Advantages of Porcine Xenograft over Autograft in Sinus Lift: A Randomised Clinical Trial

Autor: Sónia Gouveia, Daniel Humberto Pozza, António Felino, Francisco Correia, Ricardo Faria-Almeida
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Sinus Floor Augmentation
Technology
bone grafting
Bone grafting
Maxillary sinus
bone substitutes
medicine.medical_treatment
Sinus lift
Split mouth randomised clinical trial
sinus floor augmentation
Article
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
bone regeneration
law
medicine
sinus augmentation
General Materials Science
Bone regeneration
Bone substitutes
Microscopy
QC120-168.85
Sinus augmentation
business.industry
QH201-278.5
030206 dentistry
Autologous bone
Engineering (General). Civil engineering (General)
split mouth randomised clinical trial
TK1-9971
Clinical trial
medicine.anatomical_structure
Descriptive and experimental mechanics
030220 oncology & carcinogenesis
Electrical engineering. Electronics. Nuclear engineering
TA1-2040
business
Nuclear medicine
Sinus floor augmentation
Zdroj: Materials
Volume 14
Issue 12
Materials, Vol 14, Iss 3439, p 3439 (2021)
ISSN: 1996-1944
DOI: 10.3390/ma14123439
Popis: This study aimed to compare the performance of intra-oral autologous bone grafts versus porcine xenografts in a two-step lateral window sinus lift. This split-mouth randomised controlled trial sequentially enrolled 12 patients with a 6-month follow-up. For each patient, a simultaneous randomised bilateral maxillary sinus lift was performed and filled with autologous bone from the mandible (control) or a porcine xenograft (test). A bone biopsy sample was collected during the implant placement for histological and histomorphometric analysis. CT scans were performed at the beginning and at the end of the trial to assess radiological evolution. A comparison of initial and six-month CT scans indicated statistically significant increases in bone level for both materials (7.8 ± 2.4 mm for autologous and 8.7 ± 2.2 mm for xenograft, p <
0.05), and there were no significant differences between the performance of the two materials over time (p = 0.26). The histological analysis showed various stages of the remodelling process and no cells or other signs of inflammation or infection were visible in both groups. The porcine xenografts presented similar results for the studied variables when compared to autologous bone, being a reasonable alternative for a sinus lift.
Databáze: OpenAIRE
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