Erhan Dursun1, Ceyda Kanli Dursun, Kenan Eratalay, Kaan Orhan, Hakan Hamdi Celik, Tolga Fikret Tözüm. 1. *Assistant Professor, Department of Periodontology, Faculty of Dentistry, Hacettepe University, Ankara, Turkey. †Private Practice in Periodontics, Ankara, Turkey. ‡Professor, Department of Periodontology, Faculty of Dentistry, Hacettepe University, Ankara, Turkey. §Professor, Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Ankara University, Ankara, Turkey. ¶Professor, Department of Anatomy, Faculty of Medicine, Hacettepe University, Ankara, Turkey. ‖Associate Professor, Department of Periodontics, College of Dentistry, University of Illinois at Chicago, Chicago, IL.
Abstract
BACKGROUND: The aim of this randomized controlled clinical study was to analyze the bone microarchitecture at augmented maxillary sinus sites by using different materials in patients to compare the effect of porous titanium granules as a sinus augmentation material with bone microstructural features. MATERIALS AND METHODS:Eight subjects with bilateral atrophic posterior maxilla of residual bone height <4 mm included in this study and each patient was treated with bilateral sinus augmentation procedure using xenograft with equine origin (Apatos, Osteobiol; Tecnoss Dental) and xenograft (1 g) + porous titanium (1 g) granules (Natix; Tigran Technologies AB). Sixteen human bone biopsy samples were taken from patients receiving two-stage sinus augmentation therapy during implant installation and analyzed using microcomputerized tomography. Three-dimensional bone structural parameters were analyzed in details: tissue volume, bone volume, percentage of bone volume, bone surface and bone surface density, bone specific surface, trabecular thickness trabecular separation, trabecular number, trabecular pattern factor, structural model index, fractal dimension, and bone mineral density. RESULTS: No statistically significant differences were found between groups according to bone structural parameters. CONCLUSIONS:Porous titanium grafts may ensure a space for new bone formation in the granules, which may be a clinical advantage for long-term success.
RCT Entities:
BACKGROUND: The aim of this randomized controlled clinical study was to analyze the bone microarchitecture at augmented maxillary sinus sites by using different materials in patients to compare the effect of porous titanium granules as a sinus augmentation material with bone microstructural features. MATERIALS AND METHODS: Eight subjects with bilateral atrophic posterior maxilla of residual bone height <4 mm included in this study and each patient was treated with bilateral sinus augmentation procedure using xenograft with equine origin (Apatos, Osteobiol; Tecnoss Dental) and xenograft (1 g) + porous titanium (1 g) granules (Natix; Tigran Technologies AB). Sixteen human bone biopsy samples were taken from patients receiving two-stage sinus augmentation therapy during implant installation and analyzed using microcomputerized tomography. Three-dimensional bone structural parameters were analyzed in details: tissue volume, bone volume, percentage of bone volume, bone surface and bone surface density, bone specific surface, trabecular thickness trabecular separation, trabecular number, trabecular pattern factor, structural model index, fractal dimension, and bone mineral density. RESULTS: No statistically significant differences were found between groups according to bone structural parameters. CONCLUSIONS: Porous titanium grafts may ensure a space for new bone formation in the granules, which may be a clinical advantage for long-term success.
Authors: Eudoxie Pepelassi; Despina Perrea; Ismene Dontas; Christian Ulm; Ioannis Vrotsos; Stefan Tangl Journal: Biomed Res Int Date: 2019-12-14 Impact factor: 3.411