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在上颌窦中早期植入种植体,该上颌窦采用富含白细胞和血小板的纤维蛋白及脱蛋白牛骨矿物质进行移植。

Early Placement of Dental Implants in Maxillary Sinus Grafted With Leukocyte and Platelet-Rich Fibrin and Deproteinized Bovine Bone Mineral.

作者信息

Pichotano Elton Carlos, de Molon Rafael Scaf, Freitas de Paula Luiz Guilherme, de Souza Ricardo Violante, Marcantonio Elcio, Zandim-Barcelos Daniela Leal

机构信息

1   Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Sao Paulo State University - UNESP, Araraquara, SP, Brazil.

2   Department of Integrated Clinic, University Center of Anapolis - Unievangelica Dental School, GO, Brazil.

出版信息

J Oral Implantol. 2018 Jun;44(3):199-206. doi: 10.1563/aaid-joi-D-17-00220. Epub 2018 Feb 19.


DOI:10.1563/aaid-joi-D-17-00220
PMID:29457934
Abstract

This case report aimed to describe the effects of leukocyte and platelet-rich fibrin (L-PRF) associated with demineralized bovine bone mineral (DBBM) and absorbable collagen membrane (CM) on bone regeneration in maxillary sinus augmentation. A 59-year-old male patient was referred to the Department of Periodontology for implant rehabilitation of his edentulous upper jaw. The treatment plan involved maxillary sinus augmentation followed by implant installations. A split-mouth design was employed in which the right maxillary sinus was filled using L-PRF, DBBM, and CM; the left side was filled with DBBM and CM. After 4 and 8 months postoperatively, 2 dental implants were installed in each of the right and left maxillary sinuses. Cone-beam computerized tomography (CBCT) was taken before and after sinus augmentation for evaluation of tridimensional bone volume alterations. Bone biopsies were harvested from the implant sites for histomorphometric evaluation. Resonance frequency analysis was employed immediately after implant placement and before prosthetic rehabilitation for evaluation of implant stability. Implants were loaded 10 months after sinus augmentation. CBCT analysis showed a higher resorption rate in the right side of the maxillary sinus (L-PRF + DBBM) compared to the left side (22.25% and 8.95%, respectively). Implant stability quotients were above 68 in all time-points for both groups. Histomorphometric analysis showed a high amount of newly formed bone when L-PRF was used compared with DBBM alone (2 118 102 and 975 535 mm, respectively). Taken together, both techniques were effective for maxillary sinus augmentation, however the addition of L-PRF to the graft allowed early implant placement and accelerated bone healing in the conditions studied.

摘要

本病例报告旨在描述富含白细胞和血小板的纤维蛋白(L-PRF)联合脱矿牛骨矿物质(DBBM)和可吸收胶原膜(CM)对上颌窦提升术中骨再生的影响。一名59岁男性患者因上颌无牙颌的种植修复被转诊至牙周病科。治疗方案包括上颌窦提升术,随后进行种植体植入。采用双侧对照设计,右侧上颌窦使用L-PRF、DBBM和CM填充;左侧填充DBBM和CM。术后4个月和8个月,在左右上颌窦各植入2颗牙种植体。在窦提升术前和术后进行锥形束计算机断层扫描(CBCT),以评估三维骨体积变化。从种植部位获取骨活检样本进行组织形态计量学评估。在种植体植入后立即和进行修复前采用共振频率分析评估种植体稳定性。在窦提升术后10个月对种植体进行加载。CBCT分析显示,上颌窦右侧(L-PRF + DBBM)的吸收速率高于左侧(分别为22.25%和8.95%)。两组在所有时间点的种植体稳定性商数均高于68。组织形态计量学分析显示,与单独使用DBBM相比,使用L-PRF时新形成的骨量较多(分别为2 118 102和975 535 mm)。综上所述,两种技术对上颌窦提升均有效,但在本研究条件下,在移植物中添加L-PRF可使种植体早期植入并加速骨愈合。

相似文献

[1]
Early Placement of Dental Implants in Maxillary Sinus Grafted With Leukocyte and Platelet-Rich Fibrin and Deproteinized Bovine Bone Mineral.

