Histological and Histomorphometric Analyses after Sinus Floor Augmentation with Different Grafting Materials

Abstract

Homogeneous grafts from a bone bank, heterogeneous grafts and allow plastic grafts have already been studied and used for maxillary sinus elevation in order to reconstruct the bone for placement of dental implants. The present work aims to histologically assess bone neoformation from autogenous and heterogeneous (or xenogenous) bone grafts, in maxillary sinus lift surgery, an invasive technique. Six patients (total of 10 elevated maxillary sinuses) participated in the study with an alveolar bone remnant in the posterior region of the maxilla, less than 5mm, classification by Misch SA-4, evidenced through panoramic radiography. After a waiting period of tissue repair of 8 months, samples were collected and microscopic analysis was performed in 3 groups: autogenous group, Bio-Oss® group and Endobon® group. It was observed that the autogenous group has a statistically higher amount of bone matrix when compared to the other 2 groups. These did not differ from each other. The three types of grafts used promoted the expected new bone formation. Thus, one can choose any of the grafts evaluated to enable the installation of Osseointegrated implants and prosthetic rehabilitation in patients with the atrophic posterior maxilla.