Direct Maxillary Sinus Floor Augmentation for Simultaneous Dental Implant Placement

• Published in: Annals of maxillofacial surgery 2018, Vol.8 (2), p.188-192
• Main Authors: Kumar, Mamit, Chopra, Sumit, Das, Debdutta, Gupta, Monika, Memoalia, Jyoti, Verma, Gaurav
• Format: Article
• Language: English
• Subjects: Bone transplantation; Dental implants; Fibrin; Health aspects; Innovations; Original - Comparative Study; Paranasal sinuses; Physiological aspects
• ISSN: 2231-0746; 2249-3816
• DOI: 10.4103/ams.ams_168_18

The present study was done to evaluate the efficacy of platelet-rich fibrin (PRF) with bovine bone graft (Bio-Oss™) in direct sinus augmentation for simultaneously dental implant placement. The study included 14 patients who fulfill the inclusion criteria, among them 10 were male and 4 were female with PRF with Bio-Oss™. For each patient, bone level was assessed preoperatively and postoperatively after 1, 6, and 12 months with a panoramic X-ray and radiovisiography to evaluate the vertical bone height from the shoulder of the implant to the most apical end. The outcome of the sinus lift and the implants placed was evaluated periodically at 1, 6, and 12 months postoperatively. All the patients underwent two-stage procedures. At the end of 20 week, implants were exposed; radiological parameters were assessed again for implant integration, and prosthetic rehabilitation was started after 2 weeks and it was completed by the end of 24 weeks (6 months postoperatively). Twelve months postoperatively, the endosinus bone gain noted was 7 mm, which indicated the use of PRF with bovine bone graft as a reliable filling material during simultaneous sinus lift and implantation. PRF with bone graft (Bio-Oss) is used as an augmentation material after direct maxillary sinus lift, and the resulting bone formation was adequate for placement of dental implant.