Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제38권2호
  • /
  • Pages.85-89
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  • 2012
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
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Multicenter clinical study on the hydrodynamic piezoelectric internal sinus elevation (HPISE) technique

  • Lee, Hyung-Ju (Department of Dentistry and Oral and Maxillofacial Surgery, Daegu Catholic University Medical Center) ;
  • Moon, Jee-Won (Department of Dentistry and Oral and Maxillofacial Surgery, Daegu Catholic University Medical Center) ;
  • Lee, Ju-Hyoung (Department of Dentistry and Oral and Maxillofacial Surgery, Daegu Catholic University Medical Center) ;
  • Park, In-Sook (Department of Dentistry and Oral and Maxillofacial Surgery, Daegu Catholic University Medical Center) ;
  • Kim, Nam-Ho (Department of Oral and Maxillofacial Surgery, Chung-Ang University College of Medicine) ;
  • Sohn, Dong-Seok (Department of Dentistry and Oral and Maxillofacial Surgery, Daegu Catholic University Medical Center)
  • 투고 : 2011.06.22
  • 심사 : 2012.03.06
  • 발행 : 2012.04.30
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초록

Objectives: This study was to evaluate the effect of vertical bone gain and success rate and analyze the failure cases using the hydrodynamic piezoelectric internal sinus elevation (HPISE) technique. Materials and Methods: Patients who had been operated in the three centers including Daegu Catholic University Medical Center were selected for this study. The mucoperiosteal flap was elevated, and the sinus floor was then broken by specially designed piezoelectric insert, with hydraulic pressure applied to the sinus membrane for even elevation. Afterward, implants were placed. Panoramic radiogram or computed tomogram was taken before and after surgery and at the second operation and prosthesis placement. Later, changes in vertical height were measured and compared. The survival rate was based on the criteria of Buser et al. and Cochran et al. Results: In this study, 8 implants failed out of a total of 169 implants, resulting a success rate of 95.3%. These failure cases were due to insufficient initial stability or sinus membrane perforation. The mean of radiographic vertical height change at prosthesis placement was 5.7 mm (0.5-10.5 mm). Conclusion: In this study, HPISE technique was found to be a predictable treatment for atrophic maxilla and an alternative technique to the lateral approach.

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참고문헌

  1. Atwood DA. Bone loss of edentulous alveolar ridges. J Periodontol 1979;50:11-21.
  2. Misch CE. Maxillary sinus augmentation for endosteal implants: organized alternative treatment plans. Int J Oral Implantol 1987; 4:49-58.
  3. Smiler DG, Johnson PW, Lozada JL, Misch C, Rosenlicht JL, Tatum OH Jr, et al. Sinus lift grafts and endosseous implants. Treatment of the atrophic posterior maxilla. Dent Clin North Am 1992;36:151-86.
  4. Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980;38:613-6.
  5. Adell R, Lekholm U, Grondahl K, Branemark PI, Lindstrom J, Jacobsson M. Reconstruction of severely resorbed edentulous maxillae using osseointegrated fixtures in immediate autogenous bone grafts. Int J Oral Maxillofac Implants 1990;5:233-46.
  6. Raghoebar GM, Vissink A, Reintsema H, Batenburg RH. Bone grafting of the floor of the maxillary sinus for the placement of endosseous implants. Br J Oral Maxillofac Surg 1997;35:119-25.
  7. Aghaloo TL, Moy PK. Which hard tissue augmentation techniques are the most successful in furnishing bony support for implant placement? Int J Oral Maxillofac Implants 2007;22 Suppl:49-70.
  8. Summers RB. A new concept in maxillary implant surgery: the osteotome technique. Compendium 1994;15:152, 154-6, 158 passim; quiz
  9. Summers RB. The osteotome technique: Part 2--The ridge expansion osteotomy (REO) procedure. Compendium 1994;15:422, 424, 426, passim; quiz
  10. Summers RB. The osteotome technique: Part 3--Less invasive methods of elevating the sinus floor. Compendium 1994;15:698, 700, 702-4 passim; quiz
  11. Di Girolamo M, Napolitano B, Arullani CA, Bruno E, Di Girolamo S. Paroxysmal positional vertigo as a complication of osteotome sinus floor elevation. Eur Arch Otorhinolaryngol 2005;262:631-3.
  12. Peñarrocha M, Garcia A. Benign paroxysmal positional vertigo as a complication of interventions with osteotome and mallet. J Oral Maxillofac Surg 2006;64:1324.
  13. Cochran DL, Buser D, ten Bruggenkate CM, Weingart D, Taylor TM, Bernard JP, et al. The use of reduced healing times on ITI implants with a sandblasted and acid-etched (SLA) surface: early results from clinical trials on ITI SLA implants. Clin Oral Implants Res 2002;13:144-53.
  14. Buser D, Mericske-Stern R, Bernard JP, Behneke A, Behneke N, Hirt HP, et al. Long-term evaluation of non-submerged ITI implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants. Clin Oral Implants Res 1997;8:161-72.
  15. Coatoam GW, Krieger JT. A four-year study examining the results of indirect sinus augmentation procedures. J Oral Implantol 1997;23:117-27.
  16. Wallace SS, Froum SJ. Effect of maxillary sinus augmentation on the survival of endosseous dental implants. A systematic review. Ann Periodontol 2003;8:328-43.
  17. Del Fabbro M, Testori T, Francetti L, Weinstein R. Systematic review of survival rates for implants placed in the grafted maxillary sinus. Int J Periodontics Restorative Dent 2004;24:565-77.
  18. Toffler M, Toscano N, Holtzclaw D. Osteotome-mediated sinus floor elevation using only platelet-rich fibrin: an early report on 110 patients. Implant Dent 2010;19:447-56.
  19. Sohn DS, Moon JW, Moon KN, Cho SC, Kang PS. New bone formation in the maxillary sinus using only absorbable gelatin sponge. J Oral Maxillofac Surg 2010;68:1327-33.
  20. Shin HI, Sohn DS. A method of sealing perforated sinus membrane and histologic finding of bone substitutes: a case report. Implant Dent 2005;14:328-33.
  21. Le Gall MG. Localized sinus elevation and osteocompression with single-stage tapered dental implants: technical note. Int J Oral Maxillofac Implants 2004;19:431-7.
  22. Lundgren S, Andersson S, Gualini F, Sennerby L. Bone reformation with sinus membrane elevation: a new surgical technique for maxillary sinus floor augmentation. Clin Implant Dent Relat Res 2004;6:165-73.
  23. Palma VC, Magro-Filho O, de Oliveria JA, Lundgren S, Salata LA, Sennerby L. Bone reformation and implant integration following maxillary sinus membrane elevation: an experimental study in primates. Clin Implant Dent Relat Res 2006;8:11-24.
  24. Sohn DS, Lee JS, Ahn MR, Shin HI. New bone formation in the maxillary sinus without bone grafts. Implant Dent 2008;17:321-31.