Year 2024,
Volume: 3 Issue: 1, 1 - 9, 15.01.2024
Abdullah Çapcı
,
Nur Altıparmak
,
Eda Yılmaz Akçay
,
Alaz Enez
,
Kenan Araz
References
- 1. Ekfeldt A, Christiansson U, Eriksson T, Linden U, Lundqvist
S, Rundcrantz T, et al. A retrospective analysis of factors
associated with multiple implant failures in maxillae. Clin
Oral Implants Res 2001;12(5):462-7.
- 2. Kim YH, Choi NR, Kim YD. The factors that influence
postoperative stability of the dental implants in posterior
edentulous maxilla. Maxillofac Plast Reconstr Surg
2017;39(1):2.
- 3. Bastos AS, Spin-Neto R, Conte-Neto N, Galina K, Boeck-
Neto RJ, Marcantonio C, et al. Calvarial autogenous
bone graft for maxillary ridge and sinus reconstruction
for rehabilitation with dental implants. J Oral Implantol
2014;40(4):469-78.
- 4. Calandriello R, Tomatis M. Simplified treatment of the
atrophic posterior maxilla via immediate/early function
and tilted implants: A prospective 1-year clinical study.
Clin Implant Dent Relat Res 2005;7 Suppl 1:S1-12.
- 5. Lundgren S, Moy P, Johansson C, Nilsson H. Augmentation
of the maxillary sinus floor with particulated mandible:
a histologic and histomorphometric study. Int J Oral
Maxillofac Implants 1996;11(6):760-6.
- 6. Morand M, Irinakis T. The challenge of implant therapy in
the posterior maxilla: providing a rationale for the use of
short implants. J Oral Implantol 2007;33(5):257-66.
- 7. Raghoebar GM, Timmenga NM, Reintsema H, Stegenga
B, Vissink A. Maxillary bone grafting for insertion of
endosseous implants: results after 12-124 months. Clin
Oral Implants Res 2001;12(3):279-86.
- 8. Rickert D, Vissink A, Slot WJ, Sauerbier S, Meijer HJ,
Raghoebar GM. Maxillary sinus floor elevation surgery
with BioOss(R) mixed with a bone marrow concentrate
or autogenous bone: test of principle on implant survival
and clinical performance. Int J Oral Maxillofac Surg
2014;43(2):243-7.
- 9. Rodriguez y Baena R, Pastorino R, Gherlone EF, Perillo
L, Lupi SM, Lucchese A. Histomorphometric Evaluation
of Two Different Bone Substitutes in Sinus Augmentation
Procedures: A Randomized Controlled Trial in Humans.
Int J Oral Maxillofac Implants 2017;32(1):188-94.
- 10. Sohn DS, Bae MS, Choi BJ, An KM, Shin HI. Efficacy of
demineralized bone matrix paste for maxillary sinus
augmentation: a histologic and clinical study in humans.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod
2009;108(5):e30-5.
- 11. Yildirim M, Spiekermann H, Biesterfeld S, Edelhoff D.
Maxillary sinus augmentation using xenogenic bone
substitute material Bio-Oss® in combination with venous
blood. A histologic and histomorphometric study in
humans. Clin Oral Implants Res. 2000;11(3):217–29.
- 12. Gauthier A, Lezy JP, Vacher C. Vascularization of the
palate in maxillary osteotomies: anatomical study. Surg
Radiol Anat 2002;24(1):13-7.
- 13. Monje A, Catena A, Monje F, Gonzalez-Garcia R, Galindo-
Moreno P, Suarez F, et al. Maxillary sinus lateral wall
thickness and morphologic patterns in the atrophic
posterior maxilla. J Periodontol 2014;85(5):676-82.
- 14. Rosano G, Taschieri S, Gaudy JF, Del Fabbro M. Maxillary
sinus vascularization: a cadaveric study. J Craniofac Surg
2009;20(3):940-3.
- 15. Sharan A, Madjar D. Maxillary sinus pneumatization
following extractions: a radiographic study. Int J Oral
Maxillofac Implants 2008;23(1):48-56.
- 16. Rosano G, Taschieri S, Gaudy JF, Weinstein T, Del Fabbro
M. Maxillary sinus vascular anatomy and its relation to
sinus lift surgery. Clin Oral Implants Res 2011;22(7):711-5.
- 17. Berberi A, Nader N, Assaf RB, Fayyad-Kazan H, Khairalah
S, Moukarzel N. Sinus floor augmentation with ambient
blood and an absorbable collagen sponge: A prospective
pilot clinical study. Implant Dent. 2017;26(5):674–81.
- 18. Smith MM, Duncan WJ, Coates DE. Attributes of Bio-
Oss® and Moa-Bone® graft materials in a pilot study
using the sheep maxillary sinus model. J Periodontal Res.
2018;53(1):80–90.
- 19. Orsini G, Scarano A, Piattelli M, Piccirilli M, Caputi S,
Piattelli A. Histologic and Ultrastructural Analysis of
Regenerated Bone in Maxillary Sinus Augmentation
Using a Porcine Bone–Derived Biomaterial. J Periodontol.
2006;77(12):1984–90.
