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Healing outcomes at implants installed in grafted sites: an experimental study in dogs

Identifieur interne : 005180 ( Istex/Corpus ); précédent : 005179; suivant : 005181

Healing outcomes at implants installed in grafted sites: an experimental study in dogs

Auteurs : Enzo De Santis ; Niklaus P. Lang ; Alessandro Scala ; Paolo Vigan ; Luiz A. Salata ; Daniele Botticelli

Source :

RBID : ISTEX:A352249D5D810BC915A04CDC26CA34D228EC8B04

English descriptors

Abstract

To evaluate the integration of implants installed using a surgical guide in augmented sites with autologous bone or deproteinized bovine bone mineral (DBBM) blocks, concomitantly with a collagen membrane.

Url:
DOI: 10.1111/j.1600-0501.2011.02326.x

Links to Exploration step

ISTEX:A352249D5D810BC915A04CDC26CA34D228EC8B04

Le document en format XML

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<div type="abstract">To evaluate the integration of implants installed using a surgical guide in augmented sites with autologous bone or deproteinized bovine bone mineral (DBBM) blocks, concomitantly with a collagen membrane.</div>
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Aim
<p>To evaluate the integration of implants installed using a surgical guide in augmented sites with autologous bone or deproteinized bovine bone mineral (
<hi rend="fc">DBBM</hi>
) blocks, concomitantly with a collagen membrane.</p>
Material and methods
<p>Mandibular molars were extracted bilaterally in six Labrador dogs, the buccal bony wall was removed, and a box‐shaped defect was created. After 3 months, flaps were elevated, a bony graft was harvested from the ascending ramus, and secured to the lateral wall of the defect by means of screws. In the left mandibular side, a
<hi rend="fc">DBBM</hi>
block was fixed into the defect. A resorbable membrane was applied at both sides, and the flaps were sutured. After 3 months, flaps were elevated, and a customized device was used as surgical guide to prepare the recipient sites in the interface between grafts and parent bone. One implant was installed in each side of the mandible. After 3 months, biopsies were harvested, and ground sections were prepared for histologic evaluation.</p>
Results
<p>One autologous bone block graft was lost before implant installation. The width of the alveolar crest at the test sites (
<hi rend="fc">DBBM</hi>
) was 5.4 ± 1.2 mm before, 9.4 ± 1.2 mm immediately after grafting, and 9.3 ± 1 mm at implant installation. At the control sites (autologous bone), the corresponding values were: 5.2 ± 1, 9 ± 1.2, and 8.7 ± 0.9 mm, respectively. All implants installed were available for histologic evaluation (
<hi rend="italic">n</hi>
 = 5). The autologous bone grafts, rich in vessels and cells, were integrated in the parent bone, and only little non‐vital bone was found. The
<hi rend="fc">BIC</hi>
% was 56.7 ± 15.6% and 54.2 ± 13.2% at the buccal and lingual aspects, respectively. At the test sites, the
<hi rend="fc">DBBM</hi>
appeared to be embedded into connective tissue, and very little newly formed bone was encountered within the grafts. The
<hi rend="fc">BIC</hi>
% was 5.8 ± 12.3% and 51.3 ± 14.2% at the buccal and lingual aspects, respectively.</p>
Conclusions
<p>Autologous bone blocks used to augment the alveolar bony crest horizontally allowed the complete osseointegration of implants installed after 3 months of healing. However, similar blocks of
<hi rend="fc">DBBM</hi>
did not promote osseointegration, although the installed implants were stable owing to the osseointegration in the sites of the parent bone.</p>
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<p>To evaluate the integration of implants installed using a surgical guide in augmented sites with autologous bone or deproteinized bovine bone mineral (
<fc>DBBM</fc>
) blocks, concomitantly with a collagen membrane.</p>
</section>
<section xml:id="clr2326-sec-0002">
<title type="main">Material and methods</title>
<p>Mandibular molars were extracted bilaterally in six Labrador dogs, the buccal bony wall was removed, and a box‐shaped defect was created. After 3 months, flaps were elevated, a bony graft was harvested from the ascending ramus, and secured to the lateral wall of the defect by means of screws. In the left mandibular side, a
