 |
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2019, vol. 25, issue2
Subject Area: Dental Medicine
-
DOI: 10.5272/jimab.2019252.2559
Published online: 10 June 2019
Case report
J of IMAB. 2019 Apr-Jun;25(2):2559-2562
SINUS LIFT BY LATERAL APPROACH WITH SIMULTANEOUS IMPLANT PLACEMENT USING PLATELET-RICH FIBRIN AS SOLE GRAFTING MATERIAL. CASE REPORT
Ivan Chenchev
, Vasilena Ivanova,
Department of Oral Surgery, Faculty of Dental Medicine, Medical University - Plovdiv, Bulgaria.
ABSTRACT:
Introduction: The lack of sufficient bone in the distal part of the upper jaw is often a problem in the planning and placement of dental implants. In the lateral sinus lift, autogenous bone and other different bone substitutes are used alone and in combination to ensure sufficient bone volume. Recently, the use of PRF alone and in combination with various bone substitute materials in sinus lift procedures revealed promising clinical results.
Case report: Patient is a 56-year-old male with missing upper right molars and a residual bone height of 2.8 to 5.1 mm. A lateral sinus lift was performed using PRF alone. After filling the sinus cavity with PRF was inserted four dental implants.
Conclusion: The presented clinical case reveals rapid and uncomplicated post-operative period. The implant stability, measured in the fourth month, was with very good. The x-ray (CBCT) examination revealed the rapid formation of a new bone structure around the implants and good osteointegration as early as 4 months after the procedure. The clinical and radiographic results support the use of PRF as a sole graft material for lifting the sinus floor with simultaneous placement of dental implants.
Keywords: A-PRF, lateral sinus lift, dental implants, bone substitute,
- Download FULL TEXT /PDF 1470 KB/
Please cite this article as: Chenchev I, Ivanova V. Sinus Lift by Lateral Approach with Simultaneous Implant Placement Using Platelet-Rich Fibrin as Sole Grafting Material. Case report. J of IMAB. 2019 Apr-Jun;25(2):2559-2562. DOI: 10.5272/jimab.2019252.2559
Correspondence to: Assoc. Prof. Dr Ivan Chenchev, DDS, PhD, Department of Oral Surgery, Faculty of Dental Medicine, Medical University – Plovdiv, Bulgaria; E-mail: ivan_chenchev@yahoo.com
REFERENCES:
1. Mazor Z, Horowitz RA, Del Corso M, Prasad HS, Rohrer MD, Dohan Ehrenfest DM. Sinus floor augmentation with simultaneous implant placement using Choukroun's platelet-rich fibrin as the sole grafting material: a radiologic and histologic study at 6 months. J Periodontol. 2009 Dec;80(12):2056-64. [PubMed] [Crossref]
2. Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg. 1980 Aug;38(8):613-6. [PubMed]
3. Geurs NC, Wang IC, Shulman LB, Jeffcoat MK. Retrospective radiographic analysis of sinus graft and implant placement procedures from the Academy of Osseointegration Consensus Conference on Sinus Grafts. Int J Periodontics Restorative Dent. 2001 Oct;21(5):517-23. [PubMed]
4. Browaeys H, Bouvry P, De Bruyn H. A literature review on biomaterials in sinus augmentation procedures. Clin Implant Dent Relat Res. 2007 Sep;9(3):166-77. [PubMed] [Crossref]
5. Wallace SS, Froum SJ. Effect of maxillary sinus augmentation on the survival of endosseous dental implants. A systematic review. Ann Periodontol. 2003 Dec;8(1):328-43. [PubMed] [Crossref]
6. Klijn RJ, Meijer GJ, Bronkhorst EM, Jansen JA. A meta-analysis of histomorphometric results and graft healing time of various biomaterials compared to autologous bone used as sinus floor augmentation material in humans. Tissue Eng Part B Rev. 2010 Oct;16(5):493-507. [PubMed] [Crossref]
7. Dohan Ehrenfest DM, Doglioli P, de Peppo GM, Del Corso M, Charrier JB. Choukroun's platelet-rich fibrin (PRF) stimulates in vitro proliferation and differentiation of human oral bone mesenchymal stem cell in a dose-dependent way. Arch Oral Biol. 2010 Mar;55(3):185-94. [PubMed] [Crossref].
8. Chenchev I, Ivanova V, Bachurska S. Socket preservation with PRF as a sole grafting material – clinical and histological evaluation. Case report. IOSR-JDMS. 2017 Oct;16(10);72-76.
9. Tatum H Jr. Maxillary and sinus implant reconstructions. Dent Clin North Am. 1986 Apr;30(2):207-29. [PubMed]
10. Zitzmann NU, Schärer P. Sinus elevation procedures in the resorbed posterior maxilla. Comparison of the crestal and lateral approaches. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Jan;85(1):8-17. [PubMed] [Crossref]
11. Lundgren S, Cricchio G, Palma VC, Salata LA, Sennerby L. Sinus membrane elevation and simultaneous insertion of dental implants: A new surgical technique in maxillary sinus floor augmentation. Periodontol 2000. 2008; 47:193-205. [PubMed] [Crossref]
12. Thor A, Sennerby L, Hirsch JM, Rasmusson L. Bone formation at the maxillary sinus floor following simultaneous elevation of the mucosal lining and implant installation without graft material: An evaluation of 20 patients treated with 44 Astra Tech implants. J Oral Maxillofac Surg. 2007 Jul;65(7 Suppl 1):64-72. [PubMed] [Crossref]
13. Hatano N, Sennerby L, Lundgren S. Maxillary sinus augmentation using sinus membrane elevation and peripheral venous blood for implant-supported rehabilitation of the atrophic posterior maxilla: Case series. Clin Implant Dent Relat Res. 2007 Sep;9(3):150-5. [PubMed] [Crossref]
14. Choukroun J, Diss A, Simonpieri A, Girard MO, Schoeffler C, Dohan SL, et al. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part V: histologic evaluations of PRF effects on bone allograft maturation in sinus lift. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Mar;101(3):299-303. [PubMed] [Crossref]
15. Simonpieri A, Choukroun J, Del Corso M, Sammartino G, Dohan Ehrenfest DM. Simultaneous sinus-lift and implantation using microthreaded implants and leukocyte- and platelet-rich fibrin as sole grafting material: a six-year experience. Implant Dent. 2011 Feb;20(1):2-12. [PubMed] [Crossref]. .
Received: 21 January 2019
Published online: 10 June 2019