Horizontal Bone Augmentation Using Autogenous Block Grafts and Particulate Xenograft in the Severe Atrophic Maxillary Anterior Ridges: A Cone-Beam Computerized Tomography Case Series.
Identifieur interne : 000127 ( Main/Exploration ); précédent : 000126; suivant : 000128Horizontal Bone Augmentation Using Autogenous Block Grafts and Particulate Xenograft in the Severe Atrophic Maxillary Anterior Ridges: A Cone-Beam Computerized Tomography Case Series.
Auteurs : Alberto Monje ; Florencio Monje [Espagne] ; Federico Hernández-Alfaro [Espagne] ; Raúl Gonzalez-García [Espagne] ; Fernando Suárez-L Pez Del Amo ; Pablo Galindo-Moreno [Espagne] ; Jesús Montanero-Fernández [Espagne] ; Hom-Lay WangSource :
- The Journal of oral implantology [ 0160-6972 ] ; 2015.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Atrophie, Autogreffes (imagerie diagnostique), Autogreffes (transplantation), Collagène, Humains, Hétérogreffes (imagerie diagnostique), Hétérogreffes (transplantation), Ilium (), Implant résorbable, Jeune adulte, Mandibule (), Maxillaire (), Maxillaire (anatomopathologie), Maxillaire (imagerie diagnostique), Membrane artificielle, Minéraux (usage thérapeutique), Procédures de chirurgie reconstructive (), Prélèvement d'organes et de tissus (), Reconstruction de crête alvéolaire (), Site donneur de greffe (), Substituts osseux (usage thérapeutique), Sujet âgé, Sujet âgé de 80 ans ou plus, Tomodensitométrie à faisceau conique (), Transplantation osseuse ().
- MESH :
- anatomopathologie : Maxillaire.
- imagerie diagnostique : Autogreffes, Hétérogreffes, Maxillaire.
- usage thérapeutique : Autogreffes, Hétérogreffes, Minéraux, Substituts osseux.
- Adolescent, Adulte, Adulte d'âge moyen, Atrophie, Collagène, Humains, Ilium, Implant résorbable, Jeune adulte, Mandibule, Maxillaire, Membrane artificielle, Procédures de chirurgie reconstructive, Prélèvement d'organes et de tissus, Reconstruction de crête alvéolaire, Site donneur de greffe, Sujet âgé, Sujet âgé de 80 ans ou plus, Tomodensitométrie à faisceau conique, Transplantation osseuse.
English descriptors
- KwdEn :
- Absorbable Implants, Adolescent, Adult, Aged, Aged, 80 and over, Alveolar Ridge Augmentation (methods), Atrophy, Autografts (diagnostic imaging), Autografts (transplantation), Bone Substitutes (therapeutic use), Bone Transplantation (methods), Collagen, Cone-Beam Computed Tomography (methods), Heterografts (diagnostic imaging), Heterografts (transplantation), Humans, Ilium (surgery), Mandible (surgery), Maxilla (diagnostic imaging), Maxilla (pathology), Maxilla (surgery), Membranes, Artificial, Middle Aged, Minerals (therapeutic use), Reconstructive Surgical Procedures (methods), Tissue and Organ Harvesting (methods), Transplant Donor Site (surgery), Young Adult.
- MESH :
- chemical , therapeutic use : Bone Substitutes, Minerals.
- diagnostic imaging : Autografts, Heterografts, Maxilla.
- methods : Alveolar Ridge Augmentation, Bone Transplantation, Cone-Beam Computed Tomography, Reconstructive Surgical Procedures, Tissue and Organ Harvesting.
- pathology : Maxilla.
- surgery : Ilium, Mandible, Maxilla, Transplant Donor Site.
- transplantation : Autografts, Heterografts.
- Absorbable Implants, Adolescent, Adult, Aged, Aged, 80 and over, Atrophy, Collagen, Humans, Membranes, Artificial, Middle Aged, Young Adult.
Abstract
The aim of the present study was to use cone-beam computerized tomography (CBCT) to assess horizontal bone augmentation using block grafts, harvested from either the iliac crest (IC) or mandibular ramus (MR) combined with particulate xenograft and a collagen membrane for in the severe maxillary anterior ridge defects (cases Class III-IV according to Cadwood and Howell's classification). Fourteen healthy partially edentulous patients requiring extensive horizontal bone reconstruction in the anterior maxilla were selected for the study. Nineteen onlay block grafts (from IC or MR) were placed. The amount of horizontal bone gain was recorded by CBCT at 3 levels (5, 7, and 11 mm from the residual ridge) and at the time of bone grafting as well as the time of implant placement (≈5 months). Both block donor sites provided enough ridge width for proper implant placement. Nonetheless, IC had significantly greater ridge width gain than MR (Student t test) (4.93 mm vs 3.23 mm). This was further confirmed by nonparametric Mann-Whitney test (P = .007). Moreover, mean pristine ridge and grafted ridge values showed a direct association (Spearman coefficient of correlation = .336). A combination of block graft, obtained from the IC or MR, combined with particulate xenograft then covered with an absorbable collagen membrane is a predictable technique for augmenting anterior maxillary horizontal ridge deficiency.
