Stability of Implants Placed in Augmented Posterior Mandible after Alveolar Osteotomy Using Resorbable Nonceramic Hydroxyapatite or Intraoral Autogenous Bone: 12‐Month Follow‐Up
Identifieur interne : 000893 ( Istex/Corpus ); précédent : 000892; suivant : 000894Stability of Implants Placed in Augmented Posterior Mandible after Alveolar Osteotomy Using Resorbable Nonceramic Hydroxyapatite or Intraoral Autogenous Bone: 12‐Month Follow‐Up
Auteurs : Alexandre M. Dottore ; Paulo Y. Kawakami ; Karen Bechara ; Jose Augusto Rodrigues ; Alessandra Cassoni ; Luciene C. Figueiredo ; Adriano Piattelli ; Jamil Awad ShibliSource :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2014-06.
Abstract
This prospective, controlled split‐mouth study evaluated the stability of dental implants placed in the augmented mandibular areas with alveolar segmental “sandwich” osteotomies using nonceramic hydroxyapatite (ncHA) or autogenous bone.
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DOI: 10.1111/cid.12010
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<author><name sortKey="Shibli, Jamil Awad" sort="Shibli, Jamil Awad" uniqKey="Shibli J" first="Jamil Awad" last="Shibli">Jamil Awad Shibli</name>
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<title level="a" type="short">Implant Stability on Sites Augmented with Autogenous or Hydroxyapatite Grafts</title>
<author xml:id="author-0000"><persName><forename type="first">Alexandre M.</forename>
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<author xml:id="author-0001"><persName><forename type="first">Paulo Y.</forename>
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<author xml:id="author-0003"><persName><forename type="first">Jose Augusto</forename>
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<address><settlement type="city">Chieti</settlement>
<country key="IT">Italy</country>
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<author xml:id="author-0007" role="corresp"><persName><forename type="first">Jamil Awad</forename>
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<region>SP</region>
<country key="BR">Brazil</country>
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<affiliation>Reprint requests: Professor Jamil Awad Shibli, Centro de Pós‐Graduação e Pesquisa – CEPPE, Universidade Guarulhos, Praça Tereza Cristina, 229 – Centro, 07023‐070 Guarulhos, SP, Brazil; e‐mail: jashibli@yahoo.com</affiliation>
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<profileDesc><abstract style="main"><head>Abstract</head>
Purpose
<p>This prospective, controlled split‐mouth study evaluated the stability of dental implants placed in the augmented mandibular areas with alveolar segmental “sandwich” osteotomies using nonceramic hydroxyapatite (<hi rend="fc">ncHA</hi>
) or autogenous bone.</p>
Material and Methods
<p>This study included 11 bilaterally partially edentulous mandibular patients in a split‐mouth design. Alveolar augmentation osteotomies were performed bilaterally with interpositional <hi rend="fc">ncHA</hi>
graft (test group) or interpositional intraoral autogenous bone graft (control group). After 6 months of healing, four implants (two implants in each side) were placed in each patient. Forty‐four implants were inserted and loaded after 6‐month healing period. At 1‐year follow‐up, radiographic, prosthetic, and resonance frequency analysis parameters were assessed. Success criteria included absence of pain, sensitivity, suppuration, and implant mobility; absence of continuous peri‐implant radiolucency; and distance between the implant shoulder and the first visible bone contact (<hi rend="fc">DIB</hi>
) < 2 mm.</p>
Results
<p>After a 1‐year loading period, the overall implant survival rate was 95.45%, with two implant losses (one of each group). Among the surviving implants (42 out of 44), two did not fulfill the success criteria; therefore, the implant success was 90.90%. <hi rend="fc">DIB</hi>
was 0.71 ± 0.70 and 0.84 ± 0.72 mm for <hi rend="fc">ncHA</hi>
and autogenous bone grafts, respectively (<hi rend="italic">p</hi>
> .05). Implant stability measurements were similar between the groups during the 12‐month follow‐up (<hi rend="italic">p</hi>
> .05).</p>
Conclusion
<p>Within the limits of this study, the implants placed either in sites augmented with <hi rend="fc">ncHA</hi>
or autogenous bone seem to represent a safe and successful procedure, at least, after 12‐month follow‐up.</p>
</abstract>
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<titleGroup><title sort="CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH" type="main">Clinical Implant Dentistry and Related Research</title>
<title type="short">Clinical Implant Dentistry and Related Research</title>
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<publicationMeta level="part" position="06103"><doi>10.1111/cid.2014.16.issue-3</doi>
<copyright ownership="publisher">Copyright © 2014 Wiley Periodicals, Inc.</copyright>
<numberingGroup><numbering number="16" type="journalVolume">16</numbering>
