Long‐term results of mandibular reconstruction with autogenous bone grafts and oral implants after tumor resection
Identifieur interne : 007438 ( Istex/Corpus ); précédent : 007437; suivant : 007439Long‐term results of mandibular reconstruction with autogenous bone grafts and oral implants after tumor resection
Auteurs : Matteo Chiapasco ; Giacomo Colletti ; Eugenio Romeo ; Marco Zaniboni ; Roberto BrusatiSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2008-10.
English descriptors
- KwdEn :
- Ameloblastoma, Autogenous, Autogenous bone grafts, Blackwell munksgaard, Bone continuity, Bone grafts, Bone resorption, Bone resorption values, Calvarium, Chiapasco, Clin, Clinical outcome, Condyle, Condyle preservation, Cumulative survival, Defect, Dental implants, Facial contour, Graft, Iliac, Iliac crest, Impl, Implant, Implant placement, Journal compilation, Mandible, Mandibular, Mandibular defects, Mandibular reconstruction, Mandibular tumors, Maxillofacial surgery, Milan, Munksgaard, Nonvascularized bone grafts, November, Oral impl, Oral implants, Oral rehabilitation, Oral surgery, Osseointegrated implants, Panoramic, Panoramic radiograph, Paolo hospital, Plastic reconstructive surgery, Pogrel, Prosthesis, Prosthetic, Prosthetic loading, Prosthetic rehabilitation, Prosthetic restoration, Radiograph, Radiographic control, Ramus, Reconstructed, Reconstructed areas, Reconstructive, Reconstructive procedure, Resection, Residual dentition, Resorption, Straumann, Success rates, Tumor ablation, Tumor resection.
- Teeft :
- Ameloblastoma, Autogenous, Autogenous bone grafts, Blackwell munksgaard, Bone continuity, Bone grafts, Bone resorption, Bone resorption values, Calvarium, Chiapasco, Clin, Clinical outcome, Condyle, Condyle preservation, Cumulative survival, Defect, Dental implants, Facial contour, Graft, Iliac, Iliac crest, Impl, Implant, Implant placement, Journal compilation, Mandible, Mandibular, Mandibular defects, Mandibular reconstruction, Mandibular tumors, Maxillofacial surgery, Milan, Munksgaard, Nonvascularized bone grafts, November, Oral impl, Oral implants, Oral rehabilitation, Oral surgery, Osseointegrated implants, Panoramic, Panoramic radiograph, Paolo hospital, Plastic reconstructive surgery, Pogrel, Prosthesis, Prosthetic, Prosthetic loading, Prosthetic rehabilitation, Prosthetic restoration, Radiograph, Radiographic control, Ramus, Reconstructed, Reconstructed areas, Reconstructive, Reconstructive procedure, Resection, Residual dentition, Resorption, Straumann, Success rates, Tumor ablation, Tumor resection.
Abstract
Objectives: (a) To evaluate retrospectively the clinical outcome of non‐vascularized bone grafts used for the reconstruction of mandibular defects following tumor resection; (b) to evaluate the clinical outcome of implants and implant‐supported prostheses placed in the reconstructed areas; and (c) to evaluate patients' satisfaction regarding function and esthetics after oral rehabilitation.
