The volumetric evaluation of sinüs floor augmentation using platelet
rich-fibrin and allogenic bone graft mixture with simultaneous dental
implant placement in severely atrophic posterior maxilla
- Omur Dereci,
- Nesrin Saruhan ,
- Gorkem Tekin
Omur Dereci
Eskisehir Osmangazi University
Corresponding Author:omurdereci@hotmail.com
Author ProfileAbstract
Objectives: To evaluate the efficacy of the combination of platelet-rich
fibrin (PRF) and mineralized bone allograft on the volume of the new
bone formation in the sinus floor augmentation of the severely atrophic
residual alveolar crest with simultaneous dental implant placement.
Materials and Methods: All clinical and radiological data of patients
treated with sinus floor augmentation using the combination of PRF and
demineralized bone allograft with simultaneous dental implant placement
between 01/04/2013 and 01/03/2020 were retrieved from the archives. The
main inclusion criterion for the study was a residual ridge height less
than 2 mm. The volume of the maxillary sinus cavity was measured by a
software program on pre-operative and post-operative cone beam
computerized tomography (CBCT) sections. The graft volume was calculated
by subtracting pre-operative and post-operative total sinus volume.
Residual and post-operative ridge heights were measured by the software
program on the mid-coronal and mid-sagittal sections of pre-operative
and post-operative CBCT images. Results: Eighteen patients with 26 sinus
augmentations were included in the study. Forty-six dental implants were
placed simultaneously with sinus floor augmentation. The follow-up
periods of cases varied between 19 and 29 months. All cases showed new
bone regeneration on axial, coronal and sagittal sections of
post-operative CBCT data. The mean volume of newly regenerated bone was
calculated as 2.1(±0.9) ml. Post-operative ridge heights was
significantly increased compared to pre-operative residual ridge heights
(p<0.05). There was no sign of a relationship between residual
and post-operative ridge heights (p>0.05). Conclusion: The
PRF and demineralized bone allograft combination used in sinus floor
augmentation may provide healthy new bone that supports simultaneously
placed dental implants in function in the severely atrophic alveolar
crests with a residual ridge height less than 2 mm. Keywords: Sinüs
floor augmentation ; allograft ; cone-beam computed tomography ; dental
implant