Graftless sinus augmentation technique with contextual placement of implants: a case report

Journal of Medical Case Reports

Annalisa Monaco²  Laura Bonanome¹  Alessandro Cielo¹  Gian Luca Sfasciotti³  Roberta Marini³  Nicolae Chipaila² 

[1] ‘Private Practice, Via Regina Elena 287/A, 00161 Rome, Italy;University of L’Aquila, Department of Life, Health and Environmental Sciences, Unit of Dentistry, Delta 6 building, Via Vetoio, 1, 67100 L’Aquila, Italy;‘Sapienza’ University of Rome - Department of Oral and Maxillofacial Sciences, Via Caserta, 6, 00161 Rome, Italy

关键词: Implant placement;    Maxillary alveolar ridge atrophy;    Sinus augmentation;   

Others  :  1180907
DOI  :  10.1186/1752-1947-8-437

 received in 2014-07-10, accepted in 2014-10-07,  发布年份 2014

【 摘 要 】

Introduction

The positioning of implants in the jaw bones with contextual graftless lateral approach sinus lifting is finding an increasingly broad consensus in the literature.

Since the 1970s, various clinical research projects have been conducted on applications of biological and synthetic biomaterials in bone regenerative surgery, both in sinus lift procedures and in cystic cavity filling after cystectomy or in bone defects in regenerative periodontal surgery. Currently, we are finding that there is an increasing trend of clinicians aiming to adopt graftless techniques, with satisfactory results in terms of implant survival in the long term.

In our study, through a case report, we describe a variant of graftless sinus augmentation technique with contextual implant placement, emphasizing the role of the blood clot, combined with collagen sponges, as a natural scaffold and the osteogenic potential of the subantral membrane in guided bone regeneration, with reduced morbidity of the patient.

Case presentation

To describe the surgical technique, the clinical case of a 38-year-old Caucasian woman with a lateral posterior edentulism was selected. The rehabilitation was solved by a graftless sinus augmentation technique with a contextual implant placement.

For each implant, a resonance frequency analysis evaluation was reported as implant stability quotient values. The performance of the implant stability quotient values followed a gradual increase from time zero to the sixth month, as the clot was differentiated into osteoid tissue and then into bone tissue, due to the scaffold effect conferred by the equine collagen sponge. The stabilization phase took place between the fourth and the sixth month, according to the implant stability quotient values.

Conclusions

Our graftless sinus augmentation technique seems to be very predictable thanks to the osteoconductive principles on which it is based, and in association with the proper management of peri-implant soft tissue, so as to increase the amount of keratinized tissue, which could represent the new gold standard for this type of rehabilitation in the future.

【 授权许可】

   
2014 Chipaila et al.; licensee BioMed Central.

【 图 表 】

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