Lateral Ridge Augmentation with Autogenous Bone Harvested Using Trephine Drills: A Noninvasive Technique
Identifieur interne : 000729 ( Main/Exploration ); précédent : 000728; suivant : 000730Lateral Ridge Augmentation with Autogenous Bone Harvested Using Trephine Drills: A Noninvasive Technique
Auteurs : H. R. Arab [Iran] ; A. Moeintaghavi [Iran] ; M. Taheri [Iran] ; N. Sargolzaie [Iran] ; D. Aghasizadeh [Iran] ; F. Shiezadeh [Iran]Source :
- The Open Dentistry Journal [ 1874-2106 ] ; 2016.
Abstract
The aim of this pilot study was to evaluate the success rate of a chairside ridge augmentation procedure using bone autografts harvested with trephine drills and placed without the use of screws.
Thirty patients were recruited for the study. After the surgical site was anesthetized and a crestal incision was made, an envelope flap was retracted using blunt dissection limited to the graft site, and the periosteum was raised intact and undamaged from the bone. The flap was extended laterally to obtain sufficient space for the bone graft. At the donor site, bone was obtained from the external oblique ridge area. A #5 or #6 trephine drill was used to harvest one or two pieces of bone. The bone blocks were placed inside the envelope flap at the recipient site, which was then sutured and covered with periodontal dressing. Antibiotics, analgesics, and mouthwash were prescribed. Measurements of ridge width were performed using CBCT before and 3 months after surgery. The pre- and post operative results were compared using paired t test.
Pre- and post-operative mean ridge widths were 2.23 ±
0.79 and 5.16 ± 0.68 mm, respectively. The mean increase in width was 2.92 ±
0.89 mm(
This non-invasive and simple technique provided an acceptable increase in ridge width. As the sample was small, we recommend further clinical investigation with larger samples to confirm that this technique may be used successfully as an alternative to current invasive augmentation methods.
Url:
DOI: 10.2174/1874210601610010001
PubMed: 27006718
PubMed Central: 4780509
Affiliations:
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Lateral Ridge Augmentation with Autogenous Bone Harvested Using Trephine Drills: A Noninvasive Technique</title>
<author><name sortKey="Arab, H R" sort="Arab, H R" uniqKey="Arab H" first="H. R." last="Arab">H. R. Arab</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Dental Research Center, Mashhad University of Medical Sciences, Iran</nlm:aff>
<country xml:lang="fr">Iran</country>
<wicri:regionArea>Dental Research Center, Mashhad University of Medical Sciences</wicri:regionArea>
<wicri:noRegion>Mashhad University of Medical Sciences</wicri:noRegion>
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<author><name sortKey="Moeintaghavi, A" sort="Moeintaghavi, A" uniqKey="Moeintaghavi A" first="A." last="Moeintaghavi">A. Moeintaghavi</name>
<affiliation wicri:level="1"><nlm:aff id="aff2">Maxillofacial Disease Center, Mashhad University of Medical Sciences, Iran</nlm:aff>
<country xml:lang="fr">Iran</country>
<wicri:regionArea>Maxillofacial Disease Center, Mashhad University of Medical Sciences</wicri:regionArea>
<wicri:noRegion>Mashhad University of Medical Sciences</wicri:noRegion>
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<author><name sortKey="Taheri, M" sort="Taheri, M" uniqKey="Taheri M" first="M." last="Taheri">M. Taheri</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Dental Research Center, Mashhad University of Medical Sciences, Iran</nlm:aff>
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<series><title level="j">The Open Dentistry Journal</title>
<idno type="eISSN">1874-2106</idno>
<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose:</title>
<p>The aim of this pilot study was to evaluate the
success rate of a chairside ridge augmentation procedure using bone autografts
harvested with trephine drills and placed without the use of screws.</p>
</sec>
<sec><title>Methods:</title>
<p>Thirty patients were recruited for the study. After the
surgical site was anesthetized and a crestal incision was made, an envelope flap
was retracted using blunt dissection limited to the graft site, and the
periosteum was raised intact and undamaged from the bone. The flap was extended
laterally to obtain sufficient space for the bone graft. At the donor site, bone
was obtained from the external oblique ridge area. A #5 or #6 trephine drill was
used to harvest one or two pieces of bone. The bone blocks were placed inside
the envelope flap at the recipient site, which was then sutured and covered with
periodontal dressing. Antibiotics, analgesics, and mouthwash were prescribed.
Measurements of ridge width were performed using CBCT before and 3 months after
surgery. The pre- and post operative results were compared using paired t test.</p>
</sec>
<sec><title>Results:</title>
<p>Pre- and post-operative mean ridge widths were 2.23 ±
0.79 and 5.16 ± 0.68 mm, respectively. The mean increase in width was 2.92 ±
0.89 mm(<italic>P</italic>
< 0.001).</p>
</sec>
<sec><title>Conclusion:</title>
<p>This non-invasive and
simple technique provided an acceptable increase in ridge width. As the sample
was small, we recommend further clinical investigation with larger samples to
confirm that this technique may be used successfully as an alternative to
current invasive augmentation methods.</p>
</sec>
</div>
</front>
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