Single Implants and Buccal Bone Grafts in the Anterior Maxilla: Measurements of Buccal Crestal Contours in a 6‐Year Prospective Clinical Study
Identifieur interne : 004543 ( Istex/Corpus ); précédent : 004542; suivant : 004544Single Implants and Buccal Bone Grafts in the Anterior Maxilla: Measurements of Buccal Crestal Contours in a 6‐Year Prospective Clinical Study
Auteurs : Torsten Jemt ; Ulf LekholmSource :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2005-07.
English descriptors
- KwdEn :
- Abutment, Abutment connection, Abutment surgery, Apical, Apical part, Black line, Blue line, Buccal, Buccal bone grafts, Buccal contour, Buccal crestal contours, Buccal volume, Central incisor, Clinical implant dentistry, Clinical length, Contour, Coronal, Coronal part, Crown placement, Dentistry, Different stages, Early healing, Edentulous, Edentulous area, First year, Graft, Green line, Implant, Implant crown, Implant crowns, Implant placement, Implant surgery, Incisor, Individual variations, Local bone, Maxillofac, Midsection, Nobel biocare, Oral maxillofac implants, Oral maxillofac surg, Papilla, Reference model, Regeneration, Resorption, Sagittal, Sagittal presentation, Significant increase, Significant level, Study period, Tissue regeneration, Tooth movements.
- Teeft :
- Abutment, Abutment connection, Abutment surgery, Apical, Apical part, Black line, Blue line, Buccal, Buccal bone grafts, Buccal contour, Buccal crestal contours, Buccal volume, Central incisor, Clinical implant dentistry, Clinical length, Contour, Coronal, Coronal part, Crown placement, Dentistry, Different stages, Early healing, Edentulous, Edentulous area, First year, Graft, Green line, Implant, Implant crown, Implant crowns, Implant placement, Implant surgery, Incisor, Individual variations, Local bone, Maxillofac, Midsection, Nobel biocare, Oral maxillofac implants, Oral maxillofac surg, Papilla, Reference model, Regeneration, Resorption, Sagittal, Sagittal presentation, Significant increase, Significant level, Study period, Tissue regeneration, Tooth movements.
Abstract
ABSTRACT
Url:
DOI: 10.1111/j.1708-8208.2005.tb00056.x
Links to Exploration step
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<affiliation>Chairman, Brånemark Clinic, Public Dental Health Service, Göteborg, Sweden<address><country key="SE"></country>
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<affiliation>Professor, Department of Prosthetic Dentistry/Dental Material Science, Sahlgrenska Akademin, Göteborg, Sweden<address><country key="SE"></country>
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<affiliation>Reprint requests: Dr. Torsten Jemt, The Brånemark Clinic, Public Dental Health, Medicinaregatan 12 C, S‐413 90 Göteborg, Sweden; e‐mail: torsten.jemt@vgregion.se</affiliation>
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<author xml:id="author-0001"><persName><forename type="first">Ulf</forename>
<surname>Lekholm</surname>
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<profileDesc><abstract xml:lang="en" style="main">
ABSTRACT
Background:
<p>Patients provided with buccal bone grafts seem to lose a substantial part of the graft in the short term.</p>
Purpose:
<p>To measure long‐term changes in buccal and proximal tissue volumes after local bone grafting and single implant treatment.</p>
Materials and Methods:
<p>Eight of 10 originally treated male patients were followed up for 6 years after treatment with buccal bone grafts in the central incisor region. After a healing time of 6 months, a two‐stage implant surgery procedure was performed followed by single crown placement. Clinical photographs and impressions were taken prior to the surgical interventions and after crown placement and at first and fifth annual checkups. The photographs were analyzed with regard to papilla regeneration by means of a clinical papilla index. The models were used to measure the clinical length of teeth and tooth movements adjacent to the implants. Changes in buccal crest volume during the study period were measured by means of optical scanning of obtained study models.</p>
Results:
<p>Papillae volume increased significantly (<hi rend="italic">p</hi>
< .05) during the first year, thereafter showing a slow further increase during the 4 following years. Three of the patients (38%) presented small movements of their adjacent central incisor in a vertical or palatal direction of less than 1 mm during the follow‐up period. All patients showed resorption during the first year after grafting (<hi rend="italic">p</hi>
< .01), in which three patients (38%) had lost basically all of increased volume at second surgery. After abutment or crown placement, all patients showed an increased volume (<hi rend="italic">p</hi>
< .01), followed by an average reduction during the first year, reaching a significant level in the apical part of the crest (<hi rend="italic">p</hi>
< .05). Thereafter, a relatively stable average situation was observed during the following 4 years, with individual variations, however.</p>
Conclusion:
<p>Local bone grafting seems to create sufficient bone volume for implant placement after 6 months, but individual variations in resorption pattern make the grafting procedure unpredictable for long‐term prognosis. Instead, the abutment and the crown seem to play a more important role for building up and maintaining the buccal contour in the coronal part of the crest long term.</p>
</abstract>
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<correspondenceTo>Reprint requests: Dr. Torsten Jemt, The Brånemark Clinic, Public Dental Health, Medicinaregatan 12 C, S‐413 90 Göteborg, Sweden; e‐mail: <email>torsten.jemt@vgregion.se</email>
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<titleGroup><title type="main">Single Implants and Buccal Bone Grafts in the Anterior Maxilla: Measurements of Buccal Crestal Contours in a 6‐Year Prospective Clinical Study</title>
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<creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1 #a2" corresponding="yes"><personName><givenNames>Torsten</givenNames>
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<degrees>DDS, Odont Dr/PhD</degrees>
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<creator creatorRole="author" xml:id="cr2" affiliationRef="#a3"><personName><givenNames>Ulf</givenNames>
<familyName>Lekholm</familyName>
<degrees>DDS, Odont Dr/PhD</degrees>
