Long-term peri-implant bone level changes of non-vascularized fibula bone grafted edentulous patients.
Identifieur interne : 000F96 ( Main/Exploration ); précédent : 000F95; suivant : 000F97Long-term peri-implant bone level changes of non-vascularized fibula bone grafted edentulous patients.
Auteurs : Fabian Duttenhoefer [Allemagne] ; Claudia Nack [Allemagne] ; Christian Doll [Allemagne] ; Jan-Dirk Raguse [Allemagne] ; Berthold Hell [Allemagne] ; Andres Stricker [Allemagne] ; Katja Nelson [Allemagne] ; Susanne Nahles [Allemagne]Source :
- Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery [ 1878-4119 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Appareils de prothèse dentaire, Atrophie, Autogreffes (transplantation), Femelle, Fibula (), Humains, Implants dentaires, Mandibule (), Mandibule (anatomopathologie), Maxillaire (), Maxillaire (anatomopathologie), Mâchoire édentée (), Ostéo-intégration (physiologie), Pose d'implant dentaire endo-osseux (), Processus alvéolaire (anatomopathologie), Processus alvéolaire (imagerie diagnostique), Prothèse dentaire implanto-portée, Radiographie panoramique, Reconstruction de crête alvéolaire (), Résorption osseuse (imagerie diagnostique), Site donneur de greffe (), Sujet âgé, Transplantation osseuse (), Études de suivi, Études longitudinales.
- MESH :
- anatomopathologie : Mandibule, Maxillaire, Processus alvéolaire.
- imagerie diagnostique : Processus alvéolaire, Résorption osseuse.
- physiologie : Ostéo-intégration.
- Adulte d'âge moyen, Appareils de prothèse dentaire, Atrophie, Autogreffes, Femelle, Fibula, Humains, Implants dentaires, Mandibule, Maxillaire, Mâchoire édentée, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Radiographie panoramique, Reconstruction de crête alvéolaire, Site donneur de greffe, Sujet âgé, Transplantation osseuse, Études de suivi, Études longitudinales.
English descriptors
- KwdEn :
- Aged, Alveolar Process (diagnostic imaging), Alveolar Process (pathology), Alveolar Ridge Augmentation (methods), Atrophy, Autografts (transplantation), Bone Resorption (diagnostic imaging), Bone Transplantation (methods), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Dentures, Female, Fibula (surgery), Follow-Up Studies, Humans, Jaw, Edentulous (surgery), Longitudinal Studies, Mandible (pathology), Mandible (surgery), Maxilla (pathology), Maxilla (surgery), Middle Aged, Osseointegration (physiology), Radiography, Panoramic, Transplant Donor Site (surgery).
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Alveolar Process, Bone Resorption.
- methods : Alveolar Ridge Augmentation, Bone Transplantation, Dental Implantation, Endosseous.
- pathology : Alveolar Process, Mandible, Maxilla.
- physiology : Osseointegration.
- surgery : Fibula, Jaw, Edentulous, Mandible, Maxilla, Transplant Donor Site.
- transplantation : Autografts.
- Aged, Atrophy, Dental Prosthesis, Implant-Supported, Dentures, Female, Follow-Up Studies, Humans, Longitudinal Studies, Middle Aged, Radiography, Panoramic.
Abstract
Long-term results of reconstructions and prosthetic rehabilitation of patients presenting severely atrophied edentulous ridges remains a challenge for clinicians. Among the various available augmentation materials there is evidence that avascular fibula bone grafts possess a reliable resistance against resorption and may thus provide a valuable source to reduce the loss of vertical bone height after reconstruction of the severely atrophied mandible and maxilla. The purpose of the present study was to assess long-term crestal bone level stability in avascular fibula bone grafts. 8 edentulous female patients (average age 70.6 years) with Class-VI-atrophy and less than 5 mm residual bone volume received onlay-grafting with avascular fibula bone grafts and were monitored with a mean observation time of 133.7 months (121-186). A total of 39 implants were placed in the maxilla and mandible. Three patients received immediate and five patients delayed implant placement 3 months after grafting. All patients were provided with bar-retained dentures. Postoperative evaluation included clinical implant success (Buser) and radiographic examinations (orthopantomogram) to quantify crestal bone resorption. Grafting was successfully performed in all patients with no regrafting necessary. All implants but one, lost 2 years after abutment connection, remained successfully integrated and fulfilled the Buser criteria, rendering to a success rate of 97%. Mean bone resorption after 10 years was mesial 1.4 mm and distal 1.4 mm at each implant-site. Maximum bone resorption occurred between postoperative and first year, thereafter no significant resorption was measured in re-examinations up to 15 years. Avascular fibula grafts are a reliable bone graft for augmentation procedures in atrophied edentulous ridges. Dental implants that integrated in the autogenous fibular bone grafts showed a stable crestal peri-implant bone level up to 15 years after implant placement.
