ELÇİN BEDELOĞLU, BAHATTİN ALPER GÜLTEKİN

Farklı rezidüel kemik yüksekliğinde sinüs tabanı yükseltme operasyonu ile eşzamanlı yerleştirilen implantların sağkalımının değerlendirilmesi

Amaç: Dişlerin kaybedilmesi sonrası alveolar kemikte rezorpsiyon meydana gelmektedir. Posterior maksillada yetersiz kemik yüksekliği durumunda, implant yerleştirilmesi için sinüs tabanı operasyonu uzun yıllardır başarılı bir şekilde uygulanmaktadır. Bu çalışmanın amacı posterior maksillada sinüs tabanı altında kemik yüksekliğinin implant yerleştirilmesi için yetersiz olduğu durumlarda, sinüs tabanı yükseltme operasyonu ile eşzamanlı yerleştirilen implantların başarısını değerlendirmektir. Gereç ve Yöntem: Bu retrospektif planlanan çalışmaya sistemik olarak sağlıklı ve posterior maksillada dental implant ihtiyacı olan hastalar dahil edilmiştir. Hastalar dental volumetrik tomografi kullanılarak sinüs tabanı altında mevcut kemik yüksekliği ölçülerek ≥5 mm (Kontrol grubu) ve < 5 mm (Test grubu) olmak üzere iki gruba ayrılmıştır. Yerleştirilen implantların takip süresince sağkalım oranları değerlendirilmiştir. Bulgular: Çalışmada toplam 31 hastaya yerleştirilen 62 implant (Kontrol: 35, Test: 27) değerlendirilmiştir. Çalışmaya dahil edilen her iki grup kıyaslandığında sağkalım oranları açısından istatistiksel olarak anlamlı bir fark olmadığı gözlemlenmiştir. Sonuçlar: Çalışmada rezidüel kemik yüksekliğinin, sinüs tabanı yükseltme operasyonu ile aynı seansta yerleştirilen dental implantların sağkalımını etkilemediği sonucuna varılmıştır.

Evaluation of survival of implants placed simultaneously with sinus floor elevation operation at different residual bone height

Aim: Resorption occurs after teeth loss in alveolar ridge. In case of insufficient bone height in posterior maxilla, sinus floor operation for implant placement has been successfully applied for many years. The purpose of this study is to assess the success of implants placed simultaneously with sinus floor elevation operation, in cases where bone height under the sinus floor in the posterior maxilla is insufficient for implant placement. Materials and Methods: In this retrospective study design, patients who were systemically healthy and required dental implant in posterior maxilla were included. Patients were divided into two groups; ≥5 mm (control group) and

