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Trial with Platelet-Rich Fibrin and Bio-Oss used as grafting materials in the treatment of the severe maxillar bone atrophy: clinical and radiological evaluations.

AbstractOBJECTIVES:
The aim of the present study is to assess the implant osteointegration, as well as the course of bone regeneration and healing processes, thanks to the sinus lift procedure and by using PRF as a filling material, in association with the Bio-Oss.
MATERIALS AND METHODS:
23 patients, requiring maxillary sinus lift in order to place implants into posterior maxillary region, were involved in this study. Selected cases, in which the height of the residual bone was superior to 5 mm, were adopted for surgical procedure of "one-stage sinus lift" (implant insertion concurrently occured with sinus lift resulting 6-9 months the healing and integration time). Before inserting the implant, a small quantity of filling material was placed in the cavity. For this purpose the bone fragment, stored in saline solution, was employed mixed with Bio-Oss and PRF, after being ground.
RESULTS:
All patients reported no pain to percussion, no sign of tissue suffering in the soft peri-implant tissues, the presence of an optimal primary stability of the inserted implants and a significant increase in the peri-implant bone density.
CONCLUSIONS:
In all cases included in this protocol, the Authors observed a successful implant-prosthetic rehabilitation, according with Albrektsson criteria.
AuthorsF Inchingolo, M Tatullo, M Marrelli, A M Inchingolo, S Scacco, A D Inchingolo, G Dipalma, D Vermesan, A Abbinante, R Cagiano
JournalEuropean review for medical and pharmacological sciences (Eur Rev Med Pharmacol Sci) Vol. 14 Issue 12 Pg. 1075-84 (Dec 2010) ISSN: 1128-3602 [Print] Italy
PMID21375140 (Publication Type: Clinical Trial, Journal Article)
Chemical References
  • Bio-Oss
  • Bone Substitutes
  • Minerals
  • Fibrin
Topics
  • Alveolar Bone Loss (diagnostic imaging, surgery)
  • Blood Transfusion, Autologous
  • Bone Regeneration
  • Bone Substitutes (therapeutic use)
  • Bone Transplantation
  • Dental Implantation
  • Fibrin (therapeutic use)
  • Humans
  • Italy
  • Maxilla (diagnostic imaging, surgery)
  • Maxillary Diseases (diagnostic imaging, surgery)
  • Minerals (therapeutic use)
  • Osseointegration
  • Platelet Transfusion
  • Severity of Illness Index
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome

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