Maxillary sinus augmentation: collagen membrane over the osteotomy window. A pilot study

Submitted: 31 May 2017
Accepted: 31 May 2017
Published: 30 March 2015
Abstract Views: 1188
PDF: 530
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Authors

Aim Implant rehabilitation has become a very reliable and safe procedure. However, in some cases, a small amount of bone could make implant surgery extremely difficult or even impossible. Hence, a surgical technique to augment sinus floor has been developed and improved. Nevertheless, there is still controversy over the use of a membrane over the osteotomy window. Therefore, the aim of this study was to investigate whether the use of a membrane could be beneficial in sinus floor augmentation.

Materials and methods A group of 12 patients requiring sinus floor lift were recruited. The patients were randomly allocated to either control group (membrane) or test group (no membrane)  and only one sinus for patient was augmented. After 6 months, a bone biopsy was harvested from the lateral window to be processed for histological analysis.

Results The mean amount of newly formed bone in test group was 28.0±19.5%, the connective tissue accounted for a mean value of 59.2±15.6%, while 12.8±12.6% was the amount of residual graft particles. In the membrane group the newly formed bone counted for a mean value of 30.4±15.8%, the mean quantity of connective tissue was 50.3±18.9% and about residual graft particles a mean value of 18.2±20.4% was registered.

Conclusion According to our data, the use of a membrane over the lateral bone wall in sinus lift surgery does not significantly influence healing. However, the membrane could influence the residual particles resorption rate as well as soft tissue ingrowth.

