Implantology (대한구강악안면임플란트학회지)

The Korean Academy of Oral & Maxillofacial Implantology (대한구강악안면임플란트학회)
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Alveolar Ridge Preservation of Maxillary Molars for Implant Placement Without Sinus Lift Surgery: Case series

상악동 거상술을 동반하지 않는 치조제 보존술: 증례연구(Case series)

  • Cho, Hag-Yeon (Department of Periodontology, Dankook University College of Dentistry) ;
  • Suh, Chang-Wan (Department of Periodontology, Dankook University College of Dentistry) ;
  • Duong, Hieu Pham (Department of Maxilo-Stomatology, Vietnam National University School of Medicine and Pharmacy) ;
  • Lee, Sung-Jo (Department of Periodontology, Dankook University College of Dentistry) ;
  • Cho, In-Woo (Department of Periodontology, Dankook University College of Dentistry) ;
  • Shin, Hyun-Seung (Department of Periodontology, Dankook University College of Dentistry) ;
  • Koo, Ki-Tae (Department of Periodontology and Dental Research Institute, Seoul National University School of Dentistry) ;
  • Fickl, Stefan (Department of Periodontology, Julius-Maximilian University of Wurzburg) ;
  • Park, Jung-Chul (Department of Periodontology, Dankook University College of Dentistry)
  • 조학연 (단국대학교 치과대학 치주과학교실) ;
  • 서창완 (단국대학교 치과대학 치주과학교실) ;
  • ;
  • 이성조 (단국대학교 치과대학 치주과학교실) ;
  • 조인우 (단국대학교 치과대학 치주과학교실) ;
  • 신현승 (단국대학교 치과대학 치주과학교실) ;
  • 구기태 (서울대학교 치의학대학원 치주과학교실) ;
  • ;
  • 박정철 (단국대학교 치과대학 치주과학교실)
  • Received : 2018.08.09
  • Accepted : 2018.12.13
  • Published : 2018.12.31
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Abstract

Sinus lift procedure is frequently required for the maxillary molar implant placement. Previous studies have demonstrated alveolar ridge preservation (ARP) can maintain the dimensions of ridge height and width. However, there is a lack of studies which evaluated the effect of ARP to avoid sinus lift procedure. Purpose of this study is to describe a method reducing the need of sinus lift surgery by ARP in maxillary molar areas and to assess the feasibility clinically, radiologically and histologically. Ten maxillary molars in ten patients had severe vertical bone resorption with minimal residual bone height. They were considered having the high possibility of the necessity of sinus lift procedure for dental implant after the extraction. After extraction, open healing ARP with deproteinized bovine bone mineral mixed with 10% collagen and resorbable collagen membranes was performed. After sufficient healing, dental implants were placed, and evaluated clinically and radiologically. Histological observation was conducted just before the implantation in one patient. Implants were successfully placed without sinus lift in all ten cases. All the implants were restored with no sign of complications, and patients are now in a close follow-up up to 20 months post-loading. Histological observation showed minimal inflammatory reaction and newly formed bone was substantially noted. The ARP technique has successfully avoided the sinus lift surgeries. It appears that this procedure may improve the simplicity of the clinical process for the clinicians and reduce the discomfort of patients.

Keywords

References

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