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Tissue-Engineered Polymer-Based Periosteal Bone Grafts for Maxillary Sinus Augmentation: Five-Year Clinical Results

Identifieur interne : 000108 ( PascalFrancis/Corpus ); précédent : 000107; suivant : 000109

Tissue-Engineered Polymer-Based Periosteal Bone Grafts for Maxillary Sinus Augmentation: Five-Year Clinical Results

Auteurs : Wolfram Trautvetter ; Christian Kaps ; Rainer Schmelzeisen ; Sebastian Sauerbier ; Michael Sittinger

Source :

RBID : Pascal:11-0499666

Descripteurs français

English descriptors

Abstract

Purpose: Augmentation of the maxillary sinus with allogenic or alloplastic materials, as well as autologous bone grafts, has inherent disadvantages. Therefore, the aim of our study was to evaluate the long-term clinical repair effect of autologous periosteal bone grafts on atrophic maxillary bone. Patients and Methods: In the present retrospective cohort study, augmentation of the edentulous atrophic posterior maxilla was performed using autologous tissue-engineered periosteal bone grafts based on bioresorbable polymer scaffolds and, in a 1-step procedure, simultaneous insertion of dental implants. The clinical evaluation of 10 patients was performed by radiologic assessment of bone formation, with a follow-up of 5 years. Bone formation was further documented by measuring the bone height and by histologic examination. Results: Excellent clinical and radiologic results were achieved as early as 4 months after transplantation of the periosteal bone grafts. The bone height remained significantly (P < .05) greater (median 14.2 mm) than the preoperative atrophic bone (median 6.9 mm) during the 5-year observation period. Histologically, the bone biopsy specimens of 2 patients obtained after 6 months showed trabecular bone with osteocytes and active osteoblasts. No signs of bone resorption, formation of connective tissue, or necrosis were seen. Conclusion: Our results suggest that the transplantation of autologous periosteal bone grafts and implantation of dental implants in a 1-step procedure is a reliable procedure that leads to bone formation in the edentulous posterior maxilla, remaining stable in the long term for a period of at least 5 years.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0278-2391
A02 01      @0 JOMSDA
A03   1    @0 J. oral maxillofac. surg.
A05       @2 69
A06       @2 11
A08 01  1  ENG  @1 Tissue-Engineered Polymer-Based Periosteal Bone Grafts for Maxillary Sinus Augmentation: Five-Year Clinical Results
A11 01  1    @1 TRAUTVETTER (Wolfram)
A11 02  1    @1 KAPS (Christian)
A11 03  1    @1 SCHMELZEISEN (Rainer)
A11 04  1    @1 SAUERBIER (Sebastian)
A11 05  1    @1 SITTINGER (Michael)
A14 01      @1 Private Practice @2 Ulm @3 DEU @Z 1 aut.
A14 02      @1 Laboratory for Tissue Engineering, Department of Rheumatology, Charite Campus Mitte, Charite-Universitatsmedizin Berlin @2 Berlin @3 DEU @Z 2 aut. @Z 5 aut.
A14 03      @1 Department of Oral and Cranio-Maxillofacial Surgery, University Hospital Freiburg @2 Freiburg @3 DEU @Z 3 aut. @Z 4 aut.
A14 04      @1 Berlin Brandenburg Center for Regenerative Therapies, Charite-Universitatsmedizin Berlin @2 Berlin @3 DEU @Z 5 aut.
A20       @1 2753-2762
A21       @1 2011
A23 01      @0 ENG
A43 01      @1 INIST @2 3005 @5 354000505900420120
A44       @0 0000 @1 © 2011 INIST-CNRS. All rights reserved.
A45       @0 37 ref.
A47 01  1    @0 11-0499666
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of oral and maxillofacial surgery
A66 01      @0 USA
C01 01    ENG  @0 Purpose: Augmentation of the maxillary sinus with allogenic or alloplastic materials, as well as autologous bone grafts, has inherent disadvantages. Therefore, the aim of our study was to evaluate the long-term clinical repair effect of autologous periosteal bone grafts on atrophic maxillary bone. Patients and Methods: In the present retrospective cohort study, augmentation of the edentulous atrophic posterior maxilla was performed using autologous tissue-engineered periosteal bone grafts based on bioresorbable polymer scaffolds and, in a 1-step procedure, simultaneous insertion of dental implants. The clinical evaluation of 10 patients was performed by radiologic assessment of bone formation, with a follow-up of 5 years. Bone formation was further documented by measuring the bone height and by histologic examination. Results: Excellent clinical and