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Open AccessFeature PaperArticle

Sinus Membrane Elevation with Heterologous Cortical Lamina: A Randomized Study of a New Surgical Technique for Maxillary Sinus Floor Augmentation without Bone Graft

1
Department of Medical, Oral and Biotechnological Sciences and CeSi-Met, ‘G. D’Annunzio’ University of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy
2
Department of Oral Implantology, Dental Research Division, College Ingà, UNINGÁ, Cachoeiro de Itapemirim, 29312 Espirito Santo, Brazil
3
Department of Medical, Oral and Biotechnological Sciences University of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy
*
Author to whom correspondence should be addressed.
Materials 2018, 11(8), 1457; https://doi.org/10.3390/ma11081457
Received: 19 July 2018 / Revised: 8 August 2018 / Accepted: 14 August 2018 / Published: 17 August 2018
Background: The aim of this randomized controlled clinical trial was to compare the efficacy of two different techniques for maxillary sinus augmentation using a lateral window approach: Heterologous cortical lamina without any grafting material versus 100% collagenated granular collagen porcine bone. Methods: Twenty-three healthy patients with not relevant past medical history (14 women and 9 men, non-smokers, mean age 52 years, range 48–65 years) were included. In Group I, the sinus was filled with collagen porcine bone (Geno-os, OsteoBiol, Turin, Italy) and a collagen membrane (Evolution, OsteoBiol, Turin, Italy) was used to close the lateral window of the sinus. In Group II, the sinus was treated with heterologous cortical lamina only (Lamina, OsteoBiol, Turin, Italy). Results: There was a statistically significant difference in the surgical time required to complete the augmentation procedures: 18.3 ± 2.1 min for lamina treated sites versus 12.5 ± 3.1 min for porcine bone treated sites. In Group I, the mean volume of the graft was 3101 ± 321 mm3 in the immediate postoperative examination (5–7 days), while after a six-month healing period it was 2716.7 ± 432 mm3. Conclusion: This study demonstrates that the use of heterologous cortical lamina is a valid technique for the mechanical support of sinus membranes resulting in only bone tissue formation and not mixed with the graft. The graft material was biocompatible and not completely resorbed after six months, although the remains were integrated into the bone. View Full-Text
Keywords: histomorphometry; cone beam computed tomography; collagenated porcine bone; resorbable barrier; sinus lift; heterologous cortical lamina; without graft histomorphometry; cone beam computed tomography; collagenated porcine bone; resorbable barrier; sinus lift; heterologous cortical lamina; without graft
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Scarano, A.; De Oliveira, P.S.; Traini, T.; Lorusso, F. Sinus Membrane Elevation with Heterologous Cortical Lamina: A Randomized Study of a New Surgical Technique for Maxillary Sinus Floor Augmentation without Bone Graft. Materials 2018, 11, 1457.

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