Use of a Biphasic Calcium Sulphate Graft to Treat Posterior Maxillary Atrophies by Avoiding a Lateral Sinus Approach
Main Article Content
Abstract
Augmentation of the maxillary sinus when severe atrophy and/or pneumatization of the sinus has occurred results in minimal crestal height that will not allow simultaneous implant placement has been a clinical challenge. The lateral sinus augmentation approach has been traditionally utilized in these clinical situations, but there are known complications such as membrane tears and increased post-operative issues that follow use of this technique. This article aims to propose a new technique utilizing specific surgical instruments, making it possible to increase the height of the crestal bone under the maxillary sinus in cases of significant atrophy, without complications using a two-stage crestal approach with a bi-phasic calcium sulphate as the graft material. The article will discuss the technique, present a case example and review 51 cases representing initially 1-3 mm sub sinus crestal bone heights that the technique was utilized with.
Keywords:
Atrophic maxillary sinus, lateral sinus augmentation, crestal sinus augmentation, Summer’s lift, bi-phasic calcium sulphate
Article Details
How to Cite
BARANES, David; KURTZMAN, Gregori M..
Use of a Biphasic Calcium Sulphate Graft to Treat Posterior Maxillary Atrophies by Avoiding a Lateral Sinus Approach.
Medical Research Archives, [S.l.], v. 11, n. 2, feb. 2023.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/3645>. Date accessed: 20 apr. 2024.
doi: https://doi.org/10.18103/mra.v11i2.3645.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
1. Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg. 1980 Aug;38(8):613-6. PMID: 6993637.
2. Summers RB. A new concept in maxillary implant surgery: the osteotome technique. Compendium. 1994 Feb;15(2):152, 154-6, 158 passim; quiz 162. PMID: 8055503.
3. Schwarz L, Schiebel V, Hof M, Ulm C, Watzek G, Pommer B. Risk Factors of Membrane Perforation and Postoperative Complications in Sinus Floor Elevation Surgery: Review of 407 Augmentation Procedures. J Oral Maxillofac Surg. 2015 Jul;73(7):1275-82. doi: 10.1016/j.joms.2015.01.039. Epub 2015 Feb 12. PMID: 25921824.
4. Garbacea A, Lozada JL, Church CA, Al-Ardah AJ, Seiberling KA, Naylor WP, Chen JW. The incidence of maxillary sinus membrane perforation during endoscopically assessed crestal sinus floor elevation: a pilot study. J Oral Implantol. 2012 Aug;38(4):345-59. doi: 10.1563/AAID-JOI-D-12-00083. PMID: 22913307.
5. Kasabah S, Krug J, Simůnek A, Lecaro MC. Can we predict maxillary sinus mucosa perforation? Acta Medica (Hradec Kralove). 2003;46(1):19-23. PMID: 12747535.
6. Jensen J, Sindet-Pedersen S, Oliver AJ. Varying treatment strategies for reconstruction of maxillary atrophy with implants: results in 98 patients. J Oral Maxillofac Surg. 1994 Mar;52(3):210-6; discussion 216-8. doi: 10.1016/0278-2391(94)90283-6. PMID: 8308618.
7. Nolan PJ, Freeman K, Kraut RA. Correlation between Schneiderian membrane perforation and sinus lift graft outcome: a retrospective evaluation of 359 augmented sinus. J Oral Maxillofac Surg. 2014 Jan;72(1):47-52. doi: 10.1016/j.joms.2013.07.020. Epub 2013 Sep 24. PMID: 24071378.
8. Okada T, Kawana H. Two-Step Procedure for the Treatment of a Maxillary Sinus with Complex Sinus Septa: A Highly Predictive Method for Sinus Floor Augmentation After Perforation of the Maxillary Sinus Membrane. Int J Periodontics Restorative Dent. 2019 Sep/Oct;39(5):e175-e180. doi: 10.11607/prd.3888. PMID: 31449571.
9. Basma HS, Abou-Arraj RV. Management of a Large Artery During Maxillary Sinus Bone Grafting: A Case Report. Clin Adv Periodontics. 2021 Mar;11(1):22-26. doi: 10.1002/cap.10104. Epub 2020 Apr 13. PMID: 32109351.
10. Elian N, Wallace S, Cho SC, Jalbout ZN, Froum S. Distribution of the maxillary artery as it relates to sinus floor augmentation. Int J Oral Maxillofac Implants 2005;20:784-787.
