Vertical Ridge Augmentation of the Atrophic Posterior Mandible with Sandwich Technique: Bone Block from the Chin Area versus Corticocancellous Bone Block Allograft—Clinical and Histological Prospective Randomized Controlled Study
Identifieur interne : 000460 ( Pmc/Curation ); précédent : 000459; suivant : 000461Vertical Ridge Augmentation of the Atrophic Posterior Mandible with Sandwich Technique: Bone Block from the Chin Area versus Corticocancellous Bone Block Allograft—Clinical and Histological Prospective Randomized Controlled Study
Auteurs : Luigi Laino [Italie] ; Giovanna Iezzi [Italie] ; Adriano Piattelli [Italie] ; Lorenzo Lo Muzio [Italie] ; Marco Cicciù [Italie]Source :
- BioMed Research International [ 2314-6133 ] ; 2014.
Abstract
The aim of the present study is to compare the histological aspects of bone formation in atrophic posterior mandibles augmented by autologous bone block from chin area with corticocancellous bone block allograft used as inlays with the sandwich technique.
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DOI: 10.1155/2014/982104
PubMed: 24877155
PubMed Central: 4020564
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Vertical Ridge Augmentation of the Atrophic Posterior Mandible with Sandwich Technique: Bone Block from the Chin Area versus Corticocancellous Bone Block Allograft—Clinical and Histological Prospective Randomized Controlled Study</title><author><name sortKey="Laino, Luigi" sort="Laino, Luigi" uniqKey="Laino L" first="Luigi" last="Laino">Luigi Laino</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical and Experimental Medicine, University of Foggia, FO, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Clinical and Experimental Medicine, University of Foggia, FO</wicri:regionArea></affiliation></author><author><name sortKey="Iezzi, Giovanna" sort="Iezzi, Giovanna" uniqKey="Iezzi G" first="Giovanna" last="Iezzi">Giovanna Iezzi</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Stomatology and Oral Science, University of Chieti, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Stomatology and Oral Science, University of Chieti</wicri:regionArea></affiliation></author><author><name sortKey="Piattelli, Adriano" sort="Piattelli, Adriano" uniqKey="Piattelli A" first="Adriano" last="Piattelli">Adriano Piattelli</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Stomatology and Oral Science, University of Chieti, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Stomatology and Oral Science, University of Chieti</wicri:regionArea></affiliation></author><author><name sortKey="Lo Muzio, Lorenzo" sort="Lo Muzio, Lorenzo" uniqKey="Lo Muzio L" first="Lorenzo" last="Lo Muzio">Lorenzo Lo Muzio</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical and Experimental Medicine, University of Foggia, FO, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Clinical and Experimental Medicine, University of Foggia, FO</wicri:regionArea></affiliation></author><author><name sortKey="Cicciu, Marco" sort="Cicciu, Marco" uniqKey="Cicciu M" first="Marco" last="Cicciù">Marco Cicciù</name><affiliation wicri:level="1"><nlm:aff id="I3">Human Pathology Department, School of Dentistry, University of Messina, Via Consolare Valeria, 98100 Messina, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Human Pathology Department, School of Dentistry, University of Messina, Via Consolare Valeria, 98100 Messina</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24877155</idno><idno type="pmc">4020564</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4020564</idno><idno type="RBID">PMC:4020564</idno><idno type="doi">10.1155/2014/982104</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000460</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000460</idno><idno type="wicri:Area/Pmc/Curation">000460</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000460</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Vertical Ridge Augmentation of the Atrophic Posterior Mandible with Sandwich Technique: Bone Block from the Chin Area versus Corticocancellous Bone Block Allograft—Clinical and Histological Prospective Randomized Controlled Study</title><author><name sortKey="Laino, Luigi" sort="Laino, Luigi" uniqKey="Laino L" first="Luigi" last="Laino">Luigi Laino</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical and Experimental Medicine, University of Foggia, FO, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Clinical and Experimental Medicine, University of Foggia, FO</wicri:regionArea></affiliation></author><author><name sortKey="Iezzi, Giovanna" sort="Iezzi, Giovanna" uniqKey="Iezzi G" first="Giovanna" last="Iezzi">Giovanna Iezzi</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Stomatology and Oral Science, University of Chieti, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Stomatology and Oral Science, University of Chieti</wicri:regionArea></affiliation></author><author><name sortKey="Piattelli, Adriano" sort="Piattelli, Adriano" uniqKey="Piattelli