A New Technique for Reconstruction of the Atrophied Narrow Alveolar Crest in the Maxilla Using Morselized Impacted Bone Allograft and Later Placement of Dental Implants
Identifieur interne : 002347 ( Istex/Corpus ); précédent : 002346; suivant : 002348A New Technique for Reconstruction of the Atrophied Narrow Alveolar Crest in the Maxilla Using Morselized Impacted Bone Allograft and Later Placement of Dental Implants
Auteurs : Per Holmquist ; Amir Dasmah ; Lars Sennerby ; Mats HallmanSource :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2008-05.
English descriptors
- KwdEn :
- Abutment, Abutment connection, Abutment surgery, Active bone formation, Allogeneic, Allogeneic bone, Allogeneic bone graft, Allogeneic bone grafts, Allograft, Allograft bone, Allograft bone particle, Allograft particles, Alveolar crest, Augmentation, Autogenous, Autogenous bone graft, Autogenous bone grafts, Biopsy, Bone allograft, Bone bank, Bone chips, Bone formation, Bone substitutes, Clinical implant dentistry, Dental implants, Edentulous, Edentulous maxilla, Edentulous patients, Elderly patients, Equal results, Functional loading, Further studies, General anesthesia, Good alternative, Graft, Graft healing, Histological examination, Iliac crest, Immunological reaction, Implant, Implant placement, Implant surface, Implant surgery, Lamellar bone, Larger samples, Lateral augmentation, Light micrograph, Marginal bone loss, Maxilla, Mechanical trauma, Microimplants, Milled bone, Narrow alveolar crest, Nobel biocare, Normal incorporation process, Oral maxillofac implants, Oral maxillofac surg, Oral maxillofacial surgery, Osseointegrated implants, Oxidized surface, Posterior maxilla, Predictable method, Preliminary report, Resorbed maxillae, Saline solution, Severe atrophy, Surg, Various augmentation techniques, Vital bone content.
- Teeft :
- Abutment, Abutment connection, Abutment surgery, Active bone formation, Allogeneic, Allogeneic bone, Allogeneic bone graft, Allogeneic bone grafts, Allograft, Allograft bone, Allograft bone particle, Allograft particles, Alveolar crest, Augmentation, Autogenous, Autogenous bone graft, Autogenous bone grafts, Biopsy, Bone allograft, Bone bank, Bone chips, Bone formation, Bone substitutes, Clinical implant dentistry, Dental implants, Edentulous, Edentulous maxilla, Edentulous patients, Elderly patients, Equal results, Functional loading, Further studies, General anesthesia, Good alternative, Graft, Graft healing, Histological examination, Iliac crest, Immunological reaction, Implant, Implant placement, Implant surface, Implant surgery, Lamellar bone, Larger samples, Lateral augmentation, Light micrograph, Marginal bone loss, Maxilla, Mechanical trauma, Microimplants, Milled bone, Narrow alveolar crest, Nobel biocare, Normal incorporation process, Oral maxillofac implants, Oral maxillofac surg, Oral maxillofacial surgery, Osseointegrated implants, Oxidized surface, Posterior maxilla, Predictable method, Preliminary report, Resorbed maxillae, Saline solution, Severe atrophy, Surg, Various augmentation techniques, Vital bone content.
Abstract
Background: In cases when the alveolar crest is too narrow to host an implant, lateral augmentation is required. The use of autogenous bone blocks harvested from the iliac crest is often demanded. One disadvantage is the associated patient morbidity.
