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Biological Compatibility Profile on Biomaterials for Bone Regeneration
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Sinus floor elevation using tricalcium phosphate plate.

Hidemichi Kihara1, Kyoko Takafuji1, Wataru Hatakeyama1

  • 1Department of Prosthodontics and Oral Implantology, School of Dentistry, Iwate Medical University.

Journal of Oral Science
|April 1, 2020
PubMed
Summary

Sinus floor elevation using tricalcium phosphate (TCP) plates and implant bodies demonstrated successful bone regeneration. Long-term follow-up showed complete TCP absorption and stable dental implants, indicating a favorable outcome for sinus augmentation procedures.

Keywords:
bone augmentationdental implantsinus floor elevationtricalcium phosphate

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Biomaterials Science

Background:

  • Maxillary sinus floor elevation is crucial for dental implant placement in atrophic jaws.
  • Traditional bone grafting materials have limitations, necessitating exploration of alternatives.

Purpose of the Study:

  • To evaluate the long-term efficacy of sinus floor elevation using tricalcium phosphate (TCP) plates supported by implant bodies.

Main Methods:

  • A lateral sinus elevation approach was employed, utilizing TCP plates and implant bodies with only a blood clot as graft material.
  • Cone-beam computed tomography (CBCT) was used for imaging at one and two years post-surgery.
  • Clinical and radiographic assessment was performed seven years after the procedure.

Main Results:

  • CBCT revealed a TCP-like radio-opacity at one year, which significantly diminished by two years.
  • The grafted TCP was completely absorbed after seven years.
  • The patient maintained a stable superstructure and occlusion, with no signs of peri-implant bone resorption.

Conclusions:

  • Sinus floor elevation with TCP plates supported by implant bodies is a viable technique for achieving successful bone regeneration.
  • Tricalcium phosphate demonstrates excellent biocompatibility and complete resorption, facilitating long-term implant stability.