Conditions: Inadequate Bone Height in Maxillary Posterior Area
Keywords: Histomorphometric Analysis New bone Formation Sinus Augmentation Bone Graft Materials
Allocation: RANDOMIZED | Intervention model: FACTORIAL
Enrollment: 22
Healthy volunteers: yes

Brief summary:
The purpose of this study is to compare new bone formation following bone graft in sinus using three different commercially available bone graft materials. The study hypothesis is that there is no difference in new bone formation among three bone graft materials under microscope.

Detailed description:
The purpose of this investigation is to compare new bone formation through histomorphometric analysis following maxillary sinus augmentation using three different bone graft materials. Null Hypothesis is that there is no histomorphometric difference in new bone formation in maxillary sinuses augmented using three different materials; anorganic bovine bone graft (Bio-Oss), anorganic equine bone graft (Equimatrix) and mineralized bone allograft (OSSIF-i sem). Patients who require sinus augmentation prior to implant placement will be selected to participate in this study. All patients will be randomly placed into three groups according to bone graft materials that will be used. Group A (Control group,n=10): Maxillary sinus augmentation using anorganic bovine bone graft (Bio-Oss), Group B (Test group,n=10):Maxillary sinus augmentation using anorganic equine bone graft (Equimatrix), and Group C (Test group,n=10):Maxillary sinus augmentation using mineralized bone allograft (OSSIF-i sem). All the patients will be treated with the same surgical technique consisting of sinus floor augmentation via a lateral approach.After a full-thickness flap reflection to expose the lateral wall of the sinus each antrostomy will be outlined with a carbide round bur and sinus membranes will be carefully elevated. If a perforation to the sinus membrane occurs, and if the perforation is \< 5 mm in diameter and is able to be repaired, the surgeon will continue the procedure. Any perforation \> 5 mm will be excluded from this study. Bone graft materials will be placed into the each sinus compartment for the three groups. After 8 months of healing, biopsy specimen will be collected from the previous antrostomy sites. Histomorphometric measurements of the percentage of vital bone of the area of bone. The percentage of non-bone material (allograft or xenograft) and the percentage of connective tissue will be also analyzed. Then the primary hypothesis will be analyzed statistically.

Arms:
arm 1: Sinus augmentation using Bio-oss arm 2: Sinus augmentation using Equimatrix arm 3: Sinus augmentation using OSSIF-i sem

Interventions: intervention 1: Sinus augmentation intervention 2: Equimatrix intervention 3: OSSIF-i sem intervention 4: Bio-oss
Intervention descriptions: intervention 1: None intervention 2: Equimatrix cancellous particle size 0.2-1mm approximately 2g (4cc) intervention 3: OSSIF-i sem Mineralized Cancellous Bone Allograft SP 0.25-1.0mm approximately 2cc x 2 intervention 4: Bio-oss small granules cancellous 0.25-1mm, approximately 2g (4cc)

Protocol document: