title: Experimental Evaluation of the Effectiveness of Demineralized Bone Matrix and Collagenated Heterologous Bone Grafts Used Alone or in Combination with Platelet-Rich Fibrin on Bone Healing in Sinus Floor Augmentation.
abstract: OBJECTIVE
  The aim of this study was an experimental evaluation of the effectiveness of demineralized bone matrix (DBM) and collagenated heterologous bone graft (CHBG) used alone or in combination with platelet-rich fibrin on bone healing in sinus floor augmentation procedures.
  
  
  METHODS
  In this study, 36 New Zealand rabbits were used. The bilateral sinus elevation was performed, and 72 defects were obtained. The rabbit maxillary sinuses were divided into four groups according to the augmentation biomaterials obtained: demineralized bone matrix (Grafton DBM Putty, Osteotech; DBM group), DBM combined with platelet-rich fibrin (PRF; DBM + PRF group), collagenated heterologous bone graft (CHBG; Apatos Mix, OsteoBiol, Tecnoss; CHBG group), CHBG combined with PRF (CHBG + PRF group). All groups were sacrificed at 2, 4, and 8 weeks after surgery for histologic, histomorphometric, and immunohistochemical analyses.
  
  
  RESULTS
  The inflammatory reaction was moderate to intense at the second week in all groups and declined from 2 to 8 weeks. New bone formation was started at the second week and increased from 2 to 8 weeks in all groups. There was no significant difference in bone formation between the experimental groups that used PRF mixed graft material and control groups that used only graft material. The percentage of new bone formation showed a significant difference in DBM groups and DBM + PRF groups compared with other groups. There were osteoclasts around all the bone graft materials used, but the percentage of residual graft particles was significantly higher in CHBG groups and CHBG + PRF groups at the eighth week.
  
  
  CONCLUSIONS
  There is no beneficial effect of the application of PRF in combination with demineralized bone matrix or collagenated heterologous bone graft on bone formation in sinus floor augmentation. The results of this study showed that both collagenated heterologous bone graft and demineralized bone matrix have osteoconductive properties, but demineralized bone matrix showed more bone formation than collagenated heterologous bone graft.
authors.forename: Elif
authors.initials: E
authors.lastname: Peker
authors.forename: Inci Rana
authors.initials: IR
authors.lastname: Karaca
authors.forename: Benay
authors.initials: B
authors.lastname: Yildirim
mesh_terms: D000818:Animals; D001672:Biocompatible Materials / Q000627:therapeutic use; D001792:Blood Platelets / Q000502:physiology*; D001857:Bone Matrix / Q000473:pathology / Q000637:transplantation*; D016025:Bone Transplantation / Q000379:methods*; D003094:Collagen / Q000627:therapeutic use; D005337:Fibrin / Q000627:therapeutic use*; D005990:Glycerol / Q000627:therapeutic use; D064593:Heterografts / Q000637:transplantation*; D007249:Inflammation / Q000473:pathology; D008297:Male; D008437:Maxilla / Q000473:pathology / Q000601:surgery; D010006:Osteoblasts / Q000473:pathology; D010010:Osteoclasts / Q000473:pathology; D010012:Osteogenesis / Q000187:drug effects; D011817:Rabbits; D059546:Sinus Floor Augmentation / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D001672:Biocompatible Materials; C497176:Grafton demineralized bone matrix gel; D005337:Fibrin; D003094:Collagen; D005990:Glycerol