Sinus Floor Elevation Using a Composite Graft: Clinical Outcome of Immediate Implant Placement.

Published February 6, 2013

Sinus floor elevation using a composite graft: clinical outcome of immediate implant placement.

Filed under: Rehab Centers

Int J Oral Maxillofac Implants. 2013 Jan; 28(1): 252-60
Mendonca-Caridad JJ, Nunez M, Juiz-Lopez P, Pita-Fernandez S, Seoane J

Purpose: The aim of this study is to assess the long-term outcome of a single-stage approach for implant placement and maxillary sinus floor elevation (MSFE) that used a combined scaffold of laminated calvarial bone, platelet-rich plasma (PRP), and beta-tricalcium phosphate. Materials and Methods: Thirty consecutive patients who required MSFE to allow rehabilitation with implant-supported prosthesis entered this survival study. All patients received their dental implants at the time of sinus elevation, and prosthetic loads were applied 4 to 6 months after implant insertion. Clinical outcomes used for evaluation included residual bone height at the subsinus area (height of subsinus bone [HSB], assessment of surgical morbidity, and implant success and survival rates. Results: Simultaneous insertion of 86 implants, either 10 mm long (n = 76) or 12 mm long (n = 10), took place in a total of 22 bilateral and 8 unilateral sinus elevations. Loading was initiated a mean of 3.8 ± 1.5 months after the first surgery. A mean HSB of 4.9 ± 1.7 mm was present before surgery, with 50% of the sample displaying HSBs of less than 4.4 mm. The mean implant survival time was 33.1 months (95% confidence interval, 31.7 to 34.5 months), with high rates of success (94.2%) and survival (96.5%). When patients were classified by their HSB (HSB ? 5 mm vs HSB < 5 mm), no differences were seen with regard to age, sex, healing time, or follow-up in terms of implant survival rates (P > .05). Conclusions: Sinus floor elevation using mainly laminated calvarial bone, PRP, beta-tricalcium phosphate, and simultaneous stable implant placement is a predictable technique with low surgical morbidity that allows shorter healing times in patients with reduced bone height.
HubMed – rehab

Rennes Health & Rehab Center – Rennes Health & Rehab Centers offer physical, occupational, and speech therapy services. These services provide the necessary interventions to rehabilitate individuals to enable their return home and to productive, useful lives as well as allow individuals who live in our Centers to function as independent as possible, minimizing debilitating conditions.

Find More Rehab Centers Information…