Maxillary Sinus Floor Augmentation With Bioss® and Enamel Matrix Derivative: Evaluation of Osteogenic Properties
Maxillary Sinus Floor Augmentation With Bioss® and Enamel Matrix Derivative: Evaluation of Osteogenic Properties
The main problem of using xenogenic bone in sinus floor elevation is the slow rate of
 absorption, which gives the percentages of vital bone low (20 to 30% depending on the study)
 in which the dental implant will be positioned However, osseointegration of the implant can
 be achieved only in vital bone. Enamel Matrix Derivative, through their angiogenic and
 osteogenic properties known, could promote bone healing during surgery sinus floor elevation
 by increasing the percentage of vital bone reformed, when added to xenografts.
Inclusion Criteria:

 -  Patients > 45 years, postmenopausal women (ie with amenorrhea for more than a year).

 -  Subject requiring bilateral sinus floor elevation, in order to place two implants in
 grafted side.

 -  patients smoking less than 10 cigarettes per day

 -  patients having read and understood the information note on the study and signed the
 informed consent form.

 -  patients affiliated to the social security system.

 Exclusion Criteria:

 -  Patient with absolute contra-indication for dental surgery: valvular heart disease at
 risk of infectious endocarditis, recent myocardal (≤ 12 months), organ transplants,
 recent placement of a coronary stent (≤ 12 months), transient ischemic attacks
 recurrent, cardiovascular instability, uncontrolled epilepsy, rheumatic fever.

 -  Patient with metabolic bone disease (Paget's disease, osteomalacia, osteogenesis
 imperfecta)

 -  Patient with an ASA score ≥ 3.

 -  Patient with absolute contra-indication to dental surgery

 -  Patient with severe hematologic disease

 -  Patient with I or type II diabetes

 -  Patients with previous or current acute illness or severe chronic cardiovascular,
 renal, hepatic, gastrointestinal, allergic, endocrine, neuro-psychiatric, considered
 by the investigator to be incompatible with the conduct of the study.

 -  Patients treated with retinoids, oral bisphosphonates, oral anticoagulants or
 anticonvulsants.

 -  Patient have or have had cancer of the upper aerodigestive tract treated by
 radiotherapy.

 -  Patient taking a steroidal or non-steroidal anti-inflammatory, anti-cancer or
 immunosuppressive chemotherapy in the last 6 months.

 -  Patient monitoring considered difficult by the investigator.

 -  Patient with poor oral hygiene incompatible with oral surgery.

 -  Patients with periodontal disease unstabilized

 -  Patient with oral dermatitis or adverse occlusion.

 -  Patient with an acute or chronic infection of the surgical site (osteomyelitis).

 -  Patient with a known allergy to collagen

 -  Patient with autoimmune disease

 -  Patient with a linguistic or mental incapacity to understand information

 -  Patient younger than 45 years old

 -  Patient trust under curatorship or judicial protection

 -  Patients aged over 45 premenopausal.

 -  Patient participating in another clinical study.