Three-Dimensional Assessment of Volumetric Changes in Sinuses Augmented with Two Different Bone Substitutes
Identifieur interne : 002921 ( Pmc/Curation ); précédent : 002920; suivant : 002922Three-Dimensional Assessment of Volumetric Changes in Sinuses Augmented with Two Different Bone Substitutes
Auteurs : B. Alper Gultekin [Turquie] ; Oguz Borahan [Turquie] ; Ali Sirali [Turquie] ; Z. Cuneyt Karabuda [Turquie] ; Eitan Mijiritsky [Israël]Source :
- BioMed Research International [ 2314-6133 ] ; 2016.
Abstract
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DOI: 10.1155/2016/4085079
PubMed: 27517044
PubMed Central: 4969509
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Three-Dimensional Assessment of Volumetric Changes in Sinuses Augmented with Two Different Bone Substitutes</title><author><name sortKey="Gultekin, B Alper" sort="Gultekin, B Alper" uniqKey="Gultekin B" first="B. Alper" last="Gultekin">B. Alper Gultekin</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Oral Implantology, Istanbul University Faculty of Dentistry, Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Oral Implantology, Istanbul University Faculty of Dentistry, Istanbul</wicri:regionArea></affiliation></author><author><name sortKey="Borahan, Oguz" sort="Borahan, Oguz" uniqKey="Borahan O" first="Oguz" last="Borahan">Oguz Borahan</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Oral and Maxillofacial Radiology, Marmara University Faculty of Dentistry, Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Oral and Maxillofacial Radiology, Marmara University Faculty of Dentistry, Istanbul</wicri:regionArea></affiliation></author><author><name sortKey="Sirali, Ali" sort="Sirali, Ali" uniqKey="Sirali A" first="Ali" last="Sirali">Ali Sirali</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Periodontology, Bezmialem Vakif University Faculty of Dentistry, Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Periodontology, Bezmialem Vakif University Faculty of Dentistry, Istanbul</wicri:regionArea></affiliation></author><author><name sortKey="Karabuda, Z Cuneyt" sort="Karabuda, Z Cuneyt" uniqKey="Karabuda Z" first="Z. Cuneyt" last="Karabuda">Z. Cuneyt Karabuda</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Oral Implantology, Istanbul University Faculty of Dentistry, Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Oral Implantology, Istanbul University Faculty of Dentistry, Istanbul</wicri:regionArea></affiliation></author><author><name sortKey="Mijiritsky, Eitan" sort="Mijiritsky, Eitan" uniqKey="Mijiritsky E" first="Eitan" last="Mijiritsky">Eitan Mijiritsky</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Oral Rehabilitation, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel Aviv-Yafo, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Oral Rehabilitation, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel Aviv-Yafo</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27517044</idno><idno type="pmc">4969509</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4969509</idno><idno type="RBID">PMC:4969509</idno><idno type="doi">10.1155/2016/4085079</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002921</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002921</idno><idno type="wicri:Area/Pmc/Curation">002921</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002921</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Three-Dimensional Assessment of Volumetric Changes in Sinuses Augmented with Two Different Bone Substitutes</title><author><name sortKey="Gultekin, B Alper" sort="Gultekin, B Alper" uniqKey="Gultekin B" first="B. Alper" last="Gultekin">B. Alper Gultekin</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Oral Implantology, Istanbul University Faculty of Dentistry, Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Oral Implantology, Istanbul University Faculty of Dentistry, Istanbul</wicri:regionArea></affiliation></author><author><name sortKey="Borahan, Oguz" sort="Borahan, Oguz" uniqKey="Borahan O" first="Oguz" last="Borahan">Oguz Borahan</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Oral and Maxillofacial Radiology, Marmara University Faculty of Dentistry, Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Oral and Maxillofacial Radiology, Marmara University Faculty of