Horizontal Resorption of Fresh-Frozen Corticocancellous Bone Blocks in the Reconstruction of the Atrophic Maxilla at 5 Months
Identifieur interne : 001A31 ( Main/Exploration ); précédent : 001A30; suivant : 001A32Horizontal Resorption of Fresh-Frozen Corticocancellous Bone Blocks in the Reconstruction of the Atrophic Maxilla at 5 Months
Auteurs : Eugénio Pereira [Portugal] ; Ana Messias [Portugal] ; Ricardo Dias [Portugal] ; Fernando Judas [Portugal] ; Alexander Salvoni [Brésil] ; Fernando Guerra [Portugal]Source :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2014.
Abstract
Reliable implant-supported rehabilitation of an alveolar ridge needs sufficient volume of bone. In order to achieve a prosthetic-driven positioning, bone graft techniques may be required.
This prospective cohort study aims to clinically evaluate the amount of resorption of corticocancellous fresh-frozen allografts bone blocks used in the reconstruction of the severe atrophic maxilla.
Twenty-two partial and totally edentulous patients underwent bone augmentation procedures with fresh-frozen allogenous blocks from the iliac crest under local anesthesia. Implants were inserted into the grafted sites after a healing period of 5 months. Final fixed prosthesis was delivered ± 4 months later. Ridge width analysis and measurements were performed with a caliper before and after grafting and at implant insertion. Bone biopsies were performed in 16 patients.
A total of 98 onlay block allografts were used in 22 patients with an initial mean alveolar ridge width of 3.41 ± 1.36 mm. Early exposure of blocks was observed in four situations and one of these completely resorbed. Mean horizontal bone gain was 3.63 ± 1.28 mm (
Augmentation procedures performed using fresh-frozen allografts from the iliac crest are a suitable alternative in the reconstruction of the atrophic maxilla with low resorption rate at 5 months, allowing proper stability of dental implants followed by fixed prosthetic rehabilitation.
Url:
DOI: 10.1111/cid.12268
PubMed: 25346211
PubMed Central: 4616242
Affiliations:
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Portugal</nlm:aff><country xml:lang="fr">Portugal</country><wicri:regionArea>**Associate Professor, Faculty of Medicine, University of Coimbra, Coimbra</wicri:regionArea><wicri:noRegion>Coimbra</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25346211</idno><idno type="pmc">4616242</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4616242</idno><idno type="RBID">PMC:4616242</idno><idno type="doi">10.1111/cid.12268</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000261</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000261</idno><idno type="wicri:Area/Pmc/Curation">000261</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000261</idno><idno type="wicri:Area/Pmc/Checkpoint">001436</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001436</idno><idno 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Coimbra</wicri:regionArea><wicri:noRegion>Coimbra</wicri:noRegion></affiliation></author><author><name sortKey="Messias, Ana" sort="Messias, Ana" uniqKey="Messias A" first="Ana" last="Messias">Ana Messias</name><affiliation wicri:level="1"><nlm:aff id="au2">†Assistant Lecturer, Faculty of Medicine, University of Coimbra, Coimbra, Portugal;</nlm:aff><country xml:lang="fr">Portugal</country><wicri:regionArea>†Assistant Lecturer, Faculty of Medicine, University of Coimbra, Coimbra</wicri:regionArea><wicri:noRegion>Coimbra</wicri:noRegion></affiliation></author><author><name sortKey="Dias, Ricardo" sort="Dias, Ricardo" uniqKey="Dias R" first="Ricardo" last="Dias">Ricardo Dias</name><affiliation wicri:level="1"><nlm:aff id="au3">‡Assistant Lecturer, Faculty of Medicine, University of Coimbra, Coimbra, Portugal;</nlm:aff><country xml:lang="fr">Portugal</country><wicri:regionArea>‡Assistant Lecturer, Faculty of Medicine, University of Coimbra, Coimbra</wicri:regionArea><wicri:noRegion>Coimbra</wicri:noRegion></affiliation></author><author><name sortKey="Judas, Fernando" sort="Judas, Fernando" uniqKey="Judas F" first="Fernando" last="Judas">Fernando Judas</name><affiliation wicri:level="1"><nlm:aff id="au4">§Assistant Professor, Faculty of Medicine, University of Coimbra, Coimbra, Portugal;</nlm:aff><country xml:lang="fr">Portugal</country><wicri:regionArea>§Assistant Professor, Faculty of Medicine, University of Coimbra, Coimbra</wicri:regionArea><wicri:noRegion>Coimbra</wicri:noRegion></affiliation></author><author><name sortKey="Salvoni, Alexander" sort="Salvoni, Alexander" uniqKey="Salvoni A" first="Alexander" last="Salvoni">Alexander Salvoni</name><affiliation wicri:level="1"><nlm:aff id="au5">¶Invited Professor, Faculty of Odontology and Medicine, São Leopoldo Mandic, Campinas, Brazil;</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>¶Invited Professor, Faculty of Odontology and