Simultaneous versus two‐stage implant placement and guided bone regeneration in the canine: histomorphometry at 8 and 16 months
Identifieur interne : 001693 ( Istex/Corpus ); précédent : 001692; suivant : 001694Simultaneous versus two‐stage implant placement and guided bone regeneration in the canine: histomorphometry at 8 and 16 months
Auteurs : Zvi Artzi ; Carlos E. Nemcovsky ; Haim Tal ; Evgeny Weinberg ; Miron Weinreb ; Hari Prasad ; Michael D. Rohrer ; Avital KozlovskySource :
- Journal of Clinical Periodontology [ 0303-6979 ] ; 2010-11.
English descriptors
- KwdEn :
- Animal care, Area fractions, Artzi, Augmentation, Augmentation procedure, Aviv, Aviv university, Beagle dogs, Bioresorbable membranes, Bone apposition, Bone area fraction, Bone area fraction distance particle area fraction, Bone augmentation, Bone augmentation procedure, Bone defect, Bone defects, Bone formation, Bone grafts, Bone mineral, Bone regeneration, Bovine, Bovine bone mineral, Buser, Case series, Clin periodontol, Clinical periodontology, Conductivity level, Conductivity level distance, Consecutive patients, Contralateral side, Coronal, Coronal part, Crestal, Crestal bone level, Crestal bone resorption, Current study, Dahlin, Defect, Defect height, Dental medicine, Dentistry, Different parameters, Different sites, Direct contact, Distal aspects, Distant zones, Donos, Early implant placement, Experimental bone defects, Experimental defects, Experimental sites, Experimental study, Exposure phase, Fuchsin, Grafted, Grafted particle area fractions, Grafted particles, Grafted sites, Hammerle, Histologic, Human extraction sockets, Implant, Implant body, Implant dentistry, Implant neck, Implant placement, Implant placement phase, Implant surface, Implant survival rate, Implants research, International journal, John wiley sons, Lang, Localized ridge augmentation, Matrix synthesis, Maxillofacial, Membrane technique, Months observation, Months observation period, Months observation period bone area fraction, Months placement, Morphometric, Morphometric analysis, Morphometric evaluations, Morphometric measurements, Native bone, Observation period, Observation periods, Oral maxillofacial implants, Oral maxillofacial surgery, Osseointegrated implants, Osseointegration, Osteoblastic differentiation, Other sites, Particle area fraction, Particle area fraction distance conductivity level, Periodontology, Picro, Picro fuchsin staining, Previous studies, Pristine bone, Prospective study, Proximal area, Quantitative expression, Rectangular defect, Regenerated bone, Regeneration, Resorption, Respective periods, Restorative dentistry, Ridge augmentation, Sigbr sites, Simultaneous implant placement, Soft tissue, Soft tissue healing, Superscript letters, Surgical, Surgical procedure, Surgical sites, Tissue closure, Tissue engineering, Tissue regeneration, Titanium implants, Torque removal study, Vertical intrabony.
- Teeft :
- Animal care, Area fractions, Artzi, Augmentation, Augmentation procedure, Aviv, Aviv university, Beagle dogs, Bioresorbable membranes, Bone apposition, Bone area fraction, Bone area fraction distance particle area fraction, Bone augmentation, Bone augmentation procedure, Bone defect, Bone defects, Bone formation, Bone grafts, Bone mineral, Bone regeneration, Bovine, Bovine bone mineral, Buser, Case series, Clin periodontol, Clinical periodontology, Conductivity level, Conductivity level distance, Consecutive patients, Contralateral side, Coronal, Coronal part, Crestal, Crestal bone level, Crestal bone resorption, Current study, Dahlin, Defect, Defect height, Dental medicine, Dentistry, Different parameters, Different sites, Direct contact, Distal aspects, Distant zones, Donos, Early implant placement, Experimental bone defects, Experimental defects, Experimental sites, Experimental study, Exposure phase, Fuchsin, Grafted, Grafted particle area fractions, Grafted particles, Grafted sites, Hammerle, Histologic, Human extraction sockets, Implant, Implant body, Implant dentistry, Implant neck, Implant placement, Implant placement phase, Implant surface, Implant survival rate, Implants research, International journal, John wiley sons, Lang, Localized ridge augmentation, Matrix synthesis, Maxillofacial, Membrane technique, Months observation, Months observation period, Months observation period bone area fraction, Months placement, Morphometric, Morphometric analysis, Morphometric evaluations, Morphometric measurements, Native bone, Observation period, Observation periods, Oral maxillofacial implants, Oral maxillofacial surgery, Osseointegrated implants, Osseointegration, Osteoblastic differentiation, Other sites, Particle area fraction, Particle area fraction distance conductivity level, Periodontology, Picro, Picro fuchsin staining, Previous studies, Pristine bone, Prospective study, Proximal area, Quantitative expression, Rectangular defect, Regenerated bone, Regeneration, Resorption, Respective periods, Restorative dentistry, Ridge augmentation, Sigbr sites, Simultaneous implant placement, Soft tissue, Soft tissue healing, Superscript letters, Surgical, Surgical procedure, Surgical sites, Tissue closure, Tissue engineering, Tissue regeneration, Titanium implants, Torque removal study, Vertical intrabony.
