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Kühl, S; Payer, M; Kirmeier, R; Wildburger, A; Wegscheider, W; Jakse, N.
The influence of bone marrow aspirates and concentrates on the early volume stability of maxillary sinus grafts with deproteinized bovine bone mineral - first results of a RCT.
Clin Oral Implants Res. 2014; 25(2):221-225
Doi: 10.1111/clr.12101
Web of Science
PubMed
FullText
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- Führende Autor*innen der Med Uni Graz
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Kühl Sebastian
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Payer Michael
- Co-Autor*innen der Med Uni Graz
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Jakse Norbert
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Kirmeier Robert
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Wegscheider Walther
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Wildburger Angelika
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- Abstract:
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The aim of the study was to investigate whether bone marrow aspirates (BMA) and concentrates (BMAC) influence the grafts' stability when added to deproteinized bovine bone mineral (DBBM) within the first 6 months after maxillary sinus augmentation.
26 CT data of 13 patients undergoing bilateral maxillary sinus augmentation in a split-mouth design were evaluated using the Voxim software by comparing the graft volumes 2 weeks after the sinus lift procedure with CT data obtained 6 months later. DBBM with (N = 6) or without tibial BMA (N = 6) and DBBM with (N = 7) and without adding iliac BMAC (N = 7) were used as grafts. Absolute and percentage changes in the graft volumes were evaluated, and the nonparametric Mann-Whitney U-test and the nonparametric Wilcoxon test were performed to determine significant differences between the graft volumes within each single split-mouth group and between the two groups.
Overall, the volumes decreased between 15% and 21%. All single groups showed statistically significant decreases over 6 months of healing. The time-dependent changes in volumes between the different groups were not statistically significant (P = 0.818).
An evident decrease in graft volume over the first 6 months of healing has to be expected irrespectively of graft composite. Neither BMA nor BMAC seem to have an evident impact. Overaugmentation seems recommendable in two-stage maxillary sinus surgery.
© 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd.
- Find related publications in this database (using NLM MeSH Indexing)
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Animals -
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Bone Marrow Transplantation - methods
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Bone Transplantation - methods
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Cattle -
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Humans -
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Ilium - transplantation
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Maxillary Sinus - diagnostic imaging
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Maxillary Sinus - surgery
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Middle Aged -
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Prospective Studies -
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Radiographic Image Interpretation, Computer-Assisted -
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Sinus Floor Augmentation - methods
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Tibia - transplantation
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Tomography, X-Ray Computed -
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Treatment Outcome -
- Find related publications in this database (Keywords)
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bone replacement materials
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maxillary sinus floor augmentation
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volume stability