Journal of Oral Implantology February 2012 - (Page 43)

CLINICAL Maxillary Sinus Augmentation With Autogenous Tibial Bone Graft as an In-Office Procedure Dmitry Peysakhov, DMD1* Elie M. Ferneini, DMD, MD, MHS2 Richard G. Bevilacqua, DMD, MD3 This retrospective study evaluates the efficacy of maxillary sinus grafting using autologous tibial bone in an outpatient setting. Twenty-seven patients undergoing lateral proximal tibial bone graft with subsequent sinus lifts were involved in this study. All surgeries were performed by the same surgeon in a private practice setting. A total of 28 tibial bone grafts and sinus lifts were performed on 27 patients. All subjects had minimal morbidity without any major complications. At the 1-year follow-up all implants that were placed into the grafted sites maintained stability, and no implants were lost. Two patients complained of hypertrophic scars at the site of bone harvesting (7.4%). One patient complained of leg pain for 10 weeks after the procedure, which resolved completely (2.7%). Overall complication rate was 10.1%. We conclude that the surgical harvesting of proximal tibial bone is associated with a low incidence of overall complications, mild postoperative pain, relative ease of harvest, minimal operative time, immediate ambulation, and rapid recovery, which make it an ideal office procedure when a significant amount of corticocancellous bone is required for maxillary sinus grafting. Key Words: sinus lift, tibial bone graft, maxillary sinus, dental implants INTRODUCTION oday, autologous bone still constitutes the gold standard for grafting and augmentation in oral and maxillofacial surgery. For the past several decades, different anatomic donor sites have been 1 Department of Oral and Maxillofacial Surgery, Temple University Hospital, Philadelphia, Pa. 2 Division of Oral and Maxillofacial Surgery, University of Connecticut Health Center, Farmington, Conn. Private practice limited to Oral and Maxillofacial Surgery, Waterbury, Conn. 3 Craniofacial Team, Connecticut Children’s Medical Center, Hartford, Conn. Private practice limited to Oral and Maxillofacial Surgery, West Hartford, Conn. * Corresponding author, e-mail: dmitrypey@yahoo.com DOI: 10.1563/AAID-JOI-D-10-00140 T used to harvest autologous bone with varying success. These include anterior and posterior iliac crest, proximal and distal tibia, mandibular ramus, mandibular symphysis, calvarium, and scapula. Thus far, there is a substantial body of evidence of a relatively positive track record in the use of autologous bone from most anatomic locations. Compared with xenografts, allografts, and synthetic grafts, which are mainly used as osteoconductive lattices, autografts display both osteoinductive and osteoconductive potential. This in turn translates into significantly superior results with faster graft incorporation into the anatomic location, decreased chance of graft rejection, Journal of Oral Implantology 43

Table of Contents for the Digital Edition of Journal of Oral Implantology February 2012

A Fluent Electronic Support and Clinical Care Letters: New Formats and More Interactivity Between Journal of Oral Implantology and Its Readers
Dental Implants Immediate Loading Versus the Standard 2-Staged Protocol: An Experimental Study in Dogs
Correlation Between Surface Hydrophilicity and Osteoblastic Differentiation on Microgrooved Titanium Substrata
Analyzing the Effects of the Platform-Switching Procedure on Stresses in the Bone and Implant-Abutment Complex by 3-Dimensional Fem Analysis
Detection of the Mandibular Canal and the Mental Foramen in Panoramic Radiographs: Intraexaminer Agreement
Use of Intraoral Welding to Stabilize Dental Implants in Augmented Sites for Immediate Provisionalization: A Case Report
Maxillary Sinus Augmentation With Autogenous Tibial Bone Graft as an In-Office Procedure
Influence of Prognostic Risk Indicators on Osseointegrated Dental Implant Failure: A Matched Case-Control Analysis
Full Mouth Rehabilitation With Dental Implants for a Patient With Skeletal Class III Malocclusion: A Case Report
Removal of Fractured Implants Using the Apicoectomy Technique and Immediate Replacement With New Implants: Case Report
Reconstruction of a Patient With Rosai-Dorfman Disease Using Ramus Graft and Osseointegrated Implants: A Case Report
Immediate Loading in Mandible Full-Arch: Pilot Study in Patients With Osteoporosis in Bisphosphonate Therapy
Natural Tooth Versus Implant: A Key to Treatment Planning

Journal of Oral Implantology February 2012