Alveolar Ridge Preservation of Maxillary Molars for Implant Placement Without Sinus Lift Surgery: Case series
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초록
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 postloading. 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.
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 postloading. 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.
참고문헌 (29)
- Bartee BK., "Extraction site reconstruction for alveolar ridge preservation. Part 1: rationale and materials selection", J Oral Implantol, 27, pp.187~193 (2001)
- Tan WL, "A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans", Clin Oral Implants Res, 23(Suppl 5), pp.1~21 (2012)
- Schropp L, "Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study", Int J Periodontics Restorative Dent, 23, pp.313~323 (2003)
- Sharan A, "Maxillary sinus pneumatization following extractions: a radiographic study", Int J Oral Maxillofac Implants, 23, pp.48~56 (2008)
- Pjetursson BE, "A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation", J Clin Periodontol, 35, pp.216~240 (2008)
- Tan WC, "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, 35, pp.241~254 (2008)
- Del Fabbro M, "Implant survival rates after osteotome-mediated maxillary sinus augmentation: a systematic review", Clin Implant Dent Relat Res, 14(Suppl 1), pp.e159~e168 (2012)
- Del Fabbro M, "Long-term implant survival in the grafted maxillary sinus: a systematic review", Int J Periodontics Restorative Dent, 33, pp.773~783 (2013)
- Schwartz-Arad D, "The prevalence of surgical complications of the sinus graft procedure and their impact on implant survival", J Periodontol, 75, pp.511~516 (2004)
- Anavi Y, "Complications of maxillary sinus augmentations in a selective series of patients", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 106, pp.34~38 (2008)
- Avila-Ortiz G, "Effect of alveolar ridge preservation after tooth extraction: a systematic review and meta-analysis", J Dent Res, 93, pp.950~958 (2014)
- Levi I, "Dimensional changes of the maxillary sinus following tooth extraction in the posterior maxilla with and without socket preservation", Clin Implant Dent Relat Res, 19, pp.952~958 (2017)
- Lombardi T, "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, pp.9~ (2018)
- Rasperini G, "Socket grafting in the posterior maxilla reduces the need for sinus augmentation", Int J Periodontics Restorative Dent, 30, pp.265~273 (2010)
- Cardaropoli D, "Socket preservation using bovine bone mineral and collagen membrane: a randomized controlled clinical trial with histologic analysis", Int J Periodontics Restorative Dent, 32, pp.421~430 (2012)
- Engler-Hamm D, "Ridge preservation using a composite bone graft and a bioabsorbable membrane with and without primary wound closure: a comparative clinical trial", J Periodontol, 82, pp.377~387 (2011)
- 박정철, "The hidden X suture: a technical note on a novel suture technique for alveolar ridge preservation", Journal of Periodontal & Implant Science, 46(6), pp.415~425 (2016), 대한치주과학회
- 조인우, "A comparison of different compressive forces on graft materials during alveolar ridge preservation", Journal of Periodontal & Implant Science, 47(1), pp.51~63 (2017), 대한치주과학회
- 최호근, "Alveolar ridge preservation with an open-healing approach using single-layer or double-layer coverage with collagen membranes", Journal of Periodontal & Implant Science, 47(6), pp.372~380 (2017), 대한치주과학회
- Lin GH, "The significance of keratinized mucosa on implant health: a systematic review", J Periodontol, 84, pp.1755~1767 (2013)
- McGuire MK., "Prognosis versus actual outcome: a long-term survey of 100 treated periodontal patients under maintenance care", J Periodontol, 62, pp.51~58 (1991)
- Nunn ME, "Development of prognostic indicators using classification and regression trees for survival", Periodontol 2000, 58, pp.134~142 (2012)
- Kozlovsky A, "Bio-degradation of a resorbable collagen membrane (Bio-Gide) applied in a double-layer technique in rats", Clin Oral Implants Res, 20, pp.1116~1123 (2009)
- Kim SH, "The efficacy of a double-layer collagen membrane technique for overlaying block grafts in a rabbit calvarium model", Clin Oral Implants Res, 20, pp.1124~1132 (2009)
- Romanos GE, "Role of mechanical compression on bone regeneration around a particulate bone graft material : an experimental study in rabbit calvaria", Clin Oral Implants Res (2015)
- Delgado-Ruiz R, "Biological effects of compressive forces exerted on particulate bone grafts during socket preservation : animal study", Clin Oral Implants Res (2016)
- Kim YK, "Ridge preservation of the molar extraction socket using collagen sponge and xenogeneic bone grafts", Implant Dent, 20, pp.267~272 (2011)
- Jung RE, "Radiographic evaluation of different techniques for ridge preservation after tooth extraction : a randomized controlled clinical trial", J Clin Periodontol, 40, pp.90~98 (2013)
- Barone A, "Tissue changes of extraction sockets in humans: a comparison of spontaneous healing vs. ridge preservation with secondary soft tissue healing", Clin Oral Implants Res, 24, pp.1231~1237 (2013)