Clinical, Tomographic, and Histological Assessment of Periosteal Guided Bone Regeneration with Cortical Perforations in Advanced Human Critical Size Defects
Identifieur interne : 006836 ( Istex/Corpus ); précédent : 006835; suivant : 006837Clinical, Tomographic, and Histological Assessment of Periosteal Guided Bone Regeneration with Cortical Perforations in Advanced Human Critical Size Defects
Auteurs : Fernando Verdugo ; Antonio D'Addona ; José Pont NSource :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2012-03.
English descriptors
- KwdEn :
- Animal model, Augmentation, Autogenous, Autogenous bone, Autogenous bone grafts, Baseline, Biopsy specimen, Biopsy specimens, Block autografts, Block grafts, Blood supply, Blood vessels, Bone decortication, Bone grafts, Bone healing, Bone regeneration, Buccal view, Caucasian, Clin, Clin implant dent relat, Clin periodontol, Clinical implant dentistry, Clinical trials, Computerized tomography, Consecutive patients, Cortical, Cortical particles, Cortical perforation, Cortical perforations, Critical size defects, Defect, Experimental study, Fernando verdugo, Good incorporation, Graft, Graft material, Healing, Histologic evidence, Histological, Implant, Implant placement, Implant transparency, Large cranial, Large defect sites, Mandibular defects, Marrow spaces, Maxillary bone, Minimal volume loss, Mucosal recession, Onlay, Onlay bone grafts, Onlay grafts, Oral maxillofac implants, Oral maxillofac surg, Oral surg, Osseointegrated implants, Osseous repair, Other membranes, Particulate graft, Perforation, Periodontal, Periodontal biotype, Periodontol, Periosteal, Periosteal membrane, Periosteal preservation, Periosteum, Plast reconstr surg, Present study, Recipient site, Recipient sites, Regeneration, Regenerative therapy, Ridge augmentation, Size defects, Smith mcdonald, Stable bone volume, Surg, Surgical, Symphysis, Tomographic, Tomographic assessment, Tomographic evaluation, Tomographic examination, Tomography, Transplant, Transplant healing process, Transplant volume maintenance, Trauma, Viable bone, Volume maintenance, Wound healing.
- Teeft :
- Animal model, Augmentation, Autogenous, Autogenous bone, Autogenous bone grafts, Baseline, Biopsy specimen, Biopsy specimens, Block autografts, Block grafts, Blood supply, Blood vessels, Bone decortication, Bone grafts, Bone healing, Bone regeneration, Buccal view, Caucasian, Clin, Clin implant dent relat, Clin periodontol, Clinical implant dentistry, Clinical trials, Computerized tomography, Consecutive patients, Cortical, Cortical particles, Cortical perforation, Cortical perforations, Critical size defects, Defect, Experimental study, Fernando verdugo, Good incorporation, Graft, Graft material, Healing, Histologic evidence, Histological, Implant, Implant placement, Implant transparency, Large cranial, Large defect sites, Mandibular defects, Marrow spaces, Maxillary bone, Minimal volume loss, Mucosal recession, Onlay, Onlay bone grafts, Onlay grafts, Oral maxillofac implants, Oral maxillofac surg, Oral surg, Osseointegrated implants, Osseous repair, Other membranes, Particulate graft, Perforation, Periodontal, Periodontal biotype, Periodontol, Periosteal, Periosteal membrane, Periosteal preservation, Periosteum, Plast reconstr surg, Present study, Recipient site, Recipient sites, Regeneration, Regenerative therapy, Ridge augmentation, Size defects, Smith mcdonald, Stable bone volume, Surg, Surgical, Symphysis, Tomographic, Tomographic assessment, Tomographic evaluation, Tomographic examination, Tomography, Transplant, Transplant healing process, Transplant volume maintenance, Trauma, Viable bone, Volume maintenance, Wound healing.
Abstract
Background: Large osseous defects that fail to heal spontaneously require ridge augmentation prior to implant placement. The periosteum can act as an effective barrier membrane. Little is known about the influence of bone decortication in enhancing guided bone regeneration outcomes.