11. Nimigean V, Nimigean VR, Maru N, Salavastru DI, Badita D, Tuculina MJ. The maxillary sinus floor in the oral implantology. Rom J Morphol Embryol 2008;49:485-489.
12. Yusof MYPM, Mah MC, Reduwan NH, Kretapirom K, Affendi NHK. Quantitative and qualitative assessments of intraosseous neurovascular canals in dentate and posteriorly edentulous individuals in lateral maxillary sinus wall. Saudi Dent J. 2020 Dec;32(8):396-402. doi: 10.1016/j.sdentj.2019.10.010. Epub 2019 Nov 13. PMID: 33304083; PMCID: PMC7714977.
13. Griffa A, Berrone M, Boffano P, Viterbo S, Berrone S. Mucociliary function during maxillary sinus floor elevation. J Craniofac Surg. 2010;21:1500-1502.
14. Dong-Seok Sohn, Bingzhen Huang, Jin Kim, Charles C. Park, Paul P. Binon, Henning Visser, Preety Desai, Ahmed Yaseen Alqutaibi, Mohammed Farouk. Sticky Bone Use in Implant Dentistry. JIACD vol. 7 No. 10, December 2015.
15. Dreesman H. Ueber knochenplombierung. Beitr Klin Chir 1892;9:804.
16. Peltier LF, Bickel EY, Lillo R, et al. The use of plaster of paris to fill defects in bone. Ann Surg 1957;146(1):61-9
17. Pietrzak WS, Ronk R. Calcium sulfate bone void filler: a review and a look ahead. J Craniofac Surg. 2000 Jul;11(4):327-33; discussion 334. doi: 10.1097/00001665-200011040-00009. PMID: 11314379.
18. Yahav A, Kurtzman GM, Katzap M, Dudek D, Baranes D. Bone regeneration: Properties and clincial applications of biphasic calcium sulphate. Surgical and Medical Management of Common Oral problems, Dental Clinics of North America. April 2020, p 453-472.
19. Fernández E, Vlad MD, Gel MM, López J, Torres R, Cauich JV, Bohner M. Modulation of porosity in apatitic cements by the use of alpha-tricalcium phosphate-calcium sulphate dihydrate mixtures. Biomaterials. 2005 Jun;26(17):3395-404. doi: 10.1016/j.biomaterials.2004.09.023. PMID: 15621228.
20. Baranes D, Kurtzman GM. Biphasic Calcium Sulfate as an Alternative Grafting Material in Various Dental Applications. J Oral Implantol. 2019 Jun;45(3):247-255. doi: 10.1563/aaid-joi-D-18-00306. Epub 2019 May 1. PMID: 31042446.
21. Katzap M, Kurtzman GM. Utilization of biphasic calcium sulfate as socket preservation grafting as a prelude to implant placement, a case report. J Oral Implantol. 2021 Jun 5. doi: 10.1563/aaid-joi-D-21-00010. Epub ahead of print. PMID: 34091688.
2. Summers RB. A new concept in maxillary implant surgery: the osteotome technique. Compendium. 1994 Feb;15(2):152, 154-6, 158 passim; quiz 162. PMID: 8055503.
3. Schwarz L, Schiebel V, Hof M, Ulm C, Watzek G, Pommer B. Risk Factors of Membrane Perforation and Postoperative Complications in Sinus Floor Elevation Surgery: Review of 407 Augmentation Procedures. J Oral Maxillofac Surg. 2015 Jul;73(7):1275-82. doi: 10.1016/j.joms.2015.01.039. Epub 2015 Feb 12. PMID: 25921824.
4. Garbacea A, Lozada JL, Church CA, Al-Ardah AJ, Seiberling KA, Naylor WP, Chen JW. The incidence of maxillary sinus membrane perforation during endoscopically assessed crestal sinus floor elevation: a pilot study. J Oral Implantol. 2012 Aug;38(4):345-59. doi: 10.1563/AAID-JOI-D-12-00083. PMID: 22913307.
5. Kasabah S, Krug J, Simůnek A, Lecaro MC. Can we predict maxillary sinus mucosa perforation? Acta Medica (Hradec Kralove). 2003;46(1):19-23. PMID: 12747535.
6. Jensen J, Sindet-Pedersen S, Oliver AJ. Varying treatment strategies for reconstruction of maxillary atrophy with implants: results in 98 patients. J Oral Maxillofac Surg. 1994 Mar;52(3):210-6; discussion 216-8. doi: 10.1016/0278-2391(94)90283-6. PMID: 8308618.
