New bone formation in the maxillary sinus using only absorbable gelatin sponge.
OBJECTIVE
The purpose of the present study was to evaluate the predictability of new bone formation in the maxillary sinus using only absorbable gelatin as the graft material.


METHODS
Seven patients (9 sinus augmentations) were consecutively treated with sinus floor elevation by the lateral window approach. The lateral bony window was created using a piezoelectric device and the schneiderian membrane was elevated to make a new compartment. After 18 resorbable blast media surfaced dental implants were simultaneously placed, absorbable gelatin sponges were loosely inserted to support the sinus membrane over the implant apex and the bony portion of lateral window was repositioned to seal the lateral window.


RESULTS
After uncovering the implants an average of 6 months after placement, new bone consolidation in the maxillary sinus was observed on radiographs without bone graft. Two implants were removed due to failed osseointegration on uncovering. Failures were caused by insufficient initial stability.


CONCLUSIONS
This study suggests that placement of a dental implant in the maxillary sinus with a gelatin sponge can be a predictable procedure for sinus augmentation.
Sohn
Dong-Seok
DS
Department of Dentistry and Oral and Maxillofacial Surgery, Daegu Catholic University Hospital, Daegu, Republic of Korea. dssohn@cu.ac.kr
Moon
Jee-Won
JW
Moon
Kyung-Nam
KN
Cho
Sang-Choon
SC
Kang
Pil-Seoung
PS
D020341:Absorbable Implants; D000328:Adult; D000368:Aged; D018786:Bone Substitutes; D054893:Cone-Beam Computed Tomography; D003758:Dental Implantation, Endosseous / Q000379:methods*; D019232:Dental Restoration Failure; D005260:Female; D005780:Gelatin / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D013516:Oral Surgical Procedures, Preprosthetic / Q000379:methods*; D016348:Osseointegration / Q000187:drug effects*; D011862:Radiography, Panoramic; D014464:Ultrasonic Therapy
D018786:Bone Substitutes; D005780:Gelatin