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Two-Center Prospective, Randomized, Clinical, and Radiographic Study Comparing Osteotome Sinus Floor Elevation with or without Bone Graft and Simultaneous Implant Placement

Authorized Users Only
2016
Authors
Marković, Aleksa
Mišić, Tijana
Calvo Guirado, Jose Luis
Delgado-Ruiz, Rafael
Janjić, Bojan
Abboud, Marcus
Article (Published version)
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Abstract
Purpose: To evaluate stability and success rate of hydrophilic nanostructured implants placed via osteotome sinus floor elevation (OSFE) without grafting material or using beta-tricalcium phosphate (beta-TCP), deproteinized bovine bone (DBB), or their combination, and also to assess three-dimensional volumetric stability of endo-sinus bone gained in the aforementioned conditions. Materials and Methods: OSFE with simultaneous implant placement (10-mm long SLActive-BL (R), Straumann, Basel, Switzerland) was performed. Grafting materials were randomly allocated to implant sites, whereas one site was left without graft. Implant stability was measured by resonance frequency analysis over 6 months. Implant success was evaluated after 2 years of loading. Volume of new endo-sinus bone was calculated from CBCT images using 3D Slicer (R) software. Results: A total of 180 implants were inserted into posterior maxilla of 45 patients with 6.59 +/- 0.45 mm of residual bone height, and all remained s...uccessful after 2 years. Implant stability steadily increased during healing, without significant difference between groups (p =.658). After 2 years, endo-sinus bone significantly shrank (p lt .001) in all groups (DBB: 66.34%; beta-TCP: 61.44%; new bone formed from coagulum: 53.02%; beta-TCP + DBB: 33.47%). Conclusions: Endo-sinus bone gained after OSFE inevitably and significantly shrinks regardless of whether grafting material is applied or not. Grafting material offers no significant advantage to stability nor clinical success of hydrophilic and nanostructured implants placed simultaneously with OSFE.

Keywords:
bone graft / implant stability / implant success / no grafting / osteotome sinus floor elevation / posterior maxilla / volumetric changes
Source:
Clinical Implant Dentistry & Related Research, 2016, 18, 5, 873-882
Publisher:
  • Wiley, Hoboken