A" first="Adriano" last="Piattelli">Adriano Piattelli</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Stomatology and Oral Science, University of Chieti, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Stomatology and Oral Science, University of Chieti</wicri:regionArea></affiliation></author><author><name sortKey="Lo Muzio, Lorenzo" sort="Lo Muzio, Lorenzo" uniqKey="Lo Muzio L" first="Lorenzo" last="Lo Muzio">Lorenzo Lo Muzio</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical and Experimental Medicine, University of Foggia, FO, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Clinical and Experimental Medicine, University of Foggia, FO</wicri:regionArea></affiliation></author><author><name sortKey="Cicciu, Marco" sort="Cicciu, Marco" uniqKey="Cicciu M" first="Marco" last="Cicciù">Marco Cicciù</name><affiliation wicri:level="1"><nlm:aff id="I3">Human Pathology Department, School of Dentistry, University of Messina, Via Consolare Valeria, 98100 Messina, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Human Pathology Department, School of Dentistry, University of Messina, Via Consolare Valeria, 98100 Messina</wicri:regionArea></affiliation></author></analytic><series><title level="j">BioMed Research International</title><idno type="ISSN">2314-6133</idno><idno type="eISSN">2314-6141</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The aim of the present study is to compare the histological aspects of bone formation in atrophic posterior mandibles augmented by autologous bone block from chin area with corticocancellous bone block allograft used as inlays with the sandwich technique. <italic> Materials and Methods</italic>. Sixteen patients with bilateral partial edentulism in the posterior mandible were selected. The residual bone height, preliminarily measured by computed tomography scans, ranged between 5 and 7 mm from the inferior alveolar nerve. All patients required regeneration procedure with autologous bone block from chin area (control group) versus bone block allograft Puros (Zimmer Dental, 1900 Aston Avenue, Carlsbad, CA, USA) (test group). Histological and histomorphometric samples were collected at the time of implant positioning in order to analyze the percentage of newly formed bone, the residual graft material, and marrow spaces/soft tissue. <italic> Results</italic>. No statistically significant differences between the two groups were found regarding the percentage of newly formed bone. The percentage of residual grafted material was significantly higher in the test group, whilst the percentage of marrow spaces was higher in control group. <italic> Conclusions</italic>. In conclusion, both procedures supported good results, although the use of bone blocks allograft was less invasive and preferable than harvesting bone from the mental symphysis.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Das Neves, Fd" uniqKey="Das Neves F">FD Das Neves</name></author><author><name sortKey="Fones, D" uniqKey="Fones D">D Fones</name></author><author><name sortKey="Bernardes, Sr" uniqKey="Bernardes S">SR Bernardes</name></author><author><name sortKey="Do Prado, Cj" uniqKey="Do Prado C">CJ do Prado</name></author><author><name sortKey="Neto, Ajf" uniqKey="Neto A">AJF Neto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Li, H" uniqKey="Li H">H Li</name></author><author><name sortKey="Zhou, Cr" uniqKey="Zhou C">CR Zhou</name></author><author><name sortKey="Zhu, My" uniqKey="Zhu M">MY Zhu</name></author><author><name sortKey="Tian, Jh" uniqKey="Tian J">JH 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Biomed Res Int</journal-id><journal-id journal-id-type="iso-abbrev">Biomed Res Int</journal-id><journal-id journal-id-type="publisher-id">BMRI</journal-id><journal-title-group><journal-title>BioMed Research International</journal-title></journal-title-group><issn pub-type="ppub">2314-6133</issn><issn pub-type="epub">2314-6141</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24877155</article-id><article-id pub-id-type="pmc">4020564</article-id><article-id pub-id-type="doi">10.1155/2014/982104</article-id><article-categories><subj-group subj-group-type="heading"><subject>Clinical Study</subject></subj-group></article-categories><title-group><article-title>Vertical Ridge Augmentation of the Atrophic Posterior Mandible with Sandwich Technique: Bone Block from the Chin Area versus Corticocancellous Bone Block Allograft—Clinical and Histological Prospective Randomized Controlled Study</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Laino</surname><given-names>Luigi</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-2391-6594</contrib-id><name><surname>Iezzi</surname><given-names>Giovanna</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Piattelli</surname><given-names>Adriano</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Lo