Clinical outcome of alveolar ridge augmentation with individualized CAD-CAM-produced titanium mesh
Identifieur interne : 000315 ( Main/Exploration ); précédent : 000314; suivant : 000316Clinical outcome of alveolar ridge augmentation with individualized CAD-CAM-produced titanium mesh
Auteurs : K. Sagheb [Allemagne] ; E. Schiegnitz [Allemagne] ; M. Moergel [Allemagne] ; C. Walter [Allemagne] ; B. Al-Nawas [Allemagne] ; W. Wagner [Allemagne]Source :
- International Journal of Implant Dentistry [ 2198-4034 ] ; 2017.
Abstract
The augmentation of the jaw has been and continues to be a sophisticated therapy in implantology. Modern CAD-CAM technologies lead to revival of old and established augmentation techniques such as the use of titanium mesh (TM) for bone augmentation. The aim of this retrospective study was to evaluate the clinical outcome of an individualized CAD-CAM-produced TM based on the CT/DVT-DICOM data of the patients for the first time.
In 17 patients, 21 different regions were augmented with an individualized CAD-CAM-produced TM (Yxoss CBR®, Filderstadt, Germany). For the augmentation, a mixture of autologous bone and deproteinized bovine bone mineral (DBBM) or autologous bone alone was used. Reentry with explantation of the TM and simultaneous implantation of 44 implants were performed after 6 months. Preoperative and 6-month postoperative cone beam computed tomographies (CBCT) were performed to measure the gained bone height.
The success rate for the bone grafting procedure was 100%. Thirty-three percent of cases presented an exposure of the TM during the healing period. However, premature removal of these exposed meshes was not necessary. Exposure rate in augmentations performed with mid-crestal incisions was higher than in augmentations performed with a modified poncho incision (45.5 vs. 20%,
Within the limits of the retrospective character of this study, this study shows for the first time that individualized CAD-CAM TM provide a sufficient and safe augmentation technique, especially for vertical and combined defects. However, the soft tissue handling for sufficient mesh covering remains one of the most critical steps using this technique.
Url:
DOI: 10.1186/s40729-017-0097-z
PubMed: 28748521
PubMed Central: 5529307
Affiliations:
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Sagheb</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.410607.4</institution-id><institution>Department of Oral and Maxillofacial Surgery, Plastic Surgery,</institution><institution>University Medical Centre of the Johannes Gutenberg-University Mainz,</institution></institution-wrap>Mainz, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Mainz</wicri:regionArea></affiliation></author><author><name sortKey="Schiegnitz, E" sort="Schiegnitz, E" uniqKey="Schiegnitz E" first="E." last="Schiegnitz">E. Schiegnitz</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.410607.4</institution-id><institution>Department of Oral and Maxillofacial Surgery, Plastic Surgery,</institution><institution>University Medical Centre of the Johannes Gutenberg-University Mainz,</institution></institution-wrap>Mainz, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Mainz</wicri:regionArea></affiliation></author><author><name sortKey="Moergel, M" sort="Moergel, M" uniqKey="Moergel M" first="M." last="Moergel">M. Moergel</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.410607.4</institution-id><institution>Department of Oral and Maxillofacial Surgery, Plastic Surgery,</institution><institution>University Medical Centre of the Johannes Gutenberg-University Mainz,</institution></institution-wrap>Mainz, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Mainz</wicri:regionArea></affiliation></author><author><name sortKey="Walter, C" sort="Walter, C" uniqKey="Walter C" first="C." last="Walter">C. Walter</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.410607.4</institution-id><institution>Department of Oral and Maxillofacial Surgery, Plastic Surgery,</institution><institution>University Medical Centre of the Johannes Gutenberg-University Mainz,</institution></institution-wrap>Mainz, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Mainz</wicri:regionArea></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">Mediplus, Oral and Maxillofacial Surgery, Private Praxis, Mainz, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Mediplus, Oral and Maxillofacial Surgery, Private Praxis, Mainz</wicri:regionArea><placeName><region type="land" nuts="2">Rhénanie-Palatinat</region><settlement type="city">Mayence</settlement></placeName></affiliation></author><author><name sortKey="Al Nawas, B" sort="Al Nawas, B" uniqKey="Al Nawas B" first="B." last="Al-Nawas">B. Al-Nawas</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.410607.4</institution-id><institution>Department of Oral and Maxillofacial Surgery, Plastic Surgery,</institution><institution>University Medical Centre of the Johannes Gutenberg-University Mainz,</institution></institution-wrap>Mainz, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Mainz</wicri:regionArea></affiliation></author><author><name sortKey="Wagner, W" sort="Wagner, W" uniqKey="Wagner W" first="W." last="Wagner">W. Wagner</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.410607.4</institution-id><institution>Department of Oral and Maxillofacial Surgery, Plastic Surgery,</institution><institution>University Medical Centre of the Johannes Gutenberg-University Mainz,</institution></institution-wrap>Mainz, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Mainz</wicri:regionArea></affiliation></author></analytic><series><title level="j">International Journal of Implant Dentistry</title><idno type="eISSN">2198-4034</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p id="Par1">The augmentation of the jaw has been and continues to be a sophisticated therapy in implantology. Modern CAD-CAM technologies lead to revival of old and established augmentation techniques such as the use of titanium mesh (TM) for bone augmentation. The aim of this retrospective study was to evaluate the clinical outcome of an individualized CAD-CAM-produced TM based on the CT/DVT-DICOM data of the patients for the first time.