DOI: 10.1111/cid.12373

ISSN: 1523-0899

PubMed: 26315564

WoS: 000386654800002

Scopus: 2-s2.0-85027957874
[ Google Scholar ]
37
33
URI
https://smile.stomf.bg.ac.rs/handle/123456789/2126
Collections
  • Radovi istraživača
Institution/Community
Stomatološki fakultet
TY  - JOUR
AU  - Marković, Aleksa
AU  - Mišić, Tijana
AU  - Calvo Guirado, Jose Luis
AU  - Delgado-Ruiz, Rafael
AU  - Janjić, Bojan
AU  - Abboud, Marcus
PY  - 2016
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/2126
AB  - Purpose: To evaluate stability and success rate of hydrophilic nanostructured implants placed via osteotome sinus floor elevation (OSFE) without grafting material or using beta-tricalcium phosphate (beta-TCP), deproteinized bovine bone (DBB), or their combination, and also to assess three-dimensional volumetric stability of endo-sinus bone gained in the aforementioned conditions. Materials and Methods: OSFE with simultaneous implant placement (10-mm long SLActive-BL (R), Straumann, Basel, Switzerland) was performed. Grafting materials were randomly allocated to implant sites, whereas one site was left without graft. Implant stability was measured by resonance frequency analysis over 6 months. Implant success was evaluated after 2 years of loading. Volume of new endo-sinus bone was calculated from CBCT images using 3D Slicer (R) software. Results: A total of 180 implants were inserted into posterior maxilla of 45 patients with 6.59 +/- 0.45 mm of residual bone height, and all remained successful after 2 years. Implant stability steadily increased during healing, without significant difference between groups (p =.658). After 2 years, endo-sinus bone significantly shrank (p  lt .001) in all groups (DBB: 66.34%; beta-TCP: 61.44%; new bone formed from coagulum: 53.02%; beta-TCP + DBB: 33.47%). Conclusions: Endo-sinus bone gained after OSFE inevitably and significantly shrinks regardless of whether grafting material is applied or not. Grafting material offers no significant advantage to stability nor clinical success of hydrophilic and nanostructured implants placed simultaneously with OSFE.
PB  - Wiley, Hoboken
T2  - Clinical Implant Dentistry & Related Research
T1  - Two-Center Prospective, Randomized, Clinical, and Radiographic Study Comparing Osteotome Sinus Floor Elevation with or without Bone Graft and Simultaneous Implant Placement
VL  - 18
IS  - 5
SP  - 873
EP  - 882
DO  - 10.1111/cid.12373
ER  - 
@article{
author = "Marković, Aleksa and Mišić, Tijana and Calvo Guirado, Jose Luis and Delgado-Ruiz, Rafael and Janjić, Bojan and Abboud, Marcus",
year = "2016",
abstract = "Purpose: To evaluate stability and success rate of hydrophilic nanostructured implants placed via osteotome sinus floor elevation (OSFE) without grafting material or using beta-tricalcium phosphate (beta-TCP), deproteinized bovine bone (DBB), or their combination, and also to assess three-dimensional volumetric stability of endo-sinus bone gained in the aforementioned conditions. Materials and Methods: OSFE with simultaneous implant placement (10-mm long SLActive-BL (R), Straumann, Basel, Switzerland) was performed. Grafting materials were randomly allocated to implant sites, whereas one site was left without graft. Implant stability was measured by resonance frequency analysis over 6 months. Implant success was evaluated after 2 years of loading. Volume of new endo-sinus bone was calculated from CBCT images using 3D Slicer (R) software. Results: A total of 180 implants were inserted into posterior maxilla of 45 patients with 6.59 +/- 0.45 mm of residual bone height, and all remained successful after 2 years. Implant stability steadily increased during healing, without significant difference between groups (p =.658). After 2 years, endo-sinus bone significantly shrank (p  lt .001) in all groups (DBB: 66.34%; beta-TCP: 61.44%; new bone formed from coagulum: 53.02%; beta-TCP + DBB: 33.47%). Conclusions: Endo-sinus bone gained after OSFE inevitably and significantly shrinks regardless of whether grafting material is applied or not. Grafting material offers no significant advantage to stability nor clinical success of hydrophilic and nanostructured implants placed simultaneously with OSFE.",
publisher = "Wiley, Hoboken",
journal = "Clinical Implant Dentistry & Related Research",
title = "Two-Center Prospective, Randomized, Clinical, and Radiographic Study Comparing Osteotome Sinus Floor Elevation with or without Bone Graft and Simultaneous Implant Placement",
volume = "18",
number = "5",
pages = "873-882",
doi = "10.1111/cid.12373"
}
Marković, A., Mišić, T., Calvo Guirado, J. L., Delgado-Ruiz, R., Janjić, B.,& Abboud, M.. (2016). Two-Center Prospective, Randomized, Clinical, and Radiographic Study Comparing Osteotome Sinus Floor Elevation with or without Bone Graft and Simultaneous Implant Placement. in Clinical Implant Dentistry & Related Research
Wiley, Hoboken., 18(5), 873-882.
https://doi.org/10.1111/cid.12373
Marković A, Mišić T, Calvo Guirado JL, Delgado-Ruiz R, Janjić B, Abboud M. Two-Center Prospective, Randomized, Clinical, and Radiographic Study Comparing Osteotome Sinus Floor Elevation with or without Bone Graft and Simultaneous Implant Placement. in Clinical Implant Dentistry & Related Research. 2016;18(5):873-882.
doi:10.1111/cid.12373 .
Marković, Aleksa, Mišić, Tijana, Calvo Guirado, Jose Luis, Delgado-Ruiz, Rafael, Janjić, Bojan, Abboud, Marcus, "Two-Center Prospective, Randomized, Clinical, and Radiographic Study Comparing Osteotome Sinus Floor Elevation with or without Bone Graft and Simultaneous Implant Placement" in Clinical Implant Dentistry & Related Research, 18, no. 5 (2016):873-882,
https://doi.org/10.1111/cid.12373 . .

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