Url:
DOI: 10.1111/j.1708-8208.2009.00235.x
Links to Exploration step
ISTEX:D1ED3F122F98B8A89464232065A7DA3D8A4BEEA0Le document en format XML
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Formerly assistant professor of clinical dentistry, Advanced Periodontics, University of Southern California, Los Angeles, CA, USA;</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: fverdugo@perio.org</mods:affiliation></affiliation></author><author><name sortKey="D Addona, Antonio" sort="D Addona, Antonio" uniqKey="D Addona A" first="Antonio" last="D'Addona">Antonio D'Addona</name><affiliation><mods:affiliation>professor and director of odontology clinic, Catholic University Sacro Cuore, Rome, Italy;</mods:affiliation></affiliation></author><author><name sortKey="Pont N, Jose" sort="Pont N, Jose" uniqKey="Pont N J" first="José" last="Pont N">José Pont N</name><affiliation><mods:affiliation>professor in microbiology, Department of Immunology, Microbiology and Parasitology, School of Medicine and Odontology, University of Basque Country, Leioa, Spain</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:D1ED3F122F98B8A89464232065A7DA3D8A4BEEA0</idno><date when="2012" year="2012">2012</date><idno type="doi">10.1111/j.1708-8208.2009.00235.x</idno><idno type="url">https://api.istex.fr/document/D1ED3F122F98B8A89464232065A7DA3D8A4BEEA0/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">006836</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">006836</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Clinical, Tomographic, and Histological Assessment of Periosteal Guided Bone Regeneration with Cortical Perforations in Advanced Human Critical Size Defects</title><author><name sortKey="Verdugo, Fernando" sort="Verdugo, Fernando" uniqKey="Verdugo F" first="Fernando" last="Verdugo">Fernando Verdugo</name><affiliation><mods:affiliation>Private practice, Altadena, CA, and consultant periodontist, VA Hospital, Greater Los Angeles Healthcare System, Los Angeles, CA, USA. Formerly assistant professor of clinical dentistry, Advanced Periodontics, University of Southern California, Los Angeles, CA, USA;</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: fverdugo@perio.org</mods:affiliation></affiliation></author><author><name sortKey="D Addona, Antonio" sort="D Addona, Antonio" uniqKey="D Addona A" first="Antonio" last="D'Addona">Antonio D'Addona</name><affiliation><mods:affiliation>professor and director of odontology clinic, Catholic University Sacro Cuore, Rome, Italy;</mods:affiliation></affiliation></author><author><name sortKey="Pont N, Jose" sort="Pont N, Jose" uniqKey="Pont N J" first="José" last="Pont N">José Pont N</name><affiliation><mods:affiliation>professor in microbiology, Department of Immunology, Microbiology and Parasitology, School of Medicine and Odontology, University of Basque Country, Leioa, Spain</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">14</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="112">112</biblScope><biblScope unit="page" to="120">120</biblScope><biblScope unit="page-count">9</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2012-03">2012-03</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>Animal model</term><term>Augmentation</term><term>Autogenous</term><term>Autogenous bone</term><term>Autogenous bone grafts</term><term>Baseline</term><term>Biopsy specimen</term><term>Biopsy specimens</term><term>Block autografts</term><term>Block grafts</term><term>Blood supply</term><term>Blood vessels</term><term>Bone decortication</term><term>Bone grafts</term><term>Bone healing</term><term>Bone regeneration</term><term>Buccal view</term><term>Caucasian</term><term>Clin</term><term>Clin implant dent relat</term><term>Clin periodontol</term><term>Clinical implant dentistry</term><term>Clinical trials</term><term>Computerized tomography</term><term>Consecutive patients</term><term>Cortical</term><term>Cortical particles</term><term>Cortical perforation</term><term>Cortical perforations</term><term>Critical size defects</term><term>Defect</term><term>Experimental study</term><term>Fernando verdugo</term><term>Good incorporation</term><term>Graft</term><term>Graft material</term><term>Healing</term><term>Histologic evidence</term><term>Histological</term><term>Implant</term><term>Implant placement</term><term>Implant transparency</term><term>Large cranial</term><term>Large defect sites</term><term>Mandibular defects</term><term>Marrow spaces</term><term>Maxillary bone</term><term>Minimal volume loss</term><term>Mucosal