Muzio</surname><given-names>Lorenzo</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-2311-9728</contrib-id><name><surname>Cicciù</surname><given-names>Marco</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Department of Clinical and Experimental Medicine, University of Foggia, FO, Italy</aff><aff id="I2"><sup>2</sup>Department of Stomatology and Oral Science, University of Chieti, Italy</aff><aff id="I3"><sup>3</sup>Human Pathology Department, School of Dentistry, University of Messina, Via Consolare Valeria, 98100 Messina, Italy</aff><author-notes><corresp id="cor1">*Marco Cicciù: <email>acromarco@yahoo.it</email></corresp><fn fn-type="other"><p>Academic Editor: David M. Dohan Ehrenfest</p></fn></author-notes><pub-date pub-type="ppub"><year>2014</year></pub-date><pub-date pub-type="epub"><day>29</day><month>4</month><year>2014</year></pub-date><volume>2014</volume><elocation-id>982104</elocation-id><history><date date-type="received"><day>29</day><month>3</month><year>2014</year></date><date date-type="accepted"><day>15</day><month>4</month><year>2014</year></date></history><permissions><copyright-statement>Copyright © 2014 Luigi Laino et al.</copyright-statement><copyright-year>2014</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>The aim of the present study is to compare the histological aspects of bone formation in atrophic posterior mandibles augmented by autologous bone block from chin area with corticocancellous bone block allograft used as inlays with the sandwich technique. <italic> Materials and Methods</italic>. Sixteen patients with bilateral partial edentulism in the posterior mandible were selected. The residual bone height, preliminarily measured by computed tomography scans, ranged between 5 and 7 mm from the inferior alveolar nerve. All patients required regeneration procedure with autologous bone block from chin area (control group) versus bone block allograft Puros (Zimmer Dental, 1900 Aston Avenue, Carlsbad, CA, USA) (test group). Histological and histomorphometric samples were collected at the time of implant positioning in order to analyze the percentage of newly formed bone, the residual graft material, and marrow spaces/soft tissue. <italic> Results</italic>. No statistically significant differences between the two groups were found regarding the percentage of newly formed bone. The percentage of residual grafted material was significantly higher in the test group, whilst the percentage of marrow spaces was higher in control group. <italic> Conclusions</italic>. In conclusion, both procedures supported good results, although the use of bone blocks allograft was less invasive and preferable than harvesting bone from the mental symphysis.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Sample of the two oblique cuts performed in the coronal third portion of the mandibular bone with the mesial cut at least 2 mm distal to the last tooth in the arch (a, b, c).</p></caption><graphic xlink:href="BMRI2014-982104.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Sample of the grafted area covered with a resorbable barrier of pericardium (a, b, c).</p></caption><graphic xlink:href="BMRI2014-982104.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Sample of the bone core biopsies that were retrieved by using 2.9 mm diameter trephine bur.</p></caption><graphic xlink:href="BMRI2014-982104.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Grafted bone, almost completely surrounded by newly formed bone can be observed. Acid fuchsin-toluidine blue; original magnification 60x.</p></caption><graphic xlink:href="BMRI2014-982104.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>The autogenous bone block presents marked staining differences from the host trabecular bone and specifically, it shows a lower affinity for the stains. The block is surrounded by newly formed bone. Acid fuchsin-toluidine blue; original magnification 40x.</p></caption><graphic xlink:href="BMRI2014-982104.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>A rim of osteoblasts depositing osteoid matrix is evident. Acid fuchsin-toluidine blue; original magnification 200x.</p></caption><graphic xlink:href="BMRI2014-982104.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>An osteon in the vicinity of grafted bone can be seen. Acid fuchsin-toluidine blue; original magnification 200x.</p></caption><graphic xlink:href="BMRI2014-982104.007"></graphic></fig><fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label><caption><p>A good amount of newly formed bone can be observed. Acid fuchsin-toluidine blue; original magnification 6x.</p></caption><graphic xlink:href="BMRI2014-982104.008"></graphic></fig><fig id="fig9" orientation="portrait" position="float"><label>Figure 9</label><caption><p>The bovine bone block is surrounded by newly formed bone. A tight contact between the grafted material and the regenerated bone without any interposition of fibrous tissue can be observed. Acid fuchsin-toluidine blue; original magnification 40x.