Serveur d'exploration sur le patient édenté (maquette)

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Assessment of the autogenous bone graft for sinus elevation

Identifieur interne : 000955 ( Ncbi/Merge ); précédent : 000954; suivant : 000956

Assessment of the autogenous bone graft for sinus elevation

Auteurs : Wang Peng [Corée du Sud] ; Il-Kyu Kim [Corée du Sud] ; Hyun-Young Cho [Corée du Sud] ; Sang-Pill Pae [Corée du Sud] ; Bum-Sang Jung [Corée du Sud] ; Hyun-Woo Cho [Corée du Sud] ; Ji-Hoon Seo [Corée du Sud]

Source :

RBID : PMC:3912780

Abstract

Objectives

The posterior maxillary region often provides a limited bone volume for dental implants. Maxillary sinus elevation via inserting a bone graft through a window opened in the lateral sinus wall has become the most common surgical procedure for increasing the alveolar bone height in place of dental implants in the posterior maxillary region. The purpose of this article is to assess the change of bone volume and the clinical effects of dental implant placement in sites with maxillary sinus floor elevation and autogenous bone graft through the lateral window approach.

Materials and Methods

In this article, the analysis data were collected from 64 dental implants that were placed in 24 patients with 29 lacks of the bone volume posterior maxillary region from June 2004 to April 2011, at the Department of Oral and Maxillofacial Surgery, Inha University Hospital. Panoramic views were taken before the surgery, after the surgery, 6 months after the surgery, and at the time of the final follow-up. The influence of the factors on the grafted bone material resorption rate was evaluated according to the patient characteristics (age and gender), graft material, implant installation stage, implant size, implant placement region, local infection, surgical complication, and residual alveolar bone height.

Results

The bone graft resorption rate of male patients at the final follow-up was significantly higher than the rate of female patients. The single autogenous bone-grafted site was significantly more resorbed than the autogenous bone combined with the Bio-Oss grafted site. The implant installation stage and residual alveolar height showed a significant correlation with the resorption rate of maxillary sinus bone graft material. The success rate and survival rate of the implant were 92.2% and 100%, respectively.

Conclusion

Maxillary sinus elevation procedure with autogenous bone graft or autogenous bone in combination with Bio-Oss is a predictable treatment method for implant rehabilitation.


