PMID- 26315564 OWN - NLM STAT- MEDLINE DCOM- 20180329 LR - 20180329 IS - 1708-8208 (Electronic) IS - 1523-0899 (Linking) VI - 18 IP - 5 DP - 2016 Oct TI - Two-Center Prospective, Randomized, Clinical, and Radiographic Study Comparing Osteotome Sinus Floor Elevation with or without Bone Graft and Simultaneous Implant Placement. PG - 873-882 LID - 10.1111/cid.12373 [doi] AB - PURPOSE: To evaluate stability and success rate of hydrophilic nanostructured implants placed via osteotome sinus floor elevation (OSFE) without grafting material or using beta-tricalcium phosphate (beta-TCP), deproteinized bovine bone (DBB), or their combination, and also to assess three-dimensional volumetric stability of endo-sinus bone gained in the aforementioned conditions. MATERIALS AND METHODS: OSFE with simultaneous implant placement (10-mm long SLActive-BL((R)) , Straumann, Basel, Switzerland) was performed. Grafting materials were randomly allocated to implant sites, whereas one site was left without graft. Implant stability was measured by resonance frequency analysis over 6 months. Implant success was evaluated after 2 years of loading. Volume of new endo-sinus bone was calculated from CBCT images using 3D Slicer((R)) software. RESULTS: A total of 180 implants were inserted into posterior maxilla of 45 patients with 6.59 +/- 0.45 mm of residual bone height, and all remained successful after 2 years. Implant stability steadily increased during healing, without significant difference between groups (p = .658). After 2 years, endo-sinus bone significantly shrank (p < .001) in all groups (DBB:66.34%; beta-TCP:61.44%; new bone formed from coagulum: 53.02%; beta-TCP + DBB:33.47%). CONCLUSIONS: Endo-sinus bone gained after OSFE inevitably and significantly shrinks regardless of whether grafting material is applied or not. Grafting material offers no significant advantage to stability nor clinical success of hydrophilic and nanostructured implants placed simultaneously with OSFE. CI - (c) 2015 Wiley Periodicals, Inc. FAU - Markovic, Aleksa AU - Markovic A AD - Clinic of Oral Surgery, School of Dental Medicine, University of Belgrade, Belgrade, Serbia. maleksa64@gmail.com. FAU - Misic, Tijana AU - Misic T AD - Clinic of Oral Surgery, School of Dental Medicine, University of Belgrade, Belgrade, Serbia. FAU - Calvo-Guirado, Jose Luis AU - Calvo-Guirado JL AD - Faculty of Medicine and Dentistry, University of Murcia, Murcia, Spain. FAU - Delgado-Ruiz, Rafael Arcesio AU - Delgado-Ruiz RA AD - Department of Prosthodontics and Digital Technology, School of Dental Medicine, Stony Brook University, Stony Brook, NY, USA. FAU - Janjic, Bojan AU - Janjic B AD - Clinic of Oral Surgery, School of Dental Medicine, University of Belgrade, Belgrade, Serbia. FAU - Abboud, Marcus AU - Abboud M AD - Department of Prosthodontics and Digital Technology, School of Dental Medicine, Stony Brook University, Stony Brook, NY, USA. LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20150828 PL - United States TA - Clin Implant Dent Relat Res JT - Clinical implant dentistry and related research JID - 100888977 RN - 0 (Calcium Phosphates) RN - K4C08XP666 (tricalcium phosphate) SB - IM MH - Animals MH - Bone Transplantation MH - Calcium Phosphates MH - Cattle MH - Female MH - Humans MH - Male MH - Middle Aged MH - Osteotomy MH - Prospective Studies MH - Sinus Floor Augmentation/*methods OTO - NOTNLM OT - bone graft OT - implant stability OT - implant success OT - no grafting OT - osteotome sinus floor elevation OT - posterior maxilla OT - volumetric changes EDAT- 2015/09/01 06:00 MHDA- 2018/03/30 06:00 CRDT- 2015/08/29 06:00 PHST- 2015/09/01 06:00 [pubmed] PHST- 2018/03/30 06:00 [medline] PHST- 2015/08/29 06:00 [entrez] AID - 10.1111/cid.12373 [doi] PST - ppublish SO - Clin Implant Dent Relat Res. 2016 Oct;18(5):873-882. doi: 10.1111/cid.12373. Epub 2015 Aug 28.