Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea.
Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.
J Clin Periodontol. 2020 May;47(5):649-656. doi: 10.1111/jcpe.13273. Epub 2020 Mar 11.
To determine the volume stability of a sinus augmented with a collagenated bovine bone mineral (CBBM) in case of an intact or perforated Schneiderian membrane (SM).
A bilateral sinus augmentation procedure was performed in eight rabbits. The SM was intentionally perforated in one side (SMP group), while it remained intact in contra-lateral side (control group) and the same amount of CBBM was then grafted. At 12 weeks, the animals were euthanized for radiographic and histomorphometric analyses.
The augmented volume did not differ significantly between the two groups: 262.2 ± 32.1 mm in SMP group and 261.9 ± 48.5 mm in the control group (p = .959). There was no significant difference in the total augmented area: 24.7 ± 5.2 mm in SMP group and 23.2 ± 2.9 mm in the control group (p = .773). The areas of newly formed bone also did not differ significantly between the two groups, but was significantly lower at the centre of the augmented region than in the region of the surgical window in both groups (p < .05).
A perforation of the SM in a rabbit model does neither impact the augmented volume nor new bone formation following grafting of the sinus with a CBBM.
确定在完整或穿孔的筛状膜(SM)情况下,使用胶原牛骨矿物质(CBBM)增强鼻窦的体积稳定性。
在 8 只兔子中进行双侧鼻窦增强手术。一侧 SM 被故意穿孔(SMP 组),而对侧 SM 保持完整(对照组),然后移植相同数量的 CBBM。在 12 周时,对动物进行安乐死,进行放射照相和组织形态计量学分析。
两组之间的增强体积没有显著差异:SMP 组为 262.2±32.1mm,对照组为 261.9±48.5mm(p=0.959)。总增强面积无显著差异:SMP 组为 24.7±5.2mm,对照组为 23.2±2.9mm(p=0.773)。两组新骨形成面积也无显著差异,但在增强区域的中心明显低于两组的手术窗口区域(p<0.05)。
在兔子模型中,SM 的穿孔既不会影响使用 CBBM 增强鼻窦后的增强体积,也不会影响新骨形成。