Grafted bone remodeling following transcrestal sinus floor elevation: A cone-beam computed tomography study

Background: Transcrestal sinus floor elevation is a reliable procedure when additional bone height is needed for maxillary implant placement. However, the grafted bone undergoes remodeling and the dimensional stability of grafted bone height may be affected by several clinical factors, including gra...

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Autores principales: Pe-Yi Kuo, Cho-Ying Lin, Chi-Ching Chang, Yuan-Min Wang, Whei-Lin Pan
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Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/dade9a16b36146969a43a767c5284836
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spelling oai:doaj.org-article:dade9a16b36146969a43a767c52848362021-11-28T04:33:06ZGrafted bone remodeling following transcrestal sinus floor elevation: A cone-beam computed tomography study2319-417010.1016/j.bj.2020.05.011https://doaj.org/article/dade9a16b36146969a43a767c52848362021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2319417020300755https://doaj.org/toc/2319-4170Background: Transcrestal sinus floor elevation is a reliable procedure when additional bone height is needed for maxillary implant placement. However, the grafted bone undergoes remodeling and the dimensional stability of grafted bone height may be affected by several clinical factors, including graft material, sinus anatomy and the morphology of grafted space. Methods: This retrospective study examined patients who had undergone transcrestal sinus floor elevation with synthetic biphasic calcium phosphate and single implant placement. The reduction of sinus graft height (GHR) after 6–8 months healing period was measured with cone-beam computed tomography (CBCT) images. Correlating factors, including vertical amount of implant protrusion (IP), sinus width, and the morphology of grafted space were analyzed by Spearman's correlation test. Results: A total of 25 implant sites were analyzed. The mean GHR was 0.57 ± 0.49 mm, which was positively correlated with IP, vertical elevation height (VEH), and the ratio of vertical to horizontal elevation of the grafted space. However, GHR was not correlated with sinus width and mesial-distal or buccal-palatal width of the grafted space. Conclusions: Synthetic biphasic calcium phosphate used in transcrestal sinus floor elevation underwent shrinkages and graft remodeling. Grafted height reduction was associated with IP, VEH, and the ratio of vertical to horizontal elevation of the grafted space.Pe-Yi KuoCho-Ying LinChi-Ching ChangYuan-Min WangWhei-Lin PanElsevierarticleBone remodelingSinus augmentationBone graftingDental implantsMaxillary sinusMedicine (General)R5-920Biology (General)QH301-705.5ENBiomedical Journal, Vol 44, Iss 5, Pp 627-635 (2021)
institution DOAJ
collection DOAJ
language EN
topic Bone remodeling
Sinus augmentation
Bone grafting
Dental implants
Maxillary sinus
Medicine (General)
R5-920
Biology (General)
QH301-705.5
spellingShingle Bone remodeling
Sinus augmentation
Bone grafting
Dental implants
Maxillary sinus
Medicine (General)
R5-920
Biology (General)
QH301-705.5
Pe-Yi Kuo
Cho-Ying Lin
Chi-Ching Chang
Yuan-Min Wang
Whei-Lin Pan
Grafted bone remodeling following transcrestal sinus floor elevation: A cone-beam computed tomography study
description Background: Transcrestal sinus floor elevation is a reliable procedure when additional bone height is needed for maxillary implant placement. However, the grafted bone undergoes remodeling and the dimensional stability of grafted bone height may be affected by several clinical factors, including graft material, sinus anatomy and the morphology of grafted space. Methods: This retrospective study examined patients who had undergone transcrestal sinus floor elevation with synthetic biphasic calcium phosphate and single implant placement. The reduction of sinus graft height (GHR) after 6–8 months healing period was measured with cone-beam computed tomography (CBCT) images. Correlating factors, including vertical amount of implant protrusion (IP), sinus width, and the morphology of grafted space were analyzed by Spearman's correlation test. Results: A total of 25 implant sites were analyzed. The mean GHR was 0.57 ± 0.49 mm, which was positively correlated with IP, vertical elevation height (VEH), and the ratio of vertical to horizontal elevation of the grafted space. However, GHR was not correlated with sinus width and mesial-distal or buccal-palatal width of the grafted space. Conclusions: Synthetic biphasic calcium phosphate used in transcrestal sinus floor elevation underwent shrinkages and graft remodeling. Grafted height reduction was associated with IP, VEH, and the ratio of vertical to horizontal elevation of the grafted space.
format article
author Pe-Yi Kuo
Cho-Ying Lin
Chi-Ching Chang
Yuan-Min Wang
Whei-Lin Pan
author_facet Pe-Yi Kuo
Cho-Ying Lin
Chi-Ching Chang
Yuan-Min Wang
Whei-Lin Pan
author_sort Pe-Yi Kuo
title Grafted bone remodeling following transcrestal sinus floor elevation: A cone-beam computed tomography study
title_short Grafted bone remodeling following transcrestal sinus floor elevation: A cone-beam computed tomography study
title_full Grafted bone remodeling following transcrestal sinus floor elevation: A cone-beam computed tomography study
title_fullStr Grafted bone remodeling following transcrestal sinus floor elevation: A cone-beam computed tomography study
title_full_unstemmed Grafted bone remodeling following transcrestal sinus floor elevation: A cone-beam computed tomography study
title_sort grafted bone remodeling following transcrestal sinus floor elevation: a cone-beam computed tomography study
publisher Elsevier
publishDate 2021
url https://doaj.org/article/dade9a16b36146969a43a767c5284836
work_keys_str_mv AT peyikuo graftedboneremodelingfollowingtranscrestalsinusfloorelevationaconebeamcomputedtomographystudy
AT choyinglin graftedboneremodelingfollowingtranscrestalsinusfloorelevationaconebeamcomputedtomographystudy
AT chichingchang graftedboneremodelingfollowingtranscrestalsinusfloorelevationaconebeamcomputedtomographystudy
AT yuanminwang graftedboneremodelingfollowingtranscrestalsinusfloorelevationaconebeamcomputedtomographystudy
AT wheilinpan graftedboneremodelingfollowingtranscrestalsinusfloorelevationaconebeamcomputedtomographystudy
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