Url:
DOI: 10.1111/j.1708-8208.2007.00063.x
Links to Exploration step
ISTEX:4847E3CB5729F2E0FDC2F1CC475A90E3CDAEBDD3Le document en format XML
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sort="Sennerby, Lars" uniqKey="Sennerby L" first="Lars" last="Sennerby">Lars Sennerby</name><affiliation><mods:affiliation>Department of Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden;</mods:affiliation></affiliation></author><author><name sortKey="Hallman, Mats" sort="Hallman, Mats" uniqKey="Hallman M" first="Mats" last="Hallman">Mats Hallman</name><affiliation><mods:affiliation>Clinic for Oral & Maxillofacial Surgery, Gävle Hospital, Gävle, Sweden;</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Oral & Maxillofacial Surgery, Umeå University, Umeå, Sweden</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:4847E3CB5729F2E0FDC2F1CC475A90E3CDAEBDD3</idno><date when="2008" year="2008">2008</date><idno type="doi">10.1111/j.1708-8208.2007.00063.x</idno><idno 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Dasmah</name><affiliation><mods:affiliation>Department of Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden;</mods:affiliation></affiliation></author><author><name sortKey="Sennerby, Lars" sort="Sennerby, Lars" uniqKey="Sennerby L" first="Lars" last="Sennerby">Lars Sennerby</name><affiliation><mods:affiliation>Department of Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden;</mods:affiliation></affiliation></author><author><name sortKey="Hallman, Mats" sort="Hallman, Mats" uniqKey="Hallman M" first="Mats" last="Hallman">Mats Hallman</name><affiliation><mods:affiliation>Clinic for Oral & Maxillofacial Surgery, Gävle Hospital, Gävle, Sweden;</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Oral & Maxillofacial Surgery, Umeå University, Umeå, Sweden</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY RELATED RESEARCH</title><idno type="ISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><imprint><biblScope unit="vol">10</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="86">86</biblScope><biblScope unit="page" to="92">92</biblScope><biblScope unit="page-count">7</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2008-05">2008-05</date></imprint><idno type="ISSN">1523-0899</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1523-0899</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abutment</term><term>Abutment connection</term><term>Abutment surgery</term><term>Active bone formation</term><term>Allogeneic</term><term>Allogeneic bone</term><term>Allogeneic bone graft</term><term>Allogeneic bone grafts</term><term>Allograft</term><term>Allograft bone</term><term>Allograft bone particle</term><term>Allograft particles</term><term>Alveolar crest</term><term>Augmentation</term><term>Autogenous</term><term>Autogenous bone graft</term><term>Autogenous bone grafts</term><term>Biopsy</term><term>Bone allograft</term><term>Bone bank</term><term>Bone chips</term><term>Bone formation</term><term>Bone substitutes</term><term>Clinical implant dentistry</term><term>Dental implants</term><term>Edentulous</term><term>Edentulous maxilla</term><term>Edentulous patients</term><term>Elderly patients</term><term>Equal results</term><term>Functional loading</term><term>Further studies</term><term>General anesthesia</term><term>Good alternative</term><term>Graft</term><term>Graft healing</term><term>Histological examination</term><term>Iliac crest</term><term>Immunological reaction</term><term>Implant</term><term>Implant placement</term><term>Implant surface</term><term>Implant surgery</term><term>Lamellar bone</term><term>Larger samples</term><term>Lateral augmentation</term><term>Light micrograph</term><term>Marginal bone loss</term><term>Maxilla</term><term>Mechanical trauma</term><term>Microimplants</term><term>Milled bone</term><term>Narrow alveolar crest</term><term>Nobel biocare</term><term>Normal incorporation process</term><term>Oral maxillofac implants</term><term>Oral maxillofac surg</term><term>Oral maxillofacial surgery</term><term>Osseointegrated implants</term><term>Oxidized surface</term><term>Posterior maxilla</term><term>Predictable method</term><term>Preliminary report</term><term>Resorbed maxillae</term><term>Saline solution</term><term>Severe atrophy</term><term>Surg</term><term>Various augmentation techniques</term><term>Vital bone content</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Abutment</term><term>Abutment connection</term><term>Abutment surgery</term><term>Active bone formation</term><term>Allogeneic</term><term>Allogeneic bone</term><term>Allogeneic bone graft</term><term>Allogeneic bone grafts</term><term>Allograft</term><term>Allograft