Retrospective long-term analysis of bone level changes after horizontal alveolar crest reconstruction with autologous bone grafts harvested from the posterior region of the mandible
Identifieur interne : 000537 ( Main/Exploration ); précédent : 000536; suivant : 000538Retrospective long-term analysis of bone level changes after horizontal alveolar crest reconstruction with autologous bone grafts harvested from the posterior region of the mandible
Auteurs : Jan Oliver Voss [Allemagne] ; Tobias Dieke [Allemagne] ; Christian Doll [Allemagne] ; Claudia Sachse [Allemagne] ; Katja Nelson [Allemagne] ; Jan-Dirk Raguse [Allemagne] ; Susanne Nahles [Allemagne]Source :
- Journal of Periodontal & Implant Science [ 2093-2278 ] ; 2016.
Abstract
The goal of this study was to evaluate the long-term success of horizontal alveolar crest augmentation of the retromolar region of the mandible with particulated bone, as well as factors affecting subsequent peri-implant bone loss.
A total of 109 patients (68 female, 41 male) suffering from alveolar ridge deficiencies of the maxilla and mandible were included in this study. All patients were treated with particulated retromolar bone grafts from the mandible prior to the insertion of endosseous dental implants. Mesial and distal peri-implant crestal bone changes were assessed at six time points. Several parameters, including implant survival and the influence of age, gender, localisation of the implant, diameter, covering procedures, and time points of implant placement, were analysed to identify associations with bone level changes using the Mann-Whitney U-test, the Kruskal-Wallis test, and Spearman's rank-order correlation coefficient.
A total of 164 dental implants were placed in the maxilla (n=97) and in the mandible (n=67). The mean observation period was 105.26±21.58 months after implantation. The overall survival rate was 97.6% after 10 years. Overall, peri-implant bone loss was highest during the first year, but decreased over time. The mean amount of bone loss after 10 years was 2.47 mm mesially and 2.50 mm distally. Bone loss was significantly influenced by implant type and primary stability.
The use of particulated autologous retromolar bone grafts is a reliable technique for the horizontal reconstruction of local alveolar ridge deficiencies. Our results demonstrate that implants placed in augmented bone demonstrated similar bone level changes compared to implants inserted in non-augmented regions.
Url:
DOI: 10.5051/jpis.2016.46.2.72
PubMed: 27127688
PubMed Central: 4848382
Affiliations:
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Universitätsmedizin Berlin, Berlin,<country>Germany</country>.</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Dieke, Tobias" sort="Dieke, Tobias" uniqKey="Dieke T" first="Tobias" last="Dieke">Tobias Dieke</name><affiliation wicri:level="1"><nlm:aff id="A2">Dental Practice, Belleza-Praxisklinik für Implantologie und Ästhetik, Berlin,<country>Germany</country>.</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Doll, Christian" sort="Doll, Christian" uniqKey="Doll C" first="Christian" last="Doll">Christian Doll</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Campus Virchow Clinic, Charité - Universitätsmedizin Berlin, Berlin,<country>Germany</country>.</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Sachse, Claudia" sort="Sachse, Claudia" uniqKey="Sachse C" first="Claudia" last="Sachse">Claudia Sachse</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Campus Virchow Clinic, Charité - Universitätsmedizin Berlin, Berlin,<country>Germany</country>.</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Nelson, Katja" sort="Nelson, Katja" uniqKey="Nelson K" first="Katja" last="Nelson">Katja Nelson</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Oral and Maxillofacial Surgery, Medical Center - University of Freiburg, Freiburg,<country>Germany</country>.</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Raguse, Jan Dirk" sort="Raguse, Jan Dirk" uniqKey="Raguse J" first="Jan-Dirk" last="Raguse">Jan-Dirk Raguse</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Campus Virchow Clinic, Charité - Universitätsmedizin Berlin, Berlin,<country>Germany</country>.</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Nahles, Susanne" sort="Nahles, Susanne" uniqKey="Nahles S" first="Susanne" last="Nahles">Susanne Nahles</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Campus Virchow Clinic, Charité - Universitätsmedizin Berlin, Berlin,<country>Germany</country>.</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Periodontal & Implant Science</title><idno type="ISSN">2093-2278</idno><idno type="eISSN">2093-2286</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>The goal of this study was to evaluate the long-term success of horizontal alveolar crest augmentation of the retromolar region of the mandible with particulated bone, as well as factors affecting subsequent peri-implant bone loss.