DOI: 10.1016/j.jcms.2015.02.020
PubMed: 25863644
Affiliations:
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Electronic address: fabian.duttenhoefer@uniklinik-freiburg.de.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Freiburg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Nack, Claudia" sort="Nack, Claudia" uniqKey="Nack C" first="Claudia" last="Nack">Claudia Nack</name><affiliation wicri:level="3"><nlm:affiliation>Department of Oral and Maxillofacial Surgery/Clinical Navigation, Campus Virchow-Clinic, Charité University Hospital, Berlin, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery/Clinical Navigation, Campus Virchow-Clinic, Charité University Hospital, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Doll, Christian" sort="Doll, Christian" uniqKey="Doll C" first="Christian" last="Doll">Christian Doll</name><affiliation wicri:level="3"><nlm:affiliation>Department of Oral and Maxillofacial Surgery/Clinical Navigation, Campus Virchow-Clinic, Charité University Hospital, Berlin, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery/Clinical Navigation, Campus Virchow-Clinic, Charité University Hospital, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></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="3"><nlm:affiliation>Department of Oral and Maxillofacial Surgery/Clinical Navigation, Campus Virchow-Clinic, Charité University Hospital, Berlin, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery/Clinical Navigation, Campus Virchow-Clinic, Charité University Hospital, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Hell, Berthold" sort="Hell, Berthold" uniqKey="Hell B" first="Berthold" last="Hell">Berthold Hell</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Ev. Jung-Stilling-Hospital, Siegen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Ev. Jung-Stilling-Hospital, Siegen</wicri:regionArea><wicri:noRegion>Siegen</wicri:noRegion><wicri:noRegion>Siegen</wicri:noRegion><wicri:noRegion>Siegen</wicri:noRegion></affiliation></author><author><name sortKey="Stricker, Andres" sort="Stricker, Andres" uniqKey="Stricker A" first="Andres" last="Stricker">Andres Stricker</name><affiliation wicri:level="3"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Freiburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Freiburg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Nelson, Katja" sort="Nelson, Katja" uniqKey="Nelson K" first="Katja" last="Nelson">Katja Nelson</name><affiliation wicri:level="3"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Freiburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Freiburg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Nahles, Susanne" sort="Nahles, Susanne" uniqKey="Nahles S" first="Susanne" last="Nahles">Susanne Nahles</name><affiliation wicri:level="3"><nlm:affiliation>Department of Oral and Maxillofacial Surgery/Clinical Navigation, Campus Virchow-Clinic, Charité University Hospital, Berlin, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery/Clinical Navigation, Campus Virchow-Clinic, Charité University Hospital, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery</title><idno type="eISSN">1878-4119</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Alveolar Process (diagnostic imaging)</term><term>Alveolar Process (pathology)</term><term>Alveolar Ridge Augmentation (methods)</term><term>Atrophy</term><term>Autografts (transplantation)</term><term>Bone Resorption (diagnostic imaging)</term><term>Bone Transplantation (methods)</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Prosthesis, Implant-Supported</term><term>Dentures</term><term>Female</term><term>Fibula (surgery)</term><term>Follow-Up Studies</term><term>Humans</term><term>Jaw, Edentulous (surgery)</term><term>Longitudinal Studies</term><term>Mandible (pathology)</term><term>Mandible (surgery)</term><term>Maxilla (pathology)</term><term>Maxilla (surgery)</term><term>Middle Aged</term><term>Osseointegration (physiology)</term><term>Radiography, Panoramic</term><term>Transplant Donor Site (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Appareils de prothèse dentaire</term><term>Atrophie</term><term>Autogreffes (transplantation)</term><term>Femelle</term><term>Fibula ()</term><term>Humains</term><term>Implants dentaires</term><term>Mandibule ()</term><term>Mandibule (anatomopathologie)</term><term>Maxillaire ()</term><term>Maxillaire (anatomopathologie)</term><term>Mâchoire édentée ()</term><term>Ostéo-intégration (physiologie)</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Processus alvéolaire (anatomopathologie)</term><term>Processus alvéolaire (imagerie diagnostique)</term><term>Prothèse dentaire implanto-portée</term><term>Radiographie panoramique</term><term>Reconstruction de crête alvéolaire ()</term><term>Résorption osseuse (imagerie diagnostique)</term><term>Site donneur de greffe ()</term><term>Sujet âgé</term><term>Transplantation