Maxillary sinus augmentation using biphasic calcium phosphate: Dimensional stability results after 3-6 years

Jae Kook Cha, Chingu Kim, Hyung Chul Pae, Jung Seok Lee, Ui Won Jung, Seong Ho Choi

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


Purpose: This study was designed to observe the resorption pattern of biphasic calcium phosphate (BCP) used for maxillary sinus augmentation over a 3- to 6-year healing period, and to investigate factors affecting the resorption of BCP. Methods: A total of 47 implants placed in 27 sinuses of 22 patients were investigated. All patients had residual bone height less than 5 mm at baseline. The modified Caldwell-Luc approach was used to elevate the maxillary sinus membrane, and the sinus cavity was filled with BCP (70% hydroxyapatite and 30% β-tricalcium phosphate). Implant placement was done simultaneously or in a staged manner. Serial radiographic analysis was performed up to 6 years postoperatively. Results: During the follow-up period, no implant loss was reported. The mean reduced height of the augmented sinus (RHO) was 0.27±1.08 mm at 36 months, and 0.89±1.39 mm at 72 months postoperatively. Large amounts of graft material (P=0.021) and a long healing period (P=0.035) significantly influenced the amount of RHO. In particular, there was a significant relationship between a healing period longer than 40 months and RHO. Conclusions: BCP can achieve proper dimensional stability with minimal reduction of the graft height in a 3- to 6-year healing period after maxillary sinus augmentation. The healing period and the amount of graft material influenced the resorption of BCP.

Original languageEnglish
Pages (from-to)47-57
Number of pages11
JournalJournal of Periodontal and Implant Science
Issue number1
Publication statusPublished - 2019 Feb 1

Bibliographical note

Publisher Copyright:
© 2019. Korean Academy of Periodontology.

All Science Journal Classification (ASJC) codes

  • Oral Surgery
  • Periodontics


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