Table 2.
Histomorphometric outcomes after maxillary sinus floor augmentation with autogenous bone graft compared with alternate grafting materials
| Study |
Year of publication |
Number of patients | Materials and methods | Outcome measures | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Maxillary sinus floor augmentation |
RBH (mm) |
Type of grafting material |
Length of observation period (months) |
Number of biopsies |
Bone-to-implant contact (%) |
Bone regeneration | |||||||||
| TBV, BAF or NFB | Non-mineralized tissue | Residual graft | |||||||||||||
| Mean (SD) | Mean (SD) | Mean (SD) | Mean (SD) | ||||||||||||
| Tadjoedin et al. [30] | 2000 | 10 | 10 | < 3 | 50% Biogran®; 50% autogenous | 4 - 16 | 36 | NR | 4 month | 5 month | 6 month | 16 month | NR | NR | |
| 28.5 (1.4) | 34.5 (1.6) | 38.1 (5.7) | 44.5 | ||||||||||||
| 10 | Autogenous | 36 | 40.9 (3.3) | 42.2 (4.5) | 43.7 (2.4) | 45.1 | |||||||||
| Hallman et al. [31] | 2002 | 21 | 11 | < 5 | 20% Bio-Oss®; 80% autogenous | 6.5 | 8 | 54.3 (33.1) | 39.9 (8) | NR | 12.3 (8.5) | ||||
| 11 | Autogenous | 8 | 34.6 (9.5) | 37.7 (31.3) | NR | ||||||||||
| Zerbo et al. [32] | 2004 | 9 | 9 | 4 - 8 | Cerasorb® | 6 | 32 | NR | 17 (5) | NR | NR | ||||
| 5 | Autogenous | 18 | 41 (10)a | ||||||||||||
| Barone et al. [33] | 2005 | 18 | 18 | < 3 | OsteoBiol® | 5 | NR | NR | 67 (14.9) | NR | NR | ||||
| 18 | Autogenous | 70 (19.9) | |||||||||||||
| Szabó et al. [34] | 2005 | 20 | 20 | < 5 | Cerasorb® | 6 | 40 | NR | 36.5 (6.9) | NR | NR | ||||
| 20 | Autogenous | 40 | 38.3 (7.4) | ||||||||||||
| Bettega et al. [35] | 2009 | 18 | 9 | 3 | Autogenous mixed with PRP | 6 | 9 | NR | 43.2 | NR | NR | ||||
| 9 | 3.5 | Autogenous | 9 | 50 | |||||||||||
| Johansson et al. [36] | 2013 | 24 | 10 | 4.3 | Bloodclot | 7 | 10 | 93.5 (3.3) | NR | NR | NR | ||||
| 10 | 3.5 | Bloodclot and membrane | 9 | 92 (4.1) | |||||||||||
| 10 | 4.3 | Autogenous | 10 | 93.5 (3.3) | |||||||||||
| Khairy et al. [37] | 2013 | 15 | 10 | < 5 | Autogenous mixed with PRP | 4 - 6 | NR | NR | 4 month | 6 month | NR | NR | |||
| 27.3 (6.3) | 28 (4.1) | ||||||||||||||
| 5 | Autogenous | 6 | NR | 39.5 (7.4)b | |||||||||||
| Schmitt et al. [38] | 2013 | 30 | 45 | 2.3 | BoneCeramic® | 5 | 14 | NR | 30.3 (2.2) | 55.2 (5.6) | 15.2 (2.1) | ||||
| 2.5 | Bio-Oss® | 15 | 24.9 (5.7) | 53.7 (8.1) | 21.4 (4.8) | ||||||||||
| NR | |||||||||||||||
| 2.6 | Puros® | 12 | 35.4 (2.8) | 64.6 (2.8) | |||||||||||
