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Direct Maxillary Sinus Floor Augmentation for Simultaneous Dental Implant Placement
Mamit Kumar1, Sumit Chopra2, Debdutta Das1
1Department of Oral and Maxillofacial Surgery, Maharishi Markandeshwar College of Dental Sciences and Research, Ambala, Haryana, India.
Annals of Maxillofacial Surgery
|January 30, 2019
Summary
Platelet-rich fibrin (PRF) combined with Bio-Oss™ bone graft effectively enhances sinus augmentation for dental implants. This combination provides adequate bone formation for simultaneous implant placement and integration.
Area of Science:
- Oral and Maxillofacial Surgery
- Regenerative Dentistry
- Implantology
Background:
- Direct maxillary sinus augmentation is crucial for dental implant placement in atrophic jaws.
- Grafting materials are essential for achieving predictable bone regeneration.
- Platelet-rich fibrin (PRF) and bovine bone grafts (Bio-Oss™) are commonly used regenerative materials.
Purpose of the Study:
- To evaluate the efficacy of PRF with Bio-Oss™ in direct sinus augmentation.
- To assess the suitability for simultaneous dental implant placement.
Main Methods:
- A study involving 14 patients (10 male, 4 female) utilizing PRF with Bio-Oss™.
- Bone levels were assessed preoperatively and at 1, 6, and 12 months postoperatively using panoramic X-rays and radiovisiography.
- Vertical bone height was measured from the implant shoulder to the apical end.
Main Results:
- Sinus lift and implant outcomes were evaluated at 1, 6, and 12 months.
- Implants were exposed at 20 weeks, with radiological assessment for integration.
- Prosthetic rehabilitation commenced at 22 weeks and was completed by 6 months.
- A significant endosinus bone gain of 7 mm was observed at 12 months postoperatively.
Conclusions:
- PRF combined with Bio-Oss™ serves as a reliable augmentation material for direct maxillary sinus lifts.
- The resulting bone formation is adequate for immediate dental implant placement.
- This combination facilitates successful sinus augmentation and implant osseointegration.
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