Url:
DOI: 10.5125/jkaoms.2013.39.6.274
PubMed: 24516817
PubMed Central: 3912780

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Links to Exploration step

PMC:3912780

Le document en format XML

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<title>Objectives</title>
<p>The posterior maxillary region often provides a limited bone volume for dental implants. Maxillary sinus elevation via inserting a bone graft through a window opened in the lateral sinus wall has become the most common surgical procedure for increasing the alveolar bone height in place of dental implants in the posterior maxillary region. The purpose of this article is to assess the change of bone volume and the clinical effects of dental implant placement in sites with maxillary sinus floor elevation and autogenous bone graft through the lateral window approach.</p>
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<title>Materials and Methods</title>
<p>In this article, the analysis data were collected from 64 dental implants that were placed in 24 patients with 29 lacks of the bone volume posterior maxillary region from June 2004 to April 2011, at the Department of Oral and Maxillofacial Surgery, Inha University Hospital. Panoramic views were taken before the surgery, after the surgery, 6 months after the surgery, and at the time of the final follow-up. The influence of the factors on the grafted bone material resorption rate was evaluated according to the patient characteristics (age and gender), graft material, implant installation stage, implant size, implant placement region, local infection, surgical complication, and residual alveolar bone height.</p>
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<title>Results</title>
<p>The bone graft resorption rate of male patients at the final follow-up was significantly higher than the rate of female patients. The single autogenous bone-grafted site was significantly more resorbed than the autogenous bone combined with the Bio-Oss grafted site. The implant installation stage and residual alveolar height showed a significant correlation with the resorption rate of maxillary sinus bone graft material. The success rate and survival rate of the implant were 92.2% and 100%, respectively.</p>
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<p>Maxillary sinus elevation procedure with autogenous bone graft or autogenous bone in combination with Bio-Oss is a predictable treatment method for implant rehabilitation.</p>
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<name sortKey="Oved Peleg, E" uniqKey="Oved Peleg E">E Oved-Peleg</name>
</author>
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<name sortKey="Mactei, Ee" uniqKey="Mactei E">EE Mactei</name>
</author>
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<name sortKey="Peled, M" uniqKey="Peled M">M Peled</name>
</author>
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<author>
<name sortKey="Jensen, Ot" uniqKey="Jensen O">OT Jensen</name>
</author>
<author>
<name sortKey="Shulman, Lb" uniqKey="Shulman L">LB Shulman</name>
</author>
<author>
<name sortKey="Block, Ms" uniqKey="Block M">MS Block</name>
</author>
<author>
<name sortKey="Iacono, Vj" uniqKey="Iacono V">VJ Iacono</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Kim, Yk" uniqKey="Kim Y">YK Kim</name>
</author>
<author>
<name sortKey="Yun, Py" uniqKey="Yun P">PY Yun</name>
</author>
<author>
<name sortKey="Im, Jh" uniqKey="Im J">JH Im</name>
</author>
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</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Korean Assoc Oral Maxillofac Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">J Korean Assoc Oral Maxillofac Surg</journal-id>
<journal-id journal-id-type="publisher-id">JKAOMS</journal-id>
<journal-title-group>
<journal-title>Journal of the Korean Association of Oral and Maxillofacial Surgeons</journal-title>
</journal-title-group>
<issn pub-type="ppub">2234-7550</issn>
<issn pub-type="epub">2234-5930</issn>
<publisher>
<publisher-name>The Korean Association of Oral and Maxillofacial Surgeons</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">24516817</article-id>
<article-id pub-id-type="pmc">3912780</article-id>
<article-id pub-id-type="doi">10.5125/jkaoms.2013.39.6.274</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Assessment of the autogenous bone graft for sinus elevation</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Peng</surname>
<given-names>Wang</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Kim</surname>
<given-names>Il-Kyu</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cho</surname>
<given-names>Hyun-Young</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pae</surname>
<given-names>Sang-Pill</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jung</surname>
<given-names>Bum-Sang</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cho</surname>
