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The Use of Autogenous Bone Mixed with a Biphasic Calcium Phosphate in a Maxillary Sinus Floor Elevation Procedure with a 6-Month Healing Time: A Clinical, Radiological, Histological and Histomorphometric Evaluation
Coatings ( IF 3.4 ) Pub Date : 2020-05-09 , DOI: 10.3390/coatings10050462
Wilhelmus F. Bouwman , Nathalie Bravenboer , Christiaan M. ten Bruggenkate , Engelbert A. J. M. Schulten

Background: In this study it is evaluated whether autogenous bone mixed with biphasic calcium phosphate (BCP) used in a maxillary sinus floor elevation (MSFE) leads to improved bone formation. Materials and methods: In five patients a unilateral MSFE was performed. Histological and histomorphometric analyses were performed on bone biopsies that were obtained 6 months after MSFE during dental implant surgery. Results: The average vital bone volume was 29.9% of the total biopsy (BV/TV, SD ± 10.1) of which 7.1% was osteoid (OV/BV, SD ± 4.8). The osteoid surface (OS/BS) covered 26.0% (SD ± 13.4) of the bone surface. The BS/TV covered 4.7 mm2/mm3 (SD ± 2.3). Compared with previous studies the analyses showed a difference for trabecular thickness (Tb.Th.) and osteoid surface (OS/BS), but not for BV/TV, OV/BV and the number of osteoclasts. Conclusion: MSFE with autogenous bone mixed with BCP shows an amount of newly formed bone that is comparable with the findings from the previously published 6-month study with pure BCP. However, a better distribution of the new bone over the entire biopsy was observed.

中文翻译:

自体骨与双相磷酸钙混合在上颌窦底提升手术中使用,愈合时间为6个月:临床,放射学,组织学和组织形态学评估

背景:在这项研究中,评估了用于上颌窦底抬高(MSFE)的自体骨与双相磷酸钙(BCP)混合是否能改善骨形成。材料和方法:在五名患者中进行了单侧MSFE。对在牙科植入手术中MSFE术后6个月获得的骨活检进行组织学和组织形态计量学分析。结果:平均活骨量占活检总人数的29.9%(BV / TV,SD±10.1),其中有7.1%为类骨质骨(OV / BV,SD±4.8)。类骨质表面(OS / BS)覆盖了骨表面的26.0%(SD±13.4)。BS / TV覆盖4.7 mm 2 / mm 3(SD±2.3)。与以前的研究相比,分析显示小梁厚度(Tb.Th.)和类骨质表面(OS / BS)有所不同,但BV / TV,OV / BV和破骨细胞的数量没有差异。结论:MSFE的自体骨与BCP混合显示新形成的骨量与先前发表的为期6个月的纯BCP研究结果相当。然而,观察到新骨在整个活检组织中的分布更好。
更新日期:2020-05-09
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