<fc>DBBM</fc>
block was fixed into the defect. A resorbable membrane was applied at both sides, and the flaps were sutured. After 3 months, flaps were elevated, and a customized device was used as surgical guide to prepare the recipient sites in the interface between grafts and parent bone. One implant was installed in each side of the mandible. After 3 months, biopsies were harvested, and ground sections were prepared for histologic evaluation.</p>
</section>
<section xml:id="clr2326-sec-0003">
<title type="main">Results</title>
<p>One autologous bone block graft was lost before implant installation. The width of the alveolar crest at the test sites (
<fc>DBBM</fc>
) was 5.4 ± 1.2 mm before, 9.4 ± 1.2 mm immediately after grafting, and 9.3 ± 1 mm at implant installation. At the control sites (autologous bone), the corresponding values were: 5.2 ± 1, 9 ± 1.2, and 8.7 ± 0.9 mm, respectively. All implants installed were available for histologic evaluation (
<i>n</i>
 = 5). The autologous bone grafts, rich in vessels and cells, were integrated in the parent bone, and only little non‐vital bone was found. The
<fc>BIC</fc>
% was 56.7 ± 15.6% and 54.2 ± 13.2% at the buccal and lingual aspects, respectively. At the test sites, the
<fc>DBBM</fc>
appeared to be embedded into connective tissue, and very little newly formed bone was encountered within the grafts. The
<fc>BIC</fc>
% was 5.8 ± 12.3% and 51.3 ± 14.2% at the buccal and lingual aspects, respectively.</p>
</section>
<section xml:id="clr2326-sec-0004">
<title type="main">Conclusions</title>
<p>Autologous bone blocks used to augment the alveolar bony crest horizontally allowed the complete osseointegration of implants installed after 3 months of healing. However, similar blocks of
<fc>DBBM</fc>
did not promote osseointegration, although the installed implants were stable owing to the osseointegration in the sites of the parent bone.</p>
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<title>Healing outcomes at implants installed in grafted sites: an experimental study in dogs</title>
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<title>Healing outcomes at implants installed in grafted sites: an experimental study in dogs</title>
</titleInfo>
<name type="personal">
<namePart type="given">Enzo</namePart>
<namePart type="family">De Santis</namePart>
<affiliation>UNESP – Faculty of Dentistry of Araçatuba, São Paulo State University, São Paulo, Brazil</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Niklaus P.</namePart>
<namePart type="family">Lang</namePart>
<affiliation>The University of Hong Kong, Prince Philip Dental Hospital, SAR, Hong Kong, China</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Alessandro</namePart>
<namePart type="family">Scala</namePart>
<affiliation>UNESP – Faculty of Dentistry of Araçatuba, São Paulo State University, São Paulo, Brazil</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Paolo</namePart>
<namePart type="family">Viganò</namePart>
<affiliation>Faculty of Dentistry, University of Medical Science, Ciudad Habana, Cuba</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Luiz A.</namePart>
<namePart type="family">Salata</namePart>
<affiliation>Faculty of Dentistry of Ribeirão Preto (SP), São Paulo University USP, São Paulo, Brazil</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Daniele</namePart>
<namePart type="family">Botticelli</namePart>
<affiliation>UNESP – Faculty of Dentistry of Araçatuba, São Paulo State University, São Paulo, Brazil</affiliation>
<affiliation>The University of Hong Kong, Prince Philip Dental Hospital, Hong Kong, SAR, China</affiliation>
<affiliation>ARDEC, Ariminum Odontologica, Rimini, Italy</affiliation>
<affiliation>ARDEC, Ariminum OdontologicaViale Pascoli 67I‐47923 RiminiItalyTel.: +39 0541 393444Fax: +39 0541 397044e‐mail:</affiliation>
<affiliation>E-mail: daniele.botticelli@ardec.it</affiliation>
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<dateIssued encoding="w3cdtf">2012-03</dateIssued>
<dateCreated encoding="w3cdtf">2011-09-13</dateCreated>
<dateValid encoding="w3cdtf">2011-08-19</dateValid>
