Esthetic outcome of implant-based reconstructions in augmented bone: comparison of autologous and allogeneic bone block grafting with the pink esthetic score (PES)
Identifieur interne : 001B04 ( Main/Exploration ); précédent : 001B03; suivant : 001B05Esthetic outcome of implant-based reconstructions in augmented bone: comparison of autologous and allogeneic bone block grafting with the pink esthetic score (PES)
Auteurs : Markus Schlee [Allemagne] ; Jan-Friedrich Dehner [Italie] ; Katja Baukloh [Allemagne] ; Arndt Happe [Allemagne] ; Oliver Seitz [Allemagne] ; Robert Sader [Allemagne]Source :
- Head & Face Medicine [ 1746-160X ] ; 2014.
Abstract
To determine the esthetic outcome of implant-based reconstructions after autologous and allogeneic bone grafting.
From 2003 to 2009, 67 patients underwent alveolar ridge augmentation and were enrolled in the study, 41 meet the inclusion criteria and 31 agreed to take part in the study. Patients were 18-69 years old (mean: 49.3 ± 13.8 years), and predominantly female. Patients received bone block grafts either autologous (n = 48) (AUBB) or allografts (ABB) (n = 19). Implants were inserted 4-7 months (autografts) or 5-6 months (allografts) after bone grafting. The Pink Esthetic Score (PES) as well as radiographic and subjective assessments were employed for the outcome analysis. The PES was assessed twice within one month based on digital photographic images that were randomly rearranged between evaluations by three independent, experienced investigators.
Across all observations and investigators, the average PES was 7.5 ± 2.6 without differences between implants inserted in auto- and allografted bone, respectively. Patients assessed the allograft procedures as less painful and would have repeated it more often. The intra-rater reliability was excellent (correlation coefficients 0.7-0.9). The inter-observer agreement was lower (correlation coefficients 0.6-0.8).
Bone grafting with ABB allografts yields equivalent results to autologous grafting, and patients appreciate the omission of bone harvesting. The PES is a reliable method but should be performed by the same individual.
Url:
DOI: 10.1186/1746-160X-10-21
PubMed: 24885136
PubMed Central: 4070637
Affiliations:
- Allemagne, Italie
- District de Darmstadt, District de Münster, Hesse (Land), Latium, Rhénanie-du-Nord-Westphalie
- Francfort-sur-le-Main, Münster, Rome
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wicri:level="1"><nlm:aff id="I1">Private practice for implantology and periodontology, Forchheim, Germany, Johan Wolfgang Goethe University, Bayreuther Strasse 39, 91301 Frankfurt, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Private practice for implantology and periodontology, Forchheim, Germany, Johan Wolfgang Goethe University, Bayreuther Strasse 39, 91301 Frankfurt</wicri:regionArea><wicri:noRegion>91301 Frankfurt</wicri:noRegion><wicri:noRegion>91301 Frankfurt</wicri:noRegion><wicri:noRegion>91301 Frankfurt</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="I5">Department for Oral and Maxillofacial Surgery, Johann Wolfgang Goethe-University, Frankfurt, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department for Oral and Maxillofacial Surgery, Johann Wolfgang Goethe-University, Frankfurt</wicri:regionArea><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Darmstadt</region><settlement type="city">Francfort-sur-le-Main</settlement></placeName></affiliation></author><author><name sortKey="Dehner, Jan Friedrich" sort="Dehner, Jan Friedrich" uniqKey="Dehner J" first="Jan-Friedrich" last="Dehner">Jan-Friedrich Dehner</name><affiliation wicri:level="3"><nlm:aff id="I2">Private practice, Rome, Italy and Eastman Dental Hospital, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Private practice, Rome, Italy and Eastman Dental Hospital, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Baukloh, Katja" sort="Baukloh, Katja" uniqKey="Baukloh K" first="Katja" last="Baukloh">Katja Baukloh</name><affiliation wicri:level="1"><nlm:aff id="I3">Private practice, Oberursel, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Private practice, Oberursel</wicri:regionArea><wicri:noRegion>Oberursel</wicri:noRegion><wicri:noRegion>Oberursel</wicri:noRegion><wicri:noRegion>Oberursel</wicri:noRegion></affiliation></author><author><name sortKey="Happe, Arndt" sort="Happe, Arndt" uniqKey="Happe A" first="Arndt" last="Happe">Arndt Happe</name><affiliation wicri:level="3"><nlm:aff id="I4">Private practice for implantology and oral surgery, Münster, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Private practice for implantology and oral surgery, Münster</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Münster</region><settlement type="city">Münster</settlement></placeName></affiliation></author><author><name sortKey="Seitz, Oliver" sort="Seitz, Oliver" uniqKey="Seitz O" first="Oliver" last="Seitz">Oliver Seitz</name><affiliation wicri:level="3"><nlm:aff id="I5">Department for Oral and Maxillofacial Surgery, Johann Wolfgang Goethe-University, Frankfurt, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department for Oral and Maxillofacial Surgery, Johann Wolfgang Goethe-University, Frankfurt</wicri:regionArea><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Darmstadt</region><settlement type="city">Francfort-sur-le-Main</settlement></placeName></affiliation></author><author><name sortKey="Sader, Robert" sort="Sader, Robert" uniqKey="Sader R" first="Robert" last="Sader">Robert Sader</name><affiliation wicri:level="3"><nlm:aff id="I5">Department for Oral and Maxillofacial Surgery, Johann Wolfgang Goethe-University, Frankfurt, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department for Oral and Maxillofacial Surgery, Johann Wolfgang Goethe-University, Frankfurt</wicri:regionArea><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Darmstadt</region><settlement type="city">Francfort-sur-le-Main</settlement></placeName></affiliation></author></analytic><series><title level="j">Head & Face Medicine</title><idno type="eISSN">1746-160X</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>Introduction</title><p>To determine the esthetic outcome of implant-based reconstructions after autologous and allogeneic bone grafting.