recession</term><term>Onlay</term><term>Onlay bone grafts</term><term>Onlay grafts</term><term>Oral maxillofac implants</term><term>Oral maxillofac surg</term><term>Oral surg</term><term>Osseointegrated implants</term><term>Osseous repair</term><term>Other membranes</term><term>Particulate graft</term><term>Perforation</term><term>Periodontal</term><term>Periodontal biotype</term><term>Periodontol</term><term>Periosteal</term><term>Periosteal membrane</term><term>Periosteal preservation</term><term>Periosteum</term><term>Plast reconstr surg</term><term>Present study</term><term>Recipient site</term><term>Recipient sites</term><term>Regeneration</term><term>Regenerative therapy</term><term>Ridge augmentation</term><term>Size defects</term><term>Smith mcdonald</term><term>Stable bone volume</term><term>Surg</term><term>Surgical</term><term>Symphysis</term><term>Tomographic</term><term>Tomographic assessment</term><term>Tomographic evaluation</term><term>Tomographic examination</term><term>Tomography</term><term>Transplant</term><term>Transplant healing process</term><term>Transplant volume maintenance</term><term>Trauma</term><term>Viable bone</term><term>Volume maintenance</term><term>Wound healing</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Animal model</term><term>Augmentation</term><term>Autogenous</term><term>Autogenous bone</term><term>Autogenous bone grafts</term><term>Baseline</term><term>Biopsy specimen</term><term>Biopsy specimens</term><term>Block autografts</term><term>Block grafts</term><term>Blood supply</term><term>Blood vessels</term><term>Bone decortication</term><term>Bone grafts</term><term>Bone healing</term><term>Bone regeneration</term><term>Buccal view</term><term>Caucasian</term><term>Clin</term><term>Clin implant dent relat</term><term>Clin periodontol</term><term>Clinical implant dentistry</term><term>Clinical trials</term><term>Computerized tomography</term><term>Consecutive patients</term><term>Cortical</term><term>Cortical particles</term><term>Cortical perforation</term><term>Cortical perforations</term><term>Critical size defects</term><term>Defect</term><term>Experimental study</term><term>Fernando verdugo</term><term>Good incorporation</term><term>Graft</term><term>Graft material</term><term>Healing</term><term>Histologic evidence</term><term>Histological</term><term>Implant</term><term>Implant placement</term><term>Implant transparency</term><term>Large cranial</term><term>Large defect sites</term><term>Mandibular defects</term><term>Marrow spaces</term><term>Maxillary bone</term><term>Minimal volume loss</term><term>Mucosal recession</term><term>Onlay</term><term>Onlay bone grafts</term><term>Onlay grafts</term><term>Oral maxillofac implants</term><term>Oral maxillofac surg</term><term>Oral surg</term><term>Osseointegrated implants</term><term>Osseous repair</term><term>Other membranes</term><term>Particulate graft</term><term>Perforation</term><term>Periodontal</term><term>Periodontal biotype</term><term>Periodontol</term><term>Periosteal</term><term>Periosteal membrane</term><term>Periosteal preservation</term><term>Periosteum</term><term>Plast reconstr surg</term><term>Present study</term><term>Recipient site</term><term>Recipient sites</term><term>Regeneration</term><term>Regenerative therapy</term><term>Ridge augmentation</term><term>Size defects</term><term>Smith mcdonald</term><term>Stable bone volume</term><term>Surg</term><term>Surgical</term><term>Symphysis</term><term>Tomographic</term><term>Tomographic assessment</term><term>Tomographic evaluation</term><term>Tomographic examination</term><term>Tomography</term><term>Transplant</term><term>Transplant healing process</term><term>Transplant volume 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Formerly assistant professor of clinical dentistry, Advanced Periodontics, University of Southern California, Los Angeles, CA, USA;</json:string><json:string>E-mail: fverdugo@perio.org</json:string></affiliations></json:item><json:item><name>Antonio D'Addona DDS</name><affiliations><json:string>professor and director of odontology clinic, Catholic University Sacro Cuore, Rome, Italy;</json:string></affiliations></json:item><json:item><name>José Pontón PhD</name><affiliations><json:string>professor in microbiology, Department of Immunology, Microbiology and Parasitology, School of Medicine and Odontology, University of Basque Country, Leioa, Spain</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>bone grafting</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>bone