A Human Clinical, Histological, Histomorphometrical, and Radiographical Study on Biphasic HA-Beta-TCP 30/70 in Maxillary Sinus Augmentation
Carlo Mangano MD, DDS
Specialist in anesthesiology, assistant professor and head of oral surgery
Department of Morphological and Surgical Science, University of Insubria, Varese, Italy
Search for more papers by this authorBruna Sinjari DDS
Research fellow
Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
Search for more papers by this authorJamil A. Shibli DDS, MS, PhD
Professor of oral surgery
Dental Research Division, Guarulhos University, SP, Guarulhos, Brazil
Search for more papers by this authorFrancesco Mangano DDS
Oral surgeon
Department of Morphological and Surgical Science, University of Insubria, Varese, Italy
Search for more papers by this authorAdriano Piattelli MD, DDS
Professor of oral pathology and medicine
Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
Search for more papers by this authorVittoria Perrotti DDS, PhD
Research fellow
Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
Search for more papers by this authorCorresponding Author
Giovanna Iezzi DDS, PhD
Researcher
Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
Reprint requests: Prof. Giovanna Iezzi, Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Via dei Vestini 31, Chieti 66100, Italy; e-mail: [email protected]Search for more papers by this authorCarlo Mangano MD, DDS
Specialist in anesthesiology, assistant professor and head of oral surgery
Department of Morphological and Surgical Science, University of Insubria, Varese, Italy
Search for more papers by this authorBruna Sinjari DDS
Research fellow
Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
Search for more papers by this authorJamil A. Shibli DDS, MS, PhD
Professor of oral surgery
Dental Research Division, Guarulhos University, SP, Guarulhos, Brazil
Search for more papers by this authorFrancesco Mangano DDS
Oral surgeon
Department of Morphological and Surgical Science, University of Insubria, Varese, Italy
Search for more papers by this authorAdriano Piattelli MD, DDS
Professor of oral pathology and medicine
Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
Search for more papers by this authorVittoria Perrotti DDS, PhD
Research fellow
Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
Search for more papers by this authorCorresponding Author
Giovanna Iezzi DDS, PhD
Researcher
Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
Reprint requests: Prof. Giovanna Iezzi, Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Via dei Vestini 31, Chieti 66100, Italy; e-mail: [email protected]Search for more papers by this authorAbstract
Background
By mixing hydroxyapatite (HA) and tricalcium phosphate (TCP), biphasic calcium phosphate ceramics can be obtained, and by varying their ratio it is possible to tailor the characteristics of the biomaterial.
Purpose
The aim of the present human study was to evaluate the histological and radiographical aspects of bone formation in maxillary sinus augmentation using a 30/70 HA-beta-TCP with a reticular structure.
Materials and Methods
A total of 12 patients, undergoing two-stage sinus augmentation procedure using HA-beta-TCP at a ratio of 30/70, were included in the present study. After a 6-month healing period, during implant insertion, radiographical analysis was performed, and then the bone core biopsies were harvested and processed for histology.
Results
At radiographic evaluation, the bone gain was on average 6.85 ± 0.60 mm. HA-beta-TCP 30/70 appeared to be lined by newly formed bone, with no gaps at the interface. The histomorphometric analysis revealed 26 ± 2% of residual grafted biomaterial, 29 ± 3% of newly formed bone, and 45 ± 2% of marrow spaces.
Conclusions
The present results indicate histologically the high biocompatibility and osteoconductivity of HA-beta-TCP 30/70, and clinically its successful use for sinus augmentation procedures.
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