Url:
DOI: 10.1111/j.1600-0501.2008.01542.x
Links to Exploration step
ISTEX:EACFB74C95EF006B991B6EC55C83BCE1B3AC63B4Le document en format XML
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Giacomo" sort="Colletti, Giacomo" uniqKey="Colletti G" first="Giacomo" last="Colletti">Giacomo Colletti</name><affiliation><mods:affiliation>Unit of Maxillofacial Surgery, Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy</mods:affiliation></affiliation></author><author><name sortKey="Romeo, Eugenio" sort="Romeo, Eugenio" uniqKey="Romeo E" first="Eugenio" last="Romeo">Eugenio Romeo</name><affiliation><mods:affiliation>Unit of Prosthodontics, Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy</mods:affiliation></affiliation></author><author><name sortKey="Zaniboni, Marco" sort="Zaniboni, Marco" uniqKey="Zaniboni M" first="Marco" last="Zaniboni">Marco Zaniboni</name><affiliation><mods:affiliation>Unit of Oral Surgery, Department Of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy</mods:affiliation></affiliation></author><author><name sortKey="Brusati, Roberto" sort="Brusati, Roberto" uniqKey="Brusati R" first="Roberto" last="Brusati">Roberto Brusati</name><affiliation><mods:affiliation>Unit of Maxillofacial Surgery, Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="ISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><imprint><biblScope unit="vol">19</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="1074">1074</biblScope><biblScope unit="page" to="1080">1080</biblScope><biblScope unit="page-count">7</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2008-10">2008-10</date></imprint><idno 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surgery</term><term>Milan</term><term>Munksgaard</term><term>Nonvascularized bone grafts</term><term>November</term><term>Oral impl</term><term>Oral implants</term><term>Oral rehabilitation</term><term>Oral surgery</term><term>Osseointegrated implants</term><term>Panoramic</term><term>Panoramic radiograph</term><term>Paolo hospital</term><term>Plastic reconstructive surgery</term><term>Pogrel</term><term>Prosthesis</term><term>Prosthetic</term><term>Prosthetic loading</term><term>Prosthetic rehabilitation</term><term>Prosthetic restoration</term><term>Radiograph</term><term>Radiographic control</term><term>Ramus</term><term>Reconstructed</term><term>Reconstructed areas</term><term>Reconstructive</term><term>Reconstructive procedure</term><term>Resection</term><term>Residual dentition</term><term>Resorption</term><term>Straumann</term><term>Success rates</term><term>Tumor ablation</term><term>Tumor resection</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Ameloblastoma</term><term>Autogenous</term><term>Autogenous bone grafts</term><term>Blackwell munksgaard</term><term>Bone continuity</term><term>Bone grafts</term><term>Bone resorption</term><term>Bone resorption values</term><term>Calvarium</term><term>Chiapasco</term><term>Clin</term><term>Clinical outcome</term><term>Condyle</term><term>Condyle preservation</term><term>Cumulative survival</term><term>Defect</term><term>Dental implants</term><term>Facial contour</term><term>Graft</term><term>Iliac</term><term>Iliac crest</term><term>Impl</term><term>Implant</term><term>Implant placement</term><term>Journal compilation</term><term>Mandible</term><term>Mandibular</term><term>Mandibular defects</term><term>Mandibular reconstruction</term><term>Mandibular tumors</term><term>Maxillofacial surgery</term><term>Milan</term><term>Munksgaard</term><term>Nonvascularized bone grafts</term><term>November</term><term>Oral impl</term><term>Oral implants</term><term>Oral rehabilitation</term><term>Oral surgery</term><term>Osseointegrated implants</term><term>Panoramic</term><term>Panoramic radiograph</term><term>Paolo hospital</term><term>Plastic reconstructive surgery</term><term>Pogrel</term><term>Prosthesis</term><term>Prosthetic</term><term>Prosthetic loading</term><term>Prosthetic rehabilitation</term><term>Prosthetic restoration</term><term>Radiograph</term><term>Radiographic control</term><term>Ramus</term><term>Reconstructed</term><term>Reconstructed areas</term><term>Reconstructive</term><term>Reconstructive procedure</term><term>Resection</term><term>Residual dentition</term><term>Resorption</term><term>Straumann</term><term>Success rates</term><term>Tumor ablation</term><term>Tumor resection</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Objectives: (a) To evaluate retrospectively the clinical outcome of non‐vascularized bone grafts used for the reconstruction of mandibular defects following tumor resection; (b) to evaluate the clinical outcome of implants and implant‐supported prostheses placed in the reconstructed areas; and (c) to evaluate patients' satisfaction regarding function and esthetics after oral rehabilitation.