Clinical and Radiological Evaluation of a Self-Condensing Bone Implant in One-Stage Sinus Augmentation: A 3-Year Follow-Up Retrospective Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
- –
- Inclusion criteria
- Patients over 18 years of age;
- Patients undergoing a lateral or transcrestal approach of maxillary sinus floor augmentation with simultaneous implant placement;
- Patients in general good health and with no history of systemic diseases or medications that could interfere with the surgical treatment;
- Patients compliant with a supportive maintenance therapy after maxillary sinus floor augmentation procedures.
- –
- Exclusion criteria
- Patients with active infection or disease affecting bone metabolism and wound healing;
- Patients with active oral infection, such as untreated pockets on natural teeth or periapical fistulas;
- Patients who have undergone radiotherapy in the craniofacial region within the past 12 months;
- Patients with systemic diseases that could compromise osseointegration, such as untreated diabetes;
- Patients with a history of maxillary sinusitis or sinus surgery;
- Patients who regularly used steroids or other drugs involved in bone turnover;
- Patients who were pregnant or breastfeeding;
- Patients who smoked more than 10 cigarettes/day.
2.2. Implant Characteristics
2.3. Surgical Procedure
2.4. Tomographic Examination
- (a)
- medial sinus floor level (M-W);
- (b)
- middle sinus floor level (MD-W);
- (c)
- lateral sinus floor level (L-W).
2.5. Statistical Analysis
3. Results
3.1. Implant Survival Rate
3.2. Surgical Complications
3.3. Marginal Bone Level Changes
3.4. Cone-Beam Computed Tomography Assessment
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Population | N |
---|---|
Age (mean) | 61.6 ± 11.2 years |
Patients (Gender) | 54 (26 female; 28 male) |
RBH | 4.51 ± 2.14 mm |
Smokers (≤10 cig/die) | 6/54 patients |
Surgical approach | 23 Transcrestal 31 Lateral |
Implant Size and Position | 9 mm × 4.5 mm | 10 mm × 4.5 mm | 11 mm × 4.5 mm | p Value |
---|---|---|---|---|
Molars | 1 (1.45%) | 20 (28.98%) | 43 (62.32%) | p > 0.05 |
Premolars | - | 2 (2.90%) | 3 (4.34%) | p > 0.05 |
Total | 1 (1.45%) | 22 (31.88%) | 46 (66.67%) | - |
Bone Graft | Surgical Sites |
---|---|
Kyeron | 15 |
Mix Tutobone, Skeligraft (50:50) | 10 |
Mix Autologous graft, Tutobone, Bioresorb (20:40:40) | 9 |
Putty Osteobiol | 8 |
Autologous graft | 7 |
Mix Tutobone, Bioresorb (70:30) | 5 |
Antemi | 3 |
Mix Putty Osteobiol, Tutobone, Skeligraft (60:20:20) | 3 |
Fibrin sponge | 3 |
Mix Apathos Osteobiol, Tutobone, Bioresorb (40:40:20) | 2 |
Mix Bioresorb, Putty Osteobiol 30:70 | 1 |
Mix Autologous graft, Skeligraft 80:20 | 1 |
Mix Tutobone, Putty Osteobiol 50:50 | 1 |
Mix Autologous graft, Gel 40 Osteobiol, Bioresorb 20:40:40 | 1 |
Mix Autologous graft, Putty Osteobiol 10:90 | 1 |
Mix Apathos, Gel 40 Osteobiol | 1 |
Mix Autologous graft, Bioresorb 50:50 | 1 |
Total | 54 |
6 Months | 12 Months | 36 Months | |
---|---|---|---|
Minimum | 0.22 | 0.31 | 1.01 |
Maximum | 0.90 | 0.93 | 3.06 |
Mean | 0.53 | 0.78 | 1.70 |
Std. Deviation | 0.06 | 0.06 | 0.16 |
Timepoints | Bone Crest Height (C–F) (mm) ± SD |
---|---|
T0 | 4.6 b ± 2.0 |
T2 | 12.1 a ± 1.4 |
Sinus Floor Level at Medial Aspect (M-W) (mm) ± SD | Sinus Floor Level at Middle Aspect (MD-W) (mm) ± SD | Sinus Floor Level at Lateral Aspect (L-W) (mm) ± SD | |
---|---|---|---|
T1 | 1.9 a ± 2.4 | −0.1 b ± 2.7 | 3.1 a ± 3.0 |
T2 | 1.7 a ± 2.6 | 0.7 a ± 2.4 | 3.1 a ± 3.0 |
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Share and Cite
Comuzzi, L.; Tumedei, M.; Petrini, M.; Romasco, T.; Lorusso, F.; De Angelis, F.; Piattelli, A.; Tatullo, M.; Di Pietro, N. Clinical and Radiological Evaluation of a Self-Condensing Bone Implant in One-Stage Sinus Augmentation: A 3-Year Follow-Up Retrospective Study. Int. J. Environ. Res. Public Health 2023, 20, 2583. https://doi.org/10.3390/ijerph20032583
Comuzzi L, Tumedei M, Petrini M, Romasco T, Lorusso F, De Angelis F, Piattelli A, Tatullo M, Di Pietro N. Clinical and Radiological Evaluation of a Self-Condensing Bone Implant in One-Stage Sinus Augmentation: A 3-Year Follow-Up Retrospective Study. International Journal of Environmental Research and Public Health. 2023; 20(3):2583. https://doi.org/10.3390/ijerph20032583
Chicago/Turabian StyleComuzzi, Luca, Margherita Tumedei, Morena Petrini, Tea Romasco, Felice Lorusso, Francesco De Angelis, Adriano Piattelli, Marco Tatullo, and Natalia Di Pietro. 2023. "Clinical and Radiological Evaluation of a Self-Condensing Bone Implant in One-Stage Sinus Augmentation: A 3-Year Follow-Up Retrospective Study" International Journal of Environmental Research and Public Health 20, no. 3: 2583. https://doi.org/10.3390/ijerph20032583