Skip to main content
Erschienen in: Oral and Maxillofacial Surgery 3/2020

03.05.2020 | Original Article

Influence of the position of the antrostomy in sinus floor elevation on the healing of mini-implants: a randomized clinical trial

verfasst von: Atsuya Hirota, Giovanna Iezzi, Adriano Piattelli, Mauro Ferri, Kazushige Tanaka, Karol Alí Apaza Alccayhuaman, Daniele Botticelli

Erschienen in: Oral and Maxillofacial Surgery | Ausgabe 3/2020

Einloggen, um Zugang zu erhalten

Abstract

Aim

To evaluate histologically the healing of mini-implants installed after sinus floor elevation using a lateral approach and placing the antrostomy at different level from the sinus floor.

Material and methods

Sinus floor elevation using a lateral approach was performed in 24 healthy volunteers. The antrostomy was randomly placed either close to the base of the sinus floor (group base) or at about 3–4 mm cranially to it (group standard).
After 6 months of healing, mini-implants were installed within the grafted region, through the alveolar crest. Three months later, biopsies were collected.

Results

Sixteen biopsies from 16 patients were available for histological analyses. The new bone reached fractions of 40.9 ± 11.9% and 48.5 ± 20.1% at the base and standard groups, respectively (p = 0.208). Xenograft particles were found in contact with the implant surface at percentages of 12.1 ± 11.0% in the base group, and 15.9 ± 23.7% in the standard group (p = 0.674).