<edition>De Santis E, Lang NP, Scala A, Viganò P, Salata LA, Botticelli D. Healing outcomes at implants installed in grafted sites: an experimental study in dogs. Clin. Oral Impl. Res. 23 2012, 340–350.</edition>
<copyrightDate encoding="w3cdtf">2012</copyrightDate>
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<abstract>To evaluate the integration of implants installed using a surgical guide in augmented sites with autologous bone or deproteinized bovine bone mineral (DBBM) blocks, concomitantly with a collagen membrane.</abstract>
<abstract>Mandibular molars were extracted bilaterally in six Labrador dogs, the buccal bony wall was removed, and a box‐shaped defect was created. After 3 months, flaps were elevated, a bony graft was harvested from the ascending ramus, and secured to the lateral wall of the defect by means of screws. In the left mandibular side, a DBBM block was fixed into the defect. A resorbable membrane was applied at both sides, and the flaps were sutured. After 3 months, flaps were elevated, and a customized device was used as surgical guide to prepare the recipient sites in the interface between grafts and parent bone. One implant was installed in each side of the mandible. After 3 months, biopsies were harvested, and ground sections were prepared for histologic evaluation.</abstract>
<abstract>One autologous bone block graft was lost before implant installation. The width of the alveolar crest at the test sites (DBBM) was 5.4 ± 1.2 mm before, 9.4 ± 1.2 mm immediately after grafting, and 9.3 ± 1 mm at implant installation. At the control sites (autologous bone), the corresponding values were: 5.2 ± 1, 9 ± 1.2, and 8.7 ± 0.9 mm, respectively. All implants installed were available for histologic evaluation (n = 5). The autologous bone grafts, rich in vessels and cells, were integrated in the parent bone, and only little non‐vital bone was found. The BIC% was 56.7 ± 15.6% and 54.2 ± 13.2% at the buccal and lingual aspects, respectively. At the test sites, the DBBM appeared to be embedded into connective tissue, and very little newly formed bone was encountered within the grafts. The BIC% was 5.8 ± 12.3% and 51.3 ± 14.2% at the buccal and lingual aspects, respectively.</abstract>
<abstract>Autologous bone blocks used to augment the alveolar bony crest horizontally allowed the complete osseointegration of implants installed after 3 months of healing. However, similar blocks of DBBM did not promote osseointegration, although the installed implants were stable owing to the osseointegration in the sites of the parent bone.</abstract>
<note type="funding">Sweden & Martina SRL, Due Carrare, Padova, Italy</note>
<note type="funding">ARDEC, Ariminum Odontologica SRL</note>
<note type="funding">Sweden & Martina SRL</note>
<subject>
<genre>keywords</genre>
<topic>animal study</topic>
<topic>bone defects</topic>
<topic>bone graft</topic>
<topic>bone healing</topic>
<topic>bone regeneration</topic>
<topic>dental implants</topic>
<topic>deproteinized bovine bone mineral</topic>
<topic>histology</topic>
<topic>implant dentistry</topic>
</subject>
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<titleInfo>
<title>Clinical Oral Implants Research</title>
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<title>Clin. Oral Impl. Res.</title>
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<subject>
<genre>article-category</genre>
<topic>Original Article</topic>
</subject>
<identifier type="ISSN">0905-7161</identifier>
<identifier type="eISSN">1600-0501</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0501</identifier>
<identifier type="PublisherID">CLR</identifier>
<part>
<date>2012</date>
<detail type="volume">
<caption>vol.</caption>
<number>23</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>3</number>
</detail>
<extent unit="pages">
<start>340</start>
<end>350</end>
<total>11</total>
</extent>
</part>
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<identifier type="ark">ark:/67375/WNG-272RXJHH-H</identifier>
<identifier type="DOI">10.1111/j.1600-0501.2011.02326.x</identifier>
<identifier type="ArticleID">CLR2326</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2012 John Wiley & Sons A/S© 2011 John Wiley & Sons A/S</accessCondition>
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