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Elevation of the maxillary sinus membrane for de-novo bone formation: First results of a prospective study in humans.

Identifieur interne : 005E63 ( Ncbi/Merge ); précédent : 005E62; suivant : 005E64

Elevation of the maxillary sinus membrane for de-novo bone formation: First results of a prospective study in humans.

Auteurs : Nynke Lie [Pays-Bas] ; Hans-Albert Merten [Allemagne] ; Joeri Meyns [Pays-Bas] ; Bernd Lethaus [Allemagne] ; Jörg Wiltfang [Allemagne] ; Peter Kessler [Pays-Bas]

Source :

RBID : pubmed:26293185

Descripteurs français

English descriptors

Abstract

Sinus floor elevation via the lateral window approach represents a reliable technique for bone augmentation in the atrophic posterior maxilla. It is known that sinus membrane elevation leads to new bone formation. This prospective clinical study compared a specific technique in sinus membrane elevation with a conventional sinus floor augmentation (xenogenous/autogenous bone) in a human split mouth model.

DOI: 10.1016/j.jcms.2015.07.011
PubMed: 26293185

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pubmed:26293185

Le document en format XML

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<div type="abstract" xml:lang="en">Sinus floor elevation via the lateral window approach represents a reliable technique for bone augmentation in the atrophic posterior maxilla. It is known that sinus membrane elevation leads to new bone formation. This prospective clinical study compared a specific technique in sinus membrane elevation with a conventional sinus floor augmentation (xenogenous/autogenous bone) in a human split mouth model.</div>
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<Title>Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery</Title>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Sinus floor elevation via the lateral window approach represents a reliable technique for bone augmentation in the atrophic posterior maxilla. It is known that sinus membrane elevation leads to new bone formation. This prospective clinical study compared a specific technique in sinus membrane elevation with a conventional sinus floor augmentation (xenogenous/autogenous bone) in a human split mouth model.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Five edentulous patients with highly atrophic posterior maxillae were included in this study. On one maxillary side a degradable PDLLA-membrane was placed to create a space underneath the sinus membrane. Contralateral a mixture of autogenous and xenogenous bone was used for sinus floor augmentation. A two-stage procedure was carried out. The following variables were assessed: bone regeneration on cone-beam computed tomography (cone-beam CT), implant success, prosthetic comfort and patient satisfaction. Bone biopsies were taken with simultaneous implant placement. The samples were histologically analyzed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Cone-beam CTs revealed new bone formation on both sides. Thirty implants were placed, 15 in the augmented region and 15 in the non-augmented side. Thirty bone biopsies were taken and evaluated. Vital new bone was detected on the experimental side (osteoinductivity). On the conventional side a mixture of autogenous and residual bone substitute material was seen (osteoconductivity). Implant survival was 100% so far. Patient's satisfaction was high and prosthetic complications were not encountered.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">As it provides the highest rate of bone formation, autogenous bone in combination with bone substitute material can be considered as a very reliable standard procedure in sinus floor augmentation. The specific sinus membrane elevation technique as presented here showed satisfying results and might be a suitable alternative for maxillary sinus augmentation.</AbstractText>
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