Satueva D.B.1, Solodkaya D.V.2,3, Diachkova E.Yu.1, Tarasenko S.V.1, Podoplelova P.V.1, Firsova A.A.1, Petukhova M.M.1


1 - I.M. Sechenov First Moscow State Medical University (Sechenov University).

2 - Central State Medical Academy of the Administrative Department of the President of the Russian Federation.

3 - Dental clinic «BeltaNova». Moscow, Russia.


Purpose. Comparative evaluation of the effectiveness of open sinus lifting using the gel form of auto plasma and hydroxyapatite in bone tissue atrophy based on the results of cone-beam computed to-mography of the upper jaw, carried out in dynamics.

Materials and methods. In the hospital of the I.M. Sechenov First Moscow State Medical University and a private dental clinic from 2020 to 2022 a prospective multi centre randomized clinical trial was conducted in two parallel groups (N=30), which underwent open sinus lifting before dental implanta-tion according to indications using the gel form of auto plasma (group 1, n=15) and xenogenic hydrox-yapatite (group 2, n=15). The method for assessing the quality of osteoregenerate in the surgical area was cone-beam computed tomography of the maxilla with follow-up (before surgery, immediately after one, after 6 and 12 months), during which the height of the alveolar ridge and the average density of bone tissue or osteoregenerate were measured. Statistical data processing was performed using the RStudio program and methods of parametric and nonparametric statistics after checking the distribu-tion normality. The results were considered statistically significant if the probability was not less than 95%.

Results. In the postoperative period, there were no statistically significant differences between the groups in terms of the height of the alveolar ridge and the density of the osteoregenerate in the area of open sinus lifting at any period of observation (p>0,05), however, an increase in bone density (osteoregenerate) and height of the alveolar ridge with the stable parameters in both groups during the entire follow-up period (12 months) were statistically significant (p<0,05).

Discussion. The use of radiological diagnostic methods, especially computed tomography and multislice tomography with 3D reconstruction, allows to reliably assess of the bone wall condition, de-termine the density, length, and width of the alveolar ridge and osteoregenerate, the state of the sinus mucosa both when planning an open sinus lift and when evaluating its results. Due to radiological anatomical diagnostics, it became possible to choose the optimal material for this type of surgical in-tervention, including in patients with complex topographic and anatomical features of the upper jaw structure.

Conclusion. The results of the cone-beam computed tomography of the maxilla in the area of the open sinus lift, both using the gel form of auto plasma and xenogenic hydroxyapatite, confirmed the receipt of osteoregenerate, sufficient both in terms of the height of the alveolar ridge and in bone density for further dental implantation and its success.


Keywords: cone-beam computed tomography, dental implantation, sinus lifting, auto plasma, bone loss, maxilla.



Corresponding author: Diachkova E.Yu., email: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript




For citation: Satueva D.B., Solodkaya D.V., Diachkova E.Yu., Tarasenko S.V., Podoplelova P.V., Firsova A.A., Petukhova M.M. Cone-beam computed tomography of maxilla as a method for assessing the efficiency of autoplasma gel form use during open sinus lifting. REJR 2023; 13(1):38-48. DOI: 10.21569/2222-7415-2023-13-1-38-48.


Received: 02.02.23

Accepted: 22.02.23