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On the Feasibility of Utilizing Allogeneic Bone Blocks for Atrophic Maxillary Augmentation

Identifieur interne : 001872 ( Main/Exploration ); précédent : 001871; suivant : 001873

On the Feasibility of Utilizing Allogeneic Bone Blocks for Atrophic Maxillary Augmentation

Auteurs : Alberto Monje [États-Unis] ; Michael A. Pikos [États-Unis] ; Hsun-Liang Chan [États-Unis] ; Fernando Suarez [États-Unis] ; Jordi Gargallo-Albiol [Espagne] ; Federico Hernández-Alfaro [Espagne] ; Pablo Galindo-Moreno [Espagne] ; Hom-Lay Wang [États-Unis]

Source :

RBID : PMC:4177739

Abstract

Purpose. This systematic review was aimed at assessing the feasibility by means of survival rate, histologic analysis, and causes of failure of allogeneic block grafts for augmenting the atrophic maxilla. Material and Methods. A literature search was conducted by one reviewer in several databases. Articles were included in this systematic review if they were human clinical trials in which outcomes of allogeneic bone block grafts were studied by means of survival rate. In addition other factors were extracted in order to assess their influence upon graft failure. Results. Fifteen articles fulfilled the inclusion criteria and subsequently were analyzed in this systematic review. A total of 361 block grafts could be followed 4 to 9 months after the surgery, of which 9 (2.4%) failed within 1 month to 2 months after the surgery. Additionally, a weighed mean 4.79 mm (95% CI: 4.51–5.08) horizontal bone gain was computed from 119 grafted sites in 5 studies. Regarding implant cumulative survival rate, the weighed mean was 96.9% (95% CI: 92.8–98.7%), computed from 228 implants over a mean follow-up period of 23.9 months. Histologic analysis showed that allogeneic block grafts behave differently in the early stages of healing when compared to autogenous block grafts. Conclusion. Atrophied maxillary reconstruction with allogeneic bone block grafts represents a reliable option as shown by low block graft failure rate, minimal resorption, and high implant survival rate.


Url:
DOI: 10.1155/2014/814578
PubMed: 25535616
PubMed Central: 4177739


Affiliations:


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Le document en format XML

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<p>
<italic>Purpose</italic>
. This systematic review was aimed at assessing the feasibility by means of survival rate, histologic analysis, and causes of failure of allogeneic block grafts for augmenting the atrophic maxilla.
<italic> Material and Methods</italic>
. A literature search was conducted by one reviewer in several databases. Articles were included in this systematic review if they were human clinical trials in which outcomes of allogeneic bone block grafts were studied by means of survival rate. In addition other factors were extracted in order to assess their influence upon graft failure.
<italic> Results</italic>
. Fifteen articles fulfilled the inclusion criteria and subsequently were analyzed in this systematic review. A total of 361 block grafts could be followed 4 to 9 months after the surgery, of which 9 (2.4%) failed within 1 month to 2 months after the surgery. Additionally, a weighed mean 4.79 mm (95% CI: 4.51–5.08) horizontal bone gain was computed from 119 grafted sites in 5 studies. Regarding implant cumulative survival rate, the weighed mean was 96.9% (95% CI: 92.8–98.7%), computed from 228 implants over a mean follow-up period of 23.9 months. Histologic analysis showed that allogeneic block grafts behave differently in the early stages of healing when compared to autogenous block grafts.
<italic> Conclusion</italic>
. Atrophied maxillary reconstruction with allogeneic bone block grafts represents a reliable option as shown by low block graft failure rate, minimal resorption, and high implant survival rate.</p>
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<name sortKey="Rocchietta, I" uniqKey="Rocchietta I">I. Rocchietta</name>
</author>
<author>
<name sortKey="Fontana, F" uniqKey="Fontana F">F. Fontana</name>
</author>
<author>
<name sortKey="Simion, M" uniqKey="Simion M">M. Simion</name>
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</analytic>
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</analytic>
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<author>
<name sortKey="Kusiak, J F" uniqKey="Kusiak J">J. F. Kusiak</name>
</author>
<author>
<name sortKey="Zins, J E" uniqKey="Zins J">J. E. Zins</name>
</author>
<author>
<name sortKey="Whitaker, L A" uniqKey="Whitaker L">L. A. Whitaker</name>
</author>
</analytic>
</biblStruct>
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<author>
<name sortKey="Picfte, E" uniqKey="Picfte E">E. Picfte</name>
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<name sortKey="Alberius, P" uniqKey="Alberius P">P. Alberius</name>
</author>
<author>
<name sortKey="Samman, N" uniqKey="Samman N">N. Samman</name>
</author>
<author>
<name sortKey="Linde, A" uniqKey="Linde A">A. Linde</name>
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<analytic>
<author>
<name sortKey="H Mmerle, C H F" uniqKey="H Mmerle C">C. H. F. Hämmerle</name>
</author>
<author>
<name sortKey="Lang, N P" uniqKey="Lang N">N. P. Lang</name>
</author>
</analytic>
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<analytic>
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<name sortKey="Tawil, G" uniqKey="Tawil G">G. Tawil</name>
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<author>
<name sortKey="El Ghoule, G" uniqKey="El Ghoule G">G. El-Ghoule</name>
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<author>
<name sortKey="Mawla, M" uniqKey="Mawla M">M. Mawla</name>
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</biblStruct>
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<analytic>
<author>
<name sortKey="Clementini, M" uniqKey="Clementini M">M. Clementini</name>
</author>
<author>
<name sortKey="Morlupi, A" uniqKey="Morlupi A">A. Morlupi</name>
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<author>
<name sortKey="Barlattani, A" uniqKey="Barlattani A">A. Barlattani</name>
</author>
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<biblStruct>
<analytic>
<author>
<name sortKey="Simpson, D" uniqKey="Simpson D">D. Simpson</name>
</author>
<author>
<name sortKey="Kakarala, G" uniqKey="Kakarala G">G. Kakarala</name>
</author>
<author>
<name sortKey="Hampson, K" uniqKey="Hampson K">K. Hampson</name>
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<name sortKey="Steele, N" uniqKey="Steele N">N. Steele</name>
</author>
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<name sortKey="Ashton, B" uniqKey="Ashton B">B. Ashton</name>
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<list>
<country>
<li>Espagne</li>
<li>États-Unis</li>
</country>
<region>
<li>Andalousie</li>
<li>Catalogne</li>
<li>Floride</li>
<li>Michigan</li>
</region>
<settlement>
<li>Barcelone</li>
<li>Grenade (Espagne)</li>
</settlement>
<orgName>
<li>Université de Grenade</li>
</orgName>
</list>
<tree>
<country name="États-Unis">
<region name="Michigan">
<name sortKey="Monje, Alberto" sort="Monje, Alberto" uniqKey="Monje A" first="Alberto" last="Monje">Alberto Monje</name>
</region>
<name sortKey="Chan, Hsun Liang" sort="Chan, Hsun Liang" uniqKey="Chan H" first="Hsun-Liang" last="Chan">Hsun-Liang Chan</name>
<name sortKey="Pikos, Michael A" sort="Pikos, Michael A" uniqKey="Pikos M" first="Michael A." last="Pikos">Michael A. Pikos</name>
<name sortKey="Suarez, Fernando" sort="Suarez, Fernando" uniqKey="Suarez F" first="Fernando" last="Suarez">Fernando Suarez</name>
<name sortKey="Wang, Hom Lay" sort="Wang, Hom Lay" uniqKey="Wang H" first="Hom-Lay" last="Wang">Hom-Lay Wang</name>
</country>
<country name="Espagne">
<region name="Catalogne">
<name sortKey="Gargallo Albiol, Jordi" sort="Gargallo Albiol, Jordi" uniqKey="Gargallo Albiol J" first="Jordi" last="Gargallo-Albiol">Jordi Gargallo-Albiol</name>
</region>
<name sortKey="Galindo Moreno, Pablo" sort="Galindo Moreno, Pablo" uniqKey="Galindo Moreno P" first="Pablo" last="Galindo-Moreno">Pablo Galindo-Moreno</name>
<name sortKey="Hernandez Alfaro, Federico" sort="Hernandez Alfaro, Federico" uniqKey="Hernandez Alfaro F" first="Federico" last="Hernández-Alfaro">Federico Hernández-Alfaro</name>
</country>
</tree>
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