Abstract
Artz Z, Nemcovsky CE, Tal H Weinberg E, Weinreb M, Prasad H, Rohrer MD, Kozlovsky A. Simultaneous versus two‐stage implant placement and guided bone regeneration in the canine: histomorphometry at 8 and 16 months. J Clin Periodontol 2010; 37: 1029–1038. doi: 10.1111/j.1600‐051X.2010.01621.x.
Url:
DOI: 10.1111/j.1600-051X.2010.01621.x
Links to Exploration step
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<term>Aviv</term>
<term>Aviv university</term>
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<term>John wiley sons</term>
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<term>Months observation period bone area fraction</term>
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<term>Morphometric analysis</term>
<term>Morphometric evaluations</term>
<term>Morphometric measurements</term>
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<term>Observation period</term>
<term>Observation periods</term>
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<term>Oral maxillofacial surgery</term>
<term>Osseointegrated implants</term>
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<term>Area fractions</term>
<term>Artzi</term>
<term>Augmentation</term>
<term>Augmentation procedure</term>
<term>Aviv</term>
<term>Aviv university</term>
<term>Beagle dogs</term>
<term>Bioresorbable membranes</term>
<term>Bone apposition</term>
<term>Bone area fraction</term>
<term>Bone area fraction distance particle area fraction</term>
<term>Bone augmentation</term>
<term>Bone augmentation procedure</term>
<term>Bone defect</term>
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<term>Bone formation</term>
<term>Bone grafts</term>
<term>Bone mineral</term>
<term>Bone regeneration</term>
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<term>Buser</term>
<term>Case series</term>
<term>Clin periodontol</term>
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<term>Conductivity level</term>
<term>Conductivity level distance</term>
<term>Consecutive patients</term>
<term>Contralateral side</term>
<term>Coronal</term>
<term>Coronal part</term>
<term>Crestal</term>
<term>Crestal bone level</term>
<term>Crestal bone resorption</term>
<term>Current study</term>
<term>Dahlin</term>
<term>Defect</term>
<term>Defect height</term>
<term>Dental medicine</term>
<term>Dentistry</term>
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<term>Direct contact</term>
<term>Distal aspects</term>
<term>Distant zones</term>
<term>Donos</term>
<term>Early implant placement</term>
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<term>Experimental defects</term>
<term>Experimental sites</term>
<term>Experimental study</term>
<term>Exposure phase</term>
<term>Fuchsin</term>
<term>Grafted</term>
<term>Grafted particle area fractions</term>
<term>Grafted particles</term>
<term>Grafted sites</term>
<term>Hammerle</term>
<term>Histologic</term>
<term>Human extraction sockets</term>
<term>Implant</term>
<term>Implant body</term>
<term>Implant dentistry</term>
<term>Implant neck</term>
<term>Implant placement</term>
<term>Implant placement phase</term>
<term>Implant surface</term>
<term>Implant survival rate</term>
<term>Implants research</term>
<term>International journal</term>
<term>John wiley sons</term>
<term>Lang</term>
<term>Localized ridge augmentation</term>
<term>Matrix synthesis</term>
<term>Maxillofacial</term>
<term>Membrane technique</term>
<term>Months observation</term>
<term>Months observation period</term>
<term>Months observation period bone area fraction</term>
<term>Months placement</term>
<term>Morphometric</term>
<term>Morphometric analysis</term>
<term>Morphometric evaluations</term>
<term>Morphometric measurements</term>
<term>Native bone</term>
<term>Observation period</term>
<term>Observation periods</term>
<term>Oral maxillofacial implants</term>
<term>Oral maxillofacial surgery</term>
<term>Osseointegrated implants</term>
<term>Osseointegration</term>
<term>Osteoblastic differentiation</term>
<term>Other sites</term>
<term>Particle area fraction</term>
<term>Particle area fraction distance conductivity level</term>
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<term>Picro</term>
<term>Picro fuchsin staining</term>
<term>Previous studies</term>
<term>Pristine bone</term>
<term>Prospective study</term>
<term>Proximal area</term>
<term>Quantitative expression</term>
<term>Rectangular defect</term>
<term>Regenerated bone</term>
<term>Regeneration</term>
<term>Resorption</term>
<term>Respective periods</term>
<term>Restorative dentistry</term>
<term>Ridge augmentation</term>
