A randomised trial of the bone formation after maxillary sinus floor augmentation with bovine hydroxyapatite (Cerabone®) and Photobiomodulation: histomorphometric and immunohistochemical analysis.

Autor: Klassmann FA; Latin American Institute of Dental Research and Teaching, School of Dentistry Ilapeo, Curitiba, Paraná, Brazil., Ervolino E; Department of Basic Sciences, School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil., Kluppel LE; Latin American Institute of Dental Research and Teaching, School of Dentistry Ilapeo, Curitiba, Paraná, Brazil., Theodoro LH; Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil., Mulinari-Santos G; Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil., Garcia VG; Latin American Institute of Dental Research and Teaching, School of Dentistry Ilapeo, Curitiba, Paraná, Brazil.
Jazyk: angličtina
Zdroj: Journal of clinical and experimental dentistry [J Clin Exp Dent] 2023 Jul 01; Vol. 15 (7), pp. e542-e550. Date of Electronic Publication: 2023 Jul 01 (Print Publication: 2023).
DOI: 10.4317/jced.60594
Abstrakt: Background: The use of non-autogenous biomaterial to increase bone height in the maxillary sinus has been shown to be effective, but the results are still inconclusive.
Material and Methods: Eight participants were selected and included in the research. After surgical access with osteotomy on the lateral wall of both maxillary sinuses, these were filled with Cerabone®. Then, by blind randomization, they received one of the following treatments: Filling with Cerabone® (Control group); treatment with Photobiomodulation (PBM), filling with Cerabone® and treatment with low-power laser (PBM group). Biopsies were obtained 30 days after the surgery, using a 2.8 mm internal diameter trephine bur. Qualitative and quantitative histological analyzes were performed and immunohistochemical analyzes of osteocalcin (OCN) and tartrate-resistant acid phosphatase (TRAP) were performed with scores for each of the biological events.
Results: The Cerabone® biomaterial demonstrated a high degree of biocompatibility. New bone formation was observed in both groups. In the PBM group, there was greater bone formation and newly formed tissue in an advanced state of bone maturation. The immunostaining of OCN was greater at 30 days in the PBM group than in the control. There was no significant difference in TRAP immunostaining at 30 days between the groups.
Conclusions: Low-power laser-mediated by PBM promoted greater bone formation; the newly formed tissue showed a more advanced state of bone maturation in maxillary sinuses filled with Cerabone® biomaterial and treatment with PBM, within the 30-day evaluation period. Key words: Sinus floor augmentation, dental implants, bone and bones, low-level light therapy.
Competing Interests: Conflicts of interest The authors have no conflicts of interest regarding the publication of this paper.
(Copyright: © 2023 Medicina Oral S.L.)
Databáze: MEDLINE