7. Nolan PJ, Freeman K, Kraut RA. Correlation between Schneiderian membrane perforation and sinus lift graft outcome: a retrospective evaluation of 359 augmented sinus. J Oral Maxillofac Surg. 2014 Jan;72(1):47-52. doi: 10.1016/j.joms.2013.07.020. Epub 2013 Sep 24. PMID: 24071378.
8. Okada T, Kawana H. Two-Step Procedure for the Treatment of a Maxillary Sinus with Complex Sinus Septa: A Highly Predictive Method for Sinus Floor Augmentation After Perforation of the Maxillary Sinus Membrane. Int J Periodontics Restorative Dent. 2019 Sep/Oct;39(5):e175-e180. doi: 10.11607/prd.3888. PMID: 31449571.
9. Basma HS, Abou-Arraj RV. Management of a Large Artery During Maxillary Sinus Bone Grafting: A Case Report. Clin Adv Periodontics. 2021 Mar;11(1):22-26. doi: 10.1002/cap.10104. Epub 2020 Apr 13. PMID: 32109351.
10. Elian N, Wallace S, Cho SC, Jalbout ZN, Froum S. Distribution of the maxillary artery as it relates to sinus floor augmentation. Int J Oral Maxillofac Implants 2005;20:784-787.
11. Nimigean V, Nimigean VR, Maru N, Salavastru DI, Badita D, Tuculina MJ. The maxillary sinus floor in the oral implantology. Rom J Morphol Embryol 2008;49:485-489.
12. Yusof MYPM, Mah MC, Reduwan NH, Kretapirom K, Affendi NHK. Quantitative and qualitative assessments of intraosseous neurovascular canals in dentate and posteriorly edentulous individuals in lateral maxillary sinus wall. Saudi Dent J. 2020 Dec;32(8):396-402. doi: 10.1016/j.sdentj.2019.10.010. Epub 2019 Nov 13. PMID: 33304083; PMCID: PMC7714977.
13. Griffa A, Berrone M, Boffano P, Viterbo S, Berrone S. Mucociliary function during maxillary sinus floor elevation. J Craniofac Surg. 2010;21:1500-1502.
14. Dong-Seok Sohn, Bingzhen Huang, Jin Kim, Charles C. Park, Paul P. Binon, Henning Visser, Preety Desai, Ahmed Yaseen Alqutaibi, Mohammed Farouk. Sticky Bone Use in Implant Dentistry. JIACD vol. 7 No. 10, December 2015.
15. Dreesman H. Ueber knochenplombierung. Beitr Klin Chir 1892;9:804.
16. Peltier LF, Bickel EY, Lillo R, et al. The use of plaster of paris to fill defects in bone. Ann Surg 1957;146(1):61-9
17. Pietrzak WS, Ronk R. Calcium sulfate bone void filler: a review and a look ahead. J Craniofac Surg. 2000 Jul;11(4):327-33; discussion 334. doi: 10.1097/00001665-200011040-00009. PMID: 11314379.
18. Yahav A, Kurtzman GM, Katzap M, Dudek D, Baranes D. Bone regeneration: Properties and clincial applications of biphasic calcium sulphate. Surgical and Medical Management of Common Oral problems, Dental Clinics of North America. April 2020, p 453-472.
19. Fernández E, Vlad MD, Gel MM, López J, Torres R, Cauich JV, Bohner M. Modulation of porosity in apatitic cements by the use of alpha-tricalcium phosphate-calcium sulphate dihydrate mixtures. Biomaterials. 2005 Jun;26(17):3395-404. doi: 10.1016/j.biomaterials.2004.09.023. PMID: 15621228.
20. Baranes D, Kurtzman GM. Biphasic Calcium Sulfate as an Alternative Grafting Material in Various Dental Applications. J Oral Implantol. 2019 Jun;45(3):247-255. doi: 10.1563/aaid-joi-D-18-00306. Epub 2019 May 1. PMID: 31042446.
21. Katzap M, Kurtzman GM. Utilization of biphasic calcium sulfate as socket preservation grafting as a prelude to implant placement, a case report. J Oral Implantol. 2021 Jun 5. doi: 10.1563/aaid-joi-D-21-00010. Epub ahead of print. PMID: 34091688.