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<affiliationGroup><affiliation xml:id="a1" countryCode="SE"><unparsedAffiliation>Chairman, Brånemark Clinic, Public Dental Health Service, Göteborg, Sweden</unparsedAffiliation>
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<affiliation xml:id="a2" countryCode="SE"><unparsedAffiliation>Professor, Department of Prosthetic Dentistry/Dental Material Science, Sahlgrenska Akademin, Göteborg, Sweden</unparsedAffiliation>
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<affiliation xml:id="a3" countryCode="SE"><unparsedAffiliation>Professor, Department of Oral and Maxillofacial Surgery, Sahlgrenska Akademin, Göteborg, Sweden</unparsedAffiliation>
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<keywordGroup xml:lang="en"><keyword xml:id="k1">local bone grafts</keyword>
<keyword xml:id="k2">papilla</keyword>
<keyword xml:id="k3">resorption</keyword>
<keyword xml:id="k4">single implants</keyword>
<keyword xml:id="k5">tooth movements</keyword>
</keywordGroup>
<abstractGroup><abstract type="main" xml:lang="en"><section xml:id="abs1-1"><title type="main">ABSTRACT</title>
</section>
<section xml:id="abs1-2"><title type="main">Background:</title>
<p>Patients provided with buccal bone grafts seem to lose a substantial part of the graft in the short term.</p>
</section>
<section xml:id="abs1-3"><title type="main">Purpose:</title>
<p>To measure long‐term changes in buccal and proximal tissue volumes after local bone grafting and single implant treatment.</p>
</section>
<section xml:id="abs1-4"><title type="main">Materials and Methods:</title>
<p>Eight of 10 originally treated male patients were followed up for 6 years after treatment with buccal bone grafts in the central incisor region. After a healing time of 6 months, a two‐stage implant surgery procedure was performed followed by single crown placement. Clinical photographs and impressions were taken prior to the surgical interventions and after crown placement and at first and fifth annual checkups. The photographs were analyzed with regard to papilla regeneration by means of a clinical papilla index. The models were used to measure the clinical length of teeth and tooth movements adjacent to the implants. Changes in buccal crest volume during the study period were measured by means of optical scanning of obtained study models.</p>
</section>
<section xml:id="abs1-5"><title type="main">Results:</title>
<p>Papillae volume increased significantly (<i>p</i>
< .05) during the first year, thereafter showing a slow further increase during the 4 following years. Three of the patients (38%) presented small movements of their adjacent central incisor in a vertical or palatal direction of less than 1 mm during the follow‐up period. All patients showed resorption during the first year after grafting (<i>p</i>
< .01), in which three patients (38%) had lost basically all of increased volume at second surgery. After abutment or crown placement, all patients showed an increased volume (<i>p</i>
< .01), followed by an average reduction during the first year, reaching a significant level in the apical part of the crest (<i>p</i>
< .05). Thereafter, a relatively stable average situation was observed during the following 4 years, with individual variations, however.</p>
</section>
<section xml:id="abs1-6"><title type="main">Conclusion:</title>
<p>Local bone grafting seems to create sufficient bone volume for implant placement after 6 months, but individual variations in resorption pattern make the grafting procedure unpredictable for long‐term prognosis. Instead, the abutment and the crown seem to play a more important role for building up and maintaining the buccal contour in the coronal part of the crest long term.</p>
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<abstract>ABSTRACT</abstract>
<abstract>Patients provided with buccal bone grafts seem to lose a substantial part of the graft in the short term.</abstract>
<abstract>To measure long‐term changes in buccal and proximal tissue volumes after local bone grafting and single implant treatment.</abstract>
<abstract>Eight of 10 originally treated male patients were followed up for 6 years after treatment with buccal bone grafts in the central incisor region. After a healing time of 6 months, a two‐stage implant surgery procedure was performed followed by single crown placement. Clinical photographs and impressions were taken prior to the surgical interventions and after crown placement and at first and fifth annual checkups. The photographs were analyzed with regard to papilla regeneration by means of a clinical papilla index. The models were used to measure the clinical length of teeth and tooth movements adjacent to the implants. Changes in buccal crest volume during the study period were measured by means of optical scanning of obtained study models.</abstract>
<abstract>Papillae volume increased significantly (p < .05) during the first year, thereafter showing a slow further increase during the 4 following years. Three of the patients (38%) presented small movements of their adjacent central incisor in a vertical or palatal direction of less than 1 mm during the follow‐up period. All patients showed resorption during the first year after grafting (p < .01), in which three patients (38%) had lost basically all of increased volume at second surgery. After abutment or crown placement, all patients showed an increased volume (p < .01), followed by an average reduction during the first year, reaching a significant level in the apical part of the crest (p < .05). Thereafter, a relatively stable average situation was observed during the following 4 years, with individual variations, however.</abstract>
<abstract>Local bone grafting seems to create sufficient bone volume for implant placement after 6 months, but individual variations in resorption pattern make the grafting procedure unpredictable for long‐term prognosis. Instead, the abutment and the crown seem to play a more important role for building up and maintaining the buccal contour in the coronal part of the crest long term.</abstract>
<subject lang="en"><genre>keywords</genre>
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<topic>papilla</topic>
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<topic>single implants</topic>
<topic>tooth movements</topic>
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