bone</term><term>Allograft bone particle</term><term>Allograft particles</term><term>Alveolar crest</term><term>Augmentation</term><term>Autogenous</term><term>Autogenous bone graft</term><term>Autogenous bone grafts</term><term>Biopsy</term><term>Bone allograft</term><term>Bone bank</term><term>Bone chips</term><term>Bone formation</term><term>Bone substitutes</term><term>Clinical implant dentistry</term><term>Dental implants</term><term>Edentulous</term><term>Edentulous maxilla</term><term>Edentulous patients</term><term>Elderly patients</term><term>Equal results</term><term>Functional loading</term><term>Further studies</term><term>General anesthesia</term><term>Good alternative</term><term>Graft</term><term>Graft healing</term><term>Histological examination</term><term>Iliac crest</term><term>Immunological reaction</term><term>Implant</term><term>Implant placement</term><term>Implant surface</term><term>Implant surgery</term><term>Lamellar bone</term><term>Larger samples</term><term>Lateral augmentation</term><term>Light micrograph</term><term>Marginal bone loss</term><term>Maxilla</term><term>Mechanical trauma</term><term>Microimplants</term><term>Milled bone</term><term>Narrow alveolar crest</term><term>Nobel biocare</term><term>Normal incorporation process</term><term>Oral maxillofac implants</term><term>Oral maxillofac surg</term><term>Oral maxillofacial surgery</term><term>Osseointegrated implants</term><term>Oxidized surface</term><term>Posterior maxilla</term><term>Predictable method</term><term>Preliminary report</term><term>Resorbed maxillae</term><term>Saline solution</term><term>Severe atrophy</term><term>Surg</term><term>Various augmentation techniques</term><term>Vital bone content</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Background: In cases when the alveolar crest is too narrow to host an implant, lateral augmentation is required. The use of autogenous bone blocks harvested from the iliac crest is often demanded. One disadvantage is the associated patient morbidity.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>allograft</json:string><json:string>implant</json:string><json:string>graft</json:string><json:string>maxilla</json:string><json:string>autogenous</json:string><json:string>allogeneic</json:string><json:string>bone allograft</json:string><json:string>augmentation</json:string><json:string>alveolar crest</json:string><json:string>dental implants</json:string><json:string>surg</json:string><json:string>allograft bone</json:string><json:string>microimplants</json:string><json:string>abutment</json:string><json:string>narrow alveolar crest</json:string><json:string>allograft particles</json:string><json:string>implant surgery</json:string><json:string>bone formation</json:string><json:string>light micrograph</json:string><json:string>edentulous</json:string><json:string>graft healing</json:string><json:string>oral maxillofac surg</json:string><json:string>autogenous bone grafts</json:string><json:string>general anesthesia</json:string><json:string>functional loading</json:string><json:string>nobel biocare</json:string><json:string>abutment connection</json:string><json:string>further studies</json:string><json:string>larger samples</json:string><json:string>autogenous bone graft</json:string><json:string>edentulous maxilla</json:string><json:string>oral maxillofacial surgery</json:string><json:string>lateral augmentation</json:string><json:string>implant surface</json:string><json:string>bone chips</json:string><json:string>allogeneic bone graft</json:string><json:string>clinical implant dentistry</json:string><json:string>implant placement</json:string><json:string>bone bank</json:string><json:string>allograft bone particle</json:string><json:string>allogeneic bone grafts</json:string><json:string>histological examination</json:string><json:string>biopsy</json:string><json:string>edentulous patients</json:string><json:string>predictable method</json:string><json:string>various augmentation techniques</json:string><json:string>elderly patients</json:string><json:string>bone substitutes</json:string><json:string>marginal bone loss</json:string><json:string>immunological reaction</json:string><json:string>severe atrophy</json:string><json:string>posterior maxilla</json:string><json:string>allogeneic bone</json:string><json:string>oral maxillofac implants</json:string><json:string>abutment surgery</json:string><json:string>mechanical trauma</json:string><json:string>iliac crest</json:string><json:string>lamellar bone</json:string><json:string>equal results</json:string><json:string>oxidized surface</json:string><json:string>active bone