Maxillary sinus grafting with a nano-structured biomaterial: preliminary clinical and histological results

Eur Surg Res. 2009;42(3):143-9. doi: 10.1159/000197215. Epub 2009 Jan 29.

Abstract

Background: In this study the potential of a new and entirely synthetic, nano-structured hydroxyapatite-based biomaterial for sinus floor augmentation is evaluated.

Methods: 20 sinus floor elevations were carried out in a total of 20 patients. After a healing period of 6 months, in 10 cases cylinder-shaped bone biopsies were taken from the augmented maxillary region using trephine burs.

Results: The healing period progressed without any complications. General and specific histological analysis of the bone biopsies showed a high osteoclast activity at the margin of the biomaterial which was well integrated into the newly formed bone.

Conclusion: This study demonstrates that new trabecular bone is formed after grafting with the nanocrystalline bone substitute after 6 months. Ongoing histomorphological studies are necessary to quantify the biomaterial-bone ratio and the exact amount of newly built bone in the augmented cavity after 6 months.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Alveolar Ridge Augmentation / methods
  • Bone Substitutes / therapeutic use*
  • Dental Implantation, Endosseous
  • Dental Implants
  • Durapatite / therapeutic use
  • Female
  • Humans
  • Male
  • Maxillary Sinus / pathology
  • Maxillary Sinus / surgery*
  • Middle Aged
  • Nanostructures / therapeutic use*
  • Osseointegration
  • Prostheses and Implants
  • Young Adult

Substances

  • Bone Substitutes
  • Dental Implants
  • Durapatite