Clinical Implant Dentistry and Related Research

ORIGINAL ARTICLE

Volumetric changes and graft stability after lateral window sinus floor augmentation: A randomized clinical trial

Ahmad Sedeqi DDS

Department of Periodontics, Al Amiri Hospital, Kuwait City, Kuwait

Former, Department of Periodontics, University of Oklahoma Health Sciences Center – College of Dentistry, Oklahoma City, Oklahoma, USA

Search for more papers by this author

Tapan Koticha BDS, MDS,

Tapan Koticha BDS, MDS

Former, Department of Periodontics, University of Oklahoma Health Sciences Center – College of Dentistry, Oklahoma City, Oklahoma, USA

Private Practice, Oklahoma City, OK, USA

Search for more papers by this author

Yacoub Al Sakka DDS,

Yacoub Al Sakka DDS

Former, Department of Periodontics, University of Oklahoma Health Sciences Center – College of Dentistry, Oklahoma City, Oklahoma, USA

Private Practice, Oklahoma City, OK, USA

Search for more papers by this author

Mohammad Felemban BDS, MS,

Mohammad Felemban BDS, MS

Department of Maxillofacial Surgery and Diagnostic Science, Taif University, Taif, Saudi Arabia

Search for more papers by this author

Carlos Garaicoa-Pazmino DDS, MS,

Carlos Garaicoa-Pazmino DDS, MS

Department of Periodontics, University of Iowa College of Dentistry and Dental Clinics, Iowa City, Iowa, USA

School of Dentistry, Espiritu Santo University, Samborondon, Ecuador

Search for more papers by this author

Fernando Suárez-López del Amo DDS, MS,

Corresponding Author

Fernando Suárez-López del Amo DDS, MS

[email protected]

orcid.org/0000-0002-0416-7380

Former, Department of Periodontics, University of Oklahoma Health Sciences Center – College of Dentistry, Oklahoma City, Oklahoma, USA

Department of Periodontics, University of Iowa College of Dentistry and Dental Clinics, Iowa City, Iowa, USA

Department of Implant Surgery and Prosthodontics, School of Dentistry, Alfonso X El Sabio University, Madrid, Spain

Correspondence

Fernando Suárez-López del Amo, Alfonso X El Sabio University, C. de Albarracín, 35, Madrid, Spain.

Email: [email protected]

Search for more papers by this author

Ahmad Sedeqi DDS,

Ahmad Sedeqi DDS

Department of Periodontics, Al Amiri Hospital, Kuwait City, Kuwait

Former, Department of Periodontics, University of Oklahoma Health Sciences Center – College of Dentistry, Oklahoma City, Oklahoma, USA

Search for more papers by this author

Tapan Koticha BDS, MDS,

Tapan Koticha BDS, MDS

Former, Department of Periodontics, University of Oklahoma Health Sciences Center – College of Dentistry, Oklahoma City, Oklahoma, USA

Private Practice, Oklahoma City, OK, USA

Search for more papers by this author

Yacoub Al Sakka DDS,

Yacoub Al Sakka DDS

Former, Department of Periodontics, University of Oklahoma Health Sciences Center – College of Dentistry, Oklahoma City, Oklahoma, USA

Private Practice, Oklahoma City, OK, USA

Search for more papers by this author

Mohammad Felemban BDS, MS,

Mohammad Felemban BDS, MS

Department of Maxillofacial Surgery and Diagnostic Science, Taif University, Taif, Saudi Arabia

Search for more papers by this author

Carlos Garaicoa-Pazmino DDS, MS,

Carlos Garaicoa-Pazmino DDS, MS

Department of Periodontics, University of Iowa College of Dentistry and Dental Clinics, Iowa City, Iowa, USA

School of Dentistry, Espiritu Santo University, Samborondon, Ecuador

Search for more papers by this author

Fernando Suárez-López del Amo DDS, MS,

Corresponding Author

Fernando Suárez-López del Amo DDS, MS

[email protected]

orcid.org/0000-0002-0416-7380

Former, Department of Periodontics, University of Oklahoma Health Sciences Center – College of Dentistry, Oklahoma City, Oklahoma, USA

Department of Periodontics, University of Iowa College of Dentistry and Dental Clinics, Iowa City, Iowa, USA

Department of Implant Surgery and Prosthodontics, School of Dentistry, Alfonso X El Sabio University, Madrid, Spain

Correspondence

Fernando Suárez-López del Amo, Alfonso X El Sabio University, C. de Albarracín, 35, Madrid, Spain.

Email: [email protected]

Search for more papers by this author

First published: 17 October 2023

https://doi.org/10.1111/cid.13283

Citations: 3

Share a link

Email
Wechat
Bluesky

Abstract

Introduction

The present investigation compared the stability and volumetric changes of two different grafting material used for lateral window sinus floor augmentation (LWSFA).