formation</json:string><json:string>milled bone</json:string><json:string>vital bone content</json:string><json:string>osseointegrated implants</json:string><json:string>good alternative</json:string><json:string>resorbed maxillae</json:string><json:string>preliminary report</json:string><json:string>saline solution</json:string><json:string>normal incorporation process</json:string></teeft></keywords><author><json:item><name>Per Holmquist DDS</name><affiliations><json:string>Clinic for Oral & Maxillofacial Surgery, Gävle Hospital, Gävle, Sweden;</json:string><json:string>E-mail: Per.Holmquist@lg.se</json:string></affiliations></json:item><json:item><name>Amir Dasmah DDS</name><affiliations><json:string>Department of Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden;</json:string></affiliations></json:item><json:item><name>Lars Sennerby DDS, PhD</name><affiliations><json:string>Department of Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden;</json:string></affiliations></json:item><json:item><name>Mats Hallman DDS, PhD</name><affiliations><json:string>Clinic for Oral & Maxillofacial Surgery, Gävle Hospital, Gävle, Sweden;</json:string><json:string>Department of Oral & Maxillofacial Surgery, Umeå University, Umeå, Sweden</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>allograft</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>atrophy</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>dental implants</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>edentulous maxilla</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>histology</value></json:item></subject><articleId><json:string>CID063</json:string></articleId><arkIstex>ark:/67375/WNG-S85JK8DK-S</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Background: In cases when the alveolar crest is too narrow to host an implant, lateral augmentation is required. The use of autogenous bone blocks harvested from the iliac crest is often demanded. One disadvantage is the associated patient morbidity.</abstract><qualityIndicators><score>5.225</score><pdfWordCount>2757</pdfWordCount><pdfCharCount>17238</pdfCharCount><pdfVersion>1.2</pdfVersion><pdfPageCount>7</pdfPageCount><pdfPageSize>585 x 783 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>39</abstractWordCount><abstractCharCount>250</abstractCharCount><keywordCount>5</keywordCount></qualityIndicators><title>A New Technique for Reconstruction of the Atrophied Narrow Alveolar Crest in the Maxilla Using Morselized Impacted Bone Allograft and Later Placement of Dental Implants</title><pmid><json:string>18462204</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Clinical Implant Dentistry and Related Research</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1708-8208</json:string></doi><issn><json:string>1523-0899</json:string></issn><eissn><json:string>1708-8208</json:string></eissn><publisherId><json:string>CID</json:string></publisherId><volume>10</volume><issue>2</issue><pages><first>86</first><last>92</last><total>7</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>2008</json:string></date><geogName></geogName><orgName><json:string>Department of Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden</json:string><json:string>Umeå University</json:string><json:string>Gävle Hospital, Sweden</json:string><json:string>Related Research, Volume</json:string><json:string>Gävle Hospital, SE</json:string><json:string>Department of Oral</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Amir Dasmah</json:string><json:string>Radiograph</json:string><json:string>Per Holmquist</json:string><json:string>Lars Sennerby</json:string></persName><placeName><json:string>Switzerland</json:string><json:string>Germany</json:string><json:string>Austria</json:string><json:string>Gävle</json:string><json:string>Vienna</json:string><json:string>Wetzlar</json:string><json:string>Stockholm</json:string><json:string>Umeå</json:string><json:string>Sweden</json:string></placeName><ref_url></ref_url><ref_bibl></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-S85JK8DK-S</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - General Dentistry</json:string><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - Oral Surgery</json:string></scopus></categories><publicationDate>2008</publicationDate><copyrightDate>2008</copyrightDate><doi><json:string>10.1111/j.1708-8208.2007.00063.x</json:string></doi><id>4847E3CB5729F2E0FDC2F1CC475A90E3CDAEBDD3</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/4847E3CB5729F2E0FDC2F1CC475A90E3CDAEBDD3/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/4847E3CB5729F2E0FDC2F1CC475A90E3CDAEBDD3/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/4847E3CB5729F2E0FDC2F1CC475A90E3CDAEBDD3/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">A