Medicine, São Leopoldo Mandic, Campinas</wicri:regionArea><wicri:noRegion>Campinas</wicri:noRegion></affiliation></author><author><name sortKey="Guerra, Fernando" sort="Guerra, Fernando" uniqKey="Guerra F" first="Fernando" last="Guerra">Fernando Guerra</name><affiliation wicri:level="1"><nlm:aff id="au6">**Associate Professor, Faculty of Medicine, University of Coimbra, Coimbra, Portugal</nlm:aff><country xml:lang="fr">Portugal</country><wicri:regionArea>**Associate Professor, Faculty of Medicine, University of Coimbra, Coimbra</wicri:regionArea><wicri:noRegion>Coimbra</wicri:noRegion></affiliation></author></analytic><series><title level="j">Clinical Implant Dentistry and Related Research</title><idno type="ISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Reliable implant-supported rehabilitation of an alveolar ridge needs sufficient volume of bone. In order to achieve a prosthetic-driven positioning, bone graft techniques may be required.</p></sec><sec><title>Purpose</title><p>This prospective cohort study aims to clinically evaluate the amount of resorption of corticocancellous fresh-frozen allografts bone blocks used in the reconstruction of the severe atrophic maxilla.</p></sec><sec><title>Materials and Methods</title><p>Twenty-two partial and totally edentulous patients underwent bone augmentation procedures with fresh-frozen allogenous blocks from the iliac crest under local anesthesia. Implants were inserted into the grafted sites after a healing period of 5 months. Final fixed prosthesis was delivered ± 4 months later. Ridge width analysis and measurements were performed with a caliper before and after grafting and at implant insertion. Bone biopsies were performed in 16 patients.</p></sec><sec><title>Results</title><p>A total of 98 onlay block allografts were used in 22 patients with an initial mean alveolar ridge width of 3.41 ± 1.36 mm. Early exposure of blocks was observed in four situations and one of these completely resorbed. Mean horizontal bone gain was 3.63 ± 1.28 mm (<italic>p</italic> < .01). Mean buccal bone resorption between allograph placement and the reopening stage was 0.49 ± 0.54 mm, meaning approximately 7.1% (95% confidence interval: [5.6%, 8.6%]) of total ridge width loss during the integration period. One hundred thirty dental implants were placed with good primary stability (≥ 30 Ncm). Four implants presented early failure before the prosthetic delivery (96.7% implant survival). All patients were successfully rehabilitated. Histomorphometric analysis revealed 20.9 ± 5.8% of vital bone in close contact to the remaining grafted bone. A positive strong correlation (adjusted <italic>R</italic><sup>2</sup> = 0.44, <italic>p</italic> = .003) was found between healing time and vital bone percentage.</p></sec><sec><title>Conclusions</title><p>Augmentation procedures performed using fresh-frozen allografts from the iliac crest are a suitable alternative in the reconstruction of the atrophic maxilla with low resorption rate at 5 months, allowing proper stability of dental implants followed by fixed prosthetic rehabilitation.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Tallgren, A" uniqKey="Tallgren A">A Tallgren</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cardaropoli, G" uniqKey="Cardaropoli G">G Cardaropoli</name></author><author><name sortKey="Araujo, M" uniqKey="Araujo M">M Araújo</name></author><author><name sortKey="Hayacibara, R" uniqKey="Hayacibara R">R Hayacibara</name></author><author><name sortKey="Sukekava, 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uniqKey="Rezzani R">R Rezzani</name></author><author><name sortKey="Poli, Pp" uniqKey="Poli P">PP Poli</name></author><author><name sortKey="Santoro, F" uniqKey="Santoro F">F Santoro</name></author><author><name sortKey="Rodella, Lf" uniqKey="Rodella L">LF Rodella</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Brésil</li><li>Portugal</li></country></list><tree><country name="Portugal"><noRegion><name sortKey="Pereira, Eugenio" sort="Pereira, Eugenio" uniqKey="Pereira E" first="Eugénio" last="Pereira">Eugénio Pereira</name></noRegion><name sortKey="Dias, Ricardo" sort="Dias, Ricardo" uniqKey="Dias R" first="Ricardo" last="Dias">Ricardo Dias</name><name sortKey="Guerra, Fernando" sort="Guerra, Fernando" uniqKey="Guerra F" first="Fernando" last="Guerra">Fernando Guerra</name><name sortKey="Judas, Fernando" sort="Judas, Fernando" uniqKey="Judas F" first="Fernando" last="Judas">Fernando Judas</name><name sortKey="Messias, Ana" sort="Messias, Ana" uniqKey="Messias A" first="Ana" last="Messias">Ana Messias</name></country><country name="Brésil"><noRegion><name sortKey="Salvoni, Alexander" sort="Salvoni, Alexander" uniqKey="Salvoni A" first="Alexander" last="Salvoni">Alexander Salvoni</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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