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>implant</json:string><json:string>mandibular</json:string><json:string>prosthetic</json:string><json:string>graft</json:string><json:string>chiapasco</json:string><json:string>resection</json:string><json:string>resorption</json:string><json:string>prosthesis</json:string><json:string>mandible</json:string><json:string>radiograph</json:string><json:string>condyle</json:string><json:string>reconstructive</json:string><json:string>straumann</json:string><json:string>autogenous</json:string><json:string>tumor resection</json:string><json:string>implant placement</json:string><json:string>ramus</json:string><json:string>ameloblastoma</json:string><json:string>reconstructed 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Chiapasco</name><affiliations><json:string>Unit of Oral Surgery, Department Of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy</json:string></affiliations></json:item><json:item><name>Giacomo Colletti</name><affiliations><json:string>Unit of Maxillofacial Surgery, Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy</json:string></affiliations></json:item><json:item><name>Eugenio Romeo</name><affiliations><json:string>Unit of Prosthodontics, Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy</json:string></affiliations></json:item><json:item><name>Marco Zaniboni</name><affiliations><json:string>Unit of Oral Surgery, Department Of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy</json:string></affiliations></json:item><json:item><name>Roberto Brusati</name><affiliations><json:string>Unit of Maxillofacial 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crest</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>mandible</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>reconstruction</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>tumor</value></json:item></subject><articleId><json:string>CLR1542</json:string></articleId><arkIstex>ark:/67375/WNG-VXMGMVCH-3</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Objectives: (a) To evaluate retrospectively the clinical outcome of non‐vascularized bone grafts used for the reconstruction of mandibular defects following tumor resection; (b) to evaluate the clinical outcome of implants and implant‐supported prostheses placed in the reconstructed areas; and (c) to evaluate patients' satisfaction regarding function and esthetics after oral 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Tel</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Co</json:string><json:string>Age</json:string><json:string>Via Beldiletto</json:string><json:string>Matteo Chiapasco</json:string><json:string>Martin GmbH</json:string><json:string>Marco Zaniboni</json:string><json:string>Roberto Brusati</json:string></persName><placeName><json:string>Switzerland</json:string><json:string>Basel</json:string><json:string>Sweden</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Jaquery et al. 2004</json:string><json:string>Hotz 1996</json:string><json:string>Chiapasco 1999</json:string><json:string>Chana et al. 2004</json:string><json:string>Chan et al. 1997</json:string><json:string>Chiapasco et al. 2000</json:string><json:string>Sekine et al. 2006</json:string><json:string>Young et al. 2007</json:string><json:string>Chiapasco et al. 2000, 2006</json:string><json:string>Chiapasco et al</json:string><json:string>Schmelzeisen et al. 1996</json:string><json:string>Urken et al. 1991</json:string><json:string>Shaw et al. 2005</json:string><json:string>Albrektsson et al.</json:string><json:string>Albrektsson et al. (1986)</json:string><json:string>Gabr et al. 2004</json:string><json:string>Roumanas et al. 1997</json:string><json:string>Gurlek et al. 1998</json:string><json:string>Buchbinder et al. 1989</json:string><json:string>Pogrel et al. 1997</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-VXMGMVCH-3</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - engineering, biomedical</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - Oral Surgery</json:string></scopus></categories><publicationDate>2008</publicationDate><copyrightDate>2008</copyrightDate><doi><json:string>10.1111/j.1600-0501.2008.01542.x</json:string></doi><id>EACFB74C95EF006B991B6EC55C83BCE1B3AC63B4</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/EACFB74C95EF006B991B6EC55C83BCE1B3AC63B4/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/EACFB74C95EF006B991B6EC55C83BCE1B3AC63B4/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/EACFB74C95EF006B991B6EC55C83BCE1B3AC63B4/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Long‐term results of mandibular reconstruction with autogenous bone grafts and oral implants after tumor resection</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><licence>© 2008 The Authors. Journal compilation © 2008 Blackwell Munksgaard</licence></availability><date type="published" when="2008-10"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Long‐term results of mandibular reconstruction with autogenous bone grafts and oral implants after tumor resection</title><title level="a" type="short">Long‐term results of mandibular reconstruction</title><author xml:id="author-0000"><persName><forename type="first">Matteo</forename><surname>Chiapasco</surname></persName><affiliation>Unit of Oral Surgery, Department Of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy<address><country key="IT"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Giacomo</forename><surname>Colletti</surname></persName><affiliation>Unit of Maxillofacial Surgery, Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy<address><country