New Technique for Reconstruction of the Atrophied Narrow Alveolar Crest in the Maxilla Using Morselized Impacted Bone Allograft and Later Placement of Dental Implants</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><licence>© 2007, Copyright the Authors. Journal Compilation © 2007, Blackwell Munksgaard</licence></availability><date type="published" when="2008-05"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">A New Technique for Reconstruction of the Atrophied Narrow Alveolar Crest in the Maxilla Using Morselized Impacted Bone Allograft and Later Placement of Dental Implants</title><title level="a" type="short">Reconstruction of the Alveolar Crest with Allograft Bone</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Per</forename><surname>Holmquist</surname><roleName type="degree">DDS</roleName></persName><affiliation>Clinic for Oral & Maxillofacial Surgery, Gävle Hospital, Gävle, Sweden;<address><country key="SE"></country></address></affiliation><affiliation>Per Holmquist, DDS, Clinic for Oral & Maxillofacial Surgery, Public Health Service, Gävle Hospital, SE 80187 Gävle, Sweden; e‐mail: Per.Holmquist@lg.se</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Amir</forename><surname>Dasmah</surname><roleName type="degree">DDS</roleName></persName><affiliation>Department of Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden;<address><country key="SE"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Lars</forename><surname>Sennerby</surname><roleName type="degree">DDS, PhD</roleName></persName><affiliation>Department of Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden;<address><country key="SE"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Mats</forename><surname>Hallman</surname><roleName type="degree">DDS, PhD</roleName></persName><affiliation>Clinic for Oral & Maxillofacial Surgery, Gävle Hospital, Gävle, Sweden;<address><country key="SE"></country></address></affiliation><affiliation>Department of Oral & Maxillofacial Surgery, Umeå University, Umeå, Sweden<address><country key="SE"></country></address></affiliation></author><idno type="istex">4847E3CB5729F2E0FDC2F1CC475A90E3CDAEBDD3</idno><idno type="ark">ark:/67375/WNG-S85JK8DK-S</idno><idno type="DOI">10.1111/j.1708-8208.2007.00063.x</idno><idno type="unit">CID063</idno><idno type="toTypesetVersion">file:CID.CID063.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY RELATED RESEARCH</title><idno type="pISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><idno type="book-DOI">10.1111/(ISSN)1708-8208</idno><idno type="book-part-DOI">10.1111/cid.2007.10.issue-2</idno><idno type="product">CID</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">10</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="86">86</biblScope><biblScope unit="page" to="92">92</biblScope><biblScope unit="page-count">7</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2008-05"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>ABSTRACT</head><p><hi rend="bold">Background:</hi> In cases when the alveolar crest is too narrow to host an implant, lateral augmentation is required. The use of autogenous bone blocks harvested from the iliac crest is often demanded. One disadvantage is the associated patient morbidity.</p><p><hi rend="bold">Purpose:</hi> The purpose of this study was to clinically and histologically evaluate the use of morselized impacted bone allograft, a novel technique for reconstruction of the narrow alveolar crest.</p><p><hi rend="bold">Materials and Methods:</hi> Two patients with completely edentulous maxillae and one partially edentulous, with a mean age of 77 years (range 76–79 years) were included in the study. The alveolar crest width was <3 mm without possibility to place any implant. Bone grafts were taken from a bone bank in Gävle Hospital. Bone from the neck of femur heads was milled to produce bone chips. The milled bone was partially defatted by rinsing in 37°C saline solution. After compression of the graft pieces with a size of 15 mm (height), 30 mm (length), and 6 mm (width), they were then fit to adapt to the buccal surface of the atrophied alveolar crest. One piece was placed to the right and one to the left side of the midline. On both sides fibrin glue was used (Tisseel®, Baxter AG, Vienna, Austria) to stabilize the graft.</p><p>After 6 months of graft healing, dental implants were placed, simultaneously biopsies were harvested and in one patient two oxidized microimplants were placed. At the time of abutment connection, microimplants were retrieved with surrounding bone for histology. Fixed screw‐retained bridges were fabricated in mean of 7 months after implant surgery. Radiographs were taken before and after implant surgery and after 1 year of loading.