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Mandibular ridge expansion using a horizontal bone-splitting technique and synthetic bone substitute: an alternative to bone block grafting?

Identifieur interne : 000882 ( Ncbi/Merge ); précédent : 000881; suivant : 000883

Mandibular ridge expansion using a horizontal bone-splitting technique and synthetic bone substitute: an alternative to bone block grafting?

Auteurs : Bruno Ella ; Mathieu Laurentjoye ; Cyril Sedarat ; Jean-Christophe Coutant ; Emmanuel Masson ; André Rouas

Source :

RBID : pubmed:24451864

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English descriptors

Abstract

Inadequate bone width in atrophic edentulous jaws is a challenge for successful oral rehabilitation with endosseous dental implants. The aim of this clinical study was to evaluate the effectiveness of a new method for ridge expansion with sagittal splitting using a new surgical device (Crest-Control Bone Splitting System, Meisinger) and to determine whether it is necessary to fill the expansion area with bone substitute to maintain the expanded bone volume.

PubMed: 24451864

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pubmed:24451864

Le document en format XML

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<title xml:lang="en">Mandibular ridge expansion using a horizontal bone-splitting technique and synthetic bone substitute: an alternative to bone block grafting?</title>
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<name sortKey="Ella, Bruno" sort="Ella, Bruno" uniqKey="Ella B" first="Bruno" last="Ella">Bruno Ella</name>
</author>
<author>
<name sortKey="Laurentjoye, Mathieu" sort="Laurentjoye, Mathieu" uniqKey="Laurentjoye M" first="Mathieu" last="Laurentjoye">Mathieu Laurentjoye</name>
</author>
<author>
<name sortKey="Sedarat, Cyril" sort="Sedarat, Cyril" uniqKey="Sedarat C" first="Cyril" last="Sedarat">Cyril Sedarat</name>
</author>
<author>
<name sortKey="Coutant, Jean Christophe" sort="Coutant, Jean Christophe" uniqKey="Coutant J" first="Jean-Christophe" last="Coutant">Jean-Christophe Coutant</name>
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<name sortKey="Masson, Emmanuel" sort="Masson, Emmanuel" uniqKey="Masson E" first="Emmanuel" last="Masson">Emmanuel Masson</name>
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<name sortKey="Rouas, Andre" sort="Rouas, Andre" uniqKey="Rouas A" first="André" last="Rouas">André Rouas</name>
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<title xml:lang="en">Mandibular ridge expansion using a horizontal bone-splitting technique and synthetic bone substitute: an alternative to bone block grafting?</title>
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<name sortKey="Ella, Bruno" sort="Ella, Bruno" uniqKey="Ella B" first="Bruno" last="Ella">Bruno Ella</name>
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<author>
<name sortKey="Laurentjoye, Mathieu" sort="Laurentjoye, Mathieu" uniqKey="Laurentjoye M" first="Mathieu" last="Laurentjoye">Mathieu Laurentjoye</name>
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<name sortKey="Sedarat, Cyril" sort="Sedarat, Cyril" uniqKey="Sedarat C" first="Cyril" last="Sedarat">Cyril Sedarat</name>
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<name sortKey="Coutant, Jean Christophe" sort="Coutant, Jean Christophe" uniqKey="Coutant J" first="Jean-Christophe" last="Coutant">Jean-Christophe Coutant</name>
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<name sortKey="Masson, Emmanuel" sort="Masson, Emmanuel" uniqKey="Masson E" first="Emmanuel" last="Masson">Emmanuel Masson</name>
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<name sortKey="Rouas, Andre" sort="Rouas, Andre" uniqKey="Rouas A" first="André" last="Rouas">André Rouas</name>
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<series>
<title level="j">The International journal of oral & maxillofacial implants</title>
<idno type="eISSN">1942-4434</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Alveolar Bone Loss (pathology)</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Alveolar Ridge Augmentation (instrumentation)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Bone Substitutes (therapeutic use)</term>
<term>Bone Transplantation (methods)</term>
<term>Calcium Phosphates (therapeutic use)</term>
<term>Collagen (therapeutic use)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Female</term>
<term>Humans</term>
<term>Hydroxyapatites (therapeutic use)</term>
<term>Jaw Fractures (etiology)</term>
<term>Male</term>
<term>Mandible (pathology)</term>
<term>Mandible (surgery)</term>
