BACKGROUND: Predictability has been demonstrated for the long-term success of dental implants placed simultaneously with or after a sinus-augmentation procedure. However, the time required to obtain optimal bone formation can be from 6 to 9 months or longer with grafting materials other than autogenous bone. For this reason, there is interest in a surgical technique that does not require the harvest of autogenous bone but still results in sufficient bone formation within a relatively short time frame. METHODS: The purpose of this case series was to evaluate the bone formation following sinus-augmentation procedures using an allograft cellular bone matrix containing native mesenchymal stem cells. Biopsy and histologic evaluation were performed after approximately 4 months of healing. RESULTS: Histomorphometric analysis revealed an average vital bone content of 33% (range, 22% to 40%) and an average residual graft content of 6% (range, 3% to 7%) for the five cases reported that had an average healing period of 4.1 months (range, 3 to 4.75 months). CONCLUSION: The high percentage of vital bone content, after a relatively short healing phase, may encourage a more rapid initiation of implant placement or restoration when a cellular grafting approach is considered.
BACKGROUND: Predictability has been demonstrated for the long-term success of dental implants placed simultaneously with or after a sinus-augmentation procedure. However, the time required to obtain optimal bone formation can be from 6 to 9 months or longer with grafting materials other than autogenous bone. For this reason, there is interest in a surgical technique that does not require the harvest of autogenous bone but still results in sufficient bone formation within a relatively short time frame. METHODS: The purpose of this case series was to evaluate the bone formation following sinus-augmentation procedures using an allograft cellular bone matrix containing native mesenchymal stem cells. Biopsy and histologic evaluation were performed after approximately 4 months of healing. RESULTS: Histomorphometric analysis revealed an average vital bone content of 33% (range, 22% to 40%) and an average residual graft content of 6% (range, 3% to 7%) for the five cases reported that had an average healing period of 4.1 months (range, 3 to 4.75 months). CONCLUSION: The high percentage of vital bone content, after a relatively short healing phase, may encourage a more rapid initiation of implant placement or restoration when a cellular grafting approach is considered.
Authors: Thomas G Baboolal; Sally A Boxall; Yasser M El-Sherbiny; Timothy A Moseley; Richard J Cuthbert; Peter V Giannoudis; Dennis McGonagle; Elena Jones Journal: Regen Med Date: 2014-03-12 Impact factor: 3.806
Authors: Francesco G Mangano; Marco Colombo; Giovanni Veronesi; Alberto Caprioglio; Carlo Mangano Journal: World J Stem Cells Date: 2015-07-26 Impact factor: 5.326