key="IT"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Eugenio</forename><surname>Romeo</surname></persName><affiliation>Unit of Prosthodontics, Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy<address><country key="IT"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Marco</forename><surname>Zaniboni</surname></persName><affiliation>Unit of Oral Surgery, Department Of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy<address><country key="IT"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Roberto</forename><surname>Brusati</surname></persName><affiliation>Unit of Maxillofacial Surgery, Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy<address><country key="IT"></country></address></affiliation></author><idno type="istex">EACFB74C95EF006B991B6EC55C83BCE1B3AC63B4</idno><idno type="ark">ark:/67375/WNG-VXMGMVCH-3</idno><idno type="DOI">10.1111/j.1600-0501.2008.01542.x</idno><idno type="unit">CLR1542</idno><idno type="supplier">1542</idno><idno type="toTypesetVersion">file:CLR.CLR1542.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="pISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><idno type="book-DOI">10.1111/(ISSN)1600-0501</idno><idno type="book-part-DOI">10.1111/clr.2008.19.issue-10</idno><idno type="product">CLR</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">19</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="1074">1074</biblScope><biblScope unit="page" to="1080">1080</biblScope><biblScope unit="page-count">7</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2008-10"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head><p><hi rend="bold">Objectives: </hi> (a) To evaluate retrospectively the clinical outcome of non‐vascularized bone grafts used for the reconstruction of mandibular defects following tumor resection; (b) to evaluate the clinical outcome of implants and implant‐supported prostheses placed in the reconstructed areas; and (c) to evaluate patients' satisfaction regarding function and esthetics after oral rehabilitation.</p><p><hi rend="bold">Material and methods: </hi> In a 9‐year period (1995–2003), 29 patients affected by mandibular tumors involving to tooth bearing areas were treated by means of tumor resection and immediate or delayed reconstruction with autogenous non‐revascularized calvarial or iliac bone grafts. Among these patients, 16 patients were selected for dental rehabilitation of the lost dentition with implant‐supported 3fixed prosthese333s. For to 7 months later, the patients received 60 oral implants for the prosthetic rehabilitation of the reconstructed edentulous areas.</p><p><hi rend="bold">Results: </hi> No total failure of the graft was observed, while partial loss of the graft was observed in one patient. The mean follow‐up of patients after the start of prosthetic loading of implants treated was 94 months (range: 36–132 months). Two patients dropped out of the follow‐up after 3 and 4 years of observation, respectively. Two implants were removed due to loss of osseointegration, while two implants, although still integrated, presented peri‐implant bone resorption values higher than those proposed by Albrektsson et al. for successful implants. Cumulative survival and success rates of implants were 96.7% and 93.3%, respectively.</p><p><hi rend="bold">Conclusion: </hi> Results from this study demonstrated that bone defects following resection of mandibular tumors can be predictably reconstructed with autogenous bone grafts taken from the calvarium or the anterior iliac crest. It has also been shown that the long‐term survival and success rates of implants placed in the reconstructed areas (96.7% and 93.3%, respectively) may guarantee an excellent prognosis of implant‐supported prostheses.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">bone graft</term><term xml:id="k2">calvarium</term><term xml:id="k3">dental implants</term><term xml:id="k4">dental prosthesis</term><term xml:id="k5">humans</term><term xml:id="k6">iliac crest</term><term xml:id="k7">mandible</term><term xml:id="k8">reconstruction</term><term xml:id="k9">tumor</term></keywords><keywords rend="tocHeading1"><term>Original 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/EACFB74C95EF006B991B6EC55C83BCE1B3AC63B4/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)1600-0501</doi><issn type="print">0905-7161</issn><issn type="electronic">1600-0501</issn><idGroup><id type="product" value="CLR"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CLINICAL ORAL IMPLANTS RESEARCH">Clinical Oral Implants Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="10010"><doi origin="wiley">10.1111/clr.2008.19.issue-10</doi><numberingGroup><numbering type="journalVolume" number="19">19</numbering><numbering type="journalIssue" number="10">10</numbering></numberingGroup><coverDate startDate="2008-10">October 2008</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="15" status="forIssue"><doi origin="wiley">10.1111/j.1600-0501.2008.01542.x</doi><idGroup><id type="unit" value="CLR1542"></id><id type="supplier" value="1542"></id></idGroup><countGroup><count type="pageTotal" number="7"></count></countGroup><titleGroup><title type="tocHeading1">Original Articles</title></titleGroup><copyright>© 2008 The Authors. Journal compilation © 2008 Blackwell Munksgaard</copyright><eventGroup><event type="firstOnline" date="2008-09-15"></event><event type="publishedOnlineFinalForm" date="2008-09-15"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-15"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-12"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-16"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="1074">1074</numbering><numbering type="pageLast" number="1080">1080</numbering></numberingGroup><correspondenceTo><b>Correspondence to:</b>