<numbering type="journalIssue">3</numbering>
</numberingGroup>
<coverDate startDate="2014-06">June 2014</coverDate>
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<publicationMeta level="unit" status="forIssue" type="article" position="30"><doi>10.1111/cid.12010</doi>
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<countGroup><count number="7" type="pageTotal"></count>
</countGroup>
<titleGroup><title type="tocHeading1">ARTICLES</title>
<title type="articleCategory">ARTICLE</title>
</titleGroup>
<copyright ownership="publisher">© 2012 Wiley Periodicals, Inc.</copyright>
<eventGroup><event agent="bestset" date="2012-10-12" type="xmlCreated"></event>
<event type="publishedOnlineEarlyUnpaginated" date="2012-11-13"></event>
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<numberingGroup><numbering type="pageFirst">330</numbering>
<numbering type="pageLast">336</numbering>
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<correspondenceTo>Reprint requests: Professor Jamil Awad Shibli, Centro de Pós‐Graduação e Pesquisa – CEPPE, Universidade Guarulhos, Praça Tereza Cristina, 229 – Centro, 07023‐070 Guarulhos, SP, Brazil; e‐mail: <email>jashibli@yahoo.com</email>
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<linkGroup><link type="toTypesetVersion" href="file://CID.CID12010.pdf"></link>
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<contentMeta><titleGroup><title type="short">Implant Stability on Sites Augmented with Autogenous or Hydroxyapatite Grafts</title>
<title type="main">Stability of Implants Placed in Augmented Posterior Mandible after Alveolar Osteotomy Using Resorbable Nonceramic Hydroxyapatite or Intraoral Autogenous Bone: 12‐Month Follow‐Up</title>
</titleGroup>
<creators><creator affiliationRef="#cid12010-aff-0001" creatorRole="author" xml:id="cid12010-cr-0001"><personName><givenNames>Alexandre M.</givenNames>
<familyName>Dottore</familyName>
<degrees>DDS</degrees>
</personName>
<jobTitle>Graduated students</jobTitle>
</creator>
<creator affiliationRef="#cid12010-aff-0001" creatorRole="author" xml:id="cid12010-cr-0002"><personName><givenNames>Paulo Y.</givenNames>
<familyName>Kawakami</familyName>
<degrees>DDS, MS, PhD</degrees>
</personName>
<jobTitle>Graduated students</jobTitle>
</creator>
<creator affiliationRef="#cid12010-aff-0001" creatorRole="author" xml:id="cid12010-cr-0003"><personName><givenNames>Karen</givenNames>
<familyName>Bechara</familyName>
<degrees>DDS</degrees>
</personName>
<jobTitle>Graduated students</jobTitle>
</creator>
<creator affiliationRef="#cid12010-aff-0002" creatorRole="author" xml:id="cid12010-cr-0004"><personName><givenNames>Jose Augusto</givenNames>
<familyName>Rodrigues</familyName>
<degrees>DDS, MSc, PhD</degrees>
</personName>
<jobTitle>associate professors</jobTitle>
</creator>
<creator affiliationRef="#cid12010-aff-0002" creatorRole="author" xml:id="cid12010-cr-0005"><personName><givenNames>Alessandra</givenNames>
<familyName>Cassoni</familyName>
<degrees>DDS, MS, PhD</degrees>
</personName>
<jobTitle>associate professors</jobTitle>
</creator>
<creator affiliationRef="#cid12010-aff-0003" creatorRole="author" xml:id="cid12010-cr-0006"><personName><givenNames>Luciene C.</givenNames>
<familyName>Figueiredo</familyName>
<degrees>DDS, MS, PhD</degrees>
</personName>
<jobTitle>professor</jobTitle>
</creator>
<creator affiliationRef="#cid12010-aff-0004" creatorRole="author" xml:id="cid12010-cr-0007"><personName><givenNames>Adriano</givenNames>
<familyName>Piattelli</familyName>
<degrees>DDS, MD</degrees>
</personName>
<jobTitle>professor</jobTitle>
</creator>
<creator affiliationRef="#cid12010-aff-0005" corresponding="yes" creatorRole="author" xml:id="cid12010-cr-0008"><personName><givenNames>Jamil Awad</givenNames>
<familyName>Shibli</familyName>
<degrees>DDS, MS, PhD</degrees>
</personName>
<jobTitle>head of oral implantology clinic and professor</jobTitle>
</creator>
</creators>
<affiliationGroup><affiliation countryCode="BR" xml:id="cid12010-aff-0001"><orgDiv>Department of Oral Implantology, Dental Research Division</orgDiv>
<orgName>University of Guarulhos</orgName>
<address><city>Guarulhos</city>
<countryPart>SP</countryPart>
<country>Brazil</country>
</address>
</affiliation>
<affiliation countryCode="BR" xml:id="cid12010-aff-0002"><orgDiv>Department of Restorative Dentistry, Dental Research Division</orgDiv>
<orgName>University of Guarulhos</orgName>
<address><city>Guarulhos</city>
<countryPart>SP</countryPart>
<country>Brazil</country>
</address>
</affiliation>
<affiliation countryCode="BR" xml:id="cid12010-aff-0003"><orgDiv>Department of Periodontology, Dental Research Division</orgDiv>
<orgName>University of Guarulhos</orgName>
<address><city>Guarulhos</city>
<countryPart>SP</countryPart>
<country>Brazil</country>
</address>
</affiliation>
<affiliation countryCode="IT" xml:id="cid12010-aff-0004"><orgDiv>Department of Oral Medicine and Pathology</orgDiv>
<orgName>University of Chieti‐Pescara</orgName>
<address><city>Chieti</city>