- 20. Dempster DW, Compston JE, Drezner MK, Glorieux FH,
Kanis JA, Malluche H, et al. Standardized nomenclature,
symbols, and units for bone histomorphometry: A 2012
update of the report of the ASBMR Histomorphometry
Nomenclature Committee. J Bone Miner Res.
2013;28(1):2–17.
- 21. Rosen MD, Sarnat BG. Change of volume of the maxillary
sinus of the dog after extraction of adjacent teeth. Oral
Surg Oral Med Oral Pathol 1955;8(4):420-9.
- 22. Srouji S, Ben-David D, Lotan R, Riminucci M, Livne E,
Bianco P. The innateosteogenic potential of the maxillary
sinus (Schneiderian) membrane: An ectopic tissue
transplant model simulating sinus lifting. Int J Oral
Maxillofac Surg. 2010;
- 23. Scala A, Botticelli D, Rangel IG, De Oliveira JA, Okamoto
R, Lang NP. Early healing after elevation of the maxillary
sinus floor applying a lateral access: A histological study
in monkeys. Clin Oral Implants Res. 2010;21(12):1320–6.
- 24. Choi Y, Yun JH, Kim CS, Choi SH, Chai JK, Jung UW. Sinus
augmentation using absorbable collagen sponge loaded
with Escherichia coli-expressed recombinant human
bone morphogenetic protein 2 in a standardized rabbit
sinus model: A radiographic and histologic analysis. Clin
Oral Implants Res. 2012;23(6):682–9.
- 25. Lambert F, Léonard A, Drion P, Sourice S, Layrolle
P, Rompen E. Influence of space-filling materials in
subantral bone augmentation: Blood clot vs. autogenous
bone chips vs. bovine hydroxyapatite. Clin Oral Implants
Res. 2011;22(5):538–45.
Histomorphometric Comparison of Resorbable Collagen Sponges with Xenogen Grafts in Terms of New Bone Formation in Sinus Floor Elevations: An Experimental Study in the Rabbits
Year 2024,
Volume: 3 Issue: 1, 1 - 9, 15.01.2024
Abdullah Çapcı
,
Nur Altıparmak
,
Eda Yılmaz Akçay
,
Alaz Enez
,
Kenan Araz
Abstract
Due to a number of complicated factors, implanting the edentulous posterior maxilla is often a difficult procedure. It is stated
that maxillary sinus floor elevation is a predictable treatment option to obtain sufficient bone height and volume for implant
placement. In this study, it was aimed to compare the resorbable collagen sponges which are thought to be used in maxillary
sinus floor elevation with xenogen graft particles, histopathologically and histomorphometrically in terms of new bone formation.
For this purpose; In 16 New Zealand white rabbits, bilateral sinus floor elevation was performed, the cavities formed under the
sinus membrane were augmented by placing a collagen sponge on the right side and an equal volume of xenogen grafts on the
left side. In the postoperative period, the rabbits were sacrificed at the end of the 4th and 8th weeks, 8 each time. The obtained
samples were divided into 4 groups and evaluated histopathologically and histomorphometrically. Results: Histopathological
evaluation revealed that the two materials were biocompatible materials and formed a suitable environment for the transfer
of osteogenic cells. Histomorphometric evaluations showed that there was no difference between the materials in terms of
percentage of new bone formation. (p≤0.05) However, the newly formed bone area and osteoid area were found to be much larger
in the areas where xenogen grafts were used (p ≤0.05). Collagen sponge was unable to maintain its volume during the test period
and resorbed. Minimal resorption was observed in xenogen graft particles.
References
- 1. Ekfeldt A, Christiansson U, Eriksson T, Linden U, Lundqvist
S, Rundcrantz T, et al. A retrospective analysis of factors
associated with multiple implant failures in maxillae. Clin
Oral Implants Res 2001;12(5):462-7.
- 2. Kim YH, Choi NR, Kim YD. The factors that influence
postoperative stability of the dental implants in posterior
edentulous maxilla. Maxillofac Plast Reconstr Surg
2017;39(1):2.
- 3. Bastos AS, Spin-Neto R, Conte-Neto N, Galina K, Boeck-
Neto RJ, Marcantonio C, et al. Calvarial autogenous
bone graft for maxillary ridge and sinus reconstruction
for rehabilitation with dental implants. J Oral Implantol
2014;40(4):469-78.
- 4. Calandriello R, Tomatis M. Simplified treatment of the
atrophic posterior maxilla via immediate/early function
and tilted implants: A prospective 1-year clinical study.
Clin Implant Dent Relat Res 2005;7 Suppl 1:S1-12.
- 5. Lundgren S, Moy P, Johansson C, Nilsson H. Augmentation
of the maxillary sinus floor with particulated mandible:
a histologic and histomorphometric study. Int J Oral
Maxillofac Implants 1996;11(6):760-6.
- 6. Morand M, Irinakis T. The challenge of implant therapy in
the posterior maxilla: providing a rationale for the use of
short implants. J Oral Implantol 2007;33(5):257-66.