<given-names>Hyun-Woo</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Seo</surname>
<given-names>Ji-Hoon</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
</contrib-group>
<aff id="A1">Department of Oral and Maxillofacial Surgery, Department of Dentistry, Inha University School of Medicine, Incheon, Korea.</aff>
<author-notes>
<corresp>Corresponding author: Il-Kyu Kim. Department of Oral and Maxillofacial Surgery, Department of Dentistry, Inha University School of Medicine, 27, Inhang-ro, Jung-gu, Incheon 400-711, Korea. TEL: +82-32-890-2470, FAX: +82-32-890-2475,
<email>kik@inha.ac.kr</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>12</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub">
<day>23</day>
<month>12</month>
<year>2013</year>
</pub-date>
<volume>39</volume>
<issue>6</issue>
<fpage>274</fpage>
<lpage>282</lpage>
<history>
<date date-type="received">
<day>27</day>
<month>9</month>
<year>2013</year>
</date>
<date date-type="rev-recd">
<day>21</day>
<month>11</month>
<year>2013</year>
</date>
<date date-type="accepted">
<day>25</day>
<month>11</month>
<year>2013</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2013 The Korean Association of Oral and Maxillofacial Surgeons. All rights reserved.</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Objectives</title>
<p>The posterior maxillary region often provides a limited bone volume for dental implants. Maxillary sinus elevation via inserting a bone graft through a window opened in the lateral sinus wall has become the most common surgical procedure for increasing the alveolar bone height in place of dental implants in the posterior maxillary region. The purpose of this article is to assess the change of bone volume and the clinical effects of dental implant placement in sites with maxillary sinus floor elevation and autogenous bone graft through the lateral window approach.</p>
</sec>
<sec>
<title>Materials and Methods</title>
<p>In this article, the analysis data were collected from 64 dental implants that were placed in 24 patients with 29 lacks of the bone volume posterior maxillary region from June 2004 to April 2011, at the Department of Oral and Maxillofacial Surgery, Inha University Hospital. Panoramic views were taken before the surgery, after the surgery, 6 months after the surgery, and at the time of the final follow-up. The influence of the factors on the grafted bone material resorption rate was evaluated according to the patient characteristics (age and gender), graft material, implant installation stage, implant size, implant placement region, local infection, surgical complication, and residual alveolar bone height.</p>
</sec>
<sec>
<title>Results</title>
<p>The bone graft resorption rate of male patients at the final follow-up was significantly higher than the rate of female patients. The single autogenous bone-grafted site was significantly more resorbed than the autogenous bone combined with the Bio-Oss grafted site. The implant installation stage and residual alveolar height showed a significant correlation with the resorption rate of maxillary sinus bone graft material. The success rate and survival rate of the implant were 92.2% and 100%, respectively.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Maxillary sinus elevation procedure with autogenous bone graft or autogenous bone in combination with Bio-Oss is a predictable treatment method for implant rehabilitation.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Dental implants</kwd>
<kwd>Maxillary sinus floor augmentation</kwd>
<kwd>Maxillary sinus</kwd>
<kwd>Alveolar bone grafting</kwd>
<kwd>Bone resorption</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="F1" orientation="portrait" position="float">
<label>Fig. 1</label>
<caption>
<p>The measurements for evaluating the amount of bone augmentation. (A: measure of the distance between the uppermost part of bone graft material and the lowermost partof the fixture threads on the panorama, B: measuring of the amount of bone augmentation 6 months after the surgery, C: measuring of the amount of bone augmentation on final follow-up, dotted line: bone resorption)</p>
</caption>
<graphic xlink:href="jkaoms-39-274-g001"></graphic>
</fig>
<table-wrap id="T1" orientation="portrait" position="float">
<label>Table 1</label>
<caption>
<p>Resorption rate of bone material by age</p>
</caption>
<graphic xlink:href="jkaoms-39-274-i001"></graphic>
<table-wrap-foot>
<fn>
<p>
<sup>*</sup>
Statistically significant difference,
<italic>P</italic>
<0.05.</p>
<p>Resorption rate B: resorption rate of bone material 6 months after the surgery. Resorption rate C: resorption rate of bone material on the final follow-up.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T2" orientation="portrait" position="float">
<label>Table 2</label>
<caption>
<p>Resorption rate of bone material by gender</p>
</caption>
<graphic xlink:href="jkaoms-39-274-i002"></graphic>
<table-wrap-foot>
<fn>
<p>
<sup>*</sup>