</p><p><hi rend="bold">Results:</hi> Sixteen implants with an oxidized surface were placed (TiUnite®, Nobel Biocare AB, Göteborg, Sweden). After 1 year of functional loading, all implants were clinically stable. The marginal bone loss was 1.4 mm (SD 0.3) after 1 year of loading. The histological examination showed resorption and subsequent bone formation on the allograft particles. There were no signs of inflammatory cell infiltration in conjunction with the allograft. The two microimplants showed bone formation directly on the implant surface.</p><p><hi rend="bold">Conclusions:</hi> This study shows that morselized impacted bone allograft can be used to increase the width of the atrophied narrow alveolar crest as a good alternative to autogenous bone grafts in elderly patients. The histological examination of biopsies revealed a normal incorporation process and no signs of an immunological reaction. Further studies with larger samples are of important to be able to conclude if equal results can be obtained using morselized impacted bone allograft as for autogenous bone graft.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">allograft</term><term xml:id="k2">atrophy</term><term xml:id="k3">dental implants</term><term xml:id="k4">edentulous maxilla</term><term xml:id="k5">histology</term></keywords><keywords rend="tocHeading1"><term>ARTICLES</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/4847E3CB5729F2E0FDC2F1CC475A90E3CDAEBDD3/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1708-8208</doi><issn type="print">1523-0899</issn><issn type="electronic">1708-8208</issn><idGroup><id type="product" value="CID"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CLINICAL IMPLANT DENTISTRY RELATED RESEARCH">Clinical Implant Dentistry and Related Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="05002"><doi origin="wiley">10.1111/cid.2007.10.issue-2</doi><numberingGroup><numbering type="journalVolume" number="10">10</numbering><numbering type="journalIssue" number="2">2</numbering></numberingGroup><coverDate startDate="2008-05">May 2008</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="3" status="forIssue"><doi origin="wiley">10.1111/j.1708-8208.2007.00063.x</doi><idGroup><id type="unit" value="CID063"></id></idGroup><countGroup><count type="pageTotal" number="7"></count></countGroup><titleGroup><title type="tocHeading1">ARTICLES</title></titleGroup><copyright>© 2007, Copyright the Authors. Journal Compilation © 2007, Blackwell Munksgaard</copyright><eventGroup><event type="firstOnline" date="2007-11-20"></event><event type="publishedOnlineFinalForm" date="2007-11-20"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-13"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-15"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-16"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="86">86</numbering><numbering type="pageLast" number="92">92</numbering></numberingGroup><correspondenceTo>Per Holmquist, DDS, Clinic for Oral & Maxillofacial Surgery, Public Health Service, Gävle Hospital, SE 80187 Gävle, Sweden; e‐mail: <email>Per.Holmquist@lg.se</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CID.CID063.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="13"></count><count type="tableTotal" number="2"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="15"></count><count type="wordTotal" number="3106"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">A New Technique for Reconstruction of the Atrophied Narrow Alveolar Crest in the Maxilla Using Morselized Impacted Bone Allograft and Later Placement of Dental Implants</title><title type="shortAuthors">Clinical Implant Dentistry and Related Research, Volume 10, Number 2, 2008</title><title type="short">Reconstruction of the Alveolar Crest with Allograft Bone</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Per</givenNames><familyName>Holmquist</familyName><degrees>DDS</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Amir</givenNames><familyName>Dasmah</familyName><degrees>DDS</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a2"><personName><givenNames>Lars</givenNames><familyName>Sennerby</familyName><degrees>DDS, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1 #a3"><personName><givenNames>Mats</givenNames><familyName>Hallman</familyName><degrees>DDS, PhD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="SE"><unparsedAffiliation>Clinic for Oral & Maxillofacial Surgery, Gävle