| 2.2 | Autogenous | 12 | 42.7 (2.1)c | 57.3 (2.1) | |||||||||||
| Tosta et al. [39] | 2013 | 30 | 15 | 4.1 | BoneCeramic® | 9 | NR | NR | Intermediate | Apical | Intermediate | Apical | NR | ||
| 33.7 (8.1) | 26.7 (3.9) | 33.4 (8) | 39.6 (11.1) | ||||||||||||
| 15 | Autogenous | 41 (4.6)d | 38.6 (7.5)e | 59.2 (4.7)f | 60.6 (7.2)g | ||||||||||
| Xavier et al. [40] | 2015 | 15 | 15 | ≤ 3 | Fresh frozen bone | 6 | 15 | NR | 8.3 (3) | 56.8 (7.3) | 34.9 (6.4) | ||||
| 15 | Autogenous | 15 | 8.3 (3.4) | 55.6 (14.5) | 36.1 (12.8) | ||||||||||
| Danesh-Sani et al. [41] | 2016 | 10 | 10 | < 5 | BoneCeramic® | 6 - 8 | 10 | NR | 28.2 (8.4) | 38.9 (14.9) | 32.9 (8.1) | ||||
| 10 | Autogneous | 10 | 36.8 (11.5)h | 58.4 (10)i | 4.8 (2.4)j | ||||||||||
| Pereira et al. [42] | 2017 | 30 | 10 | < 5 | Biogran® | 6 | NR | NR | Intermediate | Apical | Intermediate | Apical | NR | ||
| 40.7 (14) | 45.6 (13.5) | 56.6 (15.3) | 47.9 (12.1) | ||||||||||||
| 10 | 50% Biogran®; 50% autogenous | 33.2 (13.3) | 45.8 (13.9) | 62.5 (14.7) | 48.8 (17.7) | ||||||||||
| 10 | Autogenous | 35.3 (14.7) | 39.9 (15.8) | 61.2 (15.7) | 57.8 (16.2) | ||||||||||
| Pereira et al. [43] | 2017 | 22 | 12 | < 5 | chronOS® | 6 | NR | NR | Intermediate | Apical | Intermediate | Apical | NR | ||
| 47.6 (9.9) | 44.8 (22.1) | 52.3 (9.9) | 55.1 (22.1) | ||||||||||||
| 12 | 50% chronOS®; 50% autogenous | 32.5 (13.7) | 32.8 (16) | 60.1 (13.9) | 55.5 (9.2) | ||||||||||
| 12 | Autogenous | 31 (13) | 46.1 (16.3) | 65 (10.2) | 50.2 (14.5) | ||||||||||
| Menezes et al. [44] | 2018 | 21 | 14 | < 5 |
50% Biogran®; 50% autogenous |
6 | NR | NR | Intermediate | Apical | NR | NR | |||
| 33.2 (13.3) | 45.8 (13.8) | ||||||||||||||
| 13 | Autogenous | 35 (13.9) | 42 (16.6) | ||||||||||||
| Pereira et al. [45] | 2018 | 10 | 12 | < 5 | Biogran® | 6 | NR | NR | 52.1 | NR | NR | ||||
| 7 | 9 | 50% Biogran®; 50% autogenous | 57.4 | ||||||||||||
| 10 | 12 | Autogenous bone | 57.2 | ||||||||||||
aP < 0.05 (Independent t-test); bP = 0.003 (Paired t-test); cP = 0.0001 (Kruskal-Wallis test); dP = 0.008 (Mann-Whitney test); eP < 0.0001 (Mann-Whitney test); fP < 0.0001 (Mann-Whitney test); gP < 0.0001 (Mann-Whitney test); hP = 0.0032 (Paired t-test); iP = 0.0001 (Paired t-test); jP < 0.0001 (Paired t-test).
BAF = bone area fraction; NFB = newly formed bone; NMT = non-mineralized tissue; PRP = platelet rich plasma; RBH = residual bone height; RCT = randomized controlled trial; SD = standard deviation; TBV = total bone volume.