histology</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>computerized tomography</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>cortical perforation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>periosteal preservation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>ridge augmentation</value></json:item></subject><articleId><json:string>CID235</json:string></articleId><arkIstex>ark:/67375/WNG-VGLNKJ06-M</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Background: Large osseous defects that fail to heal spontaneously require ridge augmentation prior to implant placement. The periosteum can act as an effective barrier membrane. Little is known about the influence of bone decortication in enhancing guided bone regeneration outcomes.</abstract><qualityIndicators><score>6.256</score><pdfWordCount>3776</pdfWordCount><pdfCharCount>25180</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>9</pdfPageCount><pdfPageSize>585 x 783 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>40</abstractWordCount><abstractCharCount>283</abstractCharCount><keywordCount>6</keywordCount></qualityIndicators><title>Clinical, Tomographic, and Histological Assessment of Periosteal Guided Bone Regeneration with Cortical Perforations in Advanced Human Critical Size Defects</title><pmid><json:string>20491815</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>14</volume><issue>1</issue><pages><first>112</first><last>120</last><total>9</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>2012</json:string></date><geogName><json:string>Huntington Beach</json:string></geogName><orgName><json:string>University of Basque Country Ethics Committee</json:string><json:string>SPSS Inc., Chicago</json:string><json:string>VA Hospital Healthcare System</json:string><json:string>Related Research, Volume</json:string><json:string>University of Southern California, Los Angeles</json:string><json:string>University of Basque Country</json:string><json:string>Department of Industry, Periosteal Guided Bone Regeneration</json:string><json:string>Department of Education, Universities and Research</json:string><json:string>Catholic University</json:string><json:string>Department of Immunology, Microbiology and Parasitology</json:string><json:string>Wiley Periodicals, Inc</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Lee</json:string><json:string>Berglund</json:string><json:string>Lemperle</json:string><json:string>Fonseca</json:string><json:string>Fernando Verdugo</json:string><json:string>José Pontón</json:string></persName><placeName><json:string>Verona</json:string><json:string>UK</json:string><json:string>Ethnicity</json:string><json:string>Stamford</json:string><json:string>CT</json:string><json:string>Rome</json:string><json:string>Italy</json:string><json:string>Spain</json:string></placeName><ref_url></ref_url><ref_bibl></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-VGLNKJ06-M</json:string></ark><categories><wos><json:string>1 - 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Formerly assistant professor of clinical dentistry, Advanced Periodontics, University of Southern California, Los Angeles, CA, USA;<address><country key="US"></country></address></affiliation><affiliation>Dr. Fernando Verdugo, 2028 North Lake Avenue, Altadena, CA 91001, USA; e‐mail: fverdugo@perio.org</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Antonio</forename><surname>D'Addona</surname><roleName type="degree">DDS</roleName></persName><affiliation>professor and director of odontology clinic, Catholic University Sacro Cuore, Rome, Italy;<address><country key="IT"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">José</forename><surname>Pontón</surname><roleName type="degree">PhD</roleName></persName><affiliation>professor in microbiology, Department of Immunology, Microbiology and Parasitology, School of Medicine and Odontology, University of Basque Country, Leioa, Spain<address><country key="ES"></country></address></affiliation></author><idno type="istex">D1ED3F122F98B8A89464232065A7DA3D8A4BEEA0</idno><idno type="ark">ark:/67375/WNG-VGLNKJ06-M</idno><idno type="DOI">10.1111/j.1708-8208.2009.00235.x</idno><idno type="unit">CID235</idno><idno type="toTypesetVersion">file:CID.CID235.