Conclusions

Based on the present study, the choice of one or the other position of antrostomy did not influence significantly the outcome and, therefore, should be left to the preference of the surgeon.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
9.
Zurück zum Zitat Jungner M, Cricchio G, Salata LA, Sennerby L, Lundqvist C, Hultcrantz M, Lundgren S (2015) On the early mechanisms of bone formation after maxillary sinus membrane elevation: an experimental histological and immunohistochemical study. Clin Implant Dent Relat Res 17(6):1092–1102. https://doi.org/10.1111/cid.12218 CrossRefPubMed Jungner M, Cricchio G, Salata LA, Sennerby L, Lundqvist C, Hultcrantz M, Lundgren S (2015) On the early mechanisms of bone formation after maxillary sinus membrane elevation: an experimental histological and immunohistochemical study. Clin Implant Dent Relat Res 17(6):1092–1102. https://​doi.​org/​10.​1111/​cid.​12218 CrossRefPubMed
12.
Zurück zum Zitat De Santis E, Lang NP, Ferreira S, Rangel Garcia I Jr, Caneva M, Botticelli D (2017) Healing at implants installed concurrently to maxillary sinus floor elevation with Bio-Oss(®) or autologous bone grafts. A histo-morphometric study in rabbits. Clin Oral Implants Res 28(5):503–511. https://doi.org/10.1111/clr.12825 CrossRefPubMed De Santis E, Lang NP, Ferreira S, Rangel Garcia I Jr, Caneva M, Botticelli D (2017) Healing at implants installed concurrently to maxillary sinus floor elevation with Bio-Oss(®) or autologous bone grafts. A histo-morphometric study in rabbits. Clin Oral Implants Res 28(5):503–511. https://​doi.​org/​10.​1111/​clr.​12825 CrossRefPubMed
13.
Zurück zum Zitat Iida T, Carneiro Martins Neto E, Botticelli D, Apaza Alccayhuaman KA, Lang NP, Xavier SP (2017) Influence of a collagen membrane positioned subjacent the sinus mucosa following the elevation of the maxillary sinus. A histomorphometric study in rabbits. Clin Oral Implants Res 28(12):1567–1576. https://doi.org/10.1111/clr.13027 CrossRefPubMed Iida T, Carneiro Martins Neto E, Botticelli D, Apaza Alccayhuaman KA, Lang NP, Xavier SP (2017) Influence of a collagen membrane positioned subjacent the sinus mucosa following the elevation of the maxillary sinus. A histomorphometric study in rabbits. Clin Oral Implants Res 28(12):1567–1576. https://​doi.​org/​10.​1111/​clr.​13027 CrossRefPubMed
14.
15.
Zurück zum Zitat Masuda K, Silva ER, Botticelli D, Apaza Alccayhuaman KA, Xavier SP (2019) Antrostomy preparation for maxillary sinus floor augmentation using drills or a sonic instrument: a microcomputed tomography and histomorphometric study in rabbits. Int J Oral Maxillofac Implants 34(4):819–827. https://doi.org/10.11607/jomi.7350 CrossRefPubMed Masuda K, Silva ER, Botticelli D, Apaza Alccayhuaman KA, Xavier SP (2019) Antrostomy preparation for maxillary sinus floor augmentation using drills or a sonic instrument: a microcomputed tomography and histomorphometric study in rabbits. Int J Oral Maxillofac Implants 34(4):819–827. https://​doi.​org/​10.​11607/​jomi.​7350 CrossRefPubMed
16.
Zurück zum Zitat Cosso MG, de Brito RB Jr, Piattelli A, Shibli JA, Zenóbio EG (2014) Volumetric dimensional changes of autogenous bone and the mixture of hydroxyapatite and autogenous bone graft in humans maxillary sinus augmentation. A multislice tomographic study. Clin Oral Implants Res 25(11):1251–1256. https://doi.org/10.1111/clr.12261 CrossRefPubMed Cosso MG, de Brito RB Jr, Piattelli A, Shibli JA, Zenóbio EG (2014) Volumetric dimensional changes of autogenous bone and the mixture of hydroxyapatite and autogenous bone graft in humans maxillary sinus augmentation. A multislice tomographic study. Clin Oral Implants Res 25(11):1251–1256. https://​doi.​org/​10.​1111/​clr.​12261 CrossRefPubMed
18.
19.
24.
Zurück zum Zitat Iida T, Silva ER, Lang NP, Apaza Alccayhuaman KA, Botticelli D, Xavier SP (2018) Histological and micro-computed tomography evaluations of newly formed bone after maxillary sinus augmentation using a xenograft with similar density and mineral content of bone: an experimental study in rabbits. Clin Exp Dent Res 4(6):284–290. https://doi.org/10.1002/cre2.146 CrossRefPubMedPubMedCentral Iida T, Silva ER, Lang NP, Apaza Alccayhuaman KA, Botticelli D, Xavier SP (2018) Histological and micro-computed tomography evaluations of newly formed bone after maxillary sinus augmentation using a xenograft with similar density and mineral content of bone: an experimental study in rabbits. Clin Exp Dent Res 4(6):284–290. https://​doi.​org/​10.​1002/​cre2.​146 CrossRefPubMedPubMedCentral
29.
Zurück zum Zitat Hallman M, Sennerby L, Lundgren S (2002) A clinical and histologic evaluation of implant integration in the posterior maxilla after sinus floor augmentation with autogenous bone, bovine hydroxyapatite, or a 20:80 mixture. Int J Oral Maxillofac Implants 17(5):635–643PubMed Hallman M, Sennerby L, Lundgren S (2002) A clinical and histologic evaluation of implant integration in the posterior maxilla after sinus floor augmentation with autogenous bone, bovine hydroxyapatite, or a 20:80 mixture. Int J Oral Maxillofac Implants 17(5):635–643PubMed
30.
Zurück zum Zitat Chiu TS, Lee CT, Bittner N, Prasad H, Tarnow DP, Schulze-Späte U (2018) Histomorphometric Results of a Randomized Controlled Clinical Trial Studying Maxillary Sinus Augmentation with Two Different Biomaterials and Simultaneous Implant Placement. Int J Oral Maxillofac Implants 33(6):1320–1330. https://doi.org/10.11607/jomi.6778 CrossRefPubMed Chiu TS, Lee CT, Bittner N, Prasad H, Tarnow DP, Schulze-Späte U (2018) Histomorphometric Results of a Randomized Controlled Clinical Trial Studying Maxillary Sinus Augmentation with Two Different Biomaterials and Simultaneous Implant Placement. Int J Oral Maxillofac Implants 33(6):1320–1330. https://​doi.​org/​10.​11607/​jomi.​6778 CrossRefPubMed
31.
Zurück zum Zitat Lindgren C, Sennerby L, Mordenfeld A, Hallman M (2009) Clinical histology of microimplants placed in two different biomaterials. Int J Oral Maxillofac Implants 24(6):1093–1100PubMed Lindgren C, Sennerby L, Mordenfeld A, Hallman M (2009) Clinical histology of microimplants placed in two different biomaterials. Int J Oral Maxillofac Implants 24(6):1093–1100PubMed
35.
Zurück zum Zitat Akimoto K, Becker W, Persson R, Baker DA, Rohrer MD, O'Neal RB (1999) Evaluation of titanium implants placed into simulated extraction sockets: a study in dogs. Int J Oral Maxillofac Implants 14(3):351–360PubMed Akimoto K, Becker W, Persson R, Baker DA, Rohrer MD, O'Neal RB (1999) Evaluation of titanium implants placed into simulated extraction sockets: a study in dogs. Int J Oral Maxillofac Implants 14(3):351–360PubMed
37.
Zurück zum Zitat Jensen OT, Sennerby L (1998) Histologic analysis of clinically retrieved titanium microimplants placed in conjunction with maxillary sinus floor augmentation. Int J Oral Maxillofac Implants 13(4):513–521PubMed Jensen OT, Sennerby L (1998) Histologic analysis of clinically retrieved titanium microimplants placed in conjunction with maxillary sinus floor augmentation. Int J Oral Maxillofac Implants 13(4):513–521PubMed
39.
40.
45.
52.
Zurück zum Zitat Tanaka K Iezzi G, Piattelli A, Mauro Ferri M, Fortich Mesa N, Apaza Alccayhuaman KA, Botticelli D. Sinus floor elevation and antrostomy healing: A histomorphometric clinical study in humans. Accepted for publication in Implant Dentistry Tanaka K Iezzi G, Piattelli A, Mauro Ferri M, Fortich Mesa N, Apaza Alccayhuaman KA, Botticelli D. Sinus floor elevation and antrostomy healing: A histomorphometric clinical study in humans. Accepted for publication in Implant Dentistry
Metadaten
Titel
Influence of the position of the antrostomy in sinus floor elevation on the healing of mini-implants: a randomized clinical trial
verfasst von
Atsuya Hirota
Giovanna Iezzi
Adriano Piattelli
Mauro Ferri
Kazushige Tanaka
Karol Alí Apaza Alccayhuaman
Daniele Botticelli
Publikationsdatum
03.05.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
Oral and Maxillofacial Surgery / Ausgabe 3/2020
Print ISSN: 1865-1550
Elektronische ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-020-00846-7

Weitere Artikel der Ausgabe 3/2020

Oral and Maxillofacial Surgery 3/2020 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.