Sinus floor augmentation with simultaneous placement of dental implants in the presence of platelet-rich plasma or recombinant human bone morphogenetic protein-7

Authors: J. Camilo Roldán¹; Søren Jepsen²; Christian Schmidt¹; Helge Knüppel¹; David C. Rueger³; Yahya Açil¹; Hendrik Terheyden¹

Source: Clinical Oral Implants Research, Volume 15, Number 6, December 2004 , pp. 716-723(8)

Publisher: Wiley-Blackwell

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Abstract:

The aim of the present study was to evaluate the possible benefit of platelet-rich plasma (PRP) in sinus grafting as compared with recombinant human bone morphogenetic protein-7 (rhBMP-7). For this purpose, we performed a bilateral sinus augmentation with anorganic bovine bone and simultaneous insertion of a titanium screw implant in five miniature pigs. Six hundred microliters of PRP and 15%-vol. autologous bone, which was collected with a trap during preparation of the implant recipient site, were added to the right sinus and 420

l rhBMP-7 to the left sinus. A polychrome sequential labeling was performed. The animals were sacrificed 6 weeks after surgery. Undecalcified ground sections were evaluated by microradiography, digitized histomorphometry and under fluorescent light. The mean bone–implant contact using rhBMP-7 was 45.8% and 5.7% under PRP (P=0.002). The mean height of newly mineralized bone in the augmented area using rhBMP-7 amounted to 8.3 mm as opposed to 3.6 mm under PRP (P=0.013). Using PRP, the mean area of the newly formed bone was enhanced (51.3%) as compared with rhBMP-7 (33.1%); however, this difference was not statistically significant (P=0.081). In conclusion, under the selected experimental conditions the use of rhBMP-7 led to superior outcomes with regard to the osseointegration of dental implants and the height of new bone as compared with the use of PRP.

To cite this article:

Roldán JC, Jepsen S, Schmidt C, Knüppel H, Rueger DC, Açil Y, Terheyden H. Sinus floor augmentation with simultaneous placement of dental implants in the presence of platelet-rich plasma or recombinant human bone morphogenetic protein-7.

Clin. Oral Impl. Res.

doi: 10.1111/j.1600-0501.2004.01070.x

Keywords: anorganic bovine bone; bone morphogenetic proteins; dental implants; platelet-rich plasma; sinus floor augmentation

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1600-0501.2004.01070.x

Affiliations: 1: Department of Oral and Maxillofacial Surgery, University of Schleswig-Holstein, Campus Kiel, Germany 2: Department of Periodontology, Operative and Preventive Dentistry, University of Bonn, Germany 3: Stryker Biotech, Hopkinton, MA, USA

Publication date: 2004-12-01

Sinus floor augmentation with simultaneous placement of dental implants in the presence of platelet-rich plasma or recombinant human bone morphogenetic protein-7

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