PDF

___

Gehrke SA, Tavares da Silva Neto U. Does the time of osseointegration in the maxilla and mandible differ? J Craniofac Surg 2014; 25: 2117-21120.
Kahnberg KE, Vannas-Löfqvist L. Sinus lift procedure using a 2-stage surgical technique: I. Clinical and radiographic report up to 5 years. Int J Oral Maxillofac Implants 2008; 23: 876-884.
Albrektsson T, Sennerby L, Wennerberg A. State of the art of oral implants. Periodontol 2000 2008; 47: 15-26.
Le Guehennec L et. al. Histomorphometric analysis of the osseointegration of four different implant surfaces in the femoral epiphyses of rabbits. Clin Oral Implants Res 2008; 19: 1103-1110.
Chiapasco M, Zaniboni M. Methods to treat the edentulous posterior maxilla: Implants with sinus grafting. J Oral Maxillofac Surg 2009; 67: 867-871.
Kahnberg KE, Vannas-Löfqvist L. Sinus lift procedure using a 2-stage surgical technique: I. Clinical and radiographic report up to 5 years. Int J Oral Maxillofac Implants 2008; 23: 876-884.
Raghoebar GM, Vissink A, Reintsema H, Batenburg RH. Bone grafting of the floor of the maxillary sinus for the placement of endosseous implants. Br J Oral Maxillofac Surg 1997; 35: 119-125.
Peleg M, Mazor Z, Chaushu G, Garg AK. Sinus floor augmentation with simultaneous implant placement in the severely atrophic maxilla. J Periodontol 1998; 69: 1397- 1403.
Jensen OT, Shulman LB, Block MS, Iacono VJ. Report of the Sinus Consensus Conference of 1996. Int J Oral Maxillofac Implants 1998; 13: 11-45.
Tiwana PS, Kushner GM, Haug RH. Maxillary sinus augmentation. Dent Clin North Am 2006; 50: 409-424.
Chen TW, Chang HS, Leung KW, Lai YL, Kao SY. Implant placement immediately after the lateral approach of the trap door window procedure to create a maxillary sinus lift without bone grafting: A 2-year retrospective evaluation of 47 implants in 33 patients. J Oral Maxillofac Surg 2007; 65: 2324-2328.
Jurisic M, Markovic A, Radulovic M, Brkovic BM, Sándor GK. Maxillary sinus floor augmentation: Comparing osteotome with lateral window immediate and delayed implant placements. An interim report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 106: 820-827.
de Vicente JC, Hernández-Vallejo G, Braña-Abascal P, Peña I. Maxillary sinus augmentation with autologous bone harvested from the lateral maxillary wall combined with bovine-derived hydroxyapatite: Clinical and histologic observations. Clin Oral Implants Res 2010; 21: 430- 438.
Lambert F, Lecloux G, Rompen E. One-step approach for implant placement and subantral bone regeneration using bovine hydroxyapatite: A 2- to 6-year follow-up study. Int J Oral Maxillofac Implants 2010; 25: 598-606.
Fugazzotto PA, Vlassis J. Long-term success of sinus augmentation using various surgical approaches and grafting materials. Int J Oral Maxillofac Implants 1998; 13: 52-58.
Rodriguez A, Anastassov GE, Lee H, Buchbinder D, Wettan H. Maxillary sinus augmentation with deproteinated bovine bone and platelet rich plasma with simultaneous insertion of endosseous implants. J Oral Maxillofac Surg 2003; 61: 157-163.
Peleg M, Garg AK, Mazor Z. Predictability of simultaneous implant placement in the severely atrophic posterior maxilla: A 9-year longitudinal experience study of 2132 implants placed into 731 human sinus grafts. Int J Oral Maxillofac Implants 2006; 21: 94-102.
Felice P, et.al. 1-stage versus 2-stage lateral maxillary sinus lift procedures: 4-month post-loading results of a multicenter randomised controlled trial. Eur J Oral Implantol 2013; 6: 153-165.
Beretta M, Poli PP, Grossi GB, Pieroni S, Maiorana C. Long-term survival rate of implants placed in conjunction with 246 sinus floor elevation procedures: results of a 15- year retrospective study. J Dent 2015; 43: 78-86.
Pikos MA. Maxillary sinus membrane repair: update on technique for large and complete perforations. Implant Dent 2008; 17: 24-31
Zinser MJ, Randelzhofer P, Kuiper L, Zöller JE, De Lange GL. The predictors of implant failure after maxillary sinus floor augmentation and reconstruction: a retrospective study of 1045 consecutive implants. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 115: 571-582.
Yoon HG, Heo SJ, Koak JY, Kim SK, Lee SY. Effect of bone quality and implant surgical technique on implant stability quotient (ISQ) value. J Adv Prosthodont 2011; 3: 10-15
Coelho PG, Jimbo R, Tovar N, Bonfante EA. Osseointegration: hierarchical designing encompassing the macrometer, micrometer, and nanometer length scales. Dent Mater 2015; 31: 37-52.
Halldin A, et. al. The effect of static bone strain on implant stability and bone remodeling. Bone 2011; 49: 783- 789.
Trisi P, Berardini M, Falco A, Podaliri Vulpiani M. Effect of Implant Thread Geometry on Secondary Stability, Bone Density, and Bone-to-Implant Contact: A Biomechanical and Histological Analysis. Implant Dent 2015; 24: 384-391.
Ting M, Rice JG, Braid SM, Lee CYS, Suzuki JB. Maxillary Sinus Augmentation for Dental Implant Rehabilitation of the Edentulous Ridge: A Comprehensive Overview of Systematic Reviews. Implant Dent 2017; 26: 438-464.
Gultekin BA, et. al. Evaluation of Volumetric Changes of Augmented Maxillary Sinus With Different Bone Grafting Biomaterials. J Craniofac Surg 2016; 27: 144-148.
Thoma DS, Zeltner M, Hüsler J, Hämmerle CH, Jung RE. EAO Supplement Working Group 4 - EAO CC 2015 Short implants versus sinus lifting with longer implants to restore the posterior maxilla: a systematic review. Clin Oral Implants Res 2015; 154-169.
Gultekin BA, Sirali A, Gultekin P, Yalcin S, Mijiritsky E. Does the Laser-Microtextured Short Implant Collar Design Reduce Marginal Bone Loss in Comparison with a Machined Collar? Biomed Res Int 2016; 2016:9695389.
Pjetursson BE, Tan WC, Zwahlen M, Lang NP. A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. J Clin Periodontol 2008; 35: 216-240.
Conrad HJ, Jung J, Barczak M, Basu S, Seong WJ. Retrospective cohort study of the predictors of implant failure in the posterior maxilla. Int J Oral Maxillofac Implants 2011; 26: 154-162.
Nkenke E, Stelzle F. Clinical outcomes of sinus floor augmentation for implant placement using autogenous bone or bone substitutes: a systematic review. Clin Oral Implants Res 2009; 4: 124-133.
Mundt T, Mack F, Schwahn C, Biffar R. Private practice results of screw-type tapered implants: survival and evaluation of risk factors. Int J Oral Maxillofac Implants 2006; 21: 607-614.
Seong WJ, et. al. Elastic properties and apparent density of human edentulous maxilla and mandible. Int J Oral Maxillofac Surg 2009; 38: 1088-1093.
Nasr S, Slot DE, Bahaa S, Dörfer CE, Fawzy El-Sayed KM. Dental implants combined with sinus augmentation: What is the merit of bone grafting? A systematic review. J Craniomaxillofac Surg 2016; 44: 1607-1617.
Aguirre Zorzano LA, Rodríguez Tojo MJ, Aguirre Urizar JM. Maxillary sinus lift with intraoral autologous bone and B - Tricalcium phosphate: Histological and histomorphometric clinical study. Med Oral Patol Oral Cir Bucal 2007; 12: 532-536.
Lee BK. One-stage operation of large oroantral fistula closure, sinus lifting, and autogenous bone grafting for dental implant installation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 105: 707-713.
Proussaefs P, Lozada J, Kim J, Rohrer MD. Repair of the perforated sinus membrane with a resorbable collagen membrane: a human study. International Journal of Oral & Maxillofacial Implants 2004; 19: 413-420.
Khoury F. Augmentation of the sinus floor with mandibular bone block and simultaneous implantation: a 6-year clinical investigation. International Journal of Oral & Maxillofacial Implants 1999; 14: 557-564.
İlker Keskiner, Ahmet Aydoğdu, Ayça Ersoy Kaleli, Mahmut Sümer. The comparison of oral temperature measurements in smokers and non-smokers. Yeditepe JDent 2015; 11: 5-10.