TABLE 3.
Authors |
1. Setting(s) 2. Country(ies) |
RCT Design | Protocol for sinus floor elevation | Biologic | Material | Final Number of Participants | Final number of interventions | Healing Time (months) | Method(s) for assessment of primary outcomes | Main findings from primary outcomes |
---|---|---|---|---|---|---|---|---|---|---|
Barros Mourão et al. (2019) |
1. University 2. Brazil |
Split‐mouth | LA: Osteotomy performed with Piezoelectric. Resorbable membrane between the material and the Schneiderian membrane | BDGF | CaP | 10 | 10 | 6 | CBCT | BDGF does not improve bone repair when associated with calcium phosphate in MSFA procedures |
None | CaP | 10 | ||||||||
Bettega et al. (2009) |
1. Private practice 2. France |
Split‐mouth | LA: not specified | PRP | AB (iliac crest) | 18 | 18 | 12 | CT and histology | PRP does not provide any further benefit for bone healing |
None | AB (iliac crest) | 18 | ||||||||
Boyne et al. (2005) |
1. University 2. USA |
Parallel‐group | LA: Osteotomy performed with a bur and the lateral bony wall was removed | BMP‐2 (0.75mg/mL) | ACS | 18 | 18 | 4 | CT and histology | BMP‐2 is safe and effective to induce bone formation in maxillary sinus floor elevation procedures to enable implant placement |
BMP‐2 (1.5mg/dl) | ACS | 17 | 17 | |||||||
None | AB and/or ALL | 13 | 13 | |||||||
Cho et al. (2020) |
1. University 2. South Korea |
Double‐center parallel‐arms | CA: Special drilling system with hydraulic system to lift‐up the membrane | PRF | None | 20 | 20 | 12 | CBCT | PRF provided superior support for the elevated sinus membrane |
None | None | 20 | 20 | |||||||
Froum et al. (2013) (A) |
1. University 2. USA |
Split‐mouth | LA: Rotatory bur or piezoelectric for osteotomy. | PDGF | DBBM | 24 | 24 | 4‐5 or 7‐9 | Histology | More rapid formation of vital bone with the addition of rhPDGF may allow for earlier implant placement |
None | DBBM | 24 | ||||||||
Froum et al. (2013)(B) |
1. University 2. USA |
Split‐mouth | LA: Osteotomy performed with rotary bur or piezoelectric | BMP‐2/ACS (8.4mg and 5.6 mL) | ALL | 21 | 10 | 6 to 9 | Histology | The group with higher dose of rhBMP‐2 combined with ALL had more newly formed bone and less residual ALL particles when compared to the group with the lower dose combined with ALL and to the control group |
BMP‐2/ACS (4.2mg and 2.8 mL) | ALL | 11 | ||||||||
None | ALL | 11 | ||||||||
Kim et al. (2015) |
1. University 2. South Korea |
Multi‐center parallel‐arm | LA: not specified | BMP‐2 (1mg/mL) | HA | 65 | 65 | 3 | Histology | The use of BMP‐2 is safe, effective and accelerates bone formation in the early stages of healing after MSFA |
None | DBBM | 62 | 62 | |||||||
Nizam et al. (2018) |
1. University 2. Turkey |
Split‐mouth | LA: Osteotomy performed with rotatory burs. Resorbable membrane adapted to the sinus wall | PRF | DBBM | 13 | 13 | 6 | Histology | RF in ABBM does not improve the amount of regenerated bone or the amount of the graft integrated into the newly formed bone |
None | DBBM | 13 | ||||||||
Pichotano et al. (2019) |
1. University 2. Brazil |
Split‐mouth | LA: Osteotomy performed with rotatory burs. Resorbable membrane adapted to the sinus wall | L‐PRF | DBBM | 12 | 12 | 4 (test) 8 (control) | CBCT, histology and RFA | The addition of L‐PRF to DBBM for MSFA allows early implant placement with increased new bone formation than ABBM alone after 8 months of healing |
None | DBBM | 12 | ||||||||
Triplett et al. (2009) |
1. University 2. USA |
Multi‐center parallel‐arm | LA: Osteotomy performed with a bur and the lateral bony wall was removed | BMP‐2 (1.5mg/dL) | ACS | 58 | 58 | 6 | CT and histology | BMP‐2 is safe and effective in MSFA with no marked differences in terms of newly bone formation. Vertical bone gain was superior for the control group. |
None | AB | 69 | 69 | |||||||
Wiltfang et al. (2003) |
1. University 2. Germany |
Parallel arms | LA: not specified | PRP | TCP | 22 | 22 | 6 | Histology | PRP does not significantly contribute to bone regeneration in MSFA |
None | TCP | 23 | 23 | |||||||
Zhang et al. (2012) |
1. University 2. China |
Parallel arms | LA: Osteotomy prepared for access. | PRF | DBBM | 5 | 6 | 6 | Histology | PRF does not contribute to bone regeneration in MSFA |
None | DBBM | 5 | 5 | |||||||
None | DBBM | 22 |
Abbreviations: PRF, platelet‐rich fibrin; PRP, platelet‐rich plasma; L‐PRF, leucocyte platelet‐rich fibrin; CBCT, cone beam computed tomography; FDBA, freeze‐dried bone allograft; CSH, calcium sulfate hemihydrate; EMD, enamel matrix derivative; DBBM, deproteinized bovine bone mineral; BDGF, blood‐derived growth factors; AB, autologous bone; ALL, allogenic bone; ACS, absorbable collagen sponge; PRGF, plasma rich in growth factors; LA, lateral‐wall approach; CA, crestal approach; CaP, calcium phosphate; TCP, tricalcium phosphate; RFA, resonance frequency analysis; MSFA, maxillary sinus floor augmentation.