J Oral Implantol. 2018-6

[2]
Evaluation of L-PRF combined with deproteinized bovine bone mineral for early implant placement after maxillary sinus augmentation: A randomized clinical trial.

Clin Implant Dent Relat Res. 2019-1-28

[3]
Combination of leukocyte and platelet-rich fibrin and demineralized bovine bone graft enhanced bone formation and healing after maxillary sinus augmentation: a randomized clinical trial.

Clin Oral Investig. 2023-9

[4]
Maxillary sinus augmentation with leukocyte and platelet-rich fibrin and deproteinized bovine bone mineral: A split-mouth histological and histomorphometric study.

Clin Oral Implants Res. 2017-8-8

[5]
Evaluation of the Effectiveness of Liquid Platelet-Rich Fibrin and Deproteinized Bovine Bone Mineral Mixture on Newly Formed Bone in Maxillary Sinus Augmentation: A Split-Mouth, Histomorphometric Study.

Niger J Clin Pract. 2021-9

[6]
Three-dimensional volumetric assessment and stability of simultaneously placed implant following sinus floor augmentation with deproteinized human demineralized tooth matrix or deproteinized bovine bone mineral: a randomized controlled clinical trial.

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[7]
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Int J Oral Maxillofac Implants. 2024-6-21

[8]
Implant stability after sinus floor augmentation with deproteinized bovine bone mineral particles of different sizes: a prospective, randomized and controlled split-mouth clinical trial.

Int J Oral Maxillofac Surg. 2016-12

[9]
Sinus Augmentation With Platelet-Rich Fibrin in Combination With Bovine Bone Graft Versus Bovine Bone Graft in Combination With Collagen Membrane.

J Oral Implantol. 2015-10

[10]
A reduced healing protocol for sinus floor elevation in a staged approach with deproteinized bovine bone mineral alone: A randomized controlled clinical trial of a 5-month healing in comparison to the 8-month healing.

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引用本文的文献

[1]
Evaluation of bone regeneration in rat calvaria using combination of enamel matrix derivate and bone graft substitute: a histological, histometric and immunohistochemical study.

Oral Maxillofac Surg. 2025-5-5

[2]
Effects of Platelet-Rich Fibrin on Bone Healing Around Implants Placed in Maxillary Sinuses: A Histomorphometric Assessment in Rabbits.

J Funct Biomater. 2024-12-12

[3]
Guided Bone Regeneration: CGF and PRF Combined With Various Types of Scaffolds-A Systematic Review.

Int J Dent. 2024-12-5

[4]
Navigating the combinations of platelet-rich fibrin with biomaterials used in maxillofacial surgery.

Front Bioeng Biotechnol. 2024-10-7

[5]
Sinus Floor Augmentation with Synthetic Hydroxyapatite (NanoBone) in Combination with Platelet-Rich Fibrin: A Case Series.

Biomedicines. 2024-7-25

[6]
Autologous leucocyte and platelet rich in fibrin (L-PRF) - is it a competitive solution for bone augmentation in maxillary sinus lift? A 6-month radiological comparison between xenografts and L-PRF.

Med Pharm Rep. 2024-4

[7]
Combination of leukocyte and platelet-rich fibrin and demineralized bovine bone graft enhanced bone formation and healing after maxillary sinus augmentation: a randomized clinical trial.

Clin Oral Investig. 2023-9

[8]
Clinical application of platelet-rich fibrin to enhance dental implant stability: A systematic review and meta-analysis.

Heliyon. 2023-1-26

[9]
Clinical and radiographic outcomes of dental implant after maxillary sinus floor augmentation with rhBMP-2/hydroxyapatite compared to deproteinized bovine bone.

PLoS One. 2022

[10]
Sinus Lift Associated with Leucocyte-Platelet-Rich Fibrin (Second Generation) for Bone Gain: A Systematic Review.

J Clin Med. 2022-3-28

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