Results : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography [1]
The mean age of the 30 patients was 57.4 (40–75) years, and the male/female ratio was 4:26. The mean postoperative observation period was 3 years and 8 months (the maximum period was 5 years and 0 months; the minimum period was 2 years and 2 months). Total of 58 implants were placed at premolar and molar region. There were no dropouts, such as participants not visiting the clinic, during the observation period (Tables 1, 2, and 3).
Implant osseointegration was achieved in all patients without any complications. During the observation period between January 2009 and January 2014, the implant survival rate was 100 %. At the time of second-stage surgery, macroscopic observation of the lateral wall of the maxillary sinus revealed differing degrees of β-TCP replaced by new bone (Fig. 4).
In consideration of the radiation the patient would be exposed to and to increase the benefits to the patients, the fourth CBCT (2.5 years after surgery) was performed at a time when it did not overlap with radiation exposure that was conducted as part of complete physical examinations or required tests (periodontal disease of the remaining tooth, endodontic examinations, root fracture, etc.). Therefore, the fourth CBCT was performed at varying times. The distribution of observation time is shown in Table 4.
β-TCP could be differentiated from existing bone on CBCT even 6 months after surgery; however, the distinction became unclear 2.5 years after surgery, indicating that the replacement of the grafted bone by new bone appeared to have been accelerated. The effect of implant artifacts made it difficult to measure changes in the bone density index (gray scale value).
Volumetric changes in the graft: The mean β-TCP volume decreased from immediately after surgery (1206.9 ± 437 cm3) to 6 months after surgery (912.6 ± 356 cm3). It further decreased 2.5 years after surgery (662 ± 294 cm3), and the reduction in volume was observed in all patients. Percent volume changes 6 months after surgery and 2.5 years after surgery using volume immediately after surgery as the baseline value were 75.6 and 54.9 %, respectively (Table 5).
Serial posts:
- Abstract : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography
- Background : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography [1]
- Background : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography [2]
- Methods : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography [1]
- Methods : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography [2]
- Methods : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography [3]
- Results : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography [1]
- Results : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography [2]
- Discussion : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography [1]
- Discussion : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography [2]
- Conclusions : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography
- References : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography [1]
- References : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography [2]
- Acknowledgements : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography
- Author information : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography
- Additional information : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography
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- About this article : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography
- Table 1 Age groups of the 30 patients : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography
- Table 2 Observation period : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography
- Table 3 The number of implants according to site : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography
- Table 4 The distribution of CBCT examination after 2.5 years : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography
- Table 5 Radiographic examination of BV (volumetric changes in graft bone over time) : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography
- Table 6 Radiographic examination of BH (changes in bone height surrounding the implant) : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography
- Table 7 The radiographic measurements of liner parameters at immediately after surgery (RBH, IL, SW) : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography
- Table 8 Examination of the impact of RBH, IL, SW, and iBH in the height from the implant tip to the bone integration site (BH) : Long-term radiographic assessment of maxillary sinus floor augmentation using beta-tricalcium phosphate: analysis by cone-beam computed tomography
- Fig. 1. Treatment protocol for the present study. Postoperative CBCT was performed a minimum of three times, i.e., immediately, 6 months, and 2.5 years after implant placement : Long-term radiographic assessment of maxillary sin
- Fig. 2. Radiographic examination of the volume of the bone graft (BV): Calculation of area on the frontal plane prior to and immediately after surgery using polygon tool. The polygon tool is included in the CT device, which was dragged around the perimeter of the target site to measure area. Graft volume calculation method (sum of the area and calculation of volume). Volume cm3 = area cm2 × n (number of images) : Long-term radiographic assessment of maxillary sin
- Fig. 3. Radiographic examination of the height of the bone surrounding the implant (BH): Measurement of changes in the height of the implant tip to the bone fixation part over time in the frontal plane: the distance measured from the intersecting point of the long axis of the implant and the maxillary sinus floor to the implant tip: +maxillary side, −alveolar crest side. The liner valuables: residual bone height (RBH), implant length (IL), and width of sinus (SW) : Long-term radiographic assessment of maxillary sin
- Fig. 4. Clinical findings of the second surgery on biopsy at 6 months. The degree of residual grafting materials varied depending on the patient. a most of the β-TCP remained. b Replacement of the β-TCP by new bone had progressed : Long-term radiographic assessment of maxillary sin
- Fig. 5. Radiographic examination (long-term changes in bone height surrounding the implant) n = 20 Number of implants. A total of 5 CBCT scans were taken prior to surgery, immediately after surgery, 6 months after surgery, 1–2 years after surgery, and 3–5 years after surgery : Long-term radiographic assessment of maxillary sin
- Fig. 6. Radiographic examination: The relationship between changes in the maxillary sinus floor associated with a reduction in the grafted bone and the implant tip (a immediately after surgery, b 5 years after surgery) : Long-term radiographic assessment of maxillary sin