JOURNAL ARTICLE

The use of cancellous block allograft for sinus floor augmentation with simultaneous implant placement in the posterior atrophic maxilla

Gavriel Chaushu, Ofer Mardinger, Shlomo Calderon, Ofer Moses, Joseph Nissan
Journal of Periodontology 2009, 80 (3): 422-8
19254126

BACKGROUND: The simultaneous placement of dental implants during sinus augmentation is advocated in cases in which >or=4 to 5 mm of alveolar bone exists coronally to the sinus floor. The aim of the present study was to assess the survival rate of dental implants placed during sinus augmentation and stabilized by the use of cancellous freeze-dried block allograft. Residual alveolar ridge height <or=4 mm was an inclusion criteria.

METHODS: Twenty-eight consecutive patients (13 females and 15 males) aged between 25 and 65 years (mean, 54 +/- 9 years) were referred for implant-supported reconstruction of the posterior atrophic maxillae. Seventy-two implants (two to four per patient) were placed. No case presented difficulty in achieving initial stabilization. Relatively small membrane tears (5 to 10 mm) were observed in 21.4% of the sinuses. There were no other clinically evident complications of the sinuses. Sixty-eight implants were clinically osseointegrated, yielding a 94.4% success rate, whereas four implants were noted to be failed at the second stage. Three months later, implants were inserted at the previously failed implant sites; after 3 additional months, at the second stage, they were diagnosed as osseointegrated. All patients received a fixed implant-supported prosthesis.

RESULTS: The mean follow-up was 27 months (range, 11 to 46 months). Radiographs taken at the last follow-up demonstrated that the vertical augmented bone within the sinus ranged from 11 to 14 mm (mean, 12.3 mm). The histologic evaluation showed newly formed bone containing viable osteocytes merged with residual grafted bone, characterized by empty lacunae devoid of osteocytes.

CONCLUSION: The cancellous block allograft seems to possess potential as a grafting material for sinus floor augmentation with simultaneous implant placement.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
19254126
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"