<country>Italy</country>
</address>
</affiliation>
<affiliation countryCode="BR" xml:id="cid12010-aff-0005"><orgDiv>Department of Oral Implantology, Dental Research Division</orgDiv>
<orgName>University of Guarulhos</orgName>
<address><city>Guarulhos</city>
<countryPart>SP</countryPart>
<country>Brazil</country>
</address>
</affiliation>
</affiliationGroup>
<keywordGroup type="author"><keyword xml:id="cid12010-kwd-0001">autogenous bone graft</keyword>
<keyword xml:id="cid12010-kwd-0002">dental implants</keyword>
<keyword xml:id="cid12010-kwd-0003">hydroxyapatite</keyword>
<keyword xml:id="cid12010-kwd-0004">implant success</keyword>
<keyword xml:id="cid12010-kwd-0005">inlay bone grafts</keyword>
<keyword xml:id="cid12010-kwd-0006">posterior mandible</keyword>
<keyword xml:id="cid12010-kwd-0007">resonance frequency analysis</keyword>
</keywordGroup>
<abstractGroup><abstract type="main"><title type="main">Abstract</title>
<section xml:id="cid12010-sec-0001"><title type="main">Purpose</title>
<p>This prospective, controlled split‐mouth study evaluated the stability of dental implants placed in the augmented mandibular areas with alveolar segmental “sandwich” osteotomies using nonceramic hydroxyapatite (<fc>ncHA</fc>
) or autogenous bone.</p>
</section>
<section xml:id="cid12010-sec-0002"><title type="main">Material and Methods</title>
<p>This study included 11 bilaterally partially edentulous mandibular patients in a split‐mouth design. Alveolar augmentation osteotomies were performed bilaterally with interpositional <fc>ncHA</fc>
graft (test group) or interpositional intraoral autogenous bone graft (control group). After 6 months of healing, four implants (two implants in each side) were placed in each patient. Forty‐four implants were inserted and loaded after 6‐month healing period. At 1‐year follow‐up, radiographic, prosthetic, and resonance frequency analysis parameters were assessed. Success criteria included absence of pain, sensitivity, suppuration, and implant mobility; absence of continuous peri‐implant radiolucency; and distance between the implant shoulder and the first visible bone contact (<fc>DIB</fc>
) < 2 mm.</p>
</section>
<section xml:id="cid12010-sec-0003"><title type="main">Results</title>
<p>After a 1‐year loading period, the overall implant survival rate was 95.45%, with two implant losses (one of each group). Among the surviving implants (42 out of 44), two did not fulfill the success criteria; therefore, the implant success was 90.90%. <fc>DIB</fc>
was 0.71 ± 0.70 and 0.84 ± 0.72 mm for <fc>ncHA</fc>
and autogenous bone grafts, respectively (<i>p</i>
> .05). Implant stability measurements were similar between the groups during the 12‐month follow‐up (<i>p</i>
> .05).</p>
</section>
<section xml:id="cid12010-sec-0004"><title type="main">Conclusion</title>
<p>Within the limits of this study, the implants placed either in sites augmented with <fc>ncHA</fc>
or autogenous bone seem to represent a safe and successful procedure, at least, after 12‐month follow‐up.</p>
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<abstract>This prospective, controlled split‐mouth study evaluated the stability of dental implants placed in the augmented mandibular areas with alveolar segmental “sandwich” osteotomies using nonceramic hydroxyapatite (ncHA) or autogenous bone.</abstract>
<abstract>This study included 11 bilaterally partially edentulous mandibular patients in a split‐mouth design. Alveolar augmentation osteotomies were performed bilaterally with interpositional ncHA graft (test group) or interpositional intraoral autogenous bone graft (control group). After 6 months of healing, four implants (two implants in each side) were placed in each patient. Forty‐four implants were inserted and loaded after 6‐month healing period. At 1‐year follow‐up, radiographic, prosthetic, and resonance frequency analysis parameters were assessed. Success criteria included absence of pain, sensitivity, suppuration, and implant mobility; absence of continuous peri‐implant radiolucency; and distance between the implant shoulder and the first visible bone contact (DIB) < 2 mm.</abstract>
<abstract>After a 1‐year loading period, the overall implant survival rate was 95.45%, with two implant losses (one of each group). Among the surviving implants (42 out of 44), two did not fulfill the success criteria; therefore, the implant success was 90.90%. DIB was 0.71 ± 0.70 and 0.84 ± 0.72 mm for ncHA and autogenous bone grafts, respectively (p > .05). Implant stability measurements were similar between the groups during the 12‐month follow‐up (p > .05).</abstract>
<abstract>Within the limits of this study, the implants placed either in sites augmented with ncHA or autogenous bone seem to represent a safe and successful procedure, at least, after 12‐month follow‐up.</abstract>
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<topic>posterior mandible</topic>
<topic>resonance frequency analysis</topic>
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