<i>Prof. Matteo Chiapasco</i>
Clinica Odontostomatologica
Università degli Studi di Milano
Via Beldiletto 1/3
20142 Milano
Italy
Tel.: +39 02 50319000
Fax: +39 02 50319040
e‐mail: <email normalForm="matteo.chiapasco@unimi.it">matteo.chiapasco@unimi.it</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CLR.CLR1542.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory><b>Date:</b> Accepted 1 November 2007</unparsedEditorialHistory><countGroup><count type="figureTotal" number="2"></count><count type="tableTotal" number="4"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="19"></count><count type="wordTotal" number="5930"></count><count type="linksCrossRef" number="17"></count></countGroup><titleGroup><title type="main">Long‐term results of mandibular reconstruction with autogenous bone grafts and oral implants after tumor resection</title><title type="shortAuthors">Chiapasco et al.</title><title type="short">Long‐term results of mandibular reconstruction</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Matteo</givenNames><familyName>Chiapasco</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a3"><personName><givenNames>Giacomo</givenNames><familyName>Colletti</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a2"><personName><givenNames>Eugenio</givenNames><familyName>Romeo</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1"><personName><givenNames>Marco</givenNames><familyName>Zaniboni</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a3"><personName><givenNames>Roberto</givenNames><familyName>Brusati</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="IT"><unparsedAffiliation>Unit of Oral Surgery, Department Of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="IT"><unparsedAffiliation>Unit of Prosthodontics, Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="IT"><unparsedAffiliation>Unit of Maxillofacial Surgery, Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">bone graft</keyword><keyword xml:id="k2">calvarium</keyword><keyword xml:id="k3">dental implants</keyword><keyword xml:id="k4">dental prosthesis</keyword><keyword xml:id="k5">humans</keyword><keyword xml:id="k6">iliac crest</keyword><keyword xml:id="k7">mandible</keyword><keyword xml:id="k8">reconstruction</keyword><keyword xml:id="k9">tumor</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p><b>Objectives: </b> (a) To evaluate retrospectively the clinical outcome of non‐vascularized bone grafts used for the reconstruction of mandibular defects following tumor resection; (b) to evaluate the clinical outcome of implants and implant‐supported prostheses placed in the reconstructed areas; and (c) to evaluate patients' satisfaction regarding function and esthetics after oral rehabilitation.</p><p><b>Material and methods: </b> In a 9‐year period (1995–2003), 29 patients affected by mandibular tumors involving to tooth bearing areas were treated by means of tumor resection and immediate or delayed reconstruction with autogenous non‐revascularized calvarial or iliac bone grafts. Among these patients, 16 patients were selected for dental rehabilitation of the lost dentition with implant‐supported 3fixed prosthese333s. For to 7 months later, the patients received 60 oral implants for the prosthetic rehabilitation of the reconstructed edentulous areas.</p><p><b>Results: </b> No total failure of the graft was observed, while partial loss of the graft was observed in one patient. The mean follow‐up of patients after the start of prosthetic loading of implants treated was 94 months (range: 36–132 months). Two patients dropped out of the follow‐up after 3 and 4 years of observation, respectively. Two implants were removed due to loss of osseointegration, while two implants, although still integrated, presented peri‐implant bone resorption values higher than those proposed by Albrektsson et al. for successful implants. Cumulative survival and success rates of implants were 96.7% and 93.3%, respectively.</p><p><b>Conclusion: </b> Results from this study demonstrated that bone defects following resection of mandibular tumors can be predictably reconstructed with autogenous bone grafts taken from the calvarium or the anterior iliac crest. It has also been shown that the long‐term survival and success rates of implants placed in the reconstructed areas (96.7% and 93.3%, respectively) may guarantee an excellent prognosis of implant‐supported prostheses.</p><!--
To cite this article:
Chiapasco M, Colletti G, Romeo E, Zaniboni M, Brusati R. Long-term results of mandibular reconstruction with autogenous bone grafts and oral implants after tumor resection.