Methods

Sixteen patients with a total 20 maxillary sinuses in need of LWSFA were included in the present study. The sinuses were grafted with either 100% anorganic bovine bone mineral (ABBM) alone (Group 1) or a mixture (0.8:1 ratio) of ABBM and mineralized cortical allograft (MCA) (Group 2). Cone beam computer tomography (CBCT) was obtained pre-operatively, and at 2-weeks, and 6-months after LWSFA to perform linear measurements including lateral window dimensions, sinus anatomy, residual bone height/thickness (RBH/RBT), and Schneiderian membrane thickness (SMT), among others. Three-dimensional segmentation analysis was used to evaluate changes of bone graft volume/height (GV/GH).

Results

A total of 10 sinuses per group were included in the analysis. No statistically significant difference was found in between groups regarding mean reduction of GV (Group 1: 14.87% ± 16.60%, Group 2: 18.06% ± 9.81%, p = 0.33). Among the linear measurements, only SMT revealed a significant increase after 2-weeks more pronounce in Group 1 (8.70 mm) when compared with Group 2 (5.70 mm) with plausible effect upon LWSFA outcomes. Sinus width showed weak positive correlation with GH reduction after 6 months.

Conclusion

This study demonstrated that both ABBM alone and ABBM + MCA represent suitable alternatives for LWSFA with adequate graft stability as they revealed similar volumetric and linear dimensional changes 6 months postoperatively.

CONFLICT OF INTEREST STATEMENT

The authors do not have any financial interests, either directly or indirectly, with the products or information listed in the paper. None of the authors declare any potential conflict of interest with respect to the authorship and/or publication of this article.

Open Research

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available from the corresponding author upon reasonable request.

