Complications in the use of the mandibular body, ramus and symphysis as donor sites in bone graft surgery. A systematic review
Identifieur interne : 000954 ( Main/Exploration ); précédent : 000953; suivant : 000955Complications in the use of the mandibular body, ramus and symphysis as donor sites in bone graft surgery. A systematic review
Auteurs : David Reininger ; Carlos Cobo-Vázquez ; Marta Monteserín-Matesanz ; Juan L Pez-Quiles [Espagne]Source :
- Medicina Oral, Patología Oral y Cirugía Bucal [ 1698-4447 ] ; 2016.
Abstract
To develop a systematic review by assessing and comparing the different complications that occurs in bone graft surgery using the mandibular body, ramus and symphysis as donor sites.
In order to respond to the following question, a systematic review was developed: does the use of intraoral mandibular body and ramus as donor sites in bone graft surgery, produce fewer and less severe complications in comparison to the use of the mandibular symphysis in patients that present bone resorption that needs augmentation using autologous grafts? The review was carried out between January 1990 and 2015, during which only clinical essays with a minimum follow-up period of six months were included.
The initial search yielded a total of 2912 articles, of which 6 were finally selected. In total, 259 graft surgeries were performed; 118 using the mandibular body and ramus as donor sites, and 141, the symphysis. The most frequent complications that arose when using the mandibular symphysis were temporary sensory alterations in the anterior teeth (33.87%), followed by sensory alterations of the skin and mucosa (18.57%). As for the mandibular body and ramus donor sites, the most frequent complications relate to temporary sensory alterations of the mucosa (8.19%) and to minor postoperative bleeding (6.55%).
The analyzed results show a higher prevalence and severity of complications when using mandibular symphysis bone grafts, producing more discomfort for the patient. Therefore, it would be advisable to perform further clinical essays due to the lack of studies found.
Url:
DOI: 10.4317/medoral.20938
PubMed: 26827063
PubMed Central: 4788806
Affiliations:
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as donor sites in bone graft surgery. A systematic review</title><author><name sortKey="Reininger, David" sort="Reininger, David" uniqKey="Reininger D" first="David" last="Reininger">David Reininger</name><affiliation><nlm:aff id="A1">DDS, Master in Oral Surgery and Implantology, Complutense University of Madrid</nlm:aff><wicri:noCountry code="subfield">Complutense University of Madrid</wicri:noCountry></affiliation></author><author><name sortKey="Cobo Vazquez, Carlos" sort="Cobo Vazquez, Carlos" uniqKey="Cobo Vazquez C" first="Carlos" last="Cobo-Vázquez">Carlos Cobo-Vázquez</name><affiliation><nlm:aff id="A1">DDS, Master in Oral Surgery and Implantology, Complutense University of Madrid</nlm:aff><wicri:noCountry code="subfield">Complutense University of Madrid</wicri:noCountry></affiliation></author><author><name sortKey="Monteserin Matesanz, Marta" sort="Monteserin Matesanz, Marta" uniqKey="Monteserin Matesanz M" first="Marta" last="Monteserín-Matesanz">Marta Monteserín-Matesanz</name><affiliation><nlm:aff id="A1">DDS, Master in Oral Surgery and Implantology, Complutense University of Madrid</nlm:aff><wicri:noCountry code="subfield">Complutense University of Madrid</wicri:noCountry></affiliation></author><author><name sortKey="L Pez Quiles, Juan" sort="L Pez Quiles, Juan" uniqKey="L Pez Quiles J" first="Juan" last="L Pez-Quiles">Juan L Pez-Quiles</name><affiliation wicri:level="1"><nlm:aff id="A2">MD, DDS, PhD, Maxillofacial Surgeon, Associate Professor, Complutense University of Madrid. Department of Oral Surgery and Maxillofacial Surgery, Complutense University of Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>MD, DDS, PhD, Maxillofacial Surgeon, Associate Professor, Complutense University of Madrid. Department of Oral Surgery and Maxillofacial Surgery, Complutense University of Madrid</wicri:regionArea><wicri:noRegion>Complutense University of Madrid</wicri:noRegion></affiliation></author></analytic><series><title level="j">Medicina Oral, Patología Oral y Cirugía Bucal</title><idno type="ISSN">1698-4447</idno><idno type="eISSN">1698-6946</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>Background</title><p>To develop a systematic review by assessing and comparing the different complications that occurs in bone graft surgery using the mandibular body, ramus and symphysis as donor sites.</p></sec><sec><title>Material and Methods</title><p>In order to respond to the following question, a systematic review was developed: does the use of intraoral mandibular body and ramus as donor sites in bone graft surgery, produce fewer and less severe complications in comparison to the use of the mandibular symphysis in patients that present bone resorption that needs augmentation using autologous grafts? The review was carried out between January 1990 and 2015, during which only clinical essays with a minimum follow-up period of six months were included.</p></sec><sec><title>Results</title><p>The initial search yielded a total of 2912 articles, of which 6 were finally selected. In total, 259 graft surgeries were performed; 118 using the mandibular body and ramus as donor sites, and 141, the symphysis. The most frequent complications that arose when using the mandibular symphysis were temporary sensory alterations in the anterior teeth (33.87%), followed by sensory alterations of the skin and mucosa (18.57%). As for the mandibular body and ramus donor sites, the most frequent complications relate to temporary sensory alterations of the mucosa (8.19%) and to minor postoperative bleeding (6.55%).</p></sec><sec><title>Conclusions</title><p>The analyzed results show a higher prevalence and severity of complications when using mandibular symphysis bone grafts, producing more discomfort for the patient. Therefore, it would be advisable to perform further clinical essays due to the lack of studies found.</p><p><bold>Key words:</bold>Alveolar ridge augmentation, autogenous bone, mandibular bone grafts, chin, mandibular symphysis, mandibular ramus.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Al Nawas, B" uniqKey="Al Nawas B">B Al-Nawas</name></author><author><name sortKey="Schiegnitz, E" uniqKey="Schiegnitz E">E Schiegnitz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aghaloo, Tl" uniqKey="Aghaloo T">TL Aghaloo</name></author><author><name sortKey="Moy, Pk" uniqKey="Moy P">PK Moy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rabelo, Gd" uniqKey="Rabelo G">GD Rabelo</name></author><author><name sortKey="De Paula, Pm" uniqKey="De Paula P">PM de Paula</name></author><author><name sortKey="Rocha, Fs" uniqKey="Rocha F">FS 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Matesanz, Marta" uniqKey="Monteserin Matesanz M" first="Marta" last="Monteserín-Matesanz">Marta Monteserín-Matesanz</name><name sortKey="Reininger, David" sort="Reininger, David" uniqKey="Reininger D" first="David" last="Reininger">David Reininger</name></noCountry><country name="Espagne"><noRegion><name sortKey="L Pez Quiles, Juan" sort="L Pez Quiles, Juan" uniqKey="L Pez Quiles J" first="Juan" last="L Pez-Quiles">Juan L Pez-Quiles</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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