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Horizontal ridge augmentation utilizing a composite graft of demineralized freeze-dried allograft, mineralized cortical cancellous chips, and a biologically degradable thermoplastic carrier combined with a resorbable membrane: a retrospective evaluation of 73 consecutively treated cases from private practices.

Identifieur interne : 004D00 ( Main/Exploration ); précédent : 004C99; suivant : 004D01

Horizontal ridge augmentation utilizing a composite graft of demineralized freeze-dried allograft, mineralized cortical cancellous chips, and a biologically degradable thermoplastic carrier combined with a resorbable membrane: a retrospective evaluation of 73 consecutively treated cases from private practices.

Auteurs : Nicholas Toscano ; Danny Holtzclaw ; Ziv Mazor ; Paul Rosen ; Robert Horowitz ; Michael Toffler

Source :

RBID : pubmed:20545553

Descripteurs français

English descriptors

Abstract

Ridge deficiency is an unfortunate obstacle in the field of implant dentistry. Many techniques are available to rebuild the deficient ridge. Some of these techniques are associated with significant morbidity and often require a second surgical site. With the advent of guided bone regeneration (GBR), one may now graft the deficient ridge with decreased morbidity and without a second surgical site. The purpose of this retrospective consecutive case series from 5 private practices is to report on the outcomes of a composite material of demineralized freeze-dried allograft, mineralized cortical cancellous chips, and a biologically degradable thermoplastic carrier (Regenaform RT) when combined with a resorbable membrane for GBR of lateral ridge defects in human patients. The specific aim was to quantify clinical results through direct measurement. Data were obtained from 73 consecutively treated lateral ridge augmentations performed on 67 partial and/or completely edentate patients. Clinical data (presurgical ridge width, ridge width at implant placement, and bone density at implant placement) were obtained retrospectively from 5 private practices via an exhaustive retrospective chart review, which was pooled and averaged for analysis. The average gain in horizontal ridge width was 3.5 mm (range, 3-6 mm). The density of the bone was noted to be type 2 to 3, with type 3 being the predominant finding. This retrospective case series from 5 clinical private practices suggests that the use of a composite material of demineralized freeze-dried allograft, mineralized cortical cancellous chips, and a biologically degradable thermoplastic carrier, when covered by a resorbable collagen membrane for GBR, is an effective means of horizontal ridge augmentation.

DOI: 10.1563/AAID-JOI-D-09-00100
PubMed: 20545553


Affiliations:


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Le document en format XML

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<term>Absorbable Implants</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Bone Density (physiology)</term>
<term>Bone Regeneration (physiology)</term>
<term>Bone Transplantation (classification)</term>
<term>Collagen</term>
<term>Dental Implantation, Endosseous</term>
<term>Follow-Up Studies</term>
<term>Guided Tissue Regeneration, Periodontal (methods)</term>
<term>Humans</term>
<term>Jaw, Edentulous (pathology)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Jaw, Edentulous, Partially (pathology)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Mandible (pathology)</term>
<term>Mandible (surgery)</term>
<term>Maxilla (pathology)</term>
<term>Maxilla (surgery)</term>
<term>Membranes, Artificial</term>
<term>Retrospective Studies</term>
<term>Transplantation, Autologous</term>
<term>Transplantation, Homologous</term>
<term>Treatment Outcome</term>
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<term>Collagène</term>
<term>Densité osseuse (physiologie)</term>
<term>Humains</term>
<term>Implant résorbable</term>
<term>Mandibule ()</term>
<term>Mandibule (anatomopathologie)</term>
<term>Maxillaire ()</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Membrane artificielle</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (anatomopathologie)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (anatomopathologie)</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Régénération osseuse (physiologie)</term>
<term>Régénération tissulaire guidée parodontale ()</term>
<term>Résultat thérapeutique</term>
<term>Transplantation autologue</term>
<term>Transplantation homologue</term>
<term>Transplantation osseuse ()</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<term>Collagen</term>
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<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
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<term>Guided Tissue Regeneration, Periodontal</term>
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<term>Jaw, Edentulous, Partially</term>
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<term>Jaw, Edentulous, Partially</term>
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<term>Dental Implantation, Endosseous</term>
<term>Follow-Up Studies</term>
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<term>Retrospective Studies</term>
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<term>Transplantation, Homologous</term>
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<term>Humains</term>
<term>Implant résorbable</term>
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<term>Membrane artificielle</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
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<term>Reconstruction de crête alvéolaire</term>
<term>Régénération tissulaire guidée parodontale</term>
<term>Résultat thérapeutique</term>
<term>Transplantation autologue</term>
<term>Transplantation homologue</term>
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<front>
<div type="abstract" xml:lang="en">Ridge deficiency is an unfortunate obstacle in the field of implant dentistry. Many techniques are available to rebuild the deficient ridge. Some of these techniques are associated with significant morbidity and often require a second surgical site. With the advent of guided bone regeneration (GBR), one may now graft the deficient ridge with decreased morbidity and without a second surgical site. The purpose of this retrospective consecutive case series from 5 private practices is to report on the outcomes of a composite material of demineralized freeze-dried allograft, mineralized cortical cancellous chips, and a biologically degradable thermoplastic carrier (Regenaform RT) when combined with a resorbable membrane for GBR of lateral ridge defects in human patients. The specific aim was to quantify clinical results through direct measurement. Data were obtained from 73 consecutively treated lateral ridge augmentations performed on 67 partial and/or completely edentate patients. Clinical data (presurgical ridge width, ridge width at implant placement, and bone density at implant placement) were obtained retrospectively from 5 private practices via an exhaustive retrospective chart review, which was pooled and averaged for analysis. The average gain in horizontal ridge width was 3.5 mm (range, 3-6 mm). The density of the bone was noted to be type 2 to 3, with type 3 being the predominant finding. This retrospective case series from 5 clinical private practices suggests that the use of a composite material of demineralized freeze-dried allograft, mineralized cortical cancellous chips, and a biologically degradable thermoplastic carrier, when covered by a resorbable collagen membrane for GBR, is an effective means of horizontal ridge augmentation.</div>
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