Supporting Information

REFERENCES

1Hatano N, Shimizu Y, Ooya K. A clinical long-term radiographic evaluation of graft height changes after maxillary sinus floor augmentation with a 2: 1 autogenous bone/xenograft mixture and simultaneous placement of dental implants. Clin Oral Implants Res. 2004; 15(3): 339-345.
10.1111/j.1600-0501.2004.00996.x
CAS PubMed Web of Science® Google Scholar
2Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg. 1980; 38(8): 613-616.
CAS PubMed Web of Science® Google Scholar
3Summers RB. A new concept in maxillary implant surgery: the osteotome technique. Compendium. 1994; 15(2): 154-156.
Google Scholar
4Pjetursson BE, Lang NP. Sinus floor elevation utilizing the transalveolar approach. Periodontology 2000. 2014; 66(1): 59-71. doi:10.1111/prd.12043
10.1111/prd.12043
PubMed Web of Science® Google Scholar
5Chan HL, Monje A, Suarez F, Benavides E, Wang HL. Palatonasal recess on medial wall of the maxillary sinus and clinical implications for sinus augmentation via lateral window approach. J Periodontol. 2013; 84(8): 1087-1093. doi:10.1902/jop.2012.120371
10.1902/jop.2012.120371
PubMed Web of Science® Google Scholar
6Chan HL, Suarez F, Monje A, Benavides E, Wang HL. Evaluation of maxillary sinus width on cone-beam computed tomography for sinus augmentation and new sinus classification based on sinus width. Clin Oral Implants Res. 2014; 25(6): 647-652. doi:10.1111/clr.12055
10.1111/clr.12055
PubMed Web of Science® Google Scholar
7Monje A, Catena A, Monje F, et al. Maxillary sinus lateral wall thickness and morphologic patterns in the atrophic posterior maxilla. J Periodontol. 2014; 85(5): 676-682. doi:10.1902/jop.2013.130392
10.1902/jop.2013.130392
PubMed Web of Science® Google Scholar
8Kim MJ, Jung UW, Kim CS, et al. Maxillary sinus septa: prevalence, height, location, and morphology. A reformatted computed tomography scan analysis. J Periodontol. 2006; 77(5): 903-908. doi:10.1902/jop.2006.050247
10.1902/jop.2006.050247
CAS PubMed Web of Science® Google Scholar
9van Zyl AW, van Heerden WF. A retrospective analysis of maxillary sinus septa on reformatted computerised tomography scans. Clin Oral Implants Res. 2009; 20(12): 1398-1401. doi:10.1111/j.1600-0501.2009.01802.x
10.1111/j.1600-0501.2009.01802.x
PubMed Web of Science® Google Scholar
10Kim ES, Moon SY, Kim SG, Park HC, Oh JS. Three-dimensional volumetric analysis after sinus grafts. Implant Dent. 2013; 22(2): 170-174. doi:10.1097/ID.0b013e31827f3576
10.1097/ID.0b013e31827f3576
PubMed Web of Science® Google Scholar
11Jensen T, Schou S, Svendsen PA, et al. Volumetric changes of the graft after maxillary sinus floor augmentation with bio-oss and autogenous bone in different ratios: a radiographic study in minipigs. Clin Oral Implants Res. 2012; 23(8): 902-910. doi:10.1111/j.1600-0501.2011.02245.x
10.1111/j.1600-0501.2011.02245.x
PubMed Web of Science® Google Scholar
12Temmerman A, van Dessel J, Cortellini S, Jacobs R, Teughels W, Quirynen M. Volumetric changes of grafted volumes and the Schneiderian membrane after transcrestal and lateral sinus floor elevation procedures: a clinical, pilot study. J Clin Periodontol. 2017; 44(6): 660-671. doi:10.1111/jcpe.12728
10.1111/jcpe.12728
CAS PubMed Web of Science® Google Scholar
13Danesh-Sani SA, Engebretson SP, Janal MN. Histomorphometric results of different grafting materials and effect of healing time on bone maturation after sinus floor augmentation: a systematic review and meta-analysis. J Periodontal Res. 2017; 52(3): 301-312. doi:10.1111/jre.12402
10.1111/jre.12402
CAS PubMed Web of Science® Google Scholar
14Suarez-Lopez Del Amo F, Ortega-Oller I, Catena A, et al. Effect of barrier membranes on the outcomes of maxillary sinus floor augmentation: a meta-analysis of histomorphometric outcomes. Int J Oral Maxillofac Implants. 2015; 30(3): 607-618. doi:10.11607/jomi.3886
10.11607/jomi.3886
PubMed Web of Science® Google Scholar
15Gultekin BA, Cansiz E, Borahan O, et al. Evaluation of volumetric changes of augmented maxillary sinus with different bone grafting biomaterials. J Craniofac Surg. 2016; 27(2): e144-e148. doi:10.1097/SCS.0000000000002393
10.1097/SCS.0000000000002393
PubMed Web of Science® Google Scholar
16Coopman R, Fennis J, Ghaeminia H, van de Vyvere G, Politis C, Hoppenreijs TJM. Volumetric osseous changes in the completely edentulous maxilla after sinus grafting and lateral bone augmentation: a systematic review. Int J Oral Maxillofac Surg. 2020; 49(11): 1470-1480. doi:10.1016/j.ijom.2020.03.001
10.1016/j.ijom.2020.03.001
CAS PubMed Web of Science® Google Scholar
17Starch-Jensen T, Deluiz D, Vitenson J, Bruun NH, Tinoco EMB. Maxillary sinus floor augmentation with autogenous bone graft compared with a composite grafting material or bone substitute alone: a systematic review and meta-analysis assessing volumetric stability of the grafting material. J Oral Maxillofac Res. 2021; 12(1):e1. doi:10.5037/jomr.2021.12101
10.5037/jomr.2021.12101
Google Scholar
18Pesce P, Menini M, Canullo L, et al. Radiographic and histomorphometric evaluation of biomaterials used for lateral sinus augmentation: a systematic review on the effect of residual bone height and vertical graft size on new bone formation and graft shrinkage. J Clin Med. 2021; 10(21):1-16. doi:10.3390/jcm10214996
10.3390/jcm10214996
Web of Science® Google Scholar
