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The edentulous ridge expansion (ERE) technique an experimental study in the dog

Identifieur interne : 005623 ( Istex/Corpus ); précédent : 005622; suivant : 005624

The edentulous ridge expansion (ERE) technique an experimental study in the dog

Auteurs : Marco Beolchini ; Niklaus P. Lang ; Paolo Vigan ; Franco Bengazi ; Barbara G. Triana ; Daniele Botticelli

Source :

RBID : ISTEX:AD0B467D604E857BBE810F5B68C8FEF82CD53CD6

Abstract

To compare the healing and bony crest resorption at implants installed conventionally or applying an edentulous ridge expansion (ERE) technique in the maxilla.

Url:
DOI: 10.1111/clr.12263

Links to Exploration step

ISTEX:AD0B467D604E857BBE810F5B68C8FEF82CD53CD6

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<affiliation>Corresponding author: Dott. Daniele Botticelli Faculty of Dentistry, University of Medical Science, Avenida Salvador Allende y G Vedado, La Habana, Cuba Tel.: +537 879 3360 Fax: +537 870 3312 e‐mail: daniele.botticelli@ardec.it</affiliation>
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<head>Abstract</head>
Objective
<p>To compare the healing and bony crest resorption at implants installed conventionally or applying an edentulous ridge expansion (
<hi rend="fc">ERE</hi>
) technique in the maxilla.</p>
Material and methods
<p>In six
<hi rend="fc">L</hi>
abrador dogs, the first and second maxillary incisors were extracted bilaterally. In the left side of the maxilla (Test), the flaps were elevated and the buccal plate of the alveoli and septa was removed. After 3 months of healing, partial‐thickness (split) flaps were dissected and the residual alveolar bone was exposed. In the right side of the maxilla, an implant was installed conventionally (Type IV; Control) while, in the left side, the
<hi rend="fc">ERE</hi>
technique was adopted. Hence, an expansion of the buccal bony crest was obtained, and the implant was subsequently installed (Test). After 3 months of healing, biopsies were obtained and ground sections were prepared for histological analyses.</p>
Results
<p>A buccal vertical resorption of the bony crest of 2.2 ± 1.2 mm and 1.6 ± 0.7 mm was found at the test and control sites, respectively. The difference, however, did not reach statistical significance. The coronal level of osseointegration at the buccal aspect was located at 3.1 ± 1.0 mm and 2.2 ± 0.7 mm from the implant shoulder at the test and control sites, respectively, the difference being statistically significant. The mean values of the mineralized bone‐to‐implant contact (
<hi rend="fc">MBIC</hi>
%) ranged from 43% to 48% at the buccal and lingual sites. No differences reached statistical significance.</p>
Conclusions
<p>Implants installed by applying an
<hi rend="fc">ERE</hi>
technique may osseointegrate similarly to conventional implant installation. However, vertical and horizontal resorption of the displaced buccal bony wall occurred as well.</p>
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<title type="articleCategory">Original Article</title>
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<copyright ownership="publisher">© 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</copyright>
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<b>Corresponding author</b>
: </line>
<line>
<i>Dott. Daniele Botticelli</i>
</line>
<line>Faculty of Dentistry, University of Medical Science, Avenida Salvador Allende y G</line>
<line>Vedado, La Habana, Cuba</line>
<line>Tel.: +537 879 3360</line>
<line>Fax: +537 870 3312</line>
<line>e‐mail:
<email>daniele.botticelli@ardec.it</email>
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<author>
<familyName>Viganò</familyName>
<givenNames>P</givenNames>
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<familyName>Bengazi</familyName>
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<familyName>Triana</familyName>
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<personName>
<givenNames>Barbara G.</givenNames>
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<orgName>Prince Philip Dental Hospital</orgName>
<orgName>The University of Hong Kong</orgName>
<address>
<city>Hong Kong SAR</city>
<country>China</country>
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</affiliation>
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<orgDiv>Faculdade de Odontologia de Araçatuba</orgDiv>
<orgName>(SP‐Brasil) UNESP – Universidade Estadual Paulista</orgName>
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<country>Brazil</country>
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<orgDiv>Ariminum Odontologica</orgDiv>
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<address>
<city>Rimini</city>
<country>Italy</country>
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<keyword xml:id="clr12263-kwd-0001">animal study</keyword>
<keyword xml:id="clr12263-kwd-0002">bone augmentation</keyword>
<keyword xml:id="clr12263-kwd-0003">bone healing</keyword>
<keyword xml:id="clr12263-kwd-0004">dental implants</keyword>
<keyword xml:id="clr12263-kwd-0005">histology</keyword>
<keyword xml:id="clr12263-kwd-0006">implant dentistry</keyword>
<keyword xml:id="clr12263-kwd-0007">ridge expansion</keyword>
<keyword xml:id="clr12263-kwd-0008">split crest</keyword>
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<fundingAgency>ARDEC, Ariminum Odontologica SRL</fundingAgency>
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<fundingInfo>
<fundingAgency>Sweden & Martina SRL</fundingAgency>
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<fundingAgency>Clinical Research Foundation (CRF) for the Promotion of Oral Health</fundingAgency>
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<title type="main">Abstract</title>
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<title type="main">Objective</title>
<p>To compare the healing and bony crest resorption at implants installed conventionally or applying an edentulous ridge expansion (
<fc>ERE</fc>
) technique in the maxilla.</p>
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<title type="main">Material and methods</title>
<p>In six
<fc>L</fc>
abrador dogs, the first and second maxillary incisors were extracted bilaterally. In the left side of the maxilla (Test), the flaps were elevated and the buccal plate of the alveoli and septa was removed. After 3 months of healing, partial‐thickness (split) flaps were dissected and the residual alveolar bone was exposed. In the right side of the maxilla, an implant was installed conventionally (Type IV; Control) while, in the left side, the
<fc>ERE</fc>
technique was adopted. Hence, an expansion of the buccal bony crest was obtained, and the implant was subsequently installed (Test). After 3 months of healing, biopsies were obtained and ground sections were prepared for histological analyses.</p>
</section>
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<title type="main">Results</title>
<p>A buccal vertical resorption of the bony crest of 2.2 ± 1.2 mm and 1.6 ± 0.7 mm was found at the test and control sites, respectively. The difference, however, did not reach statistical significance. The coronal level of osseointegration at the buccal aspect was located at 3.1 ± 1.0 mm and 2.2 ± 0.7 mm from the implant shoulder at the test and control sites, respectively, the difference being statistically significant. The mean values of the mineralized bone‐to‐implant contact (
<fc>MBIC</fc>
%) ranged from 43% to 48% at the buccal and lingual sites. No differences reached statistical significance.</p>
</section>
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<title type="main">Conclusions</title>
<p>Implants installed by applying an
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<affiliation>Faculdade de Odontologia de Araçatuba, (SP‐Brasil) UNESP – Universidade Estadual Paulista, Araçatuba, SP, Brazil</affiliation>
<affiliation>Ariminum Odontologica, ARDEC, Rimini, Italy</affiliation>
<affiliation>:Faculty of Dentistry, University of Medical Science, Avenida Salvador Allende y GVedado, La Habana, CubaTel.: +537 879 3360Fax: +537 870 3312e‐mail:</affiliation>
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<abstract>To compare the healing and bony crest resorption at implants installed conventionally or applying an edentulous ridge expansion (ERE) technique in the maxilla.</abstract>
<abstract>In six Labrador dogs, the first and second maxillary incisors were extracted bilaterally. In the left side of the maxilla (Test), the flaps were elevated and the buccal plate of the alveoli and septa was removed. After 3 months of healing, partial‐thickness (split) flaps were dissected and the residual alveolar bone was exposed. In the right side of the maxilla, an implant was installed conventionally (Type IV; Control) while, in the left side, the ERE technique was adopted. Hence, an expansion of the buccal bony crest was obtained, and the implant was subsequently installed (Test). After 3 months of healing, biopsies were obtained and ground sections were prepared for histological analyses.</abstract>
<abstract>A buccal vertical resorption of the bony crest of 2.2 ± 1.2 mm and 1.6 ± 0.7 mm was found at the test and control sites, respectively. The difference, however, did not reach statistical significance. The coronal level of osseointegration at the buccal aspect was located at 3.1 ± 1.0 mm and 2.2 ± 0.7 mm from the implant shoulder at the test and control sites, respectively, the difference being statistically significant. The mean values of the mineralized bone‐to‐implant contact (MBIC%) ranged from 43% to 48% at the buccal and lingual sites. No differences reached statistical significance.</abstract>
<abstract>Implants installed by applying an ERE technique may osseointegrate similarly to conventional implant installation. However, vertical and horizontal resorption of the displaced buccal bony wall occurred as well.</abstract>
<note type="funding">ARDEC, Ariminum Odontologica SRL</note>
<note type="funding">Sweden & Martina SRL</note>
<note type="funding">Clinical Research Foundation (CRF) for the Promotion of Oral Health</note>
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