<term>Mandibular Diseases (pathology)</term>
<term>Mandibular Diseases (surgery)</term>
<term>Prospective Studies</term>
<term>Sex Factors</term>
<term>Statistics, Nonparametric</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Collagène (usage thérapeutique)</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Fractures de la mâchoire (étiologie)</term>
<term>Humains</term>
<term>Hydroxyapatites (usage thérapeutique)</term>
<term>Maladies mandibulaires ()</term>
<term>Maladies mandibulaires (anatomopathologie)</term>
<term>Mandibule ()</term>
<term>Mandibule (anatomopathologie)</term>
<term>Mâle</term>
<term>Phosphates de calcium (usage thérapeutique)</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Reconstruction de crête alvéolaire (instrumentation)</term>
<term>Résorption alvéolaire ()</term>
<term>Résorption alvéolaire (anatomopathologie)</term>
<term>Statistique non paramétrique</term>
<term>Substituts osseux (usage thérapeutique)</term>
<term>Transplantation osseuse ()</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Bone Substitutes</term>
<term>Calcium Phosphates</term>
<term>Collagen</term>
<term>Hydroxyapatites</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Maladies mandibulaires</term>
<term>Mandibule</term>
<term>Résorption alvéolaire</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Jaw Fractures</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Mandible</term>
<term>Mandibular Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Mandible</term>
<term>Mandibular Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Collagène</term>
<term>Hydroxyapatites</term>
<term>Phosphates de calcium</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Substituts osseux</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Fractures de la mâchoire</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Prospective Studies</term>
<term>Sex Factors</term>
<term>Statistics, Nonparametric</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladies mandibulaires</term>
<term>Mandibule</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption alvéolaire</term>
<term>Statistique non paramétrique</term>
<term>Transplantation osseuse</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">Inadequate bone width in atrophic edentulous jaws is a challenge for successful oral rehabilitation with endosseous dental implants. The aim of this clinical study was to evaluate the effectiveness of a new method for ridge expansion with sagittal splitting using a new surgical device (Crest-Control Bone Splitting System, Meisinger) and to determine whether it is necessary to fill the expansion area with bone substitute to maintain the expanded bone volume.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">24451864</PMID>
<DateCompleted>
<Year>2014</Year>
<Month>05</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>01</Month>
<Day>23</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1942-4434</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>29</Volume>
<Issue>1</Issue>
<PubDate>
<MedlineDate>2014 Jan-Feb</MedlineDate>
</PubDate>
</JournalIssue>
<Title>The International journal of oral & maxillofacial implants</Title>
<ISOAbbreviation>Int J Oral Maxillofac Implants</ISOAbbreviation>
</Journal>
<ArticleTitle>Mandibular ridge expansion using a horizontal bone-splitting technique and synthetic bone substitute: an alternative to bone block grafting?</ArticleTitle>
<Pagination>
<MedlinePgn>135-40</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.11607/jomi.2201</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Inadequate bone width in atrophic edentulous jaws is a challenge for successful oral rehabilitation with endosseous dental implants. The aim of this clinical study was to evaluate the effectiveness of a new method for ridge expansion with sagittal splitting using a new surgical device (Crest-Control Bone Splitting System, Meisinger) and to determine whether it is necessary to fill the expansion area with bone substitute to maintain the expanded bone volume.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">During a 3-year period, a prospective study was performed in 32 patients (59% women, 41% men). All participants needed implants in the horizontally atrophied edentulous mandible and were treated in a private practice and a hospital. The only inclusion criteria were a mandibular ridge width between 3 and 4 mm and ridge height of at least 11 mm. Expansion with horizontal splitting of the ridge was performed simultaneously with implant placement. In 17 of the 32 arches, selected alternately, the expanded ridges were filled with a biphasic calcium phosphate (hydroxyapatite 60% and beta-tricalcium phosphate 40%) synthetic bone substitute (SBS 60/40). The other 15 expanded arches were left unfilled. All areas were covered with a resorbable collagen membrane (Bio-Gide, Geistlich). Results were analyzed with the Mann-Whitney and Kruskal-Wallis tests (α=.05).