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2018 Vol.22, Issue 4 Preview Page

Clinical or Case Report

Alveolar Ridge Preservation of Maxillary Molars for Implant Placement Without Sinus Lift Surgery: Case series

상악동 거상술을 동반하지 않는 치조제 보존술: 증례연구(Case series)

Hag-Yeon Cho1
,
Chang-Wan Suh1
,
Hieu Pham Duong2
,
Sung-Jo Lee1
,
In-Woo Cho1
,
Hyun-Seung Shin1
,
Ki-Tae Koo3
,
Stefan Fickl4
,
Jung-Chul Park15*
조 학연1
,
서 창완1
,
Duong Hieu Pham2
,
이 성조1
,
조 인우1
,
신 현승1
,
구 기태3
,
Fickl Stefan4
,
박 정철15*
1Department of Periodontology, Dankook University College of Dentistry, Cheonan, Korea
2Department of Maxilo-Stomatology, Vietnam National University School of Medicine and Pharmacy, Hanoi, Vietnam
3Department of Periodontology and Dental Research Institute, Seoul National University School of Dentistry, Seoul, Korea
4Department of Periodontology, Julius-Maximilian University of Würzburg, Würzburg, Germany
5Perio-Implant Research Center, Dankook University College of Dentistry, Cheonan, Korea
1단국대학교 치과대학 치주과학교실
2베트남 하노이 국립대학교 의학약학부 구강악의학교실
3서울대학교 치의학대학원 치주과학교실
4독일 뷔르츠부르크 대학교 치주과학교실
5단국대학교 치과대학 치주 임플란트 연구소
*Corresponding Author
30 December 2018. pp. 220-235
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Abstract

Sinus lift procedure is frequently required for the maxillary molar implant placement. Previous studies have demonstrated alveolar ridge preservation (ARP) can maintain the dimensions of ridge height and width. However, there is a lack of studies which evaluated the effect of ARP to avoid sinus lift procedure. Purpose of this study is to describe a method reducing the need of sinus lift surgery by ARP in maxillary molar areas and to assess the feasibility clinically, radiologically and histologically. Ten maxillary molars in ten patients had severe vertical bone resorption with minimal residual bone height. They were considered having the high possibility of the necessity of sinus lift procedure for dental implant after the extraction. After extraction, open healing ARP with deproteinized bovine bone mineral mixed with 10% collagen and resorbable collagen membranes was performed. After sufficient healing, dental implants were placed, and evaluated clinically and radiologically. Histological observation was conducted just before the implantation in one patient. Implants were successfully placed without sinus lift in all ten cases. All the implants were restored with no sign of complications, and patients are now in a close follow-up up to 20 months post-loading. Histological observation showed minimal inflammatory reaction and newly formed bone was substantially noted. The ARP technique has successfully avoided the sinus lift surgeries. It appears that this procedure may improve the simplicity of the clinical process for the clinicians and reduce the discomfort of patients.