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.2012.14.issue-1</idno><idno type="product">CID</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">14</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="112">112</biblScope><biblScope unit="page" to="120">120</biblScope><biblScope unit="page-count">9</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2012-03"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>ABSTRACT</head><p><hi rend="bold">Background:</hi> Large osseous defects that fail to heal spontaneously require ridge augmentation prior to implant placement. The periosteum can act as an effective barrier membrane. Little is known about the influence of bone decortication in enhancing guided bone regeneration outcomes.</p><p><hi rend="bold">Purpose:</hi> The aim of the present study was a clinical, tomographic, and histological evaluation of bone healing in large defect sites treated with cortical perforations without the use of other membranes but the periosteum.</p><p><hi rend="bold">Material and Methods:</hi> Ten consecutive patients undergoing ridge augmentation on the pre‐maxilla due to severe bone loss were followed for an average of 35 months. Recipient sites were cortico‐perforated and augmented using a combination of autogenous particulate and block grafts. The periosteal membrane was preserved and it fully covered the autografts. Histological analysis was performed in four sites from a trephine core taken at the time of implant osteotomy preparation. Tomographic assessment (computed tomography [CT] scan) at baseline and post‐augmentation evaluated graft volume maintenance.</p><p><hi rend="bold">Results:</hi> Recipient sites were re‐entered for implant placement showing good incorporation of the grafts with minimal volume loss. Biopsy specimens showed viable bone rich in osteoblast‐like cells with little or no inflammatory cells. Clinical exam revealed absence of implant transparency, mucosal recession, mobility, bleeding on probing, or suppuration at follow‐up. CT scan evaluation showed an average increased bucco‐lingual width at the recipient site of 8.1 mm ± 0.9 (2.5 fold) versus a 3.2 ± 0.9 at baseline (<hi rend="italic">p</hi> < .0001; CI 95%: 4.04–5.71 mm), maintaining on average 98% of the augmented width at 2.9 years.</p><p><hi rend="bold">Conclusions:</hi> Periosteal preservation seems to be sufficient as a barrier membrane to protect particulate or block osseous grafts provided that good primary closure is achieved. Bone decortication may enhance clinical and histological outcomes. Graft viability (biopsy specimens) and volume maintenance (CT evaluation) remained stable 35 months post‐augmentation.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">bone grafting</term><term xml:id="k2">bone histology</term><term xml:id="k3">computerized tomography</term><term xml:id="k4">cortical perforation</term><term xml:id="k5">periosteal preservation</term><term xml:id="k6">ridge augmentation</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/D1ED3F122F98B8A89464232065A7DA3D8A4BEEA0/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="03101"><doi origin="wiley">10.1111/cid.2012.14.issue-1</doi><numberingGroup><numbering type="journalVolume" number="14">14</numbering><numbering type="journalIssue" number="1">1</numbering></numberingGroup><coverDate startDate="2012-03">March 2012</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="11" status="forIssue"><doi origin="wiley">10.1111/j.1708-8208.2009.00235.x</doi><idGroup><id type="unit" value="CID235"></id></idGroup><countGroup><count type="pageTotal" number="9"></count></countGroup><titleGroup><title type="tocHeading1">ARTICLES</title></titleGroup><copyright>© 2010 Wiley Periodicals, Inc.</copyright><eventGroup><event type="firstOnline" date="2010-05-11"></event><event type="publishedOnlineAcceptedOrEarlyUnpaginated" date="2010-05-11"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:3.0.1 mode:FullText" date="2012-01-24"></event><event type="publishedOnlineFinalForm" date="2012-01-24"></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:4.3.4 mode:FullText" date="2015-02-25"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="112">112</numbering><numbering type="pageLast" number="120">120</numbering></numberingGroup><correspondenceTo>Dr. Fernando Verdugo, 2028 North Lake Avenue, Altadena, CA 91001, USA; e‐mail: <email>fverdugo@perio.org</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CID.CID235.