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A Clinical and Histometrical Study of Using Tricalcium Phosphate in the Maxillary Sinus Lift

دراسة سريرية و نسيحية لعملية رفع الجيب الفكي باستخدام طعم التري كالسيوم فوسفات

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 Publication date 2009
  fields Dentistry
and research's language is العربية
 Created by Shamra Editor




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Graft insertion can effectively enhance the regeneration of debilitated bone. Aim: The effects of an alloplastic bone-replacing material, b-tricalcium phosphate, and of autogenous bone graft were compared.

References used
Moy, P.K., Lundgren, S. & Holmes, R.E. (1993) Maxillary sinus augmentation: histomorphometric analysis of graft materials for maxillary sinus floor augmentation. Journal of Oral and Maxillofacial Surgery JOM 51: 857–862
Aygit, A.C., Sarikaya, A., Candan, L., Ayhan, M.S. & Cermic, T.F. (1999) Comparsion of alloplastic implants for facial bones by scintigraphy and histology: an experimental study. European Journal of Plastic Surgery EJPS 22: 102–106
Groeneveld, E.H.J., van den Bergh, J.P.A., Holzmann, P., Bruggenkate, C.M., Tuinzing, D.B. & Burger, E.H. (1999) Histomorphometrical analysis of bone formed in human maxillary sinus floor elevations grafted with OP-1 device, demineralized bone matrix or autogenous bone. Clinical Oral Implants Research OIR 10: 499–509
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The objective of the present study was to investigate, in a sub-sinus bone augmentation model in rabbits, effect of Three Calcium Phosphate beta at different stages of the osteogenesis process. Histological and statistical analyses were performed. Rabbits underwent sinus augmentation procedures using Three Calcium Phosphate beta (Cerasorb) and Collagen membrane ( Gen Derm ) .
Presence of maxillary septa has been known to be a complicating factor for sinus elevation procedure. This study was aimed at detecting the prevalence, location and height of antral septa in syrianpopulation and to determine whether there is a relat ionship between the presence of septa and the absence of upper molars . A total of 174 sinuses in 87 patients (59 male and 28 female) aged 27 - 51 years were evaluated through a computed tomography scan analysis . No correlation was observed between the presence of septa and the absence of upper molars.
Sinus augmentation is a common approach for patients with severe alveolar ridge atrophy. Purpose of study: The objective was to compare the hydroxyapatite + PRP with hydroxyapatite + Blood Clot in maxillary sinus grafts.
The floor of maxillary sinus starts to get down when the posterior upper teeth are extractedو which demand proceed sinus floor elevation when we plan to put dental implant in this place. The most common complication that happens in this procedure is membrane perforation which took place at range of 5,5- 56.16 %. So the method of sinus lifting with balloon has spread which is considered a safe and affective method and it is indicated especially when there is a small dental loss (1-2 teeth ). The principle of this method depends on pumping a liquid ( saline usually ) into the balloon which causes sinus floor elevating slowly and continuously. The research aims to evaluate bone thickness when sinus floor elevated with balloon when there are adjacent teeth and when there are not. The balloon technique of sinus floor lifting is applied on 30 sinus lifting cases in 27 patients who have more than 2 teeth dental loss in posterior superior area and need sinus lifting for dental implantation in this area. The patients were divided into two groups: the first one included 15 cases of sinus floor lifting with balloon and there are approximate teeth to the edentulous area. The second group included 15 cases of sinus floor lifting with balloon when there are no adjacent teeth. Patients had been followed up in 5 periods using dental cone beam radiography ( after the surgery, after 3 months, after 6 months, after 9 months, after 1 year ). The research showed in the two groups that At confidence level of R = 95 % there were no statistic variations of the range of success, when there are adjacent teeth to the edentulous area and when there are not. The research recommends using balloon technique of sinus floor lifting when there are adjacent teeth and when there are not .
This study aimed to study changes in subantral bony height when sinus membrane was elevated 6 mm without bone grafts depending on Cone Beam CT imaging. The study sample contained 18 implants placed on 11 patients of both genders, each patient under went lateral-approach sinus-lift without bone grafts and implants were inserted simultaneously and protruded 6 mm under the elevated sinus membrane.

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