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Radiographic evaluation of mandibular augmentation with prefabricated hydroxylapatite/fibrin glue implants

Identifieur interne : 004779 ( Istex/Curation ); précédent : 004778; suivant : 004780

Radiographic evaluation of mandibular augmentation with prefabricated hydroxylapatite/fibrin glue implants

Auteurs : Henny J. A Meijer [Pays-Bas] ; William H. A Steen [Pays-Bas] ; Frits Bosman [Pays-Bas] ; Albert R. M Wittkampf [Pays-Bas]

Source :

RBID : ISTEX:8FDDFB4887F74B20BBF5DA9BF557315998A5C79F

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English descriptors

Abstract

Abstract: Purpose: This study radiographically evaluated the stability of mandibular height during a 2-year follow-up after augmentation with prefabricated hydroxylapatite/fibrin glue (HA/FG) implants. Patients and Methods: Standardized, lateral oblique cephalometric radiographs were made of 22 patients 6, 12, and 24 months postoperatively and analyzed with a newly developed, computerized image analysis technique. Results: The average height of the HA/FG implants after augmentation was 9.45 mm. Average loss of total height of the augmented mandibles was 2.31 mm after 6 months, 2.90 mm after 12 months, and 3.93 mm after 24 months. Reduction of HA/FG implant height alone was 0.62 mm after 6 months, 1.24 mm after 12 months, and 2.03 mm after 24 months. Reduction occurred mainly during the first 6-month evaluation period and was probably primarily caused by adaptation of the implant to the surface of the mandible. An inferior compression of the implant or resorption of the alveolar crest and underlying basilar bone are possible reasons for loss of total mandibular height. Conclusion: The results indicate that prefabricated HA/FG implants used for augmentation of edentulous mandibles show little reduction in height, but are not completely stable during a 2-year evaluation period.

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DOI: 10.1016/S0278-2391(97)90229-9

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ISTEX:8FDDFB4887F74B20BBF5DA9BF557315998A5C79F

Le document en format XML

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<term>Alveolar crest</term>
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<term>Alveolar ridge augmentation</term>
<term>Anterior region</term>
<term>Atrophic mandible</term>
<term>Augmentation</term>
<term>Augmentation procedures</term>
<term>Autogenous bone</term>
<term>Average height</term>
<term>Basilar bone</term>
<term>Cephalometric</term>
<term>Cephalometric radiographs</term>
<term>Chlorhexidine solution</term>
<term>Clavulanic acid</term>
<term>Different observers</term>
<term>Edentulous</term>
<term>Edentulous mandible</term>
<term>Edentulous mandibles</term>
<term>Endosseous implants</term>
<term>Evaluation period</term>
<term>Extra reduction</term>
<term>Fibrin glue</term>
<term>Glue implants</term>
<term>Granule</term>
<term>Hnfg implants</term>
<term>Hydroxylapatite</term>
<term>Image analysis system</term>
<term>Image analysis technique</term>
<term>Implant</term>
<term>Implant material</term>
<term>Infection months months months</term>
<term>Inferior position</term>
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<term>Interobserver difference</term>
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<term>Reference lines</term>
<term>Reference point</term>
<term>Reference points</term>
<term>Residual ridge</term>
<term>Resorption</term>
<term>Ridge augmentation</term>
<term>Ridge height</term>
<term>Second analysis</term>
<term>Second observer</term>
<term>Significance level</term>
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<term>Augmentation</term>
<term>Augmentation procedures</term>
<term>Autogenous bone</term>
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<term>Cephalometric radiographs</term>
<term>Chlorhexidine solution</term>
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<term>Different observers</term>
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<term>Endosseous implants</term>
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<term>Interlinear distance</term>
<term>Interobserver</term>
<term>Interobserver difference</term>
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<term>Onlay</term>
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<div type="abstract" xml:lang="en">Abstract: Purpose: This study radiographically evaluated the stability of mandibular height during a 2-year follow-up after augmentation with prefabricated hydroxylapatite/fibrin glue (HA/FG) implants. Patients and Methods: Standardized, lateral oblique cephalometric radiographs were made of 22 patients 6, 12, and 24 months postoperatively and analyzed with a newly developed, computerized image analysis technique. Results: The average height of the HA/FG implants after augmentation was 9.45 mm. Average loss of total height of the augmented mandibles was 2.31 mm after 6 months, 2.90 mm after 12 months, and 3.93 mm after 24 months. Reduction of HA/FG implant height alone was 0.62 mm after 6 months, 1.24 mm after 12 months, and 2.03 mm after 24 months. Reduction occurred mainly during the first 6-month evaluation period and was probably primarily caused by adaptation of the implant to the surface of the mandible. An inferior compression of the implant or resorption of the alveolar crest and underlying basilar bone are possible reasons for loss of total mandibular height. Conclusion: The results indicate that prefabricated HA/FG implants used for augmentation of edentulous mandibles show little reduction in height, but are not completely stable during a 2-year evaluation period.</div>
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