Reliability of Cone Beam Computed Tomography in Determining Mineralized Tissue in Augmented Sinuses.

Purpose: The aim of this study was to analyze cone beam computed tomography (CBCT) densitometries of maxillary sinuses augmented with human bone allograft. In addition, previously obtained microradiographic specimens were used to verify the diagnostic potential of CBCT. Materials and Methods: A two-...

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Published in:International Journal of Oral & Maxillofacial Implants Vol. 31; no. 2; pp. 352 - 359
Main Authors: Soardi, Carlo Maria, Suárez-López del Amo, Fernando, Galindo-Moreno, Pablo, Catena, Andrés, Zaffe, Davide, Hom-Lay Wang
Format: equations & formulas research tables/charts Journal Article
Published: Quintessence Publishing Company Inc. Mar/Apr2016
Online Access:View this record in EBSCOhost
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      dt: Mar/Apr2016
      vid: 31
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      pub: Quintessence Publishing Company Inc.
      place: Batavia, Illinois
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        10.11607/jomi.4111
        114279672
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        atl: Reliability of Cone Beam Computed Tomography in Determining Mineralized Tissue in Augmented Sinuses.
      aug:
        au:
          Soardi, Carlo Maria
          Suárez-López del Amo, Fernando
          Galindo-Moreno, Pablo
          Catena, Andrés
          Zaffe, Davide
          Hom-Lay Wang
        affil: Resident, Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, Michigan, USA
      sug:
        subj:
          Tomography, X-Ray Computed
          Maxillary Sinus Surgery
          Dental Implants
          Allografts
          Human
          Data Analysis Software
          P-Value
          Female
          Male
          Female
          Male
      ab: Purpose: The aim of this study was to analyze cone beam computed tomography (CBCT) densitometries of maxillary sinuses augmented with human bone allograft. In addition, previously obtained microradiographic specimens were used to verify the diagnostic potential of CBCT. Materials and Methods: A two-stage protocol was conducted in 21 consecutive patients, all with a crestal bone height < 2 mm. Mineralized human bone allograft particles were used to augment sinuses using a lateral window approach. A succession of CBCT scans of the maxilla were taken before surgery, immediately after sinus augmentation, and 6,10, and 18 months after implant placement. Using virtual probes, CBCT images taken at 6, 8, and 10 mm from the crestal surface were processed with medical imaging software and expressed as gray level (GL). Results: A total of 24 sinus augmentation procedures were performed in 21 patients. The average values of CBCT-GL ranged from 571 to 654, presenting the maximum value at 8 mm immediately after implant placement and the minimum value at 6 mm after 10 months. Furthermore, it was found that the graft mineral content decreased over time, completely disappearing between 10 and 11 months. Conclusion: CBCT and the medical imaging software employed for imaging visualization are reliable tools to study biomaterial behavior after sinus augmentation procedures. In addition, results from this study demonstrate that a complete resorption of human bone allograft is possible. Due to the limited sample size, further clinical and morphometric studies are needed.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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