Hospital, Gävle, Sweden;</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="SE"><unparsedAffiliation>Department of Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden;</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="SE"><unparsedAffiliation>Department of Oral & Maxillofacial Surgery, Umeå University, Umeå, Sweden</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">allograft</keyword><keyword xml:id="k2">atrophy</keyword><keyword xml:id="k3">dental implants</keyword><keyword xml:id="k4">edentulous maxilla</keyword><keyword xml:id="k5">histology</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">ABSTRACT</title><p><b>Background:</b> In cases when the alveolar crest is too narrow to host an implant, lateral augmentation is required. The use of autogenous bone blocks harvested from the iliac crest is often demanded. One disadvantage is the associated patient morbidity.</p><p><b>Purpose:</b> The purpose of this study was to clinically and histologically evaluate the use of morselized impacted bone allograft, a novel technique for reconstruction of the narrow alveolar crest.</p><p><b>Materials and Methods:</b> Two patients with completely edentulous maxillae and one partially edentulous, with a mean age of 77 years (range 76–79 years) were included in the study. The alveolar crest width was <3 mm without possibility to place any implant. Bone grafts were taken from a bone bank in Gävle Hospital. Bone from the neck of femur heads was milled to produce bone chips. The milled bone was partially defatted by rinsing in 37°C saline solution. After compression of the graft pieces with a size of 15 mm (height), 30 mm (length), and 6 mm (width), they were then fit to adapt to the buccal surface of the atrophied alveolar crest. One piece was placed to the right and one to the left side of the midline. On both sides fibrin glue was used (Tisseel®, Baxter AG, Vienna, Austria) to stabilize the graft.</p><p>After 6 months of graft healing, dental implants were placed, simultaneously biopsies were harvested and in one patient two oxidized microimplants were placed. At the time of abutment connection, microimplants were retrieved with surrounding bone for histology. Fixed screw‐retained bridges were fabricated in mean of 7 months after implant surgery. Radiographs were taken before and after implant surgery and after 1 year of loading.</p><p><b>Results:</b> Sixteen implants with an oxidized surface were placed (TiUnite®, Nobel Biocare AB, Göteborg, Sweden). After 1 year of functional loading, all implants were clinically stable. The marginal bone loss was 1.4 mm (SD 0.3) after 1 year of loading. The histological examination showed resorption and subsequent bone formation on the allograft particles. There were no signs of inflammatory cell infiltration in conjunction with the allograft. The two microimplants showed bone formation directly on the implant surface.</p><p><b>Conclusions:</b> This study shows that morselized impacted bone allograft can be used to increase the width of the atrophied narrow alveolar crest as a good alternative to autogenous bone grafts in elderly patients. The histological examination of biopsies revealed a normal incorporation process and no signs of an immunological reaction. Further studies with larger samples are of important to be able to conclude if equal results can be obtained using morselized impacted bone allograft as for autogenous bone graft.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>A New Technique for Reconstruction of the Atrophied Narrow Alveolar Crest in the Maxilla Using Morselized Impacted Bone Allograft and Later Placement of Dental Implants</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Reconstruction of the Alveolar Crest with Allograft Bone</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>A New Technique for Reconstruction of the Atrophied Narrow Alveolar Crest in the Maxilla Using Morselized Impacted Bone Allograft and Later Placement of Dental Implants</title></titleInfo><name type="personal"><namePart type="given">Per</namePart><namePart type="family">Holmquist</namePart><namePart type="termsOfAddress">DDS</namePart><affiliation>Clinic for Oral & Maxillofacial Surgery, Gävle Hospital, Gävle, Sweden;</affiliation><affiliation>E-mail: Per.Holmquist@lg.se</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Amir</namePart><namePart type="family">Dasmah</namePart><namePart type="termsOfAddress">DDS</namePart><affiliation>Department of Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Lars</namePart><namePart type="family">Sennerby</namePart><namePart type="termsOfAddress">DDS, PhD</namePart><affiliation>Department of Biomaterials, Institute