DOI: 10.1563/AAID-JOI-D-13-00219
PubMed: 24702157
Affiliations:
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University of Michigan School of Dentistry, Ann Arbor, Mich.</nlm:affiliation><wicri:noCountry code="subField">Mich</wicri:noCountry></affiliation></author><author><name sortKey="Monje, Florencio" sort="Monje, Florencio" uniqKey="Monje F" first="Florencio" last="Monje">Florencio Monje</name><affiliation wicri:level="1"><nlm:affiliation>2 Center of Implantology, Oral and Maxillofacial Surgery (CICOM), Badajoz, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>2 Center of Implantology, Oral and Maxillofacial Surgery (CICOM), Badajoz</wicri:regionArea><wicri:noRegion>Badajoz</wicri:noRegion></affiliation></author><author><name sortKey="Hernandez Alfaro, Federico" sort="Hernandez Alfaro, Federico" uniqKey="Hernandez Alfaro F" first="Federico" last="Hernández-Alfaro">Federico Hernández-Alfaro</name><affiliation wicri:level="3"><nlm:affiliation>3 Department of Oral Surgery and Implantology, The International University of Catalonia, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>3 Department of Oral Surgery and Implantology, The International University of Catalonia, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Gonzalez Garcia, Raul" sort="Gonzalez Garcia, Raul" uniqKey="Gonzalez Garcia R" first="Raúl" last="Gonzalez-García">Raúl Gonzalez-García</name><affiliation wicri:level="1"><nlm:affiliation>2 Center of Implantology, Oral and Maxillofacial Surgery (CICOM), Badajoz, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>2 Center of Implantology, Oral and Maxillofacial Surgery (CICOM), Badajoz</wicri:regionArea><wicri:noRegion>Badajoz</wicri:noRegion></affiliation></author><author><name sortKey="Suarez L Pez Del Amo, Fernando" sort="Suarez L Pez Del Amo, Fernando" uniqKey="Suarez L Pez Del Amo F" first="Fernando" last="Suárez-L Pez Del Amo">Fernando Suárez-L Pez Del Amo</name><affiliation><nlm:affiliation>1 Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Mich.</nlm:affiliation><wicri:noCountry code="subField">Mich</wicri:noCountry></affiliation></author><author><name sortKey="Galindo Moreno, Pablo" sort="Galindo Moreno, Pablo" uniqKey="Galindo Moreno P" first="Pablo" last="Galindo-Moreno">Pablo Galindo-Moreno</name><affiliation wicri:level="4"><nlm:affiliation>4 Department of Oral Surgery and Implantology, University of Granada, Granada, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>4 Department of Oral Surgery and Implantology, University of Granada, Granada</wicri:regionArea><orgName type="university">Université de Grenade</orgName><placeName><settlement type="city">Grenade (Espagne)</settlement><region nuts="2" type="region">Andalousie</region></placeName></affiliation></author><author><name sortKey="Montanero Fernandez, Jesus" sort="Montanero Fernandez, Jesus" uniqKey="Montanero Fernandez J" first="Jesús" last="Montanero-Fernández">Jesús Montanero-Fernández</name><affiliation wicri:level="1"><nlm:affiliation>5 Department of Mathematics, University of Extremadura, Badajoz, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>5 Department of Mathematics, University of Extremadura, Badajoz</wicri:regionArea><wicri:noRegion>Badajoz</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Hom Lay" sort="Wang, Hom Lay" uniqKey="Wang H" first="Hom-Lay" last="Wang">Hom-Lay Wang</name><affiliation><nlm:affiliation>1 Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Mich.</nlm:affiliation><wicri:noCountry code="subField">Mich</wicri:noCountry></affiliation></author></analytic><series><title level="j">The Journal of oral implantology</title><idno type="ISSN">0160-6972</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Absorbable Implants</term><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Alveolar Ridge Augmentation (methods)</term><term>Atrophy</term><term>Autografts (diagnostic imaging)</term><term>Autografts (transplantation)</term><term>Bone Substitutes (therapeutic use)</term><term>Bone Transplantation (methods)</term><term>Collagen</term><term>Cone-Beam Computed Tomography (methods)</term><term>Heterografts (diagnostic imaging)</term><term>Heterografts (transplantation)</term><term>Humans</term><term>Ilium (surgery)</term><term>Mandible (surgery)</term><term>Maxilla (diagnostic imaging)</term><term>Maxilla (pathology)</term><term>Maxilla (surgery)</term><term>Membranes, Artificial</term><term>Middle Aged</term><term>Minerals (therapeutic use)</term><term>Reconstructive Surgical Procedures (methods)</term><term>Tissue and Organ Harvesting (methods)</term><term>Transplant Donor Site (surgery)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Atrophie</term><term>Autogreffes (imagerie diagnostique)</term><term>Autogreffes (transplantation)</term><term>Collagène</term><term>Humains</term><term>Hétérogreffes (imagerie diagnostique)</term><term>Hétérogreffes (transplantation)</term><term>Ilium ()</term><term>Implant résorbable</term><term>Jeune adulte</term><term>Mandibule ()</term><term>Maxillaire ()</term><term>Maxillaire (anatomopathologie)</term><term>Maxillaire (imagerie diagnostique)</term><term>Membrane artificielle</term><term>Minéraux (usage thérapeutique)</term><term>Procédures de chirurgie reconstructive ()</term><term>Prélèvement d'organes et de tissus ()</term><term>Reconstruction de crête alvéolaire ()</term><term>Site donneur de greffe ()</term><term>Substituts osseux (usage thérapeutique)</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tomodensitométrie à faisceau conique ()</term><term>Transplantation osseuse ()</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Bone Substitutes</term><term>Minerals</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Maxillaire</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Autografts</term><term>Heterografts</term><term>Maxilla</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Autogreffes</term><term>Hétérogreffes</term><term>Maxillaire</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Bone Transplantation</term><term>Cone-Beam Computed Tomography</term><term>Reconstructive Surgical Procedures</term><term>Tissue and Organ Harvesting</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Maxilla</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Ilium</term><term>Mandible</term><term>Maxilla</term><term>Transplant Donor Site</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Autografts</term><term>Heterografts</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Autogreffes</term><term>Hétérogreffes</term><term>Minéraux</term><term>Substituts osseux</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Absorbable Implants</term><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Atrophy</term><term>Collagen</term><term>Humans</term><term>Membranes, Artificial</term><term>Middle Aged</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Atrophie</term><term>Collagène</term><term>Humains</term><term>Ilium</term><term>Implant résorbable</term><term>Jeune adulte</term><term>Mandibule</term><term>Maxillaire</term><term>Membrane artificielle</term><term>Procédures de chirurgie reconstructive</term><term>Prélèvement d'organes et de tissus</term><term>Reconstruction de crête alvéolaire</term><term>Site donneur de greffe</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tomodensitométrie à faisceau conique</term><term>Transplantation osseuse</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of the present study was to use cone-beam computerized tomography (CBCT) to assess horizontal bone augmentation using block grafts, harvested from either the iliac crest (IC) or mandibular ramus (MR) combined with particulate xenograft and a collagen membrane for in the severe maxillary anterior ridge defects (cases Class III-IV according to Cadwood and Howell's classification). Fourteen healthy partially edentulous patients requiring extensive horizontal bone reconstruction in the anterior maxilla were selected for the study. Nineteen onlay block grafts (from IC or MR) were placed. The amount of horizontal bone gain was recorded by CBCT at 3 levels (5, 7, and 11 mm from the residual ridge) and at the time of bone grafting as well as the time of implant placement (≈5 months). Both block donor sites provided enough ridge width for proper implant placement. Nonetheless, IC had significantly greater ridge width gain than MR (Student t test) (4.93 mm vs 3.23 mm). This was further confirmed by nonparametric Mann-Whitney test (P = .007). Moreover, mean pristine ridge and grafted ridge values showed a direct association (Spearman coefficient of correlation = .336). A combination of block graft, obtained from the IC or MR, combined with particulate xenograft then covered with an absorbable collagen membrane is a predictable technique for augmenting anterior maxillary horizontal ridge deficiency.</div></front></TEI><affiliations><list><country><li>Espagne</li></country><region><li>Andalousie</li><li>Catalogne</li></region><settlement><li>Barcelone</li><li>Grenade (Espagne)</li></settlement><orgName><li>Université de Grenade</li></orgName></list><tree><noCountry><name sortKey="Monje, Alberto" sort="Monje, Alberto" uniqKey="Monje A" first="Alberto" last="Monje">Alberto Monje</name><name sortKey="Suarez L Pez Del Amo, Fernando" sort="Suarez L Pez Del Amo, Fernando" uniqKey="Suarez L Pez Del Amo F" first="Fernando" last="Suárez-L Pez Del Amo">Fernando Suárez-L Pez Del Amo</name><name sortKey="Wang, Hom Lay" sort="Wang, Hom Lay" uniqKey="Wang H" first="Hom-Lay" last="Wang">Hom-Lay Wang</name></noCountry><country name="Espagne"><noRegion><name sortKey="Monje, Florencio" sort="Monje, Florencio" uniqKey="Monje F" first="Florencio" last="Monje">Florencio Monje</name></noRegion><name sortKey="Galindo Moreno, Pablo" sort="Galindo Moreno, Pablo" uniqKey="Galindo Moreno P" first="Pablo" last="Galindo-Moreno">Pablo Galindo-Moreno</name><name sortKey="Gonzalez Garcia, Raul" sort="Gonzalez Garcia, Raul" uniqKey="Gonzalez Garcia R" first="Raúl" last="Gonzalez-García">Raúl Gonzalez-García</name><name sortKey="Hernandez Alfaro, Federico" sort="Hernandez Alfaro, Federico" uniqKey="Hernandez Alfaro F" first="Federico" last="Hernández-Alfaro">Federico Hernández-Alfaro</name><name sortKey="Montanero Fernandez, Jesus" sort="Montanero Fernandez, Jesus" uniqKey="Montanero Fernandez J" first="Jesús" last="Montanero-Fernández">Jesús Montanero-Fernández</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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