Dentistry, Istanbul</wicri:regionArea></affiliation></author><author><name sortKey="Sirali, Ali" sort="Sirali, Ali" uniqKey="Sirali A" first="Ali" last="Sirali">Ali Sirali</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Periodontology, Bezmialem Vakif University Faculty of Dentistry, Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Periodontology, Bezmialem Vakif University Faculty of Dentistry, Istanbul</wicri:regionArea></affiliation></author><author><name sortKey="Karabuda, Z Cuneyt" sort="Karabuda, Z Cuneyt" uniqKey="Karabuda Z" first="Z. Cuneyt" last="Karabuda">Z. Cuneyt Karabuda</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Oral Implantology, Istanbul University Faculty of Dentistry, Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Oral Implantology, Istanbul University Faculty of Dentistry, Istanbul</wicri:regionArea></affiliation></author><author><name sortKey="Mijiritsky, Eitan" sort="Mijiritsky, Eitan" uniqKey="Mijiritsky E" first="Eitan" last="Mijiritsky">Eitan Mijiritsky</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Oral Rehabilitation, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel Aviv-Yafo, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Oral Rehabilitation, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel Aviv-Yafo</wicri:regionArea></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="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Introduction</italic>. The bone volume of the posterior maxilla may not be appropriate for implant placement, due to factors such as pneumatized maxillary sinus. The purpose of this study was to evaluate the percentage of graft volume reduction following sinus floor elevation (SFE), with either slow resorbable bone substitute only or a composite of slow and fast resorbable bone substitutes, using cone beam computed tomography (CBCT).<italic> Materials and Methods</italic>. In this retrospective study, CBCT scans of SFE procedures were evaluated to determine the volume of grafted sinus with either deproteinized bovine bone (DBB) or a 2 : 1 mixture of biphasic calcium sulfate (CS) and DBB, as a composite. The volumetric changes of sinus augmentations were measured 2 weeks (V-I) and 6 months (V-II) after operation.<italic> Results</italic>. Thirty-three patients were included in this study. The average percentage volume reduction was 9.39 ± 3.01% and 17.65 ± 4.15% for DBB and composite grafts, respectively. A significant graft volume reduction was observed between V-I and V-II for both groups (<italic>p</italic> < 0.01). The DBB group exhibited significantly less volume reduction than the composite group (<italic>p</italic> < 0.01).<italic> Conclusions</italic>. Augmented sinus volume may change before implant placement. DBB offers greater volume stability during healing than composite grafts. </p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Albrektsson, T" uniqKey="Albrektsson T">T. Albrektsson</name></author><author><name sortKey="Dahl, E" uniqKey="Dahl E">E. Dahl</name></author><author><name sortKey="Enbom, L" uniqKey="Enbom L">L. Enbom</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lozada, J L" uniqKey="Lozada J">J. L. Lozada</name></author><author><name sortKey="Emanuelli, S" uniqKey="Emanuelli S">S. Emanuelli</name></author><author><name sortKey="James, R A" uniqKey="James R">R. A. 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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 Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27517044</article-id><article-id pub-id-type="pmc">4969509</article-id><article-id pub-id-type="doi">10.1155/2016/4085079</article-id><article-categories><subj-group subj-group-type="heading"><subject>Clinical Study</subject></subj-group></article-categories><title-group><article-title>Three-Dimensional Assessment of Volumetric Changes in Sinuses Augmented with Two Different Bone Substitutes</article-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-7139-3572</contrib-id><name><surname>Gultekin</surname><given-names>B. Alper</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-4193-2368</contrib-id><name><surname>Borahan</surname><given-names>Oguz</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-7891-5110</contrib-id><name><surname>Sirali</surname><given-names>Ali</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Karabuda</surname><given-names>Z. Cuneyt</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-1661-7529</contrib-id><name><surname>Mijiritsky</surname><given-names>Eitan</given-names></name><xref