for Clinical Sciences, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Mats</namePart><namePart type="family">Hallman</namePart><namePart type="termsOfAddress">DDS, PhD</namePart><affiliation>Clinic for Oral & Maxillofacial Surgery, Gävle Hospital, Gävle, Sweden;</affiliation><affiliation>Department of Oral & Maxillofacial Surgery, Umeå University, Umeå, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2008-05</dateIssued><copyrightDate encoding="w3cdtf">2008</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">13</extent><extent unit="tables">2</extent><extent unit="formulas">0</extent><extent unit="references">15</extent><extent unit="linksCrossRef">0</extent><extent unit="words">3106</extent></physicalDescription><abstract>Background: In cases when the alveolar crest is too narrow to host an implant, lateral augmentation is required. The use of autogenous bone blocks harvested from the iliac crest is often demanded. One disadvantage is the associated patient morbidity.</abstract><abstract>Purpose: The purpose of this study was to clinically and histologically evaluate the use of morselized impacted bone allograft, a novel technique for reconstruction of the narrow alveolar crest.</abstract><abstract>Materials and Methods: Two patients with completely edentulous maxillae and one partially edentulous, with a mean age of 77 years (range 76–79 years) were included in the study. The alveolar crest width was <3 mm without possibility to place any implant. Bone grafts were taken from a bone bank in Gävle Hospital. Bone from the neck of femur heads was milled to produce bone chips. The milled bone was partially defatted by rinsing in 37°C saline solution. After compression of the graft pieces with a size of 15 mm (height), 30 mm (length), and 6 mm (width), they were then fit to adapt to the buccal surface of the atrophied alveolar crest. One piece was placed to the right and one to the left side of the midline. On both sides fibrin glue was used (Tisseel®, Baxter AG, Vienna, Austria) to stabilize the graft.</abstract><abstract>After 6 months of graft healing, dental implants were placed, simultaneously biopsies were harvested and in one patient two oxidized microimplants were placed. At the time of abutment connection, microimplants were retrieved with surrounding bone for histology. Fixed screw‐retained bridges were fabricated in mean of 7 months after implant surgery. Radiographs were taken before and after implant surgery and after 1 year of loading.</abstract><abstract>Results: Sixteen implants with an oxidized surface were placed (TiUnite®, Nobel Biocare AB, Göteborg, Sweden). After 1 year of functional loading, all implants were clinically stable. The marginal bone loss was 1.4 mm (SD 0.3) after 1 year of loading. The histological examination showed resorption and subsequent bone formation on the allograft particles. There were no signs of inflammatory cell infiltration in conjunction with the allograft. The two microimplants showed bone formation directly on the implant surface.</abstract><abstract>Conclusions: This study shows that morselized impacted bone allograft can be used to increase the width of the atrophied narrow alveolar crest as a good alternative to autogenous bone grafts in elderly patients. The histological examination of biopsies revealed a normal incorporation process and no signs of an immunological reaction. Further studies with larger samples are of important to be able to conclude if equal results can be obtained using morselized impacted bone allograft as for autogenous bone graft.</abstract><subject lang="en"><genre>keywords</genre><topic>allograft</topic><topic>atrophy</topic><topic>dental implants</topic><topic>edentulous maxilla</topic><topic>histology</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Implant Dentistry and Related Research</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">1523-0899</identifier><identifier type="eISSN">1708-8208</identifier><identifier type="DOI">10.1111/(ISSN)1708-8208</identifier><identifier type="PublisherID">CID</identifier><part><date>2008</date><detail type="volume"><caption>vol.</caption><number>10</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>86</start><end>92</end><total>7</total></extent></part></relatedItem><identifier type="istex">4847E3CB5729F2E0FDC2F1CC475A90E3CDAEBDD3</identifier><identifier type="ark">ark:/67375/WNG-S85JK8DK-S</identifier><identifier type="DOI">10.1111/j.1708-8208.2007.00063.x</identifier><identifier type="ArticleID">CID063</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2007, Copyright the Authors. 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