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Natl J Maxillofac Surg. 2019 Jan-Jun;10(1):13-19. doi: 10.4103/njms.NJMS_58_18.

Radiographical and histological evaluation of bioactive synthetic bone graft putty in sinus floor augmentation: A pre- and post-intervention study.

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1
Department of Oral and Maxillofacial Surgery, All India Institute of Medical Sciences, New Delhi, India.

Abstract

Objective:

The main objective is to evaluate the quantity and quality of bone formed after use of bioactive synthetic bone graft putty in sinus augmentation and to radiographically and histologically evaluate increase in alveolar bone height in augmented sinus.

Materials and Methods:

It is a pre- and post-intervention study of 15 patients (present at both baseline and at 6 months) with 80% power and 95% confidence level.

Results:

The mean increase in alveolar bone height is 7.08 ± 1.42 mm ranging from 5.6 mm to 10.7 mm. It is evident from the data that there has been increase in alveolar bone height postbone graft augmentation. P < 0.001 shows that increase in alveolar bone height is highly significant as compared to preoperative bone height. The mean postoperative density is 525.43 ± 104.18 hounsfield unit ranging from 649 HU to 350 HU. This is also a D3 quality bone as per Misch classification. The mean difference in alveolar bone density is 104 ± 125.16 HU. P = 0.0053 shows that increase in alveolar bone density is significant as compared to preoperative bone density.

Conclusion:

Bioactive synthetic bone graft putty yields sufficient quantity of mineralized tissue for implant placement in patients with 2-6 mm of alveolar bone height before grafting. Histologically, it has shown that it has good osteoconductive properties and good quality of bone is formed within 6 months of its augmentation.

KEYWORDS:

Dental implant; histological evaluation; sinus augmentation; synthetic bone graft

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