Maxillary Sinus Clinical Trial
Official title:
MAXILLARY SINUS ELEVATION USING GELFOAM (ABSORBABLE GELATIN) VERSUS XENOGRAFT (TUTOGEN) and SIMULTANEOUS IMPLANT PLACEMENT:Randomized Clinical Trial
using gel foam [ absorbable gelatin ] in maxillary sinus elevation which act as a space maintainer and alternative to bone filler for new bone formation in the maxillary sinus and its advantages for patients undergoing maxillary sinus elevation with simultaneous implant placement as regards the implant stability and amount of bone height gain compared to conventional maxillary sinus elevation by xenograft.
One of the main problem for posterior maxilla it becomes atrophic after extraction of the
teeth and this followed by Pneumatization of the maxillary sinus, the atrophy of the alveolar
process is a common reason for the limited availability of alveolar bone for implant
placement in the posterior maxilla.
Numerous techniques designed to increase bone volume in the maxillary sinus region have been
proposed. They were mostly based on the insertion of various materials into a void created
between the sinus (Schneiderian) membrane and the bony walls of the maxillary sinus. (Sohn et
al 2008) reported simultaneous placement of implants, and insertion of gelatin sponges
demonstrate new bone formation through clinical and radiographic evaluations. New bone
formation was verified by stabilization of the elevated sinus membrane from the tenting
effect of placement of dental implants and absorbable gelatin sponge without any bone graft
material. This study shows that there is great potential for new bone formation in the
maxillary sinus without the use of additional bone grafts. Systemic review showed that the
survival rate for implants utilizing xenografts was statistically the same as for implants
placed in particulate autogenous bone grafts .
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