</p></caption><graphic xlink:href="BMRI2014-982104.009"></graphic></fig><fig id="fig10" orientation="portrait" position="float"><label>Figure 10</label><caption><p>Large osteocyte lacunae in contact with the grafted material are present. Acid fuchsin-toluidine blue; original magnification 200x.</p></caption><graphic xlink:href="BMRI2014-982104.010"></graphic></fig><fig id="fig11" orientation="portrait" position="float"><label>Figure 11</label><caption><p>New bone can be seen in the inner and outer portions of a residual grafted particle. Acid fuchsin-toluidine blue; original magnification 100x.</p></caption><graphic xlink:href="BMRI2014-982104.011"></graphic></fig><table-wrap id="tab1" orientation="portrait" position="float"><label>Table 1</label><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Group</th><th align="center" rowspan="1" colspan="1">Obs.</th><th align="center" rowspan="1" colspan="1">Mean</th><th align="center" rowspan="1" colspan="1">Std. error</th><th align="center" rowspan="1" colspan="1">Std. deviation</th><th align="center" rowspan="1" colspan="1">95% conf. I.</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Group Ctrl</td><td align="center" rowspan="1" colspan="1">12</td><td align="center" rowspan="1" colspan="1">31.47</td><td align="center" rowspan="1" colspan="1">7155495</td><td align="center" rowspan="1" colspan="1">2.262.766</td><td align="center" rowspan="1" colspan="1">29.85131 <break></break> 33.08868</td></tr><tr><td align="left" colspan="6" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Group test</td><td align="center" rowspan="1" colspan="1">12</td><td align="center" rowspan="1" colspan="1">30.6</td><td align="center" rowspan="1" colspan="1">117.936</td><td align="center" rowspan="1" colspan="1">3.729.462</td><td align="center" rowspan="1" colspan="1"> 27.9321 <break></break> 33.2679</td></tr></tbody></table><table-wrap-foot><fn><p>Newly formed bone, <italic>t</italic> value = 0.6307, and <italic>P</italic> value = 0.5362. There is no statistically significant difference.</p></fn></table-wrap-foot></table-wrap><table-wrap id="tab2" orientation="portrait" position="float"><label>Table 2</label><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Group</th><th align="center" rowspan="1" colspan="1">Obs.</th><th align="center" rowspan="1" colspan="1">Mean</th><th align="center" rowspan="1" colspan="1">Std. error</th><th align="center" rowspan="1" colspan="1">Std. deviation</th><th align="center" rowspan="1" colspan="1">95% conf. I.</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Group Ctrl</td><td align="center" rowspan="1" colspan="1">12</td><td align="center" rowspan="1" colspan="1">19.56</td><td align="center" rowspan="1" colspan="1">1.320.959</td><td align="center" rowspan="1" colspan="1">417.724</td><td align="center" rowspan="1" colspan="1">16.57178 <break></break> 22.54822</td></tr><tr><td align="left" colspan="6" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Group test</td><td align="center" rowspan="1" colspan="1">12</td><td align="center" rowspan="1" colspan="1">28.9</td><td align="center" rowspan="1" colspan="1">1.600.069</td><td align="center" rowspan="1" colspan="1">5.059.864</td><td align="center" rowspan="1" colspan="1">25.28039 <break></break> 32.51961</td></tr></tbody></table><table-wrap-foot><fn><p>Residual graft material, <italic>t</italic> value = −4.5015, and <italic>P</italic> value = 0.0003. There is statistically significant difference.</p></fn></table-wrap-foot></table-wrap><table-wrap id="tab3" orientation="portrait" position="float"><label>Table 3</label><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Group</th><th align="center" rowspan="1" colspan="1">Obs</th><th align="center" rowspan="1" colspan="1">Mean</th><th align="center" rowspan="1" colspan="1">Std. error</th><th align="center" rowspan="1" colspan="1">Std. deviation</th><th align="center" rowspan="1" colspan="1">95% conf. I.</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Group Ctrl</td><td align="center" rowspan="1" colspan="1">12</td><td align="center" rowspan="1" colspan="1">48.97</td><td align="center" rowspan="1" colspan="1">1.878.241</td><td align="center" rowspan="1" colspan="1">5.939.519</td><td align="center" rowspan="1" colspan="1">44.72112 <break></break> 53.21888</td></tr><tr><td align="left" colspan="6" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Grouptest</td><td align="center" rowspan="1" colspan="1">12</td><td align="center" rowspan="1" colspan="1">41.28</td><td align="center" rowspan="1" colspan="1">1.888.491</td><td align="center" rowspan="1" colspan="1">5.971.934</td><td align="center" rowspan="1" colspan="1">41.84335 <break></break> 48.40665</td></tr></tbody></table><table-wrap-foot><fn><p>Marrow space, <italic>t</italic> value = 2.8872, and <italic>P</italic> value = 0.0098. There is statistically significant difference.</p></fn></table-wrap-foot></table-wrap></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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