A histomorphometric meta-analysis of sinus elevation with various grafting materials
Identifieur interne : 005915 ( Main/Exploration ); précédent : 005914; suivant : 005916A histomorphometric meta-analysis of sinus elevation with various grafting materials
Auteurs : Jörg Handschel [Allemagne] ; Melani Simonowska [Allemagne] ; Christian Naujoks [Allemagne] ; Rita A. Depprich [Allemagne] ; Michelle A. Ommerborn [Allemagne] ; Ulrich Meyer [Allemagne] ; Norbert R. Kübler [Allemagne]Source :
- Head & Face Medicine [ 1746-160X ] ; 2009.
Abstract
Several grafting materials have been used in sinus augmentation procedures including autogenous bone, demineralized freeze-dried bone (DFDBA), hydroxyapatite, β-tricalcium phosphate (β-TCP), anorganic deproteinized bovine bone and combination of these and others. Up to now a subject of controversy in maxillofacial surgery and dentistry is, what is the most appropriate graft material for sinus floor augmentation.
The aim of this study is to provide a body of evidence-based data regarding grafting materials in external sinus floor elevation concerning the fate of the augmented material at the histomorphological level, through a meta-analysis of the available literature.
The literature searches were performed using the National Library of Medicine. The search covered all English and German literature from 1995 until 2006. For analyzing the amount of bone the parameter "Total Bone Volume" (TBV) was assessed. TBV is determined as the percentage of the section consisting of bone tissue.
In a relatively early phase after implantation the autogenous bone shows the highest TBV values. Interestingly, the different TBV levels approximate during the time. After 9 months no statistically significant differences can be detected between the various grafting materials.
From a clinical point of view, the use of autogenous bone is advantageous if a prosthetic rehabilitation (with functional loading) is expected within 9 months. In other cases the use of anorganic deproteinized bovine bone in combination with autogenous bone seems to be preferable. Donor side morbidity is ignored in this conclusion.
Url:
DOI: 10.1186/1746-160X-5-12
PubMed: 19519903
PubMed Central: 2700082
Affiliations:
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Depprich</name><affiliation wicri:level="3"><nlm:aff id="I1">Department for Cranio- and Maxillofacial Surgery, Heinrich-Heine-Universität, Moorenstr. 5, D-40225 Düsseldorf, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department for Cranio- and Maxillofacial Surgery, Heinrich-Heine-Universität, Moorenstr. 5, D-40225 Düsseldorf</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Düsseldorf</region><settlement type="city">Düsseldorf</settlement></placeName></affiliation></author><author><name sortKey="Ommerborn, Michelle A" sort="Ommerborn, Michelle A" uniqKey="Ommerborn M" first="Michelle A" last="Ommerborn">Michelle A. Ommerborn</name><affiliation wicri:level="3"><nlm:aff id="I2">Department for Operative and Preventive Dentistry and Endodontics, Heinrich-Heine-University Düsseldorf, Moorenstr. 5, D-40225 Düsseldorf, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department for Operative and Preventive Dentistry and Endodontics, Heinrich-Heine-University Düsseldorf, Moorenstr. 5, D-40225 Düsseldorf</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Düsseldorf</region><settlement type="city">Düsseldorf</settlement></placeName></affiliation></author><author><name sortKey="Meyer, Ulrich" sort="Meyer, Ulrich" uniqKey="Meyer U" first="Ulrich" last="Meyer">Ulrich Meyer</name><affiliation wicri:level="3"><nlm:aff id="I1">Department for Cranio- and Maxillofacial Surgery, Heinrich-Heine-Universität, Moorenstr. 5, D-40225 Düsseldorf, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department for Cranio- and Maxillofacial Surgery, Heinrich-Heine-Universität, Moorenstr. 5, D-40225 Düsseldorf</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Düsseldorf</region><settlement type="city">Düsseldorf</settlement></placeName></affiliation></author><author><name sortKey="Kubler, Norbert R" sort="Kubler, Norbert R" uniqKey="Kubler N" first="Norbert R" last="Kübler">Norbert R. Kübler</name><affiliation wicri:level="3"><nlm:aff id="I2">Department for Operative and Preventive Dentistry and Endodontics, Heinrich-Heine-University Düsseldorf, Moorenstr. 5, D-40225 Düsseldorf, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department for Operative and Preventive Dentistry and Endodontics, Heinrich-Heine-University Düsseldorf, Moorenstr. 5, D-40225 Düsseldorf</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Düsseldorf</region><settlement type="city">Düsseldorf</settlement></placeName></affiliation></author></analytic><series><title level="j">Head & Face Medicine</title><idno type="eISSN">1746-160X</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Several grafting materials have been used in sinus augmentation procedures including autogenous bone, demineralized freeze-dried bone (DFDBA), hydroxyapatite, β-tricalcium phosphate (β-TCP), anorganic deproteinized bovine bone and combination of these and others. Up to now a subject of controversy in maxillofacial surgery and dentistry is, what is the most appropriate graft material for sinus floor augmentation.</p><p>The aim of this study is to provide a body of evidence-based data regarding grafting materials in external sinus floor elevation concerning the fate of the augmented material at the histomorphological level, through a meta-analysis of the available literature.</p><p>The literature searches were performed using the National Library of Medicine. The search covered all English and German literature from 1995 until 2006. For analyzing the amount of bone the parameter "Total Bone Volume" (TBV) was assessed. TBV is determined as the percentage of the section consisting of bone tissue.</p><p>In a relatively early phase after implantation the autogenous bone shows the highest TBV values. Interestingly, the different TBV levels approximate during the time. After 9 months no statistically significant differences can be detected between the various grafting materials.</p><p>From a clinical point of view, the use of autogenous bone is advantageous if a prosthetic rehabilitation (with functional loading) is expected within 9 months. In other cases the use of anorganic deproteinized bovine bone in combination with autogenous bone seems to be preferable. Donor side morbidity is ignored in this conclusion.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>District de Düsseldorf</li><li>Rhénanie-du-Nord-Westphalie</li></region><settlement><li>Düsseldorf</li></settlement></list><tree><country name="Allemagne"><region name="Rhénanie-du-Nord-Westphalie"><name sortKey="Handschel, Jorg" sort="Handschel, Jorg" uniqKey="Handschel J" first="Jörg" last="Handschel">Jörg Handschel</name></region><name sortKey="Depprich, Rita A" sort="Depprich, Rita A" uniqKey="Depprich R" first="Rita A" last="Depprich">Rita A. Depprich</name><name sortKey="Kubler, Norbert R" sort="Kubler, Norbert R" uniqKey="Kubler N" first="Norbert R" last="Kübler">Norbert R. Kübler</name><name sortKey="Meyer, Ulrich" sort="Meyer, Ulrich" uniqKey="Meyer U" first="Ulrich" last="Meyer">Ulrich Meyer</name><name sortKey="Naujoks, Christian" sort="Naujoks, Christian" uniqKey="Naujoks C" first="Christian" last="Naujoks">Christian Naujoks</name><name sortKey="Ommerborn, Michelle A" sort="Ommerborn, Michelle A" uniqKey="Ommerborn M" first="Michelle A" last="Ommerborn">Michelle A. Ommerborn</name><name sortKey="Simonowska, Melani" sort="Simonowska, Melani" uniqKey="Simonowska M" first="Melani" last="Simonowska">Melani Simonowska</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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