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="4"></count><count type="tableTotal" number="1"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="41"></count><count type="wordTotal" number="4361"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Clinical, Tomographic, and Histological Assessment of Periosteal Guided Bone Regeneration with Cortical Perforations in Advanced Human Critical Size Defects</title><title type="shortAuthors">Clinical Implant Dentistry and Related Research, Volume *, Number *, 2009</title><title type="short">Periosteal Guided Bone Regeneration with Cortical Perforations in Advanced Human Critical Size Defects</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Fernando</givenNames><familyName>Verdugo</familyName><degrees>DDS</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Antonio</givenNames><familyName>D'Addona</familyName><degrees>DDS</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a3"><personName><givenNames>José</givenNames><familyName>Pontón</familyName><degrees>PhD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="US"><unparsedAffiliation>Private practice, Altadena, CA, and consultant periodontist, VA Hospital, Greater Los Angeles Healthcare System, Los Angeles, CA, USA. Formerly assistant professor of clinical dentistry, Advanced Periodontics, University of Southern California, Los Angeles, CA, USA;</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="IT"><unparsedAffiliation>professor and director of odontology clinic, Catholic University Sacro Cuore, Rome, Italy;</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="ES"><unparsedAffiliation>professor in microbiology, Department of Immunology, Microbiology and Parasitology, School of Medicine and Odontology, University of Basque Country, Leioa, Spain</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">bone grafting</keyword><keyword xml:id="k2">bone histology</keyword><keyword xml:id="k3">computerized tomography</keyword><keyword xml:id="k4">cortical perforation</keyword><keyword xml:id="k5">periosteal preservation</keyword><keyword xml:id="k6">ridge augmentation</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">ABSTRACT</title><p><b>Background:</b> Large osseous defects that fail to heal spontaneously require ridge augmentation prior to implant placement. The periosteum can act as an effective barrier membrane. Little is known about the influence of bone decortication in enhancing guided bone regeneration outcomes.</p><p><b>Purpose:</b> The aim of the present study was a clinical, tomographic, and histological evaluation of bone healing in large defect sites treated with cortical perforations without the use of other membranes but the periosteum.</p><p><b>Material and Methods:</b> Ten consecutive patients undergoing ridge augmentation on the pre‐maxilla due to severe bone loss were followed for an average of 35 months. Recipient sites were cortico‐perforated and augmented using a combination of autogenous particulate and block grafts. The periosteal membrane was preserved and it fully covered the autografts. Histological analysis was performed in four sites from a trephine core taken at the time of implant osteotomy preparation. Tomographic assessment (computed tomography [CT] scan) at baseline and post‐augmentation evaluated graft volume maintenance.</p><p><b>Results:</b> Recipient sites were re‐entered for implant placement showing good incorporation of the grafts with minimal volume loss. Biopsy specimens showed viable bone rich in osteoblast‐like cells with little or no inflammatory cells. Clinical exam revealed absence of implant transparency, mucosal recession, mobility, bleeding on probing, or suppuration at follow‐up. CT scan evaluation showed an average increased bucco‐lingual width at the recipient site of 8.1 mm ± 0.9 (2.5 fold) versus a 3.2 ± 0.9 at baseline (<i>p</i> < .0001; CI 95%: 4.04–5.71 mm), maintaining on average 98% of the augmented width at 2.9 years.</p><p><b>Conclusions:</b> Periosteal preservation seems to be sufficient as a barrier membrane to protect particulate or block osseous grafts provided that good primary closure is achieved. Bone decortication may enhance clinical and histological outcomes. Graft viability (biopsy specimens) and volume maintenance (CT evaluation) remained stable 35 months post‐augmentation.