ref-type="aff" rid="I4"><sup>4</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Department of Oral Implantology, Istanbul University Faculty of Dentistry, Istanbul, Turkey</aff><aff id="I2"><sup>2</sup>Department of Oral and Maxillofacial Radiology, Marmara University Faculty of Dentistry, Istanbul, Turkey</aff><aff id="I3"><sup>3</sup>Department of Periodontology, Bezmialem Vakif University Faculty of Dentistry, Istanbul, Turkey</aff><aff id="I4"><sup>4</sup>Department of Oral Rehabilitation, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel Aviv-Yafo, Israel</aff><author-notes><corresp id="cor1">*B. Alper Gultekin: <email>alpergultekin@hotmail.com</email></corresp><fn fn-type="other"><p>Academic Editor: David M. Dohan Ehrenfest</p></fn></author-notes><pub-date pub-type="ppub"><year>2016</year></pub-date><pub-date pub-type="epub"><day>19</day><month>7</month><year>2016</year></pub-date><volume>2016</volume><elocation-id>4085079</elocation-id><history><date date-type="received"><day>5</day><month>4</month><year>2016</year></date><date date-type="accepted"><day>20</day><month>6</month><year>2016</year></date></history><permissions><copyright-statement>Copyright © 2016 B. Alper Gultekin et al.</copyright-statement><copyright-year>2016</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>Introduction</italic>. The bone volume of the posterior maxilla may not be appropriate for implant placement, due to factors such as pneumatized maxillary sinus. The purpose of this study was to evaluate the percentage of graft volume reduction following sinus floor elevation (SFE), with either slow resorbable bone substitute only or a composite of slow and fast resorbable bone substitutes, using cone beam computed tomography (CBCT).<italic> Materials and Methods</italic>. In this retrospective study, CBCT scans of SFE procedures were evaluated to determine the volume of grafted sinus with either deproteinized bovine bone (DBB) or a 2 : 1 mixture of biphasic calcium sulfate (CS) and DBB, as a composite. The volumetric changes of sinus augmentations were measured 2 weeks (V-I) and 6 months (V-II) after operation.<italic> Results</italic>. Thirty-three patients were included in this study. The average percentage volume reduction was 9.39 ± 3.01% and 17.65 ± 4.15% for DBB and composite grafts, respectively. A significant graft volume reduction was observed between V-I and V-II for both groups (<italic>p</italic> < 0.01). The DBB group exhibited significantly less volume reduction than the composite group (<italic>p</italic> < 0.01).<italic> Conclusions</italic>. Augmented sinus volume may change before implant placement. DBB offers greater volume stability during healing than composite grafts. </p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Crestal and vertical releasing buccal incisions were made along the residual alveolar bone.</p></caption><graphic xlink:href="BMRI2016-4085079.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>An osteotomy was performed on the buccal sinus wall using diamond rotary instruments or a piezosurgical device. The bone at the center of the access window was gently fractured, and the intact sinus membrane was gently elevated with proper instruments.</p></caption><graphic xlink:href="BMRI2016-4085079.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Patients requiring SFE underwent grafting procedures using either deproteinized bovine bone (DBB) or a 2 : 1 mixture of biphasic CS and DBB as a composite.</p></caption><graphic xlink:href="BMRI2016-4085079.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>The lateral window was then covered and tacked with resorbable collagen membrane.</p></caption><graphic xlink:href="BMRI2016-4085079.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>The mucosal flap was replaced with nonabsorbable monofilament material for primary closure.</p></caption><graphic xlink:href="BMRI2016-4085079.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Digital reconstruction was performed by selecting the grafted volume, whereas manual reconstruction was based on threshold values selected according to the gray values of native bone, grafted bone, soft tissue, and sinus cavity, expressed on the software program.