Histological Aspects of a Novel Technique Used for the Management of Infections Secondary to Sinus Bone Grafting

J Craniofac Surg. 2020 Sep;31(6):e560-e563. doi: 10.1097/SCS.0000000000006540.

Abstract

Recently, a technical note describing a promising method for the management of infections after sinus bone grafting by irrigating the corresponding area with hydrogen peroxide based solution with an aid of a drain has been published. The aim of this paper was to present the histological and radiological results of the above mentioned technique. A total of 17 patients who have presented with infections secondary to sinus bone grafting enrolled in the study. During implant placement, bone was collected from the originally grafted site with a trephine burr for radiological examination via micro-computed tomography and histological examination. According to the results of the current study, Bio-Oss acted as a scaffold, and mature fibrous bone formed trabeculae, which assembled to an interlinked trabecular structure. Average results obtained from the microradiography confirmed the higher percentage of Bio-Oss (27.21% ± 3.31%) at the corresponding area; whereas the amount of newly formed bone was slightly lower (6.79% ± 1.13%) As a conclusion, this simple and minimally invasive technique might be beneficial in avoiding removal of bone graft material and could help in rescuing the former laborious procedure.

MeSH terms

  • Aged
  • Bone Substitutes
  • Bone Transplantation* / methods
  • Dental Implantation, Endosseous / methods*
  • Female
  • Humans
  • Male
  • Maxillary Sinus / surgery*
  • Middle Aged
  • Minerals
  • X-Ray Microtomography

Substances

  • Bio-Oss
  • Bone Substitutes
  • Minerals