Maxillary sinus floor lifting using freeze-dried homologous bone and tibia autologous bone: report on radiographic and histological results

Authors

  • José S. Domínguez-Mejía Universidad de Antioquia
  • Omar Alberto Ramírez-Úsuga Universidad de Antioquia
  • Yonny Alejandro Blandón-López Universidad de Antioquia

DOI:

https://doi.org/10.17533/udea.rfo.v28n2a1

Keywords:

Maxillary sinus lifting, Biomaterials, Autologous bone, Freeze-dried bone, Tibia graft

Abstract


Introduction: autologous bone grafts for maxillary sinus floor lifting are widely accepted to reconstruct alveolar ridge defects; however, there are donor sites that have not been fully explored and can be valid alternatives for this type of procedures. The objective of this study was to evaluate the behavior of tibia autologous grafts compared with freeze-dried homologous bone in maxillary sinus floor lifting. Methods: prospective, controlled, randomized study in 11 patients requiring maxillary sinus elevation. Panoramic radiographs were taken in three different moments (pre-surgery, immediately after surgery, and 6 months post-surgery) in the two groups (tibia and freeze-dried), measuring the alveolar ridge height in the posterior maxilla. Bone biopsies were taken in the grafted area 6 months after the procedure. Results: A significant reduction in bone height was found in the group grafted with freeze-dried bone. The group grafted with tibia autologous bone showed greater stability between baseline and 6 months after surgery. The histological sections showed equal conditions between the two groups. Conclusion: tibia bone shows greater stability in the evaluated period in terms of the height obtained in maxillary sinus floor lifting procedures, with clinical and histological characteristics suitable for the placement of implants. This study should be complemented with a larger sample to provide more representative results that can be applied to the general population.

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Author Biographies

José S. Domínguez-Mejía, Universidad de Antioquia

DMD, Oral and Maxillofacial Surgeon, Specialist in Basic Biomedical Sciences, Professor at the School of Dentistry, Universidad de Antioquia, Medellín, Colombia.

Omar Alberto Ramírez-Úsuga, Universidad de Antioquia

DMD, Oral and Maxillofacial Surgeon, School of Dentistry, Universidad de Antioquia, Medellín, Colombia.

Yonny Alejandro Blandón-López, Universidad de Antioquia

DMD, Specialist in Comprehensive Dentistry of the Adult with emphasis in Prosthodontics, School of Dentistry, Universidad de Antioquia, Medellín, Colombia

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Published

2017-06-30

How to Cite

Domínguez-Mejía, J. S., Ramírez-Úsuga, O. A., & Blandón-López, Y. A. (2017). Maxillary sinus floor lifting using freeze-dried homologous bone and tibia autologous bone: report on radiographic and histological results. Revista Facultad De Odontología Universidad De Antioquia, 28(2), 235–260. https://doi.org/10.17533/udea.rfo.v28n2a1