Histological and histomorphometric study using an ultrasonic crestal sinus grafting procedure. A multicenter case study

Med Oral Patol Oral Cir Bucal. 2016 May 1;21(3):e367-73. doi: 10.4317/medoral.20994.

Abstract

Background: The aim of this study was to evaluate the efficacy of a hydrodynamic ultrasonic driven transcrestal sinus grafting procedure (Intralift ®, Acteon Company, Bordeaux, France) and the use of a bovine high temperature sintered grafting material in sinus sites with less than 5 mm remaining bone height with no additional autogenous bone in order to create a sufficient recipient site for implants.

Material and methods: 12 patients (16 sinus) in this multicenter case study were included. Using a crestal approach, bone under the sinus was prepared with ultrasonic tips until the Schneiderian membrane was reached. With a trumpet shaped instrument, the Schneiderian membrane was elevated. In the new created subantral space a high temperature sintered bovine grafting material was introduced (Bego Oss, BEGO Implant Systems GmbH & Co. KG, Bremen, Germany). After 6 months biopsies were taken with a trephine bur and histologies were generated following histomorphometric analysis.

Results: The results showed new vital bone in average of 33.4% ± 17.05%, and 43.6% ± 16.70 of bone substitute material. No signs of abnormal inflammation were observed.

Conclusions: This procedure (Intralift ®) allows, using a bovine material with no additional autogenous bone, new bone formation in the sinus in order to allow place implant subantraly.

MeSH terms

  • Animals
  • Bone Transplantation
  • Cattle
  • Dental Implantation, Endosseous*
  • Dental Implants*
  • Humans
  • Maxilla
  • Maxillary Sinus
  • Ultrasonics*

Substances

  • Dental Implants