Maxillary Sinus Augmentation with Decellularized Bovine Compact Particles: A Radiological, Clinical, and Histologic Report of 4 Cases
Identifieur interne : 000153 ( Pmc/Checkpoint ); précédent : 000152; suivant : 000154Maxillary Sinus Augmentation with Decellularized Bovine Compact Particles: A Radiological, Clinical, and Histologic Report of 4 Cases
Auteurs : Antonio Scarano [Italie]Source :
- BioMed Research International [ 2314-6133 ] ; 2017.
Abstract
Url:
DOI: 10.1155/2017/2594670
PubMed: 28349056
PubMed Central: 5352871
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Maxillary Sinus Augmentation with Decellularized Bovine Compact Particles: A Radiological, Clinical, and Histologic Report of 4 Cases</title><author><name sortKey="Scarano, Antonio" sort="Scarano, Antonio" uniqKey="Scarano A" first="Antonio" last="Scarano">Antonio Scarano</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Medical, Oral and Biotechnological Sciences and CeSi-MeT, University of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Medical, Oral and Biotechnological Sciences and CeSi-MeT, University of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti</wicri:regionArea><wicri:noRegion>66100 Chieti</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28349056</idno><idno type="pmc">5352871</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5352871</idno><idno type="RBID">PMC:5352871</idno><idno type="doi">10.1155/2017/2594670</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">002937</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002937</idno><idno type="wicri:Area/Pmc/Curation">002937</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002937</idno><idno type="wicri:Area/Pmc/Checkpoint">000153</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000153</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Maxillary Sinus Augmentation with Decellularized Bovine Compact Particles: A Radiological, Clinical, and Histologic Report of 4 Cases</title><author><name sortKey="Scarano, Antonio" sort="Scarano, Antonio" uniqKey="Scarano A" first="Antonio" last="Scarano">Antonio Scarano</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Medical, Oral and Biotechnological Sciences and CeSi-MeT, University of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Medical, Oral and Biotechnological Sciences and CeSi-MeT, University of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti</wicri:regionArea><wicri:noRegion>66100 Chieti</wicri:noRegion></affiliation></author></analytic><series><title level="j">BioMed Research International</title><idno type="ISSN">2314-6133</idno><idno type="eISSN">2314-6141</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Background</italic>. One of the most problematic regions for endosseous implants is the posterior maxilla, not only having poor bone density, but also lacking adequate vertical height as a result of sinus pneumatization. The purpose of the present study was a radiologic, histological, and histomorphometrical evaluation, in humans, of specimens retrieved from sinuses augmented with decellularized bovine compact particles, after a healing period of 6 months.<italic> Methods</italic>. Four patients, with atrophic resorbed maxillas, underwent a sinus lift augmentation with decellularized bovine compact bone from bovine femur. The size of the particles used was 0.25–1 mm. A total of four grafts and 5 biopsies were retrieved and processed to obtain thin ground sections with the Precise 1 Automated System.<italic> Results</italic>. The mean volume after graft elevation calculated for each of the 4 patients was 2106 mm<sup>3</sup> in the immediate postoperative period (5–7 days), ranging from 1408.8 to 2946.4 mm<sup>3</sup>. In the late postoperative period (6 months) it was 2053 mm<sup>3</sup>, ranging from 1339.9 to 2808.9 mm<sup>3</sup>. Histomorphometry showed that newly formed bone was 36 ± 1.6% and marrow spaces were 34 ± 1.6%, while the residual graft material was 35 ± 1.4%.<italic> Conclusion</italic>. In conclusion, based on the outcome of the present study, Re-Bone® can be used with success in sinus augmentation procedures and 6 months are considered an adequate time for maturation before implant placement.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Smiler, D G" uniqKey="Smiler D">D. G. Smiler</name></author><author><name sortKey="Johnson, P W" uniqKey="Johnson P">P. W. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Biomed Res Int</journal-id><journal-id journal-id-type="iso-abbrev">Biomed Res Int</journal-id><journal-id journal-id-type="publisher-id">BMRI</journal-id><journal-title-group><journal-title>BioMed Research International</journal-title></journal-title-group><issn pub-type="ppub">2314-6133</issn><issn pub-type="epub">2314-6141</issn><publisher><publisher-name>Hindawi</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28349056</article-id><article-id pub-id-type="pmc">5352871</article-id><article-id pub-id-type="doi">10.1155/2017/2594670</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Maxillary Sinus Augmentation with Decellularized Bovine Compact Particles: A Radiological, Clinical, and Histologic Report of 4 Cases</article-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-5528-0853</contrib-id><name><surname>Scarano</surname><given-names>Antonio</given-names></name><xref ref-type="aff" rid="I1"></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="I1">Department of Medical, Oral and Biotechnological Sciences and CeSi-MeT, University of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy</aff><author-notes><corresp id="cor1">*Antonio Scarano: <email>ascarano@unich.it</email></corresp><fn fn-type="other"><p>Academic Editor: Changmin Hu</p></fn></author-notes><pub-date pub-type="ppub"><year>2017</year></pub-date><pub-date pub-type="epub"><day>2</day><month>3</month><year>2017</year></pub-date><volume>2017</volume><elocation-id>2594670</elocation-id><history><date date-type="received"><day>19</day><month>1</month><year>2017</year></date><date date-type="accepted"><day>13</day><month>2</month><year>2017</year></date></history><permissions><copyright-statement>Copyright © 2017 Antonio Scarano.