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As seen in this case, incomplete bone formation can be managed with re-entry procedures, but incomplete bone formation often results in unusual sinus floor morphologies that make conventional sinus approaches difficult.
Initial ridge preservation and lateral window sinus augmentation resulted in incomplete bone formation and complex sinus floor anatomy on both right and left sides.
Although incomplete bone formation after sinus augmentation has been described in a previous case reports, this is the first case report that describes grafting these compromised sites prior to implant placement.
We conclude that incomplete bone formation after sinus augmentation can be managed successfully through a variety of re-entry procedures and that successful long-term implant placement and restoration is possible in a compliant patient of good overall health.
There is still little data on the long-term success of these unconventional re-entry procedures after incomplete bone formation, and here, we present a case with 3-year follow-up after re-entry grafting procedures using either a palatal window or balloon-dilating device for management of previously failed sinus augmentation.
Although good integration of the chondral surface was achieved in both treatment groups at 6 months, incomplete bone formation and irregular cartilage surface integration were observed in the PRP-treated group, whereas significantly better osteochondral reconstruction was seen in the group treated with the scaffold alone.
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In the BMP-2-PN group, 2 animals (out of 6) showed complete bone bridge formation and the remaining 4 animals showed incomplete bone bridge formation or unilateral bone bridge formation.
Nothosaurus shows only a thin, irregular lining of the medullary cavity by endosteal bone and thus generally maintains incomplete endochondral bone formation.
At birth, bone formation is incomplete, and soft spots can be felt between these centres.
When these are both extensive, there may be complete replacement of the dead bone by new bone; but when limited, bone absorption may be greatly in excess of bone formation, so that incomplete replacement results with the formation of bone that is less dense than the original and that shows varying degrees of cavitation.
See also bone formation.
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