Radiographic evaluation of regenerated bone following poly(lactic-co-glycolic) acid/hydroxyapatite and deproteinized bovine bone graft in sinus lifting

J Craniofac Surg. 2013 May;24(3):845-8. doi: 10.1097/SCS.0b013e31827ca01a.

Abstract

Although numerous biomaterials are used for maxillary sinus-lift surgery, the ideal material for such procedures has not yet been identified. Both heterologous and alloplastic bone substitutes have a solely osteoconductive effect and lack the osteoinductive properties of the bone morphogenetic proteins typical of autologous bone. Our group assessed a new alloplastic graft material, poly(lactic-co-glycolic) acid/hydroxyapatite (PLGA/HA), implanted in a human model of maxillary sinus-lift surgery. For this prospective, random, double-blind trial, we used deproteinized bovine bone (DBB) as the comparison material. Radiographic bone vertical height and density were assessed at approximately 28 weeks after grafting using cone-beam computed tomography. The vertical dimension of the regenerated bone was equivalent between the 2 groups. The density of the bone regenerated using PLGA/HA was significantly lower than that obtained with DBB. Despite clinical assessments demonstrating that PLGA/HA has sufficient characteristics for use in sinus-lift surgery, DBB provided greater bone density and an equivalent vertical dimension of grafted bone. Further studies are needed to supplement the radiologic findings with histologic and micromorphometric examinations.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biocompatible Materials / therapeutic use*
  • Bone Density / physiology
  • Bone Regeneration / physiology*
  • Bone Substitutes / therapeutic use*
  • Bone Transplantation / methods*
  • Cattle
  • Cone-Beam Computed Tomography
  • Double-Blind Method
  • Durapatite / therapeutic use*
  • Humans
  • Lactic Acid / therapeutic use*
  • Maxillary Sinus / diagnostic imaging
  • Maxillary Sinus / surgery*
  • Polyesters
  • Polymers / therapeutic use*
  • Prospective Studies
  • Sinus Floor Augmentation / methods*

Substances

  • Biocompatible Materials
  • Bone Substitutes
  • Polyesters
  • Polymers
  • Lactic Acid
  • poly(lactide)
  • Durapatite