Serveur d'exploration sur le patient édenté (maquette)

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Horizontal Resorption of Fresh-Frozen Corticocancellous Bone Blocks in the Reconstruction of the Atrophic Maxilla at 5 Months.

Identifieur interne : 001340 ( Ncbi/Merge ); précédent : 001339; suivant : 001341

Horizontal Resorption of Fresh-Frozen Corticocancellous Bone Blocks in the Reconstruction of the Atrophic Maxilla at 5 Months.

Auteurs : Eugénio Pereira [Portugal] ; Ana Messias [Portugal] ; Ricardo Dias [Portugal] ; Fernando Judas [Portugal] ; Alexander Salvoni [Brésil] ; Fernando Guerra [Portugal]

Source :

RBID : pubmed:25346211

Abstract

Reliable implant-supported rehabilitation of an alveolar ridge needs sufficient volume of bone. In order to achieve a prosthetic-driven positioning, bone graft techniques may be required.

DOI: 10.1111/cid.12268
PubMed: 25346211

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pubmed:25346211

Le document en format XML

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<name sortKey="Dias, Ricardo" sort="Dias, Ricardo" uniqKey="Dias R" first="Ricardo" last="Dias">Ricardo Dias</name>
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<name sortKey="Judas, Fernando" sort="Judas, Fernando" uniqKey="Judas F" first="Fernando" last="Judas">Fernando Judas</name>
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<name sortKey="Salvoni, Alexander" sort="Salvoni, Alexander" uniqKey="Salvoni A" first="Alexander" last="Salvoni">Alexander Salvoni</name>
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<name sortKey="Guerra, Fernando" sort="Guerra, Fernando" uniqKey="Guerra F" first="Fernando" last="Guerra">Fernando Guerra</name>
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<title level="j">Clinical implant dentistry and related research</title>
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<div type="abstract" xml:lang="en">Reliable implant-supported rehabilitation of an alveolar ridge needs sufficient volume of bone. In order to achieve a prosthetic-driven positioning, bone graft techniques may be required.</div>
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<Year>2017</Year>
<Month>02</Month>
<Day>20</Day>
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<ISSN IssnType="Electronic">1708-8208</ISSN>
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<Volume>17 Suppl 2</Volume>
<PubDate>
<Year>2015</Year>
<Month>Oct</Month>
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<Title>Clinical implant dentistry and related research</Title>
<ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation>
</Journal>
<ArticleTitle>Horizontal Resorption of Fresh-Frozen Corticocancellous Bone Blocks in the Reconstruction of the Atrophic Maxilla at 5 Months.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Reliable implant-supported rehabilitation of an alveolar ridge needs sufficient volume of bone. In order to achieve a prosthetic-driven positioning, bone graft techniques may be required.</AbstractText>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">This prospective cohort study aims to clinically evaluate the amount of resorption of corticocancellous fresh-frozen allografts bone blocks used in the reconstruction of the severe atrophic maxilla.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Twenty-two partial and totally edentulous patients underwent bone augmentation procedures with fresh-frozen allogenous blocks from the iliac crest under local anesthesia. Implants were inserted into the grafted sites after a healing period of 5 months. Final fixed prosthesis was delivered ± 4 months later. Ridge width analysis and measurements were performed with a caliper before and after grafting and at implant insertion. Bone biopsies were performed in 16 patients.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 98 onlay block allografts were used in 22 patients with an initial mean alveolar ridge width of 3.41 ± 1.36 mm. Early exposure of blocks was observed in four situations and one of these completely resorbed. Mean horizontal bone gain was 3.63 ± 1.28 mm (p < .01). Mean buccal bone resorption between allograph placement and the reopening stage was 0.49 ± 0.54 mm, meaning approximately 7.1% (95% confidence interval: [5.6%, 8.6%]) of total ridge width loss during the integration period. One hundred thirty dental implants were placed with good primary stability (≥ 30 Ncm). Four implants presented early failure before the prosthetic delivery (96.7% implant survival). All patients were successfully rehabilitated. Histomorphometric analysis revealed 20.9 ± 5.8% of vital bone in close contact to the remaining grafted bone. A positive strong correlation (adjusted R(2)  = 0.44, p = .003) was found between healing time and vital bone percentage.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Augmentation procedures performed using fresh-frozen allografts from the iliac crest are a suitable alternative in the reconstruction of the atrophic maxilla with low resorption rate at 5 months, allowing proper stability of dental implants followed by fixed prosthetic rehabilitation.</AbstractText>
<CopyrightInformation>© 2014 Wiley Periodicals, Inc.</CopyrightInformation>
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<LastName>Pereira</LastName>
<ForeName>Eugénio</ForeName>
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<Affiliation>Faculty of Medicine, University of Coimbra, Coimbra, Portugal.</Affiliation>
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<LastName>Messias</LastName>
<ForeName>Ana</ForeName>
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<Affiliation>Faculty of Medicine, University of Coimbra, Coimbra, Portugal.</Affiliation>
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<LastName>Dias</LastName>
<ForeName>Ricardo</ForeName>
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<Affiliation>Faculty of Medicine, University of Coimbra, Coimbra, Portugal.</Affiliation>
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<LastName>Judas</LastName>
<ForeName>Fernando</ForeName>
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<Affiliation>Faculty of Medicine, University of Coimbra, Coimbra, Portugal.</Affiliation>
</AffiliationInfo>
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<LastName>Salvoni</LastName>
<ForeName>Alexander</ForeName>
<Initials>A</Initials>
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<Affiliation>Faculty of Odontology and Medicine, São Leopoldo Mandic, Campinas, Brazil.</Affiliation>
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