19Xavier SP, de Santana ST, Sehn FP, Silva ER, de Andrade G-FJ, Martins-Filho PRS. Maxillary sinus grafting with fresh frozen allograft versus bovine bone mineral: a tomographic and histological study. J Craniomaxillofac Surg. 2016; 44(6): 708-714.
10.1016/j.jcms.2016.03.005
PubMed Web of Science® Google Scholar
20Mazzocco F, Lops D, Gobbato L, Lolato A, Romeo E, del Fabbro M. Three-dimensional volume change of grafted bone in the maxillary sinus. Int J Oral Maxillofac Implants. 2014; 29(1): 178-184. doi:10.11607/jomi.3236
10.11607/jomi.3236
PubMed Web of Science® Google Scholar
21Zhang L, Si M, Shi J, Yang G, Shi Y. Evaluation of three-dimensional contraction of the volume of grafts after staged augmentation of the sinus floor, and an analysis of influential factors. Br J Oral Maxillofac Surg. 2019; 57(4): 323-329. doi:10.1016/j.bjoms.2019.03.006
10.1016/j.bjoms.2019.03.006
CAS PubMed Web of Science® Google Scholar
22Wallace SS, Froum SJ. Effect of maxillary sinus augmentation on the survival of endosseous dental implants. A systematic review. Ann Periodontol. 2003; 8(1): 328-343. doi:10.1902/annals.2003.8.1.328
10.1902/annals.2003.8.1.328
PubMed Google Scholar
23Del Fabbro M, Testori T, Francetti L, Weinstein R. Systematic review of survival rates for implants placed in the grafted maxillary sinus. Int J Periodontics Restorative Dent. 2004; 24(6): 565-577.
PubMed Web of Science® Google Scholar
24Aghaloo TL, Moy PK. Which hard tissue augmentation techniques are the most successful in furnishing bony support for implant placement? Int J Oral Maxillofac Implants. 2007; 22(Suppl): 49-70.
PubMed Web of Science® Google Scholar
25Tarnow DP, Cho SC, Wallace SS. The effect of inter-implant distance on the height of inter-implant bone crest. J Periodontol. 2000; 71(4): 546-549. doi:10.1902/jop.2000.71.4.546
10.1902/jop.2000.71.4.546
CAS PubMed Web of Science® Google Scholar
26Testori T, Wallace SS, Del Fabbro M, et al. Repair of large sinus membrane perforations using stabilized collagen barrier membranes: surgical techniques with histologic and radiographic evidence of success. Int J Periodontics Restorative Dent. 2008; 28(1): 9-17.
PubMed Web of Science® Google Scholar
27Wallace SS, Mazor Z, Froum SJ, Cho SC, Tarnow DP. Schneiderian membrane perforation rate during sinus elevation using piezosurgery: clinical results of 100 consecutive cases. Int J Periodontics Restorative Dent. 2007; 27(5): 413-419.
PubMed Web of Science® Google Scholar
28Krennmair S, Weinlander M, Forstner T, Malek M, Krennmair G, Postl L. The influence of different forms of sinus membrane perforation on the prevalence of postoperative complications in lateral window sinus floor elevation: a retrospective study. Clin Implant Dent Relat Res. 2022; 24(1): 13-23. doi:10.1111/cid.13056
10.1111/cid.13056
PubMed Web of Science® Google Scholar
29Yang HJ, Hwang SJ. Void space and long-term volumetric changes of maxillary sinus floor augmentation with comparison between hydroxyapatite soaked with bone morphogenetic protein 2 and anorganic bovine xenograft alone. J Craniomaxillofac Surg. 2019; 47(10): 1626-1632.
10.1016/j.jcms.2019.07.016
PubMed Web of Science® Google Scholar
30Tsai CY, Garaicoa-Pazmino C, Mori K, Benavides E, Kaigler D, Kapila Y. Implant success remains high despite grafting voids in the maxillary sinus. Clin Oral Implants Res. 2015; 26(4): 447-453. doi:10.1111/clr.12386
10.1111/clr.12386
PubMed Web of Science® Google Scholar
31Nosaka Y, Nosaka H, Arai Y. Complications of postoperative swelling of the maxillary sinus membrane after sinus floor augmentation. J Oral Sci Rehabil. 2015; 1: 26-33.
Google Scholar
32Scala A, Botticelli D, Faeda RS, Garcia Rangel Jr I, Américo de Oliveira J, Lang NP. Lack of influence of the Schneiderian membrane in forming new bone apical to implants simultaneously installed with sinus floor elevation: an experimental study in monkeys. Clin Oral Implants Res. 2012; 23(2): 175-181.
10.1111/j.1600-0501.2011.02227.x
PubMed Web of Science® Google Scholar
33Scala A, Botticelli D, Rangel IG Jr, de Oliveira JA, Okamoto R, Lang NP. Early healing after elevation of the maxillary sinus floor applying a lateral access: a histological study in monkeys. Clin Oral Implants Res. 2010; 21(12): 1320-1326. doi:10.1111/j.1600-0501.2010.01964.x
10.1111/j.1600-0501.2010.01964.x
CAS PubMed Web of Science® Google Scholar
34Kawakami S, Lang NP, Ferri M, Apaza Alccayhuaman KA, Botticelli D. Influence of the height of the antrostomy in sinus floor elevation assessed by cone beam computed tomography – a randomized clinical trial. Int J Oral Maxillofac Implants. 2019; 34(1): 223-232. doi:10.11607/jomi.7112
10.11607/jomi.7112
PubMed Web of Science® Google Scholar
35Avila-Ortiz G, Wang HL, Galindo-Moreno P, Misch CE, Rudek I, Neiva R. Influence of lateral window dimensions on vital bone formation following maxillary sinus augmentation. Int J Oral Maxillofac Implants. 2012; 27(5): 1230-1238.
PubMed Web of Science® Google Scholar

Citing Literature

Volume26, Issue1

February 2024

Pages 138-149

Volumetric changes and graft stability after lateral window sinus floor augmentation: A randomized clinical trial

Abstract

Introduction

Methods

Results

Conclusion

CONFLICT OF INTEREST STATEMENT

Open Research

DATA AVAILABILITY STATEMENT

Supporting Information

REFERENCES

Citing Literature

References

Information

About Wiley Online Library

Help & Support

Opportunities

Connect with Wiley