</p></sec><sec><title>Methods</title><p>A total of 109 patients (68 female, 41 male) suffering from alveolar ridge deficiencies of the maxilla and mandible were included in this study. All patients were treated with particulated retromolar bone grafts from the mandible prior to the insertion of endosseous dental implants. Mesial and distal peri-implant crestal bone changes were assessed at six time points. Several parameters, including implant survival and the influence of age, gender, localisation of the implant, diameter, covering procedures, and time points of implant placement, were analysed to identify associations with bone level changes using the Mann-Whitney U-test, the Kruskal-Wallis test, and Spearman's rank-order correlation coefficient.</p></sec><sec><title>Results</title><p>A total of 164 dental implants were placed in the maxilla (n=97) and in the mandible (n=67). The mean observation period was 105.26±21.58 months after implantation. The overall survival rate was 97.6% after 10 years. Overall, peri-implant bone loss was highest during the first year, but decreased over time. The mean amount of bone loss after 10 years was 2.47 mm mesially and 2.50 mm distally. Bone loss was significantly influenced by implant type and primary stability.</p></sec><sec><title>Conclusions</title><p>The use of particulated autologous retromolar bone grafts is a reliable technique for the horizontal reconstruction of local alveolar ridge deficiencies. 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sortKey="Buchman, Sr" uniqKey="Buchman S">SR Buchman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fonseca, Rj" uniqKey="Fonseca R">RJ Fonseca</name></author><author><name sortKey="Nelson, Jf" uniqKey="Nelson J">JF Nelson</name></author><author><name sortKey="Clark, Pj" uniqKey="Clark P">PJ Clark</name></author><author><name sortKey="Frost, De" uniqKey="Frost D">DE Frost</name></author><author><name sortKey="Olson, Ra" uniqKey="Olson R">RA Olson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Javed, F" uniqKey="Javed F">F Javed</name></author><author><name sortKey="Romanos, Ge" uniqKey="Romanos G">GE Romanos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lioubavina Hack, N" uniqKey="Lioubavina Hack N">N Lioubavina-Hack</name></author><author><name sortKey="Lang, Np" uniqKey="Lang N">NP Lang</name></author><author><name sortKey="Karring, T" uniqKey="Karring T">T Karring</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Clementini, M" uniqKey="Clementini M">M Clementini</name></author><author><name sortKey="Morlupi, A" uniqKey="Morlupi A">A Morlupi</name></author><author><name sortKey="Agrestini, C" uniqKey="Agrestini C">C Agrestini</name></author><author><name sortKey="Barlattani, A" uniqKey="Barlattani A">A Barlattani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Strietzel, Fp" uniqKey="Strietzel F">FP Strietzel</name></author><author><name sortKey="Khongkhunthian, P" uniqKey="Khongkhunthian P">P Khongkhunthian</name></author><author><name sortKey="Khattiya, R" uniqKey="Khattiya R">R Khattiya</name></author><author><name sortKey="Patchanee, P" uniqKey="Patchanee P">P Patchanee</name></author><author><name sortKey="Reichart, Pa" uniqKey="Reichart P">PA Reichart</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Strietzel, Fp" uniqKey="Strietzel F">FP Strietzel</name></author><author><name sortKey="Reichart, Pa" uniqKey="Reichart P">PA Reichart</name></author><author><name sortKey="Kale, A" uniqKey="Kale A">A Kale</name></author><author><name sortKey="Kulkarni, M" uniqKey="Kulkarni M">M Kulkarni</name></author><author><name sortKey="Wegner, B" uniqKey="Wegner B">B Wegner</name></author><author><name sortKey="Kuchler, I" uniqKey="Kuchler I">I Küchler</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li></country></list><tree><country name="Allemagne"><noRegion><name sortKey="Voss, Jan Oliver" sort="Voss, Jan Oliver" uniqKey="Voss J" first="Jan Oliver" last="Voss">Jan Oliver Voss</name></noRegion><name sortKey="Dieke, Tobias" sort="Dieke, Tobias" uniqKey="Dieke T" first="Tobias" last="Dieke">Tobias Dieke</name><name sortKey="Doll, Christian" sort="Doll, Christian" uniqKey="Doll C" first="Christian" last="Doll">Christian Doll</name><name sortKey="Nahles, Susanne" sort="Nahles, Susanne" uniqKey="Nahles S" first="Susanne" last="Nahles">Susanne Nahles</name><name sortKey="Nelson, Katja" sort="Nelson, Katja" uniqKey="Nelson K" first="Katja" last="Nelson">Katja Nelson</name><name sortKey="Raguse, Jan Dirk" sort="Raguse, Jan Dirk" uniqKey="Raguse J" first="Jan-Dirk" last="Raguse">Jan-Dirk Raguse</name><name sortKey="Sachse, Claudia" sort="Sachse, Claudia" uniqKey="Sachse C" first="Claudia" last="Sachse">Claudia Sachse</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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