Abstract：Objective: To compare the clinical effect of A-PRF, gelatin sponge and Bio Oss bone powder in the same period of implant placement in concave maxillary sinus floor external lift surgery.Methods: 108 patients with insufficient height of residual bone in maxillary posterior area and concave shape of maxillary sinus floorwere randomly divided into A-PARF group (A), gelatin sponge group (B) and Bio Oss bone powder control group (C). 145 implants were implanted at the same time. The degree of postoperative reaction and the new bone density in maxillary sinus at 4, 6 and 12 months were compared among the three groups. Results: The degree of postoperative complications was no obvious difference in the 3 groups (P>0.05). The group C of the HU was significantly higher than the group A and B at 4 m after the operation (P<0.05). The group A of the HU was significantly higher than the group B at 4 m after the operation (P<0.05), but the group A of the HU at 4m was close to the preoperative HU. There was no difference in the 3 groups at 6 m,12 m (P>0.05). Conclusion: A-PRF can promote the early formation of new bone, and can achieve good clinical results in the cases of simultaneous implantation of sinus-lifting operations which the sinus floor is concave by using A-PRF alone.
[1] Nandal S,Ghalaut P,Nandal D.Inadequate vertical bone dimension managed by indirect sinus grafting technique and simultaneous implant placement[J].Natl Maxillofac Surg,2016,7(2):213~216. [2] Nasr S,Slot DE,Bahaa S,et al.Dental implants combined with sinus augmentation: What is the merit of bone grafting a systematic review[J].Journal of Cranio-Maxillofacial Surgery,2016,44(10):1607~1617. [3] 张景喜,丁明会,杨占宝,等.富血小板纤维蛋白用于阻生齿拔除的临床疗效观察[J].临床合理用药,2019,12(1):24~27. [4] 应怡倩,马攀.组织工程技术在上颌窦提升植骨材料中的研究进展[J].口腔颌面修复学杂志,2017,18(5):296~300. [5] Cortellini S,Casteo AB,Temmerman A,et al.Leucocyte-and platelet-rich fibrin block for bone augmentation procedure: a proof-of-concept study[J].J Indian Prosthodont Soc,2018,45(5):624~634. [6] Tehranchi A,Behnia H,Pourdanesh F,et al.The effect of autologous leukocyte platelet rich fibrin on the rate of orthodontic tooth movement: a prospective randomized clinical trial[J].Eur Dent,2018,12(3):350~357. [7] Neamat A,Ali S,Boskani S,et al.An indirect sinus floor elevation by using piezoelectric surgery with platelet-rich fibrin for sinus augmentation:a short surgical practice[J].Int Case Unages,2017,8(6):380~384. [8] Yalim M,Hendek MK,Ozkan SY,et al.Comparison of the clinical,radiographic,and histological effects of titanium-prepared platelet rich fibrin to allograft materials in sinus-lifting procedures[J].Journal of investigative and clinical dentistry,2018,9(4):1~7. [9] Sahand S,Majid E,Elahe T,et al.Using absorbable gelatin sponge to facilitate sinus membrane elevation during open sinus lift: technical notes and case series[J].Journal of Dental Materials and Techniques,2019,8(1):1~7. [10] Alalawy,Haider.Bone formation after Gelfoam crestal sinus lifting and proposal of a drill-less technique.Clinical Oral Implants Research[J].2019,30(19):512.
2021, Vol. 27 
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