Xenograft materials in maxillary sinus floor elevation surgery: a systematic review with network meta-analyses

Canellas, João Vitor dos Santos; Drugos, Luciana; Ritto, Fabio; Fischer, R.G.; Medeiros, Paulo José de

doi:10.1016/j.bjoms.2021.02.009

Cited by 30 publications

(25 citation statements)

References 42 publications

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“…According to some authors, FRP acts to protect growth factors from proteolysis, which, in this way, can maintain their activity for a longer period and stimulate tissue regeneration. The use of autogenous bone, especially the bone induction capacity, has been recommended for filling the antral cavity [6].…”

Section: Resultsmentioning

confidence: 99%

“…But due to the need for processing to eliminate antigenic components, these grafts are uniquely osteoconductive with a lower bone formation potential compared to the autogenous bone graft [5]. In order to increase the bone formation potential of these grafts, combinations have been proposed to obtain better regenerative conditions through volume preservation and induction of cell migration differentiation [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

“…Still, as an example of xenografts, Bio-Oss® stands out, being a bovine bone biomaterial. The excellent osteoconductive properties of Bio-Oss® lead to predictable and efficient bone regeneration, becoming an integral part of bone structure and volume [6]. The highly porous structure of Bio Oss® offers much space for the ¬formation¬ of the blood vessels (angiogenesis) and the deposit of neoformed bone [8].…”

Section: Introductionmentioning

confidence: 99%

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Major aproaches of the use of FRP and Bio-Oss® in bone regeneration and elevation for implantology: a concise systematic review

Esteves

Kassis

Carvalho

2021

MedNEXT

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Introduction: In the scenario of maxillary sinus surgery for the later practice of implantology, several surgical techniques can be used to reconstruct the atrophic alveolar ridge, isolated techniques or associated with autogenous, allogeneic, xenogenous, and alloplastic biomaterials. The autogenous bone graft is the only one capable of presenting three important biological properties (osteogenesis, osteoinduction, and osteoconduction) guaranteeing a self-regenerative potential. Platelet concentrates have been proposed as regenerative materials in tissue regeneration procedures. Among the platelet concentrates proposed in the literature, there is FRP that act as autogenous platelet aggregates with osteoinductive properties. As an example of xenografts, Bio-Oss® stands out, being a bovine bone biomaterial. The excellent osteoconductive properties of Bio-Oss® lead to predictable and efficient bone regeneration, becoming an integral part of bone structure and volume. Objective: To carry out a brief systematic review of the main considerations for the use of fibrin-rich plasma and Bio Oss® in bone regeneration for implant dentistry. Methods: The survey was conducted from May 2021 to July 2021 and developed based on Scopus, PubMed, Science Direct, Scielo, and Google Scholar, following the rules of Systematic Review-PRISMA. Study quality was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: The lack of bone in the alveolar crests has been a major problem in functional aesthetic recovery in patients who have suffered dentoalveolar trauma, traumatic tooth extractions, congenital tooth loss, maxillary and mandibular pathologies, in addition to infections due to the emotional and possibility of deformity. In this context, implant dentistry stands out as a modern method of oral rehabilitation for totally or partially edentulous patients. For this method to develop properly, bone integration of the implant into the recipient bone tissue must occur. It was documented that the combination of biomaterial and FRP significantly improved bone regeneration in the peri-implant area. Placing the implant with the simultaneous use of the FRP creates a good relationship between hard tissue and soft tissue. FRP is used as an adjuvant to Bio-Oss® particles for bone augmentation in the maxillary sinus. Conclusion: Based on literary findings, it was shown that FRP is favorable for bone formation processes for dental implants, especially when combined with Bio-Oss®.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Major aproaches of the use of FRP and Bio-Oss® in bone regeneration and elevation for implantology: a concise systematic review

Esteves

Kassis

Carvalho

2021

MedNEXT

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“…Sinus floor augmentation is an established and predictable procedure to graft bone in the posterior maxilla [ 24 ]. A variety of grafting methods and materials is available [ 25 ]. The ideal grafting material offers volume stability, offers sufficient filling of the subantral space and enables new bone ingrowth [ 26 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

Three-Dimensional Plotted Calcium Phosphate Scaffolds for Bone Defect Augmentation—A New Method for Regeneration

Schulz

Holtzhausen

Nies³

et al. 2023

JPM

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For sinus grafting, different methods and materials are available. One possible shortcoming of particulate bone grafts is either overfilling or augmenting the planned implant area insufficiently. To overcome this risk and to determine the implant position prior augmentation, we present an approach using three-dimensional printed scaffolds. A patient with a remaining anterior dentition and bilateral severely atrophied posterior maxilla was seeking oral rehabilitation. The cone beam computed tomography (CBCT) showed residual bone heights between one and two millimeters. Following the three-dimensional reconstruction of the CBCT data, the positions of the implants were determined in areas 16 and 26. Three-dimensional scaffolds adapted to the topography of the sinus were virtually designed and printed using a calcium phosphate cement paste. Bilateral sinus floor augmentation applying the printed scaffolds with an interconnecting porosity followed. After nine months, a satisfying integration of the scaffolds was obvious. At the re-entry, vital bone with sufficient blood supply was found. One implant could be placed in positions 16 and 26, respectively. After five months, the implants could be uncovered and were provided with a temporary denture. The application of three-dimensionally printed scaffolds from calcium phosphate cement paste seems to be a promising technique to graft the severely atrophied posterior maxilla for the placement of dental implants.

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“…This includes, for example, developments regarding bone substitute materials [ 10 – 12 ], modifications of the implant surface [ 13 – 15 ], or platform switching [ 16 – 18 ]. The number of studies in this field is huge and systematic reviews and meta-analyses already exist on many of these issues [ 19 – 22 ].…”

Section: Introductionmentioning

confidence: 99%

Surgical safety checklists for dental implant surgeries—a scoping review

et al. 2022

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Objectives In both elective surgeries and aviation, a reduction of complications can be expected by paying attention to the so-called human factors. Checklists are a well-known way to overcome some of these problems. We aimed to evaluate the current evidence regarding the use of checklists in implant dentistry. Methods An electronic literature search was conducted in the following databases: CINHAL, Medline, Web of Science, and Cochrane Library until March 2022. Based on the results and additional literature, a preliminary checklist for surgical implant therapy was designed. Results Three publications dealing with dental implants and checklists were identified. One dealt with the use of a checklist in implant dentistry and was described as a quality assessment study. The remaining two studies offered suggestions for checklists based on literature research and expert opinion. Conclusions Based on our results, the evidence for the use of checklists in dental implantology is extremely low. Considering the great potential, it can be stated that there is a need to catch up. While creating a new implant checklist, we took care of meeting the criteria for high-quality checklists. Future controlled studies will help to place it on a broad foundation. Clinical relevance Checklists are a well-known way to prevent complications. They are especially established in aviation, but many surgical specialties and anesthesia adopt this successful concept. As implantology has become one of the fastest-growing areas of dentistry, it is imperative that checklists become an integral part of it.

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Xenograft materials in maxillary sinus floor elevation surgery: a systematic review with network meta-analyses

Cited by 30 publications

References 42 publications

Major aproaches of the use of FRP and Bio-Oss® in bone regeneration and elevation for implantology: a concise systematic review

Major aproaches of the use of FRP and Bio-Oss® in bone regeneration and elevation for implantology: a concise systematic review

Three-Dimensional Plotted Calcium Phosphate Scaffolds for Bone Defect Augmentation—A New Method for Regeneration

Surgical safety checklists for dental implant surgeries—a scoping review

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