radiologic results were achieved as early as 4 months after transplantation of the periosteal bone grafts. The bone height remained significantly (P < .05) greater (median 14.2 mm) than the preoperative atrophic bone (median 6.9 mm) during the 5-year observation period. Histologically, the bone biopsy specimens of 2 patients obtained after 6 months showed trabecular bone with osteocytes and active osteoblasts. No signs of bone resorption, formation of connective tissue, or necrosis were seen. Conclusion: Our results suggest that the transplantation of autologous periosteal bone grafts and implantation of dental implants in a 1-step procedure is a reliable procedure that leads to bone formation in the edentulous posterior maxilla, remaining stable in the long term for a period of at least 5 years.
C02 01  X    @0 002B10
C03 01  X  FRE  @0 Chirurgie @5 04
C03 01  X  ENG  @0 Surgery @5 04
C03 01  X  SPA  @0 Cirugía @5 04
C03 02  X  FRE  @0 Polymère @5 07
C03 02  X  ENG  @0 Polymer @5 07
C03 02  X  SPA  @0 Polímero @5 07
C03 03  X  FRE  @0 Sinus maxillaire @5 08
C03 03  X  ENG  @0 Maxillary sinus @5 08
C03 03  X  SPA  @0 Seno maxilar @5 08
C03 04  X  FRE  @0 Stomatologie @5 09
C03 04  X  ENG  @0 Stomatology @5 09
C03 04  X  SPA  @0 Estomatología @5 09
C03 05  X  FRE  @0 Traitement @5 30
C03 05  X  ENG  @0 Treatment @5 30
C03 05  X  SPA  @0 Tratamiento @5 30
C03 06  X  FRE  @0 Greffe osseuse @4 CD @5 96
C03 06  X  ENG  @0 Bone graft @4 CD @5 96
C03 06  X  SPA  @0 Injerto óseo @4 CD @5 96
N21       @1 346
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 11-0499666 INIST
ET : Tissue-Engineered Polymer-Based Periosteal Bone Grafts for Maxillary Sinus Augmentation: Five-Year Clinical Results
AU : TRAUTVETTER (Wolfram); KAPS (Christian); SCHMELZEISEN (Rainer); SAUERBIER (Sebastian); SITTINGER (Michael)
AF : Private Practice/Ulm/Allemagne (1 aut.); Laboratory for Tissue Engineering, Department of Rheumatology, Charite Campus Mitte, Charite-Universitatsmedizin Berlin/Berlin/Allemagne (2 aut., 5 aut.); Department of Oral and Cranio-Maxillofacial Surgery, University Hospital Freiburg/Freiburg/Allemagne (3 aut., 4 aut.); Berlin Brandenburg Center for Regenerative Therapies, Charite-Universitatsmedizin Berlin/Berlin/Allemagne (5 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of oral and maxillofacial surgery; ISSN 0278-2391; Coden JOMSDA; Etats-Unis; Da. 2011; Vol. 69; No. 11; Pp. 2753-2762; Bibl. 37 ref.
LA : Anglais
EA : Purpose: Augmentation of the maxillary sinus with allogenic or alloplastic materials, as well as autologous bone grafts, has inherent disadvantages. Therefore, the aim of our study was to evaluate the long-term clinical repair effect of autologous periosteal bone grafts on atrophic maxillary bone. Patients and Methods: In the present retrospective cohort study, augmentation of the edentulous atrophic posterior maxilla was performed using autologous tissue-engineered periosteal bone grafts based on bioresorbable polymer scaffolds and, in a 1-step procedure, simultaneous insertion of dental implants. The clinical evaluation of 10 patients was performed by radiologic assessment of bone formation, with a follow-up of 5 years. Bone formation was further documented by measuring the bone height and by histologic examination. Results: Excellent clinical and radiologic results were achieved as early as 4 months after transplantation of the periosteal bone grafts. The bone height remained significantly (P < .05) greater (median 14.2 mm) than the preoperative atrophic bone (median 6.9 mm) during the 5-year observation period. Histologically, the bone biopsy specimens of 2 patients obtained after 6 months showed trabecular bone with osteocytes and active osteoblasts. No signs of bone resorption, formation of connective tissue, or necrosis were seen. Conclusion: Our results suggest that the transplantation of autologous periosteal bone grafts and implantation of dental implants in a 1-step procedure is a reliable procedure that leads to bone formation in the edentulous posterior maxilla, remaining stable in the long term for a period of at least 5 years.
CC : 002B10
FD : Chirurgie; Polymère; Sinus maxillaire; Stomatologie; Traitement; Greffe osseuse
ED : Surgery; Polymer; Maxillary sinus; Stomatology; Treatment; Bone graft
SD : Cirugía; Polímero; Seno maxilar; Estomatología; Tratamiento; Injerto óseo
LO : INIST-3005.354000505900420120
ID : 11-0499666