</p></caption><graphic xlink:href="BMRI2016-4085079.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>The volume of the three-dimensional grafted biomaterial was calculated.</p></caption><graphic xlink:href="BMRI2016-4085079.007"></graphic></fig><fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label><caption><p>Box plot of percentages of reduction in bone graft volume in the experimental groups after 6 months. DBB, deproteinized bovine bone; composite, 2 : 1 mixture of biphasic CS and DBB.</p></caption><graphic xlink:href="BMRI2016-4085079.008"></graphic></fig><table-wrap id="tab1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Mean residual bone height and width at the implant sites prior to operation.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1"> </th><th align="center" rowspan="1" colspan="1">Residual bone height (mm)</th><th align="center" rowspan="1" colspan="1">Residual bone width (mm)</th></tr><tr><th align="left" rowspan="1" colspan="1"> </th><th align="center" rowspan="1" colspan="1">Mean ± SD</th><th align="center" rowspan="1" colspan="1">Mean ± SD</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">DBB</td><td align="center" rowspan="1" colspan="1">3.19 ± 0.96</td><td align="center" rowspan="1" colspan="1">7.54 ± 1.23</td></tr><tr><td align="left" rowspan="1" colspan="1">Composite</td><td align="center" rowspan="1" colspan="1">3.34 ± 0.84</td><td align="center" rowspan="1" colspan="1">7.23 ± 1.03</td></tr><tr><td align="left" rowspan="1" colspan="1"><italic>p</italic><sup>1</sup></td><td align="center" rowspan="1" colspan="1"><italic>0.622</italic></td><td align="center" rowspan="1" colspan="1"><italic>0.408</italic></td></tr></tbody></table><table-wrap-foot><fn><p><sup>1</sup>Student's <italic>t</italic>-tests, <italic>p</italic> > 0.05.</p></fn><fn><p>DBB, deproteinized bovine bone; composite, 2 : 1 mixture of biphasic CS and DBB.</p></fn></table-wrap-foot></table-wrap><table-wrap id="tab2" orientation="portrait" position="float"><label>Table 2</label><caption><p>Graft volume changes at V-I and V-II for both groups.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1"> </th><th align="center" rowspan="1" colspan="1">DBB</th><th align="center" rowspan="1" colspan="1">Composite</th><th align="center" rowspan="2" colspan="1"><italic>p</italic><sup>1</sup></th></tr><tr><th align="left" rowspan="1" colspan="1"> </th><th align="center" rowspan="1" colspan="1">Mean ± SD</th><th align="center" rowspan="1" colspan="1">Mean ± SD</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">V-I (mm<sup>3</sup>)</td><td align="center" rowspan="1" colspan="1">2431.12 ± 634.98</td><td align="center" rowspan="1" colspan="1">2870.34 ± 536.73</td><td align="center" rowspan="1" colspan="1"><italic>0.030</italic><sup><italic>∗</italic></sup></td></tr><tr><td align="left" rowspan="1" colspan="1">V-II (mm<sup>3</sup>)</td><td align="center" rowspan="1" colspan="1">2206.89 ± 615.95</td><td align="center" rowspan="1" colspan="1">2360.06 ± 431.52</td><td align="center" rowspan="1" colspan="1"><italic>0.389</italic></td></tr><tr><td align="left" rowspan="1" colspan="1">Volumetric change rate (%)</td><td align="center" rowspan="1" colspan="1">9.39 ± 3.01</td><td align="center" rowspan="1" colspan="1">17.65 ± 4.15</td><td align="center" rowspan="1" colspan="1"><italic>0.001</italic><sup><italic>∗∗</italic></sup></td></tr><tr><td align="left" rowspan="1" colspan="1"><italic>p</italic><sup>2</sup></td><td align="center" rowspan="1" colspan="1"><italic>0.001</italic><sup><italic>∗∗</italic></sup></td><td align="center" rowspan="1" colspan="1"><italic>0.001</italic><sup><italic>∗∗</italic></sup></td><td align="center" rowspan="1" colspan="1"> </td></tr></tbody></table><table-wrap-foot><fn><p><sup>1</sup>Student's <italic>t</italic>-tests, <sup><italic>∗</italic></sup><italic>p</italic> < 0.05 and <sup><italic>∗∗</italic></sup><italic>p</italic> < 0.01. </p></fn><fn><p><sup>2</sup>Paired <italic>t</italic>-tests.</p></fn><fn><p>DBB, deproteinized bovine bone; composite, 2 : 1 mixture of biphasic CS and DBB.</p></fn></table-wrap-foot></table-wrap></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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