Keywords
Alveolar bone loss
Alveolar ridge augmentation
Bone regeneration
Bone substitutes
Dental implants
Maxillary sinus
References
1
Bartee BK. Extraction site reconstruction for alveolar ridge preservation. Part 1: rationale and materials selection. J Oral Implantol. 2001; 27: 187-193.
10.1563/1548-1336(2001)027<0187:ESRFAR>2.3.CO;2
2
Tan WL, Wong TL, Wong MC, et al. A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans. Clin Oral Implants Res. 2012; 23 Suppl 5: 1-21.
10.1111/j.1600-0501.2011.02375.x22211303
3
Schropp L, Wenzel A, Kostopoulos L, et al. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent. 2003; 23: 313-323.
12956475
4
Sharan A, Madjar D. Maxillary sinus pneumatization following extractions: a radiographic study. Int J Oral Maxillofac Implants. 2008; 23: 48-56.
18416412
5
Pjetursson BE, Tan WC, Zwahlen M, et al. A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. J Clin Periodontol. 2008; 35: 216-240.
10.1111/j.1600-051X.2008.01272.x18724852
6
Tan WC, Lang NP, Zwahlen M, et al. A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. Part II: transalveolar technique. J Clin Periodontol. 2008; 35: 241-254.
10.1111/j.1600-051X.2008.01273.x18724853
7
Del Fabbro M, Corbella S, Weinstein T, et al. Implant survival rates after osteotome-mediated maxillary sinus augmentation: a systematic review. Clin Implant Dent Relat Res. 2012; 14 Suppl 1: e159-168.
10.1111/j.1708-8208.2011.00399.x22082056
8
Del Fabbro M, Wallace SS, Testori T. Long-term implant survival in the grafted maxillary sinus: a systematic review. Int J Periodontics Restorative Dent. 2013; 33: 773-783.
10.11607/prd.128824116362
9
Schwartz-Arad D, Herzberg R, Dolev E. The prevalence of surgical complications of the sinus graft procedure and their impact on implant survival. J Periodontol. 2004; 75: 511-516.
10.1902/jop.2004.75.4.51115152813
10
Anavi Y, Allon DM, Avishai G, et al. Complications of maxillary sinus augmentations in a selective series of patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106: 34-38.
10.1016/j.tripleo.2007.09.02118299227
11
Avila-Ortiz G, Elangovan S, Kramer KW, et al. Effect of alveolar ridge preservation after tooth extraction: a systematic review and meta-analysis. J Dent Res. 2014; 93: 950-958.
10.1177/002203451454112724966231PMC4293706
12
Levi I, Halperin-Sternfeld M, Horwitz J, et al. Dimensional changes of the maxillary sinus following tooth extraction in the posterior maxilla with and without socket preservation. Clin Implant Dent Relat Res. 2017; 19: 952-958.
10.1111/cid.1252128745002
13
Lombardi T, Bernardello F, Berton F, et al. Efficacy of Alveolar Ridge Preservation after Maxillary Molar Extraction in Reducing Crestal Bone Resorption and Sinus Pneumatization: A Multicenter Prospective Case-Control Study. BioMed Research International. 2018; 2018: 9.
10.1155/2018/935213030519592PMC6241373
14
Rasperini G, Canullo L, Dellavia C, et al. Socket grafting in the posterior maxilla reduces the need for sinus augmentation. Int J Periodontics Restorative Dent. 2010; 30: 265-273.
20386783
15
Cardaropoli D, Tamagnone L, Roffredo A, et al. Socket preservation using bovine bone mineral and collagen membrane: a randomized controlled clinical trial with histologic analysis. Int J Periodontics Restorative Dent. 2012; 32: 421-430.
22577648
16
Engler-Hamm D, Cheung WS, Yen A, et al. Ridge preservation using a composite bone graft and a bioabsorbable membrane with and without primary wound closure: a comparative clinical trial. J Periodontol. 2011; 82: 377-387.
10.1902/jop.2010.09034221043792
17
Park JC, Koo KT, Lim HC. The hidden X suture: a technical note on a novel suture technique for alveolar ridge preservation. J Periodontal Implant Sci. 2016; 46: 415-425.
10.5051/jpis.2016.46.6.41528050319PMC5200867
18
Cho IW, Park JC, Shin HS. A comparison of different compressive forces on graft materials during alveolar ridge preservation. J Periodontal Implant Sci. 2017; 47: 51-63.
10.5051/jpis.2017.47.1.5128261524PMC5332335
19
Choi HK, Cho HY, Lee SJ, et al. Alveolar ridge preservation with an open-healing approach using single-layer or double-layer coverage with collagen membranes. J Periodontal Implant Sci. 2017; 47: 372-380.
10.5051/jpis.2017.47.6.37229333323PMC5764763
20
Lin GH, Chan HL, Wang HL. The significance of keratinized mucosa on implant health: a systematic review. J Periodontol. 2013; 84: 1755-1767.
10.1902/jop.2013.12068823451989
21
McGuire MK. Prognosis versus actual outcome: a long-term survey of 100 treated periodontal patients under maintenance care. J Periodontol. 1991; 62: 51-58.
10.1902/jop.1991.62.1.512002432
22
Nunn ME, Fan J, Su X, et al. Development of prognostic indicators using classification and regression trees for survival. Periodontol 2000. 2012; 58: 134-142.
10.1111/j.1600-0757.2011.00421.x22133372PMC4305365
23
Kozlovsky A, Aboodi G, Moses O, et al. Bio-degradation of a resorbable collagen membrane (Bio-Gide) applied in a double-layer technique in rats. Clin Oral Implants Res. 2009; 20: 1116-1123.
10.1111/j.1600-0501.2009.01740.x19719734
24
Kim SH, Kim DY, Kim KH, et al. The efficacy of a double-layer collagen membrane technique for overlaying block grafts in a rabbit calvarium model. Clin Oral Implants Res. 2009; 20: 1124-1132.
10.1111/j.1600-0501.2009.01744.x19508339
25
Romanos GE, Delgado-Ruiz RA, Gomez-Moreno G, et al. Role of mechanical compression on bone regeneration around a particulate bone graft material: an experimental study in rabbit calvaria. Clin Oral Implants Res. 2015.
26
Delgado-Ruiz R, Romanos GE, Alexandre Gerhke S, et al. Biological effects of compressive forces exerted on particulate bone grafts during socket preservation: animal study. Clin Oral Implants Res. 2016.
27
Kim YK, Yun PY, Lee HJ, et al. Ridge preservation of the molar extraction socket using collagen sponge and xenogeneic bone grafts. Implant Dent. 2011; 20: 267-272.
10.1097/ID.0b013e3182166afc21753734
28
Jung RE, Philipp A, Annen BM, et al. Radiographic evaluation of different techniques for ridge preservation after tooth extraction: a randomized controlled clinical trial. J Clin Periodontol. 2013; 40: 90-98.
10.1111/jcpe.1202723163915
29
Barone A, Ricci M, Tonelli P, et al. Tissue changes of extraction sockets in humans: a comparison of spontaneous healing vs. ridge preservation with secondary soft tissue healing. Clin Oral Implants Res. 2013; 24: 1231-1237.
22784417
Information
  • Publisher :The Korean Academy of Oral & Maxillofacial Implantology
  • Publisher(Ko) :대한구강악안면임플란트학회
  • Journal Title :Implantology
  • Journal Title(Ko) :대한구강악안면임플란트학회지
  • Volume : 22
  • No :4
  • Pages :220-235
  • Received Date : 2018-08-09
  • Revised Date : 2018-12-11
  • Accepted Date : 2018-12-13
  • DOI :https://doi.org/10.32542/implantology.20180018
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