</p></sec><sec><title>Methods</title><p id="Par2">In 17 patients, 21 different regions were augmented with an individualized CAD-CAM-produced TM (Yxoss CBR®, Filderstadt, Germany). For the augmentation, a mixture of autologous bone and deproteinized bovine bone mineral (DBBM) or autologous bone alone was used. Reentry with explantation of the TM and simultaneous implantation of 44 implants were performed after 6 months. Preoperative and 6-month postoperative cone beam computed tomographies (CBCT) were performed to measure the gained bone height.</p></sec><sec><title>Results</title><p id="Par3">The success rate for the bone grafting procedure was 100%. Thirty-three percent of cases presented an exposure of the TM during the healing period. However, premature removal of these exposed meshes was not necessary. Exposure rate in augmentations performed with mid-crestal incisions was higher than in augmentations performed with a modified poncho incision (45.5 vs. 20%, <italic>p</italic> = 0.221). In addition, exposure rates in the maxilla were significantly higher than in the mandible (66.7 vs. 8.3%, <italic>p</italic> = 0.009). Gender, smoking, periodontal disease, gingiva type, used augmentation material, and used membrane had no significant influence on the exposure rate (<italic>p</italic> > 0.05). The mean vertical augmentation was 6.5 ± 1.7 mm, and the mean horizontal augmentation was 5.5 ± 1.9 mm. Implant survival rate after a mean follow-up of 12 ± 6 months after reentry was 100%.</p></sec><sec><title>Conclusion</title><p id="Par4">Within the limits of the retrospective character of this study, this study shows for the first time that individualized CAD-CAM TM provide a sufficient and safe augmentation technique, especially for vertical and combined defects. However, the soft tissue handling for sufficient mesh covering remains one of the most critical steps using this technique.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Moraschini, V" uniqKey="Moraschini V">V Moraschini</name></author><author><name sortKey="Poubel, La" uniqKey="Poubel L">LA Poubel</name></author><author><name sortKey="Ferreira, Vf" uniqKey="Ferreira V">VF Ferreira</name></author><author><name sortKey="Barboza, Es" uniqKey="Barboza E">ES Barboza</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Al Nawas, B" uniqKey="Al Nawas B">B Al-Nawas</name></author><author><name sortKey="Kammerer, Pw" uniqKey="Kammerer P">PW Kammerer</name></author><author><name sortKey="Morbach, T" uniqKey="Morbach T">T Morbach</name></author><author><name sortKey="Ladwein, C" uniqKey="Ladwein C">C Ladwein</name></author><author><name sortKey="Wegener, J" uniqKey="Wegener J">J 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S">S Ali</name></author><author><name sortKey="Bakry, Sa" uniqKey="Bakry S">SA Bakry</name></author><author><name sortKey="Abd Elhakam, H" uniqKey="Abd Elhakam H">H Abd-Elhakam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Moraschini, V" uniqKey="Moraschini V">V Moraschini</name></author><author><name sortKey="Barboza, Es" uniqKey="Barboza E">ES Barboza</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Torres, J" uniqKey="Torres J">J Torres</name></author><author><name sortKey="Tamimi, F" uniqKey="Tamimi F">F Tamimi</name></author><author><name sortKey="Alkhraisat, Mh" uniqKey="Alkhraisat M">MH Alkhraisat</name></author><author><name sortKey="Manchon, A" uniqKey="Manchon A">A Manchon</name></author><author><name sortKey="Linares, R" uniqKey="Linares R">R Linares</name></author><author><name sortKey="Prados Frutos, Jc" uniqKey="Prados Frutos J">JC Prados-Frutos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kleinheinz, J" uniqKey="Kleinheinz J">J Kleinheinz</name></author><author><name sortKey="Buchter, A" uniqKey="Buchter A">A Buchter</name></author><author><name sortKey="Kruse Losler, B" uniqKey="Kruse Losler B">B Kruse-Losler</name></author><author><name sortKey="Weingart, D" uniqKey="Weingart D">D Weingart</name></author><author><name sortKey="Joos, U" uniqKey="Joos U">U Joos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Arnold, F" uniqKey="Arnold F">F Arnold</name></author><author><name sortKey="West, Dc" uniqKey="West D">DC West</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Rhénanie-Palatinat</li></region><settlement><li>Mayence</li></settlement></list><tree><country name="Allemagne"><noRegion><name sortKey="Sagheb, K" sort="Sagheb, K" uniqKey="Sagheb K" first="K." last="Sagheb">K. Sagheb</name></noRegion><name sortKey="Al Nawas, B" sort="Al Nawas, B" uniqKey="Al Nawas B" first="B." last="Al-Nawas">B. Al-Nawas</name><name sortKey="Moergel, M" sort="Moergel, M" uniqKey="Moergel M" first="M." last="Moergel">M. Moergel</name><name sortKey="Schiegnitz, E" sort="Schiegnitz, E" uniqKey="Schiegnitz E" first="E." last="Schiegnitz">E. Schiegnitz</name><name sortKey="Wagner, W" sort="Wagner, W" uniqKey="Wagner W" first="W." last="Wagner">W. Wagner</name><name sortKey="Walter, C" sort="Walter, C" uniqKey="Walter C" first="C." last="Walter">C. Walter</name><name sortKey="Walter, C" sort="Walter, C" uniqKey="Walter C" first="C." last="Walter">C. Walter</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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