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Effectiveness of hydraulic pressure-assisted sinus augmentation in a rabbit sinus model: a preclinical study

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Abstract

Objectives

To investigate the effectiveness of hydraulic pressure-assisted sinus augmentation (SA) in a rabbit sinus model in terms of radiographical and histological healing.

Materials and methods

Bilateral SA was performed in 12 rabbits. Each sinus was randomly assigned to either a hydraulic pressure-assisted SA (test) or a conventional SA (control) group. Healing periods of 2 and 4 weeks were applied (n = 6 for each week). Healing pattern including newly formed bone (NB) and residual bone substitute material (RM) was analyzed with microcomputed tomographically, histologically, and histomorphometrically.

Results

No sinus membrane perforation was detected in either group. In the microcomputed tomographic analysis, the test group exhibited higher apico-coronal spread of RM compared to the control group (p < 0.05). Particularly, the test group exhibited several masses of NB out of the cluster of RM. Histologically, the test group showed an elongated shape of the augmented space, whereas the control group generally presented a dome shape. Histomorphometrically, the total augmented area and the area of NB (1.32 ± 0.56 vs. 0.84 ± 0.40 mm2 at 2 weeks, 2.24 ± 1.09 vs. 2.22 ± 0.85 mm2 at 4 weeks) were not significantly different between the test and the control groups at both healing periods (p > 0.05).

Conclusion

Hydraulic pressure-assisted SA led to new bone formation in the distant areas from the bony access hole, but similar histological healing pattern to conventional SA.

Clinical relevance

Hydraulic pressure-assisted SA is a promising option for treating pneumatized posterior maxilla.

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Acknowledgements

The authors appreciate the research team at the Department of Periodontology, Kyung Hee University. Bone substitute material (Maxpore) was kindly supported by Shinhung.

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Authors and Affiliations

  1. Department of Periodontology, Graduate School, Kyung Hee University, 26 Kyungheedae‑ro, Dongdaemun‑gu, Seoul, 02447, Republic of Korea

    Ji-Yeong Lee & Sangyup Kim

  2. Department of Periodontology, School of Dentistry, Periodontal-Implant Clinical Research Institute, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, Republic of Korea

    Seung-Yun Shin, Jong-Hyuk Chung, Yeek Herr & Hyun-Chang Lim

  3. Department of Periodontology, Dental Hospital, Kyung Hee University Medical Center, 23 Kyungheedae‑ro, Dongdaemun‑gu, Seoul, 02447, Republic of Korea

    Seung-Yun Shin, Jong-Hyuk Chung, Yeek Herr & Hyun-Chang Lim

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  1. Ji-Yeong Lee
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Contributions

Conceptualization: YH, HCL; Methodology: SYS, JHC, HCL; Formal analysis and investigation: JYL, SK; Writing—original draft preparation: JYL; Writing—review and editing: YH, HCL; Resources: SYS; Supervision: JHC.

Corresponding authors

Correspondence to Yeek Herr or Hyun-Chang Lim.

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This article does not contain any studies with human participants performed by any of the authors. All applicable international, national, and/or institutional guidelines for the care and use of animals were followed.

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The authors declare no competing interests.

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Lee, JY., Kim, S., Shin, SY. et al. Effectiveness of hydraulic pressure-assisted sinus augmentation in a rabbit sinus model: a preclinical study. Clin Oral Invest 26, 1581–1591 (2022). https://doi.org/10.1007/s00784-021-04131-z

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  • DOI: https://doi.org/10.1007/s00784-021-04131-z

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