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KMID : 1044820190490010047
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Journal of Periodontal & Implant Science
2019 Volume.49 No. 1 p.47 ~ p.57
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Maxillary sinus augmentation using biphasic calcium phosphate: dimensional stability results after 3?6 years
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Cha Jae-Kook
Kim Chin-Gu
Pae Hyung-Chul
Lee Jung-Seok
Jung Ui-Won
Choi Seong-Ho
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Abstract
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Purpose: This study was designed to observe the resorption pattern of biphasic calcium phosphate (BCP) used for maxillary sinus augmentation over a 3- to 6-year healing period, and to investigate factors affecting the resorption of BCP.
Methods: A total of 47 implants placed in 27 sinuses of 22 patients were investigated. All patients had residual bone height less than 5 mm at baseline. The modified Caldwell-Luc approach was used to elevate the maxillary sinus membrane, and the sinus cavity was filled with BCP (70% hydroxyapatite and 30% β-tricalcium phosphate). Implant placement was done simultaneously or in a staged manner. Serial radiographic analysis was performed up to 6 years postoperatively.
Results: During the follow-up period, no implant loss was reported. The mean reduced height of the augmented sinus (RHO) was 0.27±1.08 mm at 36 months, and 0.89±1.39 mm at 72 months postoperatively. Large amounts of graft material (P=0.021) and a long healing period (P=0.035) significantly influenced the amount of RHO. In particular, there was a significant relationship between a healing period longer than 40 months and RHO.
Conclusions: BCP can achieve proper dimensional stability with minimal reduction of the graft height in a 3- to 6-year healing period after maxillary sinus augmentation. The healing period and the amount of graft material influenced the resorption of BCP.
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KEYWORD
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Bone substitutes, Dental implants, Maxillary sinus floor augmentation
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