Tissue-Engineered Polymer-Based Periosteal Bone Grafts for Maxillary Sinus Augmentation: Five-Year Clinical Results
Identifieur interne : 000108 ( PascalFrancis/Corpus ); précédent : 000107; suivant : 000109Tissue-Engineered Polymer-Based Periosteal Bone Grafts for Maxillary Sinus Augmentation: Five-Year Clinical Results
Auteurs : Wolfram Trautvetter ; Christian Kaps ; Rainer Schmelzeisen ; Sebastian Sauerbier ; Michael SittingerSource :
- Journal of oral and maxillofacial surgery [ 0278-2391 ] ; 2011.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
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.
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Pour connaître la documentation sur le format Inist Standard.
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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:11-0499666Le document en format XML
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<front><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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<server><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>
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