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Clinical, Tomographic, and Histological Assessment of Periosteal Guided Bone Regeneration with Cortical Perforations in Advanced Human Critical Size Defects</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Periosteal Guided Bone Regeneration with Cortical Perforations in Advanced Human Critical Size Defects</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Clinical, Tomographic, and Histological Assessment of Periosteal Guided Bone Regeneration with Cortical Perforations in Advanced Human Critical Size Defects</title></titleInfo><name type="personal"><namePart type="given">Fernando</namePart><namePart type="family">Verdugo</namePart><namePart type="termsOfAddress">DDS</namePart><affiliation>Private practice, Altadena, CA, and consultant periodontist, VA Hospital, Greater Los Angeles Healthcare System, Los Angeles, CA, USA. Formerly assistant professor of clinical dentistry, Advanced Periodontics, University of Southern California, Los Angeles, CA, USA;</affiliation><affiliation>E-mail: fverdugo@perio.org</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Antonio</namePart><namePart type="family">D'Addona</namePart><namePart type="termsOfAddress">DDS</namePart><affiliation>professor and director of odontology clinic, Catholic University Sacro Cuore, Rome, Italy;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">José</namePart><namePart type="family">Pontón</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>professor in microbiology, Department of Immunology, Microbiology and Parasitology, School of Medicine and Odontology, University of Basque Country, Leioa, Spain</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">2012-03</dateIssued><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">4</extent><extent unit="tables">1</extent><extent unit="formulas">0</extent><extent unit="references">41</extent><extent unit="linksCrossRef">0</extent><extent unit="words">4361</extent></physicalDescription><abstract>Background: Large osseous defects that fail to heal spontaneously require ridge augmentation prior to implant placement. The periosteum can act as an effective barrier membrane. Little is known about the influence of bone decortication in enhancing guided bone regeneration outcomes.</abstract><abstract>Purpose: The aim of the present study was a clinical, tomographic, and histological evaluation of bone healing in large defect sites treated with cortical perforations without the use of other membranes but the periosteum.</abstract><abstract>Material and Methods: Ten consecutive patients undergoing ridge augmentation on the pre‐maxilla due to severe bone loss were followed for an average of 35 months. Recipient sites were cortico‐perforated and augmented using a combination of autogenous particulate and block grafts. The periosteal membrane was preserved and it fully covered the autografts. Histological analysis was performed in four sites from a trephine core taken at the time of implant osteotomy preparation. Tomographic assessment (computed tomography [CT] scan) at baseline and post‐augmentation evaluated graft volume maintenance.</abstract><abstract>Results: Recipient sites were re‐entered for implant placement showing good incorporation of the grafts with minimal volume loss. Biopsy specimens showed viable bone rich in osteoblast‐like cells with little or no inflammatory cells. Clinical exam revealed absence of implant transparency, mucosal recession, mobility, bleeding on probing, or suppuration at follow‐up. CT scan evaluation showed an average increased bucco‐lingual width at the recipient site of 8.1 mm ± 0.9 (2.5 fold) versus a 3.2 ± 0.9 at baseline (p < .0001; CI 95%: 4.04–5.71 mm), maintaining on average 98% of the augmented width at 2.9 years.</abstract><abstract>Conclusions: Periosteal preservation seems to be sufficient as a barrier membrane to protect particulate or block osseous grafts provided that good primary closure is achieved. Bone decortication may enhance clinical and histological outcomes. Graft viability (biopsy specimens) and volume maintenance (CT evaluation) remained stable 35 months post‐augmentation.</abstract><subject lang="en"><genre>keywords</genre><topic>bone grafting</topic><topic>bone histology</topic><topic>computerized tomography</topic><topic>cortical perforation</topic><topic>periosteal preservation</topic><topic>ridge augmentation</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>2012</date><detail type="volume"><caption>vol.</caption><number>14</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>112</start><end>120</end><total>9</total></extent></part></relatedItem><identifier type="istex">D1ED3F122F98B8A89464232065A7DA3D8A4BEEA0</identifier><identifier type="ark">ark:/67375/WNG-VGLNKJ06-M</identifier><identifier type="DOI">10.1111/j.1708-8208.2009.00235.x</identifier><identifier type="ArticleID">CID235</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2010 Wiley Periodicals, Inc.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/D1ED3F122F98B8A89464232065A7DA3D8A4BEEA0/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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