osseuse ()</term><term>Études de suivi</term><term>Études longitudinales</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Mandibule</term><term>Maxillaire</term><term>Processus alvéolaire</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Alveolar Process</term><term>Bone Resorption</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Processus alvéolaire</term><term>Résorption osseuse</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Bone Transplantation</term><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Alveolar Process</term><term>Mandible</term><term>Maxilla</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Ostéo-intégration</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Osseointegration</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Fibula</term><term>Jaw, Edentulous</term><term>Mandible</term><term>Maxilla</term><term>Transplant Donor Site</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Autografts</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Atrophy</term><term>Dental Prosthesis, Implant-Supported</term><term>Dentures</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Longitudinal Studies</term><term>Middle Aged</term><term>Radiography, Panoramic</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Appareils de prothèse dentaire</term><term>Atrophie</term><term>Autogreffes</term><term>Femelle</term><term>Fibula</term><term>Humains</term><term>Implants dentaires</term><term>Mandibule</term><term>Maxillaire</term><term>Mâchoire édentée</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire implanto-portée</term><term>Radiographie panoramique</term><term>Reconstruction de crête alvéolaire</term><term>Site donneur de greffe</term><term>Sujet âgé</term><term>Transplantation osseuse</term><term>Études de suivi</term><term>Études longitudinales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Long-term results of reconstructions and prosthetic rehabilitation of patients presenting severely atrophied edentulous ridges remains a challenge for clinicians. Among the various available augmentation materials there is evidence that avascular fibula bone grafts possess a reliable resistance against resorption and may thus provide a valuable source to reduce the loss of vertical bone height after reconstruction of the severely atrophied mandible and maxilla. The purpose of the present study was to assess long-term crestal bone level stability in avascular fibula bone grafts. 8 edentulous female patients (average age 70.6 years) with Class-VI-atrophy and less than 5 mm residual bone volume received onlay-grafting with avascular fibula bone grafts and were monitored with a mean observation time of 133.7 months (121-186). A total of 39 implants were placed in the maxilla and mandible. Three patients received immediate and five patients delayed implant placement 3 months after grafting. All patients were provided with bar-retained dentures. Postoperative evaluation included clinical implant success (Buser) and radiographic examinations (orthopantomogram) to quantify crestal bone resorption. Grafting was successfully performed in all patients with no regrafting necessary. All implants but one, lost 2 years after abutment connection, remained successfully integrated and fulfilled the Buser criteria, rendering to a success rate of 97%. Mean bone resorption after 10 years was mesial 1.4 mm and distal 1.4 mm at each implant-site. Maximum bone resorption occurred between postoperative and first year, thereafter no significant resorption was measured in re-examinations up to 15 years. Avascular fibula grafts are a reliable bone graft for augmentation procedures in atrophied edentulous ridges. Dental implants that integrated in the autogenous fibular bone grafts showed a stable crestal peri-implant bone level up to 15 years after implant placement.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Bade-Wurtemberg</li><li>Berlin</li><li>District de Fribourg-en-Brisgau</li></region><settlement><li>Berlin</li><li>Fribourg-en-Brisgau</li></settlement></list><tree><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Duttenhoefer, Fabian" sort="Duttenhoefer, Fabian" uniqKey="Duttenhoefer F" first="Fabian" last="Duttenhoefer">Fabian Duttenhoefer</name></region><name sortKey="Doll, Christian" sort="Doll, Christian" uniqKey="Doll C" first="Christian" last="Doll">Christian Doll</name><name sortKey="Hell, Berthold" sort="Hell, Berthold" uniqKey="Hell B" first="Berthold" last="Hell">Berthold Hell</name><name sortKey="Nack, Claudia" sort="Nack, Claudia" uniqKey="Nack C" first="Claudia" last="Nack">Claudia Nack</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="Stricker, Andres" sort="Stricker, Andres" uniqKey="Stricker A" first="Andres" last="Stricker">Andres Stricker</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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