- 7. Raghoebar GM, Timmenga NM, Reintsema H, Stegenga
B, Vissink A. Maxillary bone grafting for insertion of
endosseous implants: results after 12-124 months. Clin
Oral Implants Res 2001;12(3):279-86.
- 8. Rickert D, Vissink A, Slot WJ, Sauerbier S, Meijer HJ,
Raghoebar GM. Maxillary sinus floor elevation surgery
with BioOss(R) mixed with a bone marrow concentrate
or autogenous bone: test of principle on implant survival
and clinical performance. Int J Oral Maxillofac Surg
2014;43(2):243-7.
- 9. Rodriguez y Baena R, Pastorino R, Gherlone EF, Perillo
L, Lupi SM, Lucchese A. Histomorphometric Evaluation
of Two Different Bone Substitutes in Sinus Augmentation
Procedures: A Randomized Controlled Trial in Humans.
Int J Oral Maxillofac Implants 2017;32(1):188-94.
- 10. Sohn DS, Bae MS, Choi BJ, An KM, Shin HI. Efficacy of
demineralized bone matrix paste for maxillary sinus
augmentation: a histologic and clinical study in humans.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod
2009;108(5):e30-5.
- 11. Yildirim M, Spiekermann H, Biesterfeld S, Edelhoff D.
Maxillary sinus augmentation using xenogenic bone
substitute material Bio-Oss® in combination with venous
blood. A histologic and histomorphometric study in
humans. Clin Oral Implants Res. 2000;11(3):217–29.
- 12. Gauthier A, Lezy JP, Vacher C. Vascularization of the
palate in maxillary osteotomies: anatomical study. Surg
Radiol Anat 2002;24(1):13-7.
- 13. Monje A, Catena A, Monje F, Gonzalez-Garcia R, Galindo-
Moreno P, Suarez F, et al. Maxillary sinus lateral wall
thickness and morphologic patterns in the atrophic
posterior maxilla. J Periodontol 2014;85(5):676-82.
- 14. Rosano G, Taschieri S, Gaudy JF, Del Fabbro M. Maxillary
sinus vascularization: a cadaveric study. J Craniofac Surg
2009;20(3):940-3.
- 15. Sharan A, Madjar D. Maxillary sinus pneumatization
following extractions: a radiographic study. Int J Oral
Maxillofac Implants 2008;23(1):48-56.
- 16. Rosano G, Taschieri S, Gaudy JF, Weinstein T, Del Fabbro
M. Maxillary sinus vascular anatomy and its relation to
sinus lift surgery. Clin Oral Implants Res 2011;22(7):711-5.
- 17. Berberi A, Nader N, Assaf RB, Fayyad-Kazan H, Khairalah
S, Moukarzel N. Sinus floor augmentation with ambient
blood and an absorbable collagen sponge: A prospective
pilot clinical study. Implant Dent. 2017;26(5):674–81.
- 18. Smith MM, Duncan WJ, Coates DE. Attributes of Bio-
Oss® and Moa-Bone® graft materials in a pilot study
using the sheep maxillary sinus model. J Periodontal Res.
2018;53(1):80–90.
- 19. Orsini G, Scarano A, Piattelli M, Piccirilli M, Caputi S,
Piattelli A. Histologic and Ultrastructural Analysis of
Regenerated Bone in Maxillary Sinus Augmentation
Using a Porcine Bone–Derived Biomaterial. J Periodontol.
2006;77(12):1984–90.
- 20. Dempster DW, Compston JE, Drezner MK, Glorieux FH,
Kanis JA, Malluche H, et al. Standardized nomenclature,
symbols, and units for bone histomorphometry: A 2012
update of the report of the ASBMR Histomorphometry
Nomenclature Committee. J Bone Miner Res.
2013;28(1):2–17.
- 21. Rosen MD, Sarnat BG. Change of volume of the maxillary
sinus of the dog after extraction of adjacent teeth. Oral
Surg Oral Med Oral Pathol 1955;8(4):420-9.
- 22. Srouji S, Ben-David D, Lotan R, Riminucci M, Livne E,
Bianco P. The innateosteogenic potential of the maxillary
sinus (Schneiderian) membrane: An ectopic tissue
transplant model simulating sinus lifting. Int J Oral
Maxillofac Surg. 2010;
- 23. Scala A, Botticelli D, Rangel IG, De Oliveira JA, Okamoto
R, Lang NP. Early healing after elevation of the maxillary
sinus floor applying a lateral access: A histological study
in monkeys. Clin Oral Implants Res. 2010;21(12):1320–6.
- 24. Choi Y, Yun JH, Kim CS, Choi SH, Chai JK, Jung UW. Sinus
augmentation using absorbable collagen sponge loaded
with Escherichia coli-expressed recombinant human
bone morphogenetic protein 2 in a standardized rabbit
sinus model: A radiographic and histologic analysis. Clin
Oral Implants Res. 2012;23(6):682–9.
- 25. Lambert F, Léonard A, Drion P, Sourice S, Layrolle
P, Rompen E. Influence of space-filling materials in
subantral bone augmentation: Blood clot vs. autogenous
bone chips vs. bovine hydroxyapatite. Clin Oral Implants
Res. 2011;22(5):538–45.