Dental implant treatment with different techniques for sinus floor elevation--a case report.
A 60-year-old man with missing maxillary molar teeth received dental implant therapy for reconstruction of occlusion. Sinus floor elevation with autogenous bone graft consisting of iliac bone block and particulate cancellous bone and marrow (PCBM) was performed in the bilateral maxillary sinuses for implant placement. On the right side, bone height in the molar region was less than 2mm. Therefore, a delayed protocol was applied, and 2 implants were placed 4 months after bone grafting. Bone graft resorption occurred during the healing period of 4 months. On the left side, 3 implants were placed simultaneously with sinus floor elevation, as bone height in the molar region was more than 4-5mm. The bone graft was carried out at the same time as implant placement. After implant placement, resorption of the bone graft stopped, and the superstructures were delivered on both sides. The tissues around the implants were clinically healthy at one year after examination. Sinus floor elevation with autogenous bone graft is an acceptable option for implant treatment in the maxillary molar region where there is adequate height of existing bone. In postoperative care, it is important to undertake adequate follow-up to ascertain occurrence of bone graft resorption.
Sekine
Hideshi
H
Division of Oral Implant Service, Department of Clinical Oral Health Science, Tokyo Dental College, Tokyo, Japan.
Taguchi
Tatsuo
T
Seta
Shuichi
S
Takano
Masayuki
M
Takeda
Takayuki
T
Kakizawa
Takashi
T
D000540:Alveolar Ridge Augmentation / Q000379:methods*; D016026:Bone Marrow Transplantation / Q000000981:diagnostic imaging / Q000379:methods; D001862:Bone Resorption / Q000000981:diagnostic imaging / Q000209:etiology; D016025:Bone Transplantation / Q000000981:diagnostic imaging / Q000379:methods; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008437:Maxilla / Q000000981:diagnostic imaging / Q000601:surgery*; D008443:Maxillary Sinus / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014945:Wound Healing / Q000502:physiology
D015921:Dental Implants