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Fresh‐Frozen Bone Blocks for Horizontal Ridge Augmentation in the Upper Maxilla: 6‐Month Outcomes of a Randomized Controlled Trial

Identifieur interne : 003309 ( Istex/Corpus ); précédent : 003308; suivant : 003310

Fresh‐Frozen Bone Blocks for Horizontal Ridge Augmentation in the Upper Maxilla: 6‐Month Outcomes of a Randomized Controlled Trial

Auteurs : Simone Lumetti ; Ugo Consolo ; Carlo Galli ; Alessandra Multinu ; Luigi Piersanti ; Pierantonio Bellini ; Edoardo Manfredi ; Giuseppe Corinaldesi ; Davide Zaffe ; Guido Maria Macaluso ; Claudio Marchetti

Source :

RBID : ISTEX:67869A7E4023D962AD61E4038DF9A3ED3608E0B8

Abstract

Purpose: This randomized controlled trial compared fresh‐frozen versus autologous bone blocks for maxillary horizontal ridge augmentation in patients with Cawood and Howell class IV atrophies.

Url:
DOI: 10.1111/j.1708-8208.2012.00458.x

Links to Exploration step

ISTEX:67869A7E4023D962AD61E4038DF9A3ED3608E0B8

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This randomized controlled trial compared fresh‐frozen versus autologous bone blocks for maxillary horizontal ridge augmentation in patients with Cawood and Howell class IV atrophies.</p>
<p>
<hi rend="bold">Materials and Methods:</hi>
Twenty‐four patients were allocated to the autologous and fresh‐frozen groups in a 1:1 ratio. Patients underwent computed tomography scans 1 week and 6 months after surgery for graft volume and density analysis. Doxycycline was administered at day 120 and day 150 to label new bone formation. Biopsy for histologic and histomorphometric analyses was performed at reentry for implant insertion, 6 months after grafting.</p>
<p>
<hi rend="bold">Results:</hi>
Fresh‐frozen grafts had lower density than autologous bone. Autologous and fresh‐frozen grafts lost, respectively, 25% and 52% of their initial volume (
<hi rend="italic">p</hi>
 = .0041). Histology revealed the presence of newly formed bone within both graft types, but clear signs of inflammation were present in fresh‐frozen blocks.</p>
<p>
<hi rend="bold">Conclusions:</hi>
According to these 6‐month results, autologous bone blocks are preferable to fresh‐frozen bone grafts.</p>
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<abstract>Purpose: This randomized controlled trial compared fresh‐frozen versus autologous bone blocks for maxillary horizontal ridge augmentation in patients with Cawood and Howell class IV atrophies.</abstract>
<abstract>Materials and Methods: Twenty‐four patients were allocated to the autologous and fresh‐frozen groups in a 1:1 ratio. Patients underwent computed tomography scans 1 week and 6 months after surgery for graft volume and density analysis. Doxycycline was administered at day 120 and day 150 to label new bone formation. Biopsy for histologic and histomorphometric analyses was performed at reentry for implant insertion, 6 months after grafting.</abstract>
<abstract>Results: Fresh‐frozen grafts had lower density than autologous bone. Autologous and fresh‐frozen grafts lost, respectively, 25% and 52% of their initial volume (p = .0041). Histology revealed the presence of newly formed bone within both graft types, but clear signs of inflammation were present in fresh‐frozen blocks.</abstract>
<abstract>Conclusions: According to these 6‐month results, autologous bone blocks are preferable to fresh‐frozen bone grafts.</abstract>
<note type="funding">“Programma di Ricerca Regione‐Università 2007–2009,” Regione Emilia‐Romagna, Work Package 2.6.</note>
<note type="funding">“Fondazione Cassa di Risparmio di Parma e Piacenza.”</note>
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