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Tallgren A. The continuing reduction of the residual alveolar ridges in complete dentures wearers: a mixed-longitudinal study covering 25 years. J Prosthet Dent 1972;27:120-132.
Satwalekar P, Reddy BA, Chander KS, Reddy GR, Agarwal T, Chowdary SG. Endoscopic retrieval of dental implant from maxillary sinus. J Contemp Dent Pract 2013;14(4):759-61.
Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980;38:613-616.
Tatum H Jr. Maxillary and sinus implant reconstructions. Dent Clin North Am 1986;30:207-229.
Misch CE. Maxillary sinus augmentation for endosteal implants organized alternative treatment plans. Int J Oral Implantol 1987;4:49.
Vercellotti T, De Paoli S, Nevins M. The piezoelectric bony window osteotomy and sinus membrane elevation: introduction of a new technique for simplification of the sinus augmentation procedure. Int J Periodontics Restorative Dent 2001;21:561.
Soltan M, Smiler DG. Antral membrane balloon elevation. J Oral Implantol 2005;31:85.
Emtiaz S, Carames JMM, Pragosa A. An alternative sinus floor elevation procedure: trephine osteotomy. Implant Dent 2006;15:171.
Pjetrusson BE, Tan WC, Zwahlen M, Lang NP. A systematic review of the success of sinus floor elevation and survival of implants in combination with sinus floor elevation. J Clin Periodontol 2008;35 (8 Suppl.):216-240.
Nkenke E, Stelzle F. Clinical outcomes of sinus floor augmentation for implant placement using autogenous bone or bone substitutes: a systematic review. Clin Oral Implants Res 2009;20(Suppl. 4);124-133.
Cordaro L, Amadé DS, Cordaro M. Clinical results of alveolar ridge augmentation with mandibular block bone grafts in partially edentolous patients prior to implant placement. Clin Oral Implants Res 2002;13;103-111.
Schlegel KA, Eppeneder S, Wiltfang J. Soft tissue findings above submerged titanium implants- a histological and spectroscopic study. Biomaterials 2002;23:2939-2944.
Oppenheimer AJ, Tong L, Buchman SR. Craniofacial bone grafting: Wolff’s law revisited. Craniomaxillofac Trauma Reconstr 2008;1:49-61.
Galindo-Moreno P, Padial-Molina M, Fernandez-Barbero JE, Mesa F, Rodriguez-Martinez D, O’Valle F. Optimal microvessel density from composite graft of autogenous maxillary cortical bone and anorganic bovine bone in sinus augmentation: influence of clinical variables. Clin Oral Implants Res 2010b;21:221-227.
Galindo-Moreno P, Moreno-Riestra I, Avila G, Padial-Molina M, Paya JA, Wang H-L, O’Valle F. Effect of anorganic bovine bone to autogenous cortical bone ratio upon bone remodeling patterns following maxillary sinus augmentation. Clin Oral Implants Res 2011;22:857-864.
Tawil G, Mawla M. Sinus floor elevation using a bovine mineral (Bio-Oss) with or without the concomitant use of a bilayerd collagen barrier (Bio-Gide): a clinical report of immediate and delayed implant placement. Int J Oral Maxillofac Implants 2001;16(5):713-721.
Torres Garcia-Denche J, Wu X, Martinez P-P, Eimar H, Ikbal DJ-A, Hernandez G, et al. Membrane over the lateral window in sinus augmentation procedures: a two-arm and split-mouth randomized clinical trials. J Clin Periodontol 2013;40:1043-1051.
Wallace SS, Froum SJ, Tarnow DP. Histologic evaluation of sinus elevation procedure: a clinical report. Int J Periodontics Restorative Dent 1996;16:47.
Tarnow DP, Wallace SS, Froum SJ, Rohrer MD, Cho SC. Histologic and clinical comparison of bilateral sinus floor elevations with and without barrier membrane placement in 12 patients: part 3 of an ongoing prospective study. Int J Periodontics Restorative Dent 2000;20:117-125.
Jensen OT, Greer RO jr, Johnson L, Kassebaum D. Vertical guided bone-graft augmentation in a new canine mandibular model. Int J Oral Maxillofac Implants 1995;10:335-344.
Schulten EAJM, Prins H-J, Overman JR, Helder MN, Ten Bruggenkate CM, Klein-Nulend J. A novel approach revealing the effect of a collagenous membrane on osteoconduction in maxillary sinus floor elevation with β-tricalcium phosphate. Eur Cell Mater 2013;25:215-228.
Barone A, Crespi R, Aldini NN, Fini M, Giardino R, Covani U. Maxillary sinus augmentation: histologic and histomorphometric analysis. Int J Oral Maxillofac Implants 2005;20:519-525.
Galindo-Moreno P, Avila G, Fernandez-Barbero JE, Aguilar M, Sanchez-Fernandez E, Cutando A, Wang HL. Evaluation of sinus floor elevation using a composite bone graft mixture. Clin Oral Implants Res 2007;18:376-382.
Choi K, Kan J, Boyne PJ, Goodacre CJ, Lozada JL Rungcharassaeng K. The effects of resorbable membrane on human maxillary sinus graft: a pilot study. Int J Oral Maxillofac Implants 2009;24:73.
Wallace SS, Froum SJ. Effect of maxillary sinus augmentation on the survival of endosseous dental implants. A systematic review. Ann Periodontol 2003;8:328-343.
McAllister BS, Margolin MD, Cogan AG, Taylor M, Wollins J. Residual lateral wall defects following sinus grafting with recombinant human osteogeneic protein-1 or Bio-Oss in the chimpanzee. Int J Periodontics Restorative Dent 1998;18:227-239.
Gassling V, Purcz N, Braesen J-H, Will M, Gierloff M, Behrens E et al. Comparison of two different absorbable membranes for the coverage of lateral osteotomy sites in maxillary sinus augmentation: A preliminary study. J Craniomaxillofac Surg 2013;41:76-82.
Li X, Chen S-l, Zhu S-x, Zha G-q. Guided bone regeneration using collagen membranes for sinus augmentation. Br J Oral Maxillofac Surg 2012;50:69-73.
Hallman M, Sennerby L, Zetterqvist L, Lundgren S. A 3-year prospective follow-up study of implant-supported fixed prostheses in patients subjected to maxillary sinus floor augmentation with a 80:20 mixture of deproteinized bovine bone and autogenous bone. Clinical, radiographic and resonance frequency analysis. Int J Oral Maxillofac Surg 2005;34:273-280.
Mordenfeld A, Hallman M, Johansson CB, Albrektsson T. Histological and histomorphometrical analyses of biopsies harvested 11 years after maxillary sinus floor augmentation with deproteinized bovine and autogenous bone. Clin Oral Implants Res 2010;21:961-970.
Barone A, Ricci M, Covani U, Nannmark U, Azarmehr I, Calvo-Guirado JL. Maxillary sinus augmentation: histologic and histomorphometric analysis. Int J Oral Maxillofac Implants 2010;20:519-525.
Torres J, Tamimi F, Martinez PP, Alkhraisat MH, Linares R, Hernà ndez G, Torres-Macho J, Lopez-Cabarcos E. Effect of platelet-rich plasma on sinus lifting: a randomized-controlled clinical trial. J Clin Periodontol 2009 Aug;36(8):677-8.
Perrotti V, Nicholls BM. Resorption pattern of a porcine derived bone substitute. J Osseointegr 2009;1(1):22-28.

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How to Cite

Marchionni, F. S., Alfonsi, F., Santini, S., Marconcini, S., Covani, U., & Barone, A. (2015). Maxillary sinus augmentation: collagen membrane over the osteotomy window. A pilot study. Journal of Osseointegration, 7(1), 15–20. https://doi.org/10.23805/jo.2015.07.01.03