Clin. Oral Impl. Res. 19, 2008; 1074–1080
doi: 10.1111/j.1600-0501.2008.01542.x
--></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Long‐term results of mandibular reconstruction with autogenous bone grafts and oral implants after tumor resection</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Long‐term results of mandibular reconstruction</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Long‐term results of mandibular reconstruction with autogenous bone grafts and oral implants after tumor resection</title></titleInfo><name type="personal"><namePart type="given">Matteo</namePart><namePart type="family">Chiapasco</namePart><affiliation>Unit of Oral Surgery, Department Of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Giacomo</namePart><namePart type="family">Colletti</namePart><affiliation>Unit of Maxillofacial Surgery, Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Eugenio</namePart><namePart type="family">Romeo</namePart><affiliation>Unit of Prosthodontics, Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Marco</namePart><namePart type="family">Zaniboni</namePart><affiliation>Unit of Oral Surgery, Department Of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Roberto</namePart><namePart type="family">Brusati</namePart><affiliation>Unit of Maxillofacial Surgery, Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy</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">2008-10</dateIssued><edition>Date: Accepted 1 November 2007</edition><copyrightDate encoding="w3cdtf">2008</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">2</extent><extent unit="tables">4</extent><extent unit="formulas">0</extent><extent unit="references">19</extent><extent unit="linksCrossRef">17</extent><extent unit="words">5930</extent></physicalDescription><abstract>Objectives: (a) To evaluate retrospectively the clinical outcome of non‐vascularized bone grafts used for the reconstruction of mandibular defects following tumor resection; (b) to evaluate the clinical outcome of implants and implant‐supported prostheses placed in the reconstructed areas; and (c) to evaluate patients' satisfaction regarding function and esthetics after oral rehabilitation.</abstract><abstract>Material and methods: In a 9‐year period (1995–2003), 29 patients affected by mandibular tumors involving to tooth bearing areas were treated by means of tumor resection and immediate or delayed reconstruction with autogenous non‐revascularized calvarial or iliac bone grafts. Among these patients, 16 patients were selected for dental rehabilitation of the lost dentition with implant‐supported 3fixed prosthese333s. For to 7 months later, the patients received 60 oral implants for the prosthetic rehabilitation of the reconstructed edentulous areas.</abstract><abstract>Results: No total failure of the graft was observed, while partial loss of the graft was observed in one patient. The mean follow‐up of patients after the start of prosthetic loading of implants treated was 94 months (range: 36–132 months). Two patients dropped out of the follow‐up after 3 and 4 years of observation, respectively. Two implants were removed due to loss of osseointegration, while two implants, although still integrated, presented peri‐implant bone resorption values higher than those proposed by Albrektsson et al. for successful implants. Cumulative survival and success rates of implants were 96.7% and 93.3%, respectively.</abstract><abstract>Conclusion: Results from this study demonstrated that bone defects following resection of mandibular tumors can be predictably reconstructed with autogenous bone grafts taken from the calvarium or the anterior iliac crest. It has also been shown that the long‐term survival and success rates of implants placed in the reconstructed areas (96.7% and 93.3%, respectively) may guarantee an excellent prognosis of implant‐supported prostheses.</abstract><subject lang="en"><genre>keywords</genre><topic>bone graft</topic><topic>calvarium</topic><topic>dental implants</topic><topic>dental prosthesis</topic><topic>humans</topic><topic>iliac crest</topic><topic>mandible</topic><topic>reconstruction</topic><topic>tumor</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Oral Implants 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">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>2008</date><detail type="volume"><caption>vol.</caption><number>19</number></detail><detail type="issue"><caption>no.</caption><number>10</number></detail><extent unit="pages"><start>1074</start><end>1080</end><total>7</total></extent></part></relatedItem><identifier type="istex">EACFB74C95EF006B991B6EC55C83BCE1B3AC63B4</identifier><identifier type="ark">ark:/67375/WNG-VXMGMVCH-3</identifier><identifier type="DOI">10.1111/j.1600-0501.2008.01542.x</identifier><identifier type="ArticleID">CLR1542</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2008 The Authors. 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