The indirect sinus lift procedure, combined with autogenous graft material reconstituted with platelet-rich plasma (PRP), has been shown to produce positive outcomes.
The use of PRF during the procedure has been found to enhance bone regeneration (Choudhary et al., 2022). The present study aimed to evaluate the outcomes of indirect sinus lift with hydraulic pressure and the simultaneous placement of implant using platelet-rich fibrin (PRF)
Additionally, the combination of autogenous bone and PRP is effective in sinus lift bone grafting (Ogawa et al., 2015). Sinus lift (SL) using cultured autogenous periosteal cells (CAPCs) combined with autogenous bone and platelet‐rich plasma (PRP) was performed to evaluate the effect of cell administration on bone regeneration, by using high‐resolution three‐dimensional computed tomography (CT). Materials and Methods – SL with autogenous bone and PRP plus CAPC [CAPC(+)SL] was performed in 23 patients
There are various grafting materials used in sinus floor augmentation procedures, including autogenous bone and PRF (Elbalka et al., 2020). Several grafting materials have been used in the sinus floor augmentation procedures including autogenous bone (AB), Xenograft (Bio-Oss), inorganic bovine bone (ABB), platelet-rich fibrin (PRF), plasma-rich fibrin (PRF), hydroxy apatite (HA), calcium sulfate and pegen P15 used AB as a comparator and the other six materials as interventions.
The use of platelet-rich plasma in sinus lift augmentation has been found to be effective in increasing the height of residual alveolar bone (Riaz et al., 2010). Maxillary sinus lift procedure using a mixture of hydroxyapatite crystals and platelet rich plasma was found to be very effective in increasing the height of residual alveolar bone when compared to the use of autografts alone
However, there are alternative techniques such as sinus membrane elevation without adding any graft material, which has also shown positive clinical and radiologic results (Lundgren et al., 2004). The aim of the present study was to investigate the clinical and radiologic results of a new surgical technique by which endosseous implants are inserted in a void space created by elevating the sinus membrane without adding any graft material.
It should also be noted that maxillary sinus lift procedures have been performed with different grafting materials, including autogenous bone grafts and xenografts (Hegde et al., 2016). The direct maxillary sinus lift procedure has been performed with different grafting materials (autogenous bone grafts, alloplasts, allografts, and xenografts) and without grafting material, having new bone formation around the implant
Overall, a variety of procedures and grafting materials have been utilized to address sinus lift and bone augmentation in the maxillary sinus.
References
Choudhary, S., Bali, Y., Kumar, A., Singh, V., Singh, R., Nayan, K. (2022). Outcomes Following Hydraulic Pressure Indirect Sinus Lift In Cases Of Simultaneous Implant Placement With Platelet-rich Fibrin. Cureus. https://doi.org/10.7759/cureus.28087 Elbalka, A., Abdallah, I., El-Ghareeb, T. (2020). A Histomorphometric Meta-analysis Of Sinus Elevation With Various Grafting Materials. Egyptian Dental Journal, 4(66), 2147-2152. https://doi.org/10.21608/edj.2020.39328.1208 Hegde, R., Prasad, K., Shroff, K. (2016). Maxillary Sinus Augmentation Using Sinus Membrane Elevation Without Grafts – a Systematic Review. J Indian Prosthodont Soc, 4(16), 317. https://doi.org/10.4103/0972-4052.191289 Lundgren, S., Anderson, S., Gualini, F., Sennerby, L. (2004). Bone Reformation With Sinus Membrane Elevation: a New Surgical Technique For Maxillary Sinus Floor Augmentation. Clin Implant Dent Rel Res, 3(6), 165-173. https://doi.org/10.1111/j.1708-8208.2004.tb00224.x Ogawa, S., Hoshina, H., Nakata, K., Yamada, K., Uematsu, K., Kawase, T., … & Nagata, M. (2015). High‐resolution Three‐dimensional Computed Tomography Analysis Of the Clinical Efficacy Of Cultured Autogenous Periosteal Cells In Sinus Lift Bone Grafting. Clinical Implant Dentistry and Related Research, 4(18), 707-716. https://doi.org/10.1111/cid.12356 Riaz, R., Ravindran, C. (2010). Efficacy Of Platelet Rich Plasma In Sinus Lift Augmentation. J. Maxillofac. Oral Surg., 3(9), 225-230. https://doi.org/10.1007/s12663-010-0033-8