<term>Sigbr sites</term>
<term>Simultaneous implant placement</term>
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<term>Soft tissue healing</term>
<term>Superscript letters</term>
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<term>Surgical procedure</term>
<term>Surgical sites</term>
<term>Tissue closure</term>
<term>Tissue engineering</term>
<term>Tissue regeneration</term>
<term>Titanium implants</term>
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<front><div type="abstract">Artz Z, Nemcovsky CE, Tal H Weinberg E, Weinreb M, Prasad H, Rohrer MD, Kozlovsky A. Simultaneous versus two‐stage implant placement and guided bone regeneration in the canine: histomorphometry at 8 and 16 months. J Clin Periodontol 2010; 37: 1029–1038. doi: 10.1111/j.1600‐051X.2010.01621.x.</div>
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<profileDesc><abstract xml:lang="en" style="main"><p>Artz Z, Nemcovsky CE, Tal H Weinberg E, Weinreb M, Prasad H, Rohrer MD, Kozlovsky A. Simultaneous <hi rend="italic">versus</hi>
two‐stage implant placement and guided bone regeneration in the canine: histomorphometry at 8 and 16 months. J Clin Periodontol 2010; 37: 1029–1038. doi: 10.1111/j.1600‐051X.2010.01621.x.</p>
Abstract
<p><hi rend="bold">Aim: </hi>
To compare the effect of timing of implant placement and guided bone regeneration (GBR) procedure on osseointegration and newly formed bone at 8 and 16 months.</p>
<p><hi rend="bold">Material and Methods: </hi>
In seven dogs, four different sites were bilaterally established: (1) an implant placed in a 6‐month healed (6m‐GBR) bovine bone mineral (BBM) grafted site; (2) a simultaneously placed implant with the grafted BBM (Si‐GBR) followed by a membrane coverage; (3) an implant placed in a membrane‐protected non‐grafted defect; and (4) an implant placement in a naturally healed site (Cont). Histomorphometry was obtained at 8 and 16 months post‐implant placement. Bone–implant contact (BIC), crestal bone resorption (CBR), vertical intra‐bony (VIB) defect, bone (BAF) and particle (PAF) area fractions, and osteoconductivity (CON) levels were measured.</p>
<p><hi rend="bold">Results: </hi>
In all sites, BIC ranged between 62% and 79% with no significant differences. PAF ranged from 17% to 27%, with no effect of time. At 8 and 16 months, BAF was significantly smaller at the Si‐GBR site when compared with all other sites, CON was significantly greater at the 6m‐GBR site, and CBR and VIB were significantly smaller at the 6m‐GBR when compared with the Si‐GBR sites.</p>
<p><hi rend="bold">Conclusions: </hi>
The simultaneous and delayed techniques both showed a similar osseointegration level over time. However, the staged approach showed enhanced newly formed bone, higher osteoconduction around the grafted mineral, less CBR, and smaller vertical bone defect over time compared with the combined approach.</p>
</abstract>
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<i>Ramat Aviv</i>
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<affiliationGroup><affiliation xml:id="a1" countryCode="IL"><unparsedAffiliation>Department of Periodontology, School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel</unparsedAffiliation>
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<affiliation xml:id="a2" countryCode="IL"><unparsedAffiliation>Department of Oral Biology, School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel</unparsedAffiliation>
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<affiliation xml:id="a3" countryCode="US"><unparsedAffiliation>Division of Oral Pathoolgy, School of Dentistry, University of Minnesota, Minneapolis, MN, USA</unparsedAffiliation>
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<keywordGroup xml:lang="en"><keyword xml:id="k1">bone augmentation</keyword>
<keyword xml:id="k2">bone–implant contact</keyword>
<keyword xml:id="k3">bovine bone</keyword>
<keyword xml:id="k4">guided bone regeneration</keyword>
<keyword xml:id="k5">osseointegration</keyword>
<keyword xml:id="k6">osteoconduction</keyword>
</keywordGroup>
<abstractGroup><abstract type="main" xml:lang="en"><section xml:id="sec-sum-1"><p>Artz Z, Nemcovsky CE, Tal H Weinberg E, Weinreb M, Prasad H, Rohrer MD, Kozlovsky A. Simultaneous <i>versus</i>
two‐stage implant placement and guided bone regeneration in the canine: histomorphometry at 8 and 16 months. J Clin Periodontol 2010; 37: 1029–1038. doi: 10.1111/j.1600‐051X.2010.01621.x.</p>
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<section xml:id="abs1-1"><title type="main">Abstract</title>
<p><b>Aim: </b>
