Immediate Loading of the Grafted Maxillary Sinus Using Platelet Rich Plasma and Autogenous Bone: A Preliminary Study With Histologic and Histomorphometric Analysis

Cameron Y. S. Lee, Michael D. Rohrer, Hari S. Prasad
2008 Implant Dentistry  
Objective: The goal of this clinical study was to evaluate dental implant survival rates using the concept of a nonfunctional, immediate loading protocol with nonsplinted dental implants in the grafted maxillary sinus during a 52-week period. Random histomorphological and histomorphometric analysis was completed to evaluate the early healing effect of platelet rich plasma (PRP) and 50% autogenous bone combined with 3 different substitute graft materials. Materials: Four to 8 months after
more » ... months after grafting the sinus with PRP sprayed autogenous bone combined with 3 different substitute graft materials in a 50:50 composite ratio, 27 hydroxyapatitecoated dental implants were surgically placed in 41 patients and immediately loaded between 48 hours and 5 days later with custom titanium abutments and acrylic provisional restorations placed out of functional occlusion. Six months later, definitive ceramometal restorations were cemented on to the custom abutments. Results: During a 52-week observation period, no implants were lost. Between 4 and 8 months of graft healing time, histologic and histomorphometric analysis revealed formation of new vital bone in different graft specimens ranging from 77% to 100%. Conclusion: The preliminary results of this clinical study indicate that immediate nonfunctional loading using PRP and 50% autogenous bone combined with different substitute graft materials is a predictable protocol in the grafted maxillary sinus as early as 4 months of postgrafting. The high implant survival rate is due to the early formation of large percentages of new vital bone as confirmed by using histologic and histomorphometric analysis. (Implant Dent 2008;17:59 -73)
doi:10.1097/id.0b013e318166ce3c pmid:18332759 fatcat:jrltbeqypvcfpkbs5teqehl7wy