</copyright-statement><copyright-year>2017</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/4.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p><italic>Background</italic>. One of the most problematic regions for endosseous implants is the posterior maxilla, not only having poor bone density, but also lacking adequate vertical height as a result of sinus pneumatization. The purpose of the present study was a radiologic, histological, and histomorphometrical evaluation, in humans, of specimens retrieved from sinuses augmented with decellularized bovine compact particles, after a healing period of 6 months.<italic> Methods</italic>. Four patients, with atrophic resorbed maxillas, underwent a sinus lift augmentation with decellularized bovine compact bone from bovine femur. The size of the particles used was 0.25–1 mm. A total of four grafts and 5 biopsies were retrieved and processed to obtain thin ground sections with the Precise 1 Automated System.<italic> Results</italic>. The mean volume after graft elevation calculated for each of the 4 patients was 2106 mm<sup>3</sup> in the immediate postoperative period (5–7 days), ranging from 1408.8 to 2946.4 mm<sup>3</sup>. In the late postoperative period (6 months) it was 2053 mm<sup>3</sup>, ranging from 1339.9 to 2808.9 mm<sup>3</sup>. Histomorphometry showed that newly formed bone was 36 ± 1.6% and marrow spaces were 34 ± 1.6%, while the residual graft material was 35 ± 1.4%.<italic> Conclusion</italic>. In conclusion, based on the outcome of the present study, Re-Bone® can be used with success in sinus augmentation procedures and 6 months are considered an adequate time for maturation before implant placement.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>CBCT of an edentulous patient with bilateral severely atrophic maxilla.</p></caption><graphic xlink:href="BMRI2017-2594670.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Sinus lifting procedure. The maxillary sinus lateral wall is exposed and a bone window is removed.</p></caption><graphic xlink:href="BMRI2017-2594670.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Sinus filled with cortical bovine bone.</p></caption><graphic xlink:href="BMRI2017-2594670.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>A membrane is placed over the antrostomy.</p></caption><graphic xlink:href="BMRI2017-2594670.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>Postoperative CBCT scan panoramic view at 6 months after maxillary sinus lifting.</p></caption><graphic xlink:href="BMRI2017-2594670.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>The lateral wall is completely closed by new hard tissues.</p></caption><graphic xlink:href="BMRI2017-2594670.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>(a-b) Bone core biopsy carried out with a small trephine. (c) Newly formed trabecular bone (T) is present, with wide marrow (M) spaces and biomaterials (B). Toluidine blue 10x.</p></caption><graphic xlink:href="BMRI2017-2594670.007"></graphic></fig><fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label><caption><p>At higher magnification previous image: a few lamellar bones are visible (LB). Toluidine blue 50x.</p></caption><graphic xlink:href="BMRI2017-2594670.008"></graphic></fig><fig id="fig9" orientation="portrait" position="float"><label>Figure 9</label><caption><p>No gaps are present at the bone-particles interface, and newly formed bone is always in close contact with the particles. The biomaterial (B) seems to be totally incorporated in the trabecular bone (T). Toluidine blue 100x.</p></caption><graphic xlink:href="BMRI2017-2594670.009"></graphic></fig><table-wrap id="tab1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Volume after graft elevation mm<sup>3</sup>.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">N° Sinus</th><th align="center" rowspan="1" colspan="1">Immediate postoperative</th><th align="center" rowspan="1" colspan="1">After 6 months</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1408</td><td align="center" rowspan="1" colspan="1">1339</td></tr><tr><td align="left" rowspan="1" colspan="1">2</td><td align="center" rowspan="1" colspan="1">2265</td><td align="center" rowspan="1" colspan="1">2265</td></tr><tr><td align="left" rowspan="1" colspan="1">3</td><td align="center" rowspan="1" colspan="1">1808</td><td align="center" rowspan="1" colspan="1">1800</td></tr><tr><td align="left" rowspan="1" colspan="1">4</td><td align="center" rowspan="1" colspan="1">2946</td><td align="center" rowspan="1" colspan="1">2808</td></tr><tr><td align="left" rowspan="1" colspan="1">Mean</td><td align="center" rowspan="1" colspan="1">2106,75</td><td align="center" rowspan="1" colspan="1">2053,25</td></tr><tr><td align="left" rowspan="1" colspan="1">SD</td><td align="center" rowspan="1" colspan="1">660</td><td align="center" rowspan="1" colspan="1">629</td></tr></tbody></table></table-wrap></floats-group></pmc><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Scarano, Antonio" sort="Scarano, Antonio" uniqKey="Scarano A" first="Antonio" last="Scarano">Antonio Scarano</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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