The Journal of Contemporary Dental Practice

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 14 , ISSUE 3 ( May-June, 2013 ) > List of Articles


Surgical Elevation of Bilateral Maxillary Sinus Floor with a Combination of Autogenous Bone and Lyophilized Bovine Bone

Danilo Barral Araujo, Elisângela de Jesus Campos, Marcos André Matos Oliveira, Max José Pimenta Lima, Gabriela Botelho Martins, Roberto Paulo Correia Araujo

Citation Information : Araujo DB, de Jesus Campos E, Oliveira MA, Lima MJ, Martins GB, Araujo RP. Surgical Elevation of Bilateral Maxillary Sinus Floor with a Combination of Autogenous Bone and Lyophilized Bovine Bone. J Contemp Dent Pract 2013; 14 (3):445-450.

DOI: 10.5005/jp-journals-10024-1342

Published Online: 01-10-2013

Copyright Statement:  Copyright © 2013; The Author(s).



Realize the surgery of sinus lifting floor to allow the installation of osseointegrated implants for oral rehabilitation, with the combination of different biomaterials, autogenous bone and lyophilized bovine bone.


Oral rehabilitation using the installation of osseointegrated implants is an alternative surgical approach that results in the satisfactory form, function and esthetics of the dental units.

Case report

After clinical, dental and laboratory assessment, a 47-year-old female patient underwent full maxillary oral rehabilitation involving the installation of osseointegrated implants to allow her to meet the physiological demands of occlusion and mastication. It was found that the patient had fully pneumatized maxillary sinuses with insufficient height to anchor implants, with a loss of the vertical dimension of the occlusal and masticatory functions due to general dental loss, compounded by the use of ill-fitting dentures; hence, the choice was made to take autogenous bone from the patient's chin area and supplement it with lyophilized bovine bone as collateral for larger areas to be grafted. It was also decided to avulse the remaining tooth units due to their impairment by periodontal disease.


Bone grafts do not constitute suitable alternatives in the cosmetic and functional rehabilitation of the maxilla in patients requiring bilateral sinus elevation. The chin region provides bone tissue that, when complemented by lyophilized bovine bone grafts, ensures greater volume and less invasive surgery. In the case described here, a height gain of approximately 550% was obtained, making it possible to anchor seven implants.

Clinical significance

In this study, the surgical procedures used for grafting a combination of autogenous and lyophilized bovine bone, aimed to elevate the maxillary sinus floor to allow the installation of osseointegrated implants for oral rehabilitation.

How to cite this article

Araujo DB, de Jesus Campos E, Oliveira MAM, Lima MJP, Martins GB, Araujo RPC. Surgical Elevation of Bilateral Maxillary Sinus Floor with a Combination of Autogenous Bone and Lyophilized Bovine Bone. J Contemp Dent Pract 2013;14(3):445-450.

PDF Share
  1. New bone formation in maxillary sinuses of monkeys elevated and with grafted with hydroxyapatite and platelet-rich plasma thesis. Rio de Janeiro, BR 2001;1-85.
  2. Characteristics physicochemical of the biomaterials used of bone grafts: a critical review. Implant News 2006;3(5):487-491.
  3. Graft in maxillary sinus with hydroxyapatite and platelet-rich plasma—monograph. Rio de Janeiro, BR 2007;1-65.
  4. The association of platelet-rich plasma with inorganic bovine bone in maxillary sinus grafts induces new bone formation (monograph)?. Rio de Janeiro, BR: 2008;78.
  5. Tratado de Periodontia Clínica e Implantologia Oral. (Clinical Periodontology and Implant Dentistry), 4th ed. Guanabara Koogan, Rio de Janeiro, BR 2005;1-1013.
  6. Histomorphometry of human sinus floor augmentation using a porous beta tricalcium phosphate: a prospective study. Clin Oral Impl Res 2004;15(6):724-732.
  7. Physicochemical characterization of six commercial hydroxiapatyte for medicaldental applications as bone graft. J Appl Oral Sci 2005;13(2):136-140.
  8. Maxillary sinus augmentation with different biomaterials: a comparative histologic and histomorphometric study in man. Implant Dent 2006;15(2):197-207.
  9. Maxilary ridge agumentation with fresh-frozen bone allografts. J Oral Maxillofac Surg2009;67(6):1280-1285.
  10. Guided bone regeneration in implant dentistry. Quintessence Publishing Co. Inc., Chicago, USA 1994;1-265.
  11. Protein-chemical analysis of Bio-Oss bone substitute and evidence on its carbonated content. Biomaterials 2001;22(9):1005-1012.
  12. A clinical and histologic evaluation of implant integration in the posterior maxilla after sinus floor augmentation with autogenous bone, bovine hydroxiapatite, or a 20:80 mixture. Int J Oral Maxillofac Implants 2002;17(5):635-643.
  13. The anterior palate as a donor site in maxillofacial bone grafting: a quantitative anatomic study. J Oral Maxillofac Surg 2005;63(8):1196-2000.
  14. Porous bovine bone mineral in healing of human extraction socket. Part 1: Histomorphometric evaluations at 9 months. J Periodontol 2007;71(6):1015-1023.
  15. Evaluation the success of osseointegrated implants in maxillary sinus grafts RGO 2008;56(4):423-427.
  16. Biomechanics, color atlas of dental medicine implantology. Thieme Medical Publishers, New York, USA 1995;1-388.
  17. Analysis of the risk of transmitting bovine spongiform encephalopathy through bone grafts derived from bovine bone. Biomaterials 2001;22(12):1599-1660.
  18. Comparison of 3 bone substitute in canine extraction sites. J Oral Maxillofac Surg 2002;60(1):53-58.
  19. Morphological study of bone substitutes by using scanning electron microscopy. R Periodontia 2007;17(1):39-46.
  20. A histological study of human allografts, Acta Ortop Bras 2003;11(4):220-224.
  21. Properties of osteoconduction biomaterials: calcium phosphates. Clin Ortho Res 2002;395:81-98.
  22. Procedimentos cirúrgicos em periodontia e implantodontia. ARTMED. Porto Alegre, BR. 1st ed. São Paulo 2004:299p.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.