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Pascal:11-0499666

Le document en format XML

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<div type="abstract" xml:lang="en">Purpose: Augmentation of the maxillary sinus with allogenic or alloplastic materials, as well as autologous bone grafts, has inherent disadvantages. Therefore, the aim of our study was to evaluate the long-term clinical repair effect of autologous periosteal bone grafts on atrophic maxillary bone. Patients and Methods: In the present retrospective cohort study, augmentation of the edentulous atrophic posterior maxilla was performed using autologous tissue-engineered periosteal bone grafts based on bioresorbable polymer scaffolds and, in a 1-step procedure, simultaneous insertion of dental implants. The clinical evaluation of 10 patients was performed by radiologic assessment of bone formation, with a follow-up of 5 years. Bone formation was further documented by measuring the bone height and by histologic examination. Results: Excellent clinical and radiologic results were achieved as early as 4 months after transplantation of the periosteal bone grafts. The bone height remained significantly (P < .05) greater (median 14.2 mm) than the preoperative atrophic bone (median 6.9 mm) during the 5-year observation period. Histologically, the bone biopsy specimens of 2 patients obtained after 6 months showed trabecular bone with osteocytes and active osteoblasts. No signs of bone resorption, formation of connective tissue, or necrosis were seen. Conclusion: Our results suggest that the transplantation of autologous periosteal bone grafts and implantation of dental implants in a 1-step procedure is a reliable procedure that leads to bone formation in the edentulous posterior maxilla, remaining stable in the long term for a period of at least 5 years.</div>
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<NO>PASCAL 11-0499666 INIST</NO>
<ET>Tissue-Engineered Polymer-Based Periosteal Bone Grafts for Maxillary Sinus Augmentation: Five-Year Clinical Results</ET>
<AU>TRAUTVETTER (Wolfram); KAPS (Christian); SCHMELZEISEN (Rainer); SAUERBIER (Sebastian); SITTINGER (Michael)</AU>
<AF>Private Practice/Ulm/Allemagne (1 aut.); Laboratory for Tissue Engineering, Department of Rheumatology, Charite Campus Mitte, Charite-Universitatsmedizin Berlin/Berlin/Allemagne (2 aut., 5 aut.); Department of Oral and Cranio-Maxillofacial Surgery, University Hospital Freiburg/Freiburg/Allemagne (3 aut., 4 aut.); Berlin Brandenburg Center for Regenerative Therapies, Charite-Universitatsmedizin Berlin/Berlin/Allemagne (5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of oral and maxillofacial surgery; ISSN 0278-2391; Coden JOMSDA; Etats-Unis; Da. 2011; Vol. 69; No. 11; Pp. 2753-2762; Bibl. 37 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose: Augmentation of the maxillary sinus with allogenic or alloplastic materials, as well as autologous bone grafts, has inherent disadvantages. Therefore, the aim of our study was to evaluate the long-term clinical repair effect of autologous periosteal bone grafts on atrophic maxillary bone. Patients and Methods: In the present retrospective cohort study, augmentation of the edentulous atrophic posterior maxilla was performed using autologous tissue-engineered periosteal bone grafts based on bioresorbable polymer scaffolds and, in a 1-step procedure, simultaneous insertion of dental implants. The clinical evaluation of 10 patients was performed by radiologic assessment of bone formation, with a follow-up of 5 years. Bone formation was further documented by measuring the bone height and by histologic examination. Results: Excellent clinical and radiologic results were achieved as early as 4 months after transplantation of the periosteal bone grafts. The bone height remained significantly (P < .05) greater (median 14.2 mm) than the preoperative atrophic bone (median 6.9 mm) during the 5-year observation period. Histologically, the bone biopsy specimens of 2 patients obtained after 6 months showed trabecular bone with osteocytes and active osteoblasts. No signs of bone resorption, formation of connective tissue, or necrosis were seen. Conclusion: Our results suggest that the transplantation of autologous periosteal bone grafts and implantation of dental implants in a 1-step procedure is a reliable procedure that leads to bone formation in the edentulous posterior maxilla, remaining stable in the long term for a period of at least 5 years.</EA>
<CC>002B10</CC>
<FD>Chirurgie; Polymère; Sinus maxillaire; Stomatologie; Traitement; Greffe osseuse</FD>
<ED>Surgery; Polymer; Maxillary sinus; Stomatology; Treatment; Bone graft</ED>
<SD>Cirugía; Polímero; Seno maxilar; Estomatología; Tratamiento; Injerto óseo</SD>
<LO>INIST-3005.354000505900420120</LO>
<ID>11-0499666</ID>
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