</p></sec><sec><title>Methods</title><p>From 2003 to 2009, 67 patients underwent alveolar ridge augmentation and were enrolled in the study, 41 meet the inclusion criteria and 31 agreed to take part in the study. Patients were 18-69 years old (mean: 49.3 ± 13.8 years), and predominantly female. Patients received bone block grafts either autologous (n = 48) (AUBB) or allografts (ABB) (n = 19). Implants were inserted 4-7 months (autografts) or 5-6 months (allografts) after bone grafting. The Pink Esthetic Score (PES) as well as radiographic and subjective assessments were employed for the outcome analysis. The PES was assessed twice within one month based on digital photographic images that were randomly rearranged between evaluations by three independent, experienced investigators.</p></sec><sec><title>Results</title><p>Across all observations and investigators, the average PES was 7.5 ± 2.6 without differences between implants inserted in auto- and allografted bone, respectively. Patients assessed the allograft procedures as less painful and would have repeated it more often. The intra-rater reliability was excellent (correlation coefficients 0.7-0.9). The inter-observer agreement was lower (correlation coefficients 0.6-0.8).</p></sec><sec><title>Conclusions</title><p>Bone grafting with ABB allografts yields equivalent results to autologous grafting, and patients appreciate the omission of bone harvesting. 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Cleveland</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, Sg" uniqKey="Kim S">SG Kim</name></author><author><name sortKey="Park, Js" uniqKey="Park J">JS Park</name></author><author><name sortKey="Lim, Sc" uniqKey="Lim S">SC Lim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Velich, N" uniqKey="Velich N">N Velich</name></author><author><name sortKey="Nemeth, Z" uniqKey="Nemeth Z">Z Németh</name></author><author><name sortKey="T Th, C" uniqKey="T Th C">C Tóth</name></author><author><name sortKey="Szab, G" uniqKey="Szab G">G Szabó</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Minichetti, Jc" uniqKey="Minichetti J">JC Minichetti</name></author><author><name sortKey="D Amore, Jc" uniqKey="D Amore J">JC D'Amore</name></author><author><name sortKey="Hong, Ay" uniqKey="Hong A">AY Hong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Margonar, R" uniqKey="Margonar R">R Margonar</name></author><author><name sortKey="Dos Santos, Pl" uniqKey="Dos Santos P">PL dos Santos</name></author><author><name sortKey="Queiroz, Tp" uniqKey="Queiroz T">TP Queiroz</name></author><author><name sortKey="Marcantonio, E" uniqKey="Marcantonio E">E Marcantonio</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Raghoebar, Gm" uniqKey="Raghoebar G">GM Raghoebar</name></author><author><name sortKey="Timmenga, Nm" uniqKey="Timmenga N">NM Timmenga</name></author><author><name sortKey="Reintsema, H" uniqKey="Reintsema H">H Reintsema</name></author><author><name sortKey="Stegenga, B" uniqKey="Stegenga B">B Stegenga</name></author><author><name sortKey="Vissink, A" uniqKey="Vissink A">A Vissink</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Esposito, M" uniqKey="Esposito M">M Esposito</name></author><author><name sortKey="Grusovin, Mg" uniqKey="Grusovin M">MG Grusovin</name></author><author><name sortKey="Kwan, S" uniqKey="Kwan S">S Kwan</name></author><author><name sortKey="Worthington, Hv" uniqKey="Worthington H">HV Worthington</name></author><author><name sortKey="Coulthard, P" uniqKey="Coulthard P">P Coulthard</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>Italie</li></country><region><li>District de Darmstadt</li><li>District de Münster</li><li>Hesse (Land)</li><li>Latium</li><li>Rhénanie-du-Nord-Westphalie</li></region><settlement><li>Francfort-sur-le-Main</li><li>Münster</li><li>Rome</li></settlement></list><tree><country name="Allemagne"><noRegion><name sortKey="Schlee, Markus" sort="Schlee, Markus" uniqKey="Schlee M" first="Markus" last="Schlee">Markus Schlee</name></noRegion><name sortKey="Baukloh, Katja" sort="Baukloh, Katja" uniqKey="Baukloh K" first="Katja" last="Baukloh">Katja Baukloh</name><name sortKey="Happe, Arndt" sort="Happe, Arndt" uniqKey="Happe A" first="Arndt" last="Happe">Arndt Happe</name><name sortKey="Sader, Robert" sort="Sader, Robert" uniqKey="Sader R" first="Robert" last="Sader">Robert Sader</name><name sortKey="Schlee, Markus" sort="Schlee, Markus" uniqKey="Schlee M" first="Markus" last="Schlee">Markus Schlee</name><name sortKey="Seitz, Oliver" sort="Seitz, Oliver" uniqKey="Seitz O" first="Oliver" last="Seitz">Oliver Seitz</name></country><country name="Italie"><region name="Latium"><name sortKey="Dehner, Jan Friedrich" sort="Dehner, Jan Friedrich" uniqKey="Dehner J" first="Jan-Friedrich" last="Dehner">Jan-Friedrich Dehner</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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