Statistically significant difference,
<italic>P</italic>
<0.05.</p>
<p>Resorption rate B: resorption rate of bone material 6 months after the surgery. Resorption rate C: resorption rate of bone material on the final follow-up.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T3" orientation="portrait" position="float">
<label>Table 3</label>
<caption>
<p>Resorption rate of bone material by graft material</p>
</caption>
<graphic xlink:href="jkaoms-39-274-i003"></graphic>
<table-wrap-foot>
<fn>
<p>(ABG: autogenous bone graft)</p>
<p>
<sup>*</sup>
Statistically significant difference,
<italic>P</italic>
<0.05.</p>
<p>Resorption rate B: resorption rate of bone material 6 months after the surgery. Resorption rate C: resorption rate of bone material on the final follow-up.</p>
<p>Bio-Oss: Switzerland-made particulate graft material.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T4" orientation="portrait" position="float">
<label>Table 4</label>
<caption>
<p>Resorption rate of bone material by implant placement stage</p>
</caption>
<graphic xlink:href="jkaoms-39-274-i004"></graphic>
<table-wrap-foot>
<fn>
<p>
<sup>*</sup>
Statistically significant difference,
<italic>P</italic>
<0.05.</p>
<p>Resorption rate B: resorption rate of bone material 6 months after the surgery. Resorption rate C: resorption rate of bone material on the final follow-up.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T5" orientation="portrait" position="float">
<label>Table 5</label>
<caption>
<p>Resorption rate of bone material by implant size</p>
</caption>
<graphic xlink:href="jkaoms-39-274-i005"></graphic>
<table-wrap-foot>
<fn>
<p>
<sup>*</sup>
Statistically significant difference,
<italic>P</italic>
<0.05.</p>
<p>Resorption rate B: resorption rate of bone material 6 months after the surgery. Resorption rate C: resorption rate of bone material on the final follow-up.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T6" orientation="portrait" position="float">
<label>Table 6</label>
<caption>
<p>Resorption rate of bone material by placement region</p>
</caption>
<graphic xlink:href="jkaoms-39-274-i006"></graphic>
<table-wrap-foot>
<fn>
<p>
<sup>*</sup>
Statistically significant difference,
<italic>P</italic>
<0.05.</p>
<p>Resorption rate B: resorption rate of bone material 6 months after the surgery. Resorption rate C: resorption rate of bone material on the final follow-up.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T7" orientation="portrait" position="float">
<label>Table 7</label>
<caption>
<p>Resorption rate of bone material according to local infection and surgical complication</p>
</caption>
<graphic xlink:href="jkaoms-39-274-i007"></graphic>
<table-wrap-foot>
<fn>
<p>(CMS: chronic maxillary sinusitis)</p>
<p>
<sup>*</sup>
Statistically significant difference,
<italic>P</italic>
<0.05.</p>
<p>Resorption rate B: resorption rate of bone material 6 months after the surgery. Resorption rate C: resorption rate of bone material on the final follow-up. Perforation: maxillary sinus perforation.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T8" orientation="portrait" position="float">
<label>Table 8</label>
<caption>
<p>Resorption rate of bone material by residual bone height</p>
</caption>
<graphic xlink:href="jkaoms-39-274-i008"></graphic>
<table-wrap-foot>
<fn>
<p>
<sup>*</sup>
Statistically significant difference,
<italic>P</italic>
<0.05.</p>
<p>Resorption rate B: resorption rate of bone material 6 months after the surgery. Resorption rate C: resorption rate of bone material on the final follow-up.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T9" orientation="portrait" position="float">
<label>Table 9</label>
<caption>
<p>Implant placement stage and marginal bone resorption</p>
</caption>
<graphic xlink:href="jkaoms-39-274-i009"></graphic>
<table-wrap-foot>
<fn>
<p>
<sup>*</sup>
Statistically significant difference,
<italic>P</italic>
<0.05.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>Corée du Sud</li>
</country>
</list>
<tree>
<country name="Corée du Sud">
<noRegion>
<name sortKey="Peng, Wang" sort="Peng, Wang" uniqKey="Peng W" first="Wang" last="Peng">Wang Peng</name>
</noRegion>
<name sortKey="Cho, Hyun Woo" sort="Cho, Hyun Woo" uniqKey="Cho H" first="Hyun-Woo" last="Cho">Hyun-Woo Cho</name>
<name sortKey="Cho, Hyun Young" sort="Cho, Hyun Young" uniqKey="Cho H" first="Hyun-Young" last="Cho">Hyun-Young Cho</name>
<name sortKey="Jung, Bum Sang" sort="Jung, Bum Sang" uniqKey="Jung B" first="Bum-Sang" last="Jung">Bum-Sang Jung</name>
<name sortKey="Kim, Il Kyu" sort="Kim, Il Kyu" uniqKey="Kim I" first="Il-Kyu" last="Kim">Il-Kyu Kim</name>
<name sortKey="Pae, Sang Pill" sort="Pae, Sang Pill" uniqKey="Pae S" first="Sang-Pill" last="Pae">Sang-Pill Pae</name>
<name sortKey="Seo, Ji Hoon" sort="Seo, Ji Hoon" uniqKey="Seo J" first="Ji-Hoon" last="Seo">Ji-Hoon Seo</name>
</country>
</tree>
</affiliations>
</record>

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