To compare the effect of timing of implant placement and guided bone regeneration (GBR) procedure on osseointegration and newly formed bone at 8 and 16 months.</p>
<p><b>Material and Methods: </b>
In seven dogs, four different sites were bilaterally established: (1) an implant placed in a 6‐month healed (6m‐GBR) bovine bone mineral (BBM) grafted site; (2) a simultaneously placed implant with the grafted BBM (Si‐GBR) followed by a membrane coverage; (3) an implant placed in a membrane‐protected non‐grafted defect; and (4) an implant placement in a naturally healed site (Cont). Histomorphometry was obtained at 8 and 16 months post‐implant placement. Bone–implant contact (BIC), crestal bone resorption (CBR), vertical intra‐bony (VIB) defect, bone (BAF) and particle (PAF) area fractions, and osteoconductivity (CON) levels were measured.</p>
<p><b>Results: </b>
In all sites, BIC ranged between 62% and 79% with no significant differences. PAF ranged from 17% to 27%, with no effect of time. At 8 and 16 months, BAF was significantly smaller at the Si‐GBR site when compared with all other sites, CON was significantly greater at the 6m‐GBR site, and CBR and VIB were significantly smaller at the 6m‐GBR when compared with the Si‐GBR sites.</p>
<p><b>Conclusions: </b>
The simultaneous and delayed techniques both showed a similar osseointegration level over time. However, the staged approach showed enhanced newly formed bone, higher osteoconduction around the grafted mineral, less CBR, and smaller vertical bone defect over time compared with the combined approach.</p>
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<noteGroup><note xml:id="fn1"><p><b>Conflict of interest and sources of funding statement</b>
The authors declare no conflict of interest at any part of the study.
This study was funded by the Osteology Foundation and by the Gerald A. Niznick Chair of Implant Dentistry and the Alpha Omega Research Fund, Tel Aviv University. The authors are indebted to Biomet 3i for providing the implants; to Geistlich Biomaterials for providing the biomaterials to Dr. Naam Kariv, Mr. Haim Barki, and Mr. Neria Davidov for the animal care; to Mrs. Ilana Gelernter for the statistical analysis; and to Rita Lazar (EASE) for editorial assistance.</p>
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<name type="personal"><namePart type="given">Zvi</namePart>
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<name type="personal"><namePart type="given">Michael D.</namePart>
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<name type="personal"><namePart type="given">Avital</namePart>
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<abstract>Artz Z, Nemcovsky CE, Tal H Weinberg E, Weinreb M, Prasad H, Rohrer MD, Kozlovsky A. Simultaneous versus two‐stage implant placement and guided bone regeneration in the canine: histomorphometry at 8 and 16 months. J Clin Periodontol 2010; 37: 1029–1038. doi: 10.1111/j.1600‐051X.2010.01621.x.</abstract>
<abstract>Aim: To compare the effect of timing of implant placement and guided bone regeneration (GBR) procedure on osseointegration and newly formed bone at 8 and 16 months. Material and Methods: In seven dogs, four different sites were bilaterally established: (1) an implant placed in a 6‐month healed (6m‐GBR) bovine bone mineral (BBM) grafted site; (2) a simultaneously placed implant with the grafted BBM (Si‐GBR) followed by a membrane coverage; (3) an implant placed in a membrane‐protected non‐grafted defect; and (4) an implant placement in a naturally healed site (Cont). Histomorphometry was obtained at 8 and 16 months post‐implant placement. Bone–implant contact (BIC), crestal bone resorption (CBR), vertical intra‐bony (VIB) defect, bone (BAF) and particle (PAF) area fractions, and osteoconductivity (CON) levels were measured. Results: In all sites, BIC ranged between 62% and 79% with no significant differences. PAF ranged from 17% to 27%, with no effect of time. At 8 and 16 months, BAF was significantly smaller at the Si‐GBR site when compared with all other sites, CON was significantly greater at the 6m‐GBR site, and CBR and VIB were significantly smaller at the 6m‐GBR when compared with the Si‐GBR sites. Conclusions: The simultaneous and delayed techniques both showed a similar osseointegration level over time. However, the staged approach showed enhanced newly formed bone, higher osteoconduction around the grafted mineral, less CBR, and smaller vertical bone defect over time compared with the combined approach.</abstract>
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