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">There was a significant difference (α=.02) between the patients who received SBS 60/40 (17 cases) and those who did not (15 cases). The ridges that received SBS 60/40 after expansion showed no bone resorption.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Horizontal expansion of the ridge is easily reproducible. In this study, in very narrow ridges, a lack of bone substitute resulted in significant resorption of 3- to 4-mm-wide crests (5%), even after expansion. A bone substitute should be placed to maintain the alveolar bone walls after expansion.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Ella</LastName>
<ForeName>Bruno</ForeName>
<Initials>B</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Laurentjoye</LastName>
<ForeName>Mathieu</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Sedarat</LastName>
<ForeName>Cyril</ForeName>
<Initials>C</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Coutant</LastName>
<ForeName>Jean-Christophe</ForeName>
<Initials>JC</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Masson</LastName>
<ForeName>Emmanuel</ForeName>
<Initials>E</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Rouas</LastName>
<ForeName>André</ForeName>
<Initials>A</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo>
<Country>United States</Country>
<MedlineTA>Int J Oral Maxillofac Implants</MedlineTA>
<NlmUniqueID>8611905</NlmUniqueID>
<ISSNLinking>0882-2786</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="C106416">Bio-Gide</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D018786">Bone Substitutes</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D002130">Calcium Phosphates</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D006882">Hydroxyapatites</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="C485817">beta-tricalcium phosphate</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="C074950">hydroxyapatite-beta tricalcium phosphate</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>9007-34-5</RegistryNumber>
<NameOfSubstance UI="D003094">Collagen</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>D</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000540" MajorTopicYN="N">Alveolar Ridge Augmentation</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D018786" MajorTopicYN="N">Bone Substitutes</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016025" MajorTopicYN="N">Bone Transplantation</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002130" MajorTopicYN="N">Calcium Phosphates</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003094" MajorTopicYN="N">Collagen</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006882" MajorTopicYN="N">Hydroxyapatites</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007572" MajorTopicYN="N">Jaw Fractures</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008336" MajorTopicYN="N">Mandibular Diseases</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D018709" MajorTopicYN="N">Statistics, Nonparametric</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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<Month>1</Month>
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<Hour>6</Hour>
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<list></list>
<tree>
<noCountry>
<name sortKey="Coutant, Jean Christophe" sort="Coutant, Jean Christophe" uniqKey="Coutant J" first="Jean-Christophe" last="Coutant">Jean-Christophe Coutant</name>
<name sortKey="Ella, Bruno" sort="Ella, Bruno" uniqKey="Ella B" first="Bruno" last="Ella">Bruno Ella</name>
<name sortKey="Laurentjoye, Mathieu" sort="Laurentjoye, Mathieu" uniqKey="Laurentjoye M" first="Mathieu" last="Laurentjoye">Mathieu Laurentjoye</name>
<name sortKey="Masson, Emmanuel" sort="Masson, Emmanuel" uniqKey="Masson E" first="Emmanuel" last="Masson">Emmanuel Masson</name>
<name sortKey="Rouas, Andre" sort="Rouas, Andre" uniqKey="Rouas A" first="André" last="Rouas">André Rouas</name>
<name sortKey="Sedarat, Cyril" sort="Sedarat, Cyril" uniqKey="Sedarat C" first="Cyril" last="Sedarat">Cyril Sedarat</name>
</noCountry>
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</record>

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