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Vertical Ridge Augmentation of the Atrophic Posterior Mandible with Sandwich Technique: Bone Block from the Chin Area versus Corticocancellous Bone Block Allograft—Clinical and Histological Prospective Randomized Controlled Study

Identifieur interne : 001580 ( Main/Exploration ); précédent : 001579; suivant : 001581

Vertical Ridge Augmentation of the Atrophic Posterior Mandible with Sandwich Technique: Bone Block from the Chin Area versus Corticocancellous Bone Block Allograft—Clinical and Histological Prospective Randomized Controlled Study

Auteurs : Luigi Laino [Italie] ; Giovanna Iezzi [Italie] ; Adriano Piattelli [Italie] ; Lorenzo Lo Muzio [Italie] ; Marco Cicciù [Italie]

Source :

RBID : PMC:4020564

Descripteurs français

English descriptors

Abstract

The aim of the present study is to compare the histological aspects of bone formation in atrophic posterior mandibles augmented by autologous bone block from chin area with corticocancellous bone block allograft used as inlays with the sandwich technique. Materials and Methods. Sixteen patients with bilateral partial edentulism in the posterior mandible were selected. The residual bone height, preliminarily measured by computed tomography scans, ranged between 5 and 7 mm from the inferior alveolar nerve. All patients required regeneration procedure with autologous bone block from chin area (control group) versus bone block allograft Puros (Zimmer Dental, 1900 Aston Avenue, Carlsbad, CA, USA) (test group). Histological and histomorphometric samples were collected at the time of implant positioning in order to analyze the percentage of newly formed bone, the residual graft material, and marrow spaces/soft tissue. Results. No statistically significant differences between the two groups were found regarding the percentage of newly formed bone. The percentage of residual grafted material was significantly higher in the test group, whilst the percentage of marrow spaces was higher in control group. Conclusions. In conclusion, both procedures supported good results, although the use of bone blocks allograft was less invasive and preferable than harvesting bone from the mental symphysis.


Url:
DOI: 10.1155/2014/982104
PubMed: 24877155
PubMed Central: 4020564


Affiliations:


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Le document en format XML

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<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (pathology)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
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<term>Maladies mandibulaires ()</term>
<term>Maladies mandibulaires (anatomopathologie)</term>
<term>Menton ()</term>
<term>Menton (anatomopathologie)</term>
<term>Mâchoire partiellement édentée ()</term>
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<term>Ostéogenèse</term>
<term>Transplantation osseuse</term>
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<term>Chin</term>
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<p>The aim of the present study is to compare the histological aspects of bone formation in atrophic posterior mandibles augmented by autologous bone block from chin area with corticocancellous bone block allograft used as inlays with the sandwich technique.
<italic> Materials and Methods</italic>
. Sixteen patients with bilateral partial edentulism in the posterior mandible were selected. The residual bone height, preliminarily measured by computed tomography scans, ranged between 5 and 7 mm from the inferior alveolar nerve. All patients required regeneration procedure with autologous bone block from chin area (control group) versus bone block allograft Puros (Zimmer Dental, 1900 Aston Avenue, Carlsbad, CA, USA) (test group). Histological and histomorphometric samples were collected at the time of implant positioning in order to analyze the percentage of newly formed bone, the residual graft material, and marrow spaces/soft tissue.
<italic> Results</italic>
. No statistically significant differences between the two groups were found regarding the percentage of newly formed bone. The percentage of residual grafted material was significantly higher in the test group, whilst the percentage of marrow spaces was higher in control group.
<italic> Conclusions</italic>
. In conclusion, both procedures supported good results, although the use of bone blocks allograft was less invasive and preferable than harvesting bone from the mental symphysis.</p>
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