Histological and Histomorphometric Human Results of HA-Beta-TCP 30/70 Compared to Three Different Biomaterials in Maxillary Sinus Augmentation at 6 Months: A Preliminary Report

Biomed Res Int. 2015:2015:156850. doi: 10.1155/2015/156850. Epub 2015 Jul 26.

Abstract

Objective: The aim of this investigation was to examine the bone regenerative potential of newly biphasic calcium phosphate ceramics (HA-β-TCP 30/70), by assessing histological and histomorphometric results of human specimens retrieved from sinuses augmented with HA-β-TCP 30/70, and comparing them to anorganic bovine bone (ABB), mineralized solvent-dehydrated bone allograft (MSDBA), and equine bone (EB), after a healing period of 6 months.

Materials and methods: Four consecutive patients with edentulous atrophic posterior maxilla were included in this report. A two-stage procedure was carried out for sinus augmentation with HA-β-TCP 30/70, ABB, MSDBA, and EB. After 6 months, specimens were retrieved at the time of implant placement and processed for histological and histomorphometric analyses.

Results: At histological examination, all biomaterials were in close contact with the newly formed bone and showed the same pattern of bone formation; the grafted granules were surrounded by a bridge-like network of newly formed bone. A limited number of ABB particles were partially covered by connective tissue. The histomorphometric analysis revealed 30.2% newly formed bone for Ha-β-TCP 30/70, 20.1% for ABB, 16.4% for MSDBA, and 21.9% for EB.

Conclusions: Within the limitations of the present investigation, these results support the successful use of HA-β-TCP 30/70 for sinus augmentation.

Publication types

  • Case Reports
  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Bone Substitutes / chemistry*
  • Bone Transplantation / methods
  • Calcium Phosphates / chemistry*
  • Durapatite / chemistry*
  • Female
  • Humans
  • Male
  • Maxillary Sinus / cytology*
  • Maxillary Sinus / surgery*
  • Middle Aged
  • Pilot Projects
  • Sinus Floor Augmentation / methods*
  • Treatment Outcome

Substances

  • Bone Substitutes
  • Calcium Phosphates
  • Durapatite
  • tricalcium phosphate