><nlm:aff id="A1">Department of Periodontology, Kyung Hee University School of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Kyung Hee University School of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Chung, Jong Hyuk" sort="Chung, Jong Hyuk" uniqKey="Chung J" first="Jong-Hyuk" last="Chung">Jong-Hyuk Chung</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Periodontology, Kyung Hee University School of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Kyung Hee University School of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="A2">Institute of Oral Biology, Kyung Hee University School of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Institute of Oral Biology, Kyung Hee University School of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Journal of Periodontal & Implant Science</title><idno type="ISSN">2093-2278</idno><idno type="eISSN">2093-2286</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>The aim of this case report is to present a case of incomplete bone formation after sinus augmentation.</p></sec><sec><title>Methods</title><p>A patient having alveolar bone resorption of the maxillary posterior edentulous region and advanced pneumatization of the maxillary sinus was treated with sinus elevation using deproteinized bovine bone in the Department of Periodontology, Kyung Hee University School of Dentistry and re-evaluated with computed tomography (CT) follow-up.</p></sec><sec><title>Results</title><p>Even though there were no significant findings or abnormal radiolucency on the panoramic radiograph, incomplete bone formation in the central portion of the augmented sinus was found fortuitously in the CT scan. The CT scan revealed peri-implant radiolucency in the apical portion of the implant placed in the augmented maxillary sinus. Nevertheless, the dental implants placed in the grafted sinus still functioned well at over 15 months follow-up.</p></sec><sec><title>Conclusions</title><p>The result of this case suggests that patients who received maxillary sinus augmentation may experience incomplete bone formation. It is possible that 1) osteoconductive graft material with poor osteogenic potential, 2) overpacking of graft material that restricts the blood supply, and 3) bone microbial contamination may cause the appearance of incomplete bone formation after sinus augmentation. Further studies are needed to elucidate the mechanism of this unexpected result and care must be taken to prevent it.</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="Peleg, M" uniqKey="Peleg M">M Peleg</name></author><author><name sortKey="Chaushu, G" uniqKey="Chaushu G">G Chaushu</name></author><author><name sortKey="Mazor, Z" uniqKey="Mazor Z">Z Mazor</name></author><author><name sortKey="Ardekian, L" uniqKey="Ardekian L">L Ardekian</name></author><author><name sortKey="Bakoon, M" uniqKey="Bakoon M">M Bakoon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Murakami, K" uniqKey="Murakami K">K Murakami</name></author><author><name sortKey="Itoh, T" uniqKey="Itoh T">T 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Verdugo</name></author><author><name sortKey="Castillo, A" uniqKey="Castillo A">A Castillo</name></author><author><name sortKey="Moragues, Md" uniqKey="Moragues M">MD Moragues</name></author><author><name sortKey="Ponton, J" uniqKey="Ponton J">J Ponton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Choukroun, J" uniqKey="Choukroun J">J Choukroun</name></author><author><name sortKey="Simonpieri, A" uniqKey="Simonpieri A">A Simonpieri</name></author><author><name sortKey="Del Corso, M" uniqKey="Del Corso M">M Del Corso</name></author><author><name sortKey="Mazor, Z" uniqKey="Mazor Z">Z Mazor</name></author><author><name sortKey="Sammartino, G" uniqKey="Sammartino G">G Sammartino</name></author><author><name sortKey="Dohan Ehrenfest, Dm" uniqKey="Dohan Ehrenfest D">DM Dohan Ehrenfest</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hanisch, O" uniqKey="Hanisch O">O Hanisch</name></author><author><name sortKey="Lozada, Jl" uniqKey="Lozada J">JL Lozada</name></author><author><name sortKey="Holmes, Re" uniqKey="Holmes R">RE Holmes</name></author><author><name sortKey="Calhoun, Cj" uniqKey="Calhoun C">CJ Calhoun</name></author><author><name sortKey="Kan, Jy" uniqKey="Kan J">JY Kan</name></author><author><name sortKey="Spiekermann, H" uniqKey="Spiekermann H">H Spiekermann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nkenke, E" uniqKey="Nkenke E">E Nkenke</name></author><author><name sortKey="Stelzle, F" uniqKey="Stelzle F">F Stelzle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Raghoebar, Gm" uniqKey="Raghoebar G">GM Raghoebar</name></author><author><name sortKey="Timmenga, Nm" uniqKey="Timmenga N">NM Timmenga</name></author><author><name sortKey="Reintsema, H" uniqKey="Reintsema H">H Reintsema</name></author><author><name sortKey="Stegenga, B" uniqKey="Stegenga B">B Stegenga</name></author><author><name sortKey="Vissink, A" uniqKey="Vissink A">A Vissink</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Lee, Kyung Shil" sort="Lee, Kyung Shil" uniqKey="Lee K" first="Kyung-Shil" last="Lee">Kyung-Shil Lee</name></region><name sortKey="Chung, Jong Hyuk" sort="Chung, Jong Hyuk" uniqKey="Chung J" first="Jong-Hyuk" last="Chung">Jong-Hyuk Chung</name><name sortKey="Chung, Jong Hyuk" sort="Chung, Jong Hyuk" uniqKey="Chung J" first="Jong-Hyuk" last="Chung">Jong-Hyuk Chung</name><name sortKey="Herr, Yeek" sort="Herr, Yeek" uniqKey="Herr Y" first="Yeek" last="Herr">Yeek Herr</name><name sortKey="Herr, Yeek" sort="Herr, Yeek" uniqKey="Herr Y" first="Yeek" last="Herr">Yeek Herr</name><name sortKey="Kwon, Young Hyuk" sort="Kwon, Young Hyuk" uniqKey="Kwon Y" first="Young-Hyuk" last="Kwon">Young-Hyuk Kwon</name><name sortKey="Kwon, Young Hyuk" sort="Kwon, Young Hyuk" uniqKey="Kwon Y" first="Young-Hyuk" last="Kwon">Young-Hyuk Kwon</name><name sortKey="Lee, Ji Yeon" sort="Lee, Ji Yeon" uniqKey="Lee J" first="Ji-Yeon" last="Lee">Ji-Yeon Lee</name><name sortKey="Shin, Seung Il" sort="Shin, Seung Il" uniqKey="Shin S" first="Seung-Il" last="Shin">Seung-Il Shin</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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