Maxillary Sinus Augmentation with a New Xenograft: A Randomized Controlled Clinical Trial

Clin Implant Dent Relat Res. 2015 Oct:17 Suppl 2:e586-93. doi: 10.1111/cid.12289. Epub 2014 Dec 23.

Abstract

Background: Insufficient residual alveolar bone height is a common deterrent in the placement of dental implants in the posterior maxilla. The use of autografts, xenografts, allografts and alloplasts or a combination between them has been demonstrated to be effective for increasing bone height and bone volume in the deficient posterior maxilla.

Purpose: The aim of this clinical trial is to comparatively determine the density of newly formed in sinus floor augmentation bone after a 24-week healing period treatment with a new bovine xenograft.

Materials and methods: The sinus floor was grafted with Bio-Oss® (n = 10) and Osseous® (n = 10). Histological sections were examined with a focus on the presence of connective tissue (CT) and newly formed bone (NFB). The sections were histomorphometrically evaluated and the definitive crown was inserted after 3 months.

Results: After 6 months, the mean value of new bone formation was 24.60 (±2.503), the CT was 42.60 (±4.006) and the remaining biomaterial was 25.40 (±2.547) in Bio-Oss group. In Osseous group, the mean value of new bone formation was 24.90 (±3.542), the CT was 45.70 (±7.040) and the remaining biomaterial was 22.90 (±3.247).

Conclusions: Both biomaterials afforded a favorable implant position and the prosthetic rehabilitation.

Keywords: atrophic maxilla; bone augmentation; sinus floor elevation; xenograft.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Animals
  • Bone Substitutes / therapeutic use*
  • Cattle
  • Dental Implantation, Endosseous / methods
  • Female
  • Heterografts / surgery
  • Humans
  • Male
  • Middle Aged
  • Minerals / therapeutic use*
  • Sinus Floor Augmentation / methods*

Substances

  • Bio-Oss
  • Bone Substitutes
  • Minerals