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Early implant placement in bilateral sinus floor augmentation using iliac bone block grafts in severe maxillary atrophy: a clinical, histological, and radiographic case report.

Identifieur interne : 005811 ( Main/Exploration ); précédent : 005810; suivant : 005812

Early implant placement in bilateral sinus floor augmentation using iliac bone block grafts in severe maxillary atrophy: a clinical, histological, and radiographic case report.

Auteurs : Alessandro Acocella [Italie] ; Roberto Sacco ; Paolo Niardi ; Tommaso Agostini

Source :

RBID : pubmed:19288886

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English descriptors

Abstract

Effectively restoring a grossly atrophic maxilla can be difficult for the implant surgeon. The placement of dental implants in patients who are edentulous in the posterior maxilla can present difficulties because of deficient posterior alveolar ridge and increased pneumatization of the maxillary sinus, resulting in a minimal hard tissue bed. Implant placement requires adequate quality and quantity of bone, especially in the posterior maxilla. Insufficient bone height and width in this area of the maxilla, because of expansion of the maxillary sinus and atrophic reduction of the alveolar ridge, represents a contraindication for conventional insertion of dental implants. The reconstruction of edentulous patients with adequate bone volume and density by the use of bone graft and, subsequently, the placement of dental implants has become a viable treatment option with high predictability. It is commonly shared that autologous bone graft is the gold standard grafting method in the augmentation of Higmoro antrum and in any kinds of guided bone regeneration. In this article, the authors report a case of severe maxillary atrophy that is augmented by block bone graft harvested from iliac crest. An early placement of implants is possible due to the quick healing of the site, as proven by histologic examinations.

DOI: 10.1563/1548-1336-35.1.37
PubMed: 19288886


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Le document en format XML

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<term>Alveolar Bone Loss (diagnostic imaging)</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Atrophy</term>
<term>Biopsy</term>
<term>Bone Density (physiology)</term>
<term>Bone Transplantation (diagnostic imaging)</term>
<term>Bone Transplantation (methods)</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Guided Tissue Regeneration (methods)</term>
<term>Humans</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (pathology)</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Sinus (diagnostic imaging)</term>
<term>Maxillary Sinus (surgery)</term>
<term>Middle Aged</term>
<term>Osseointegration (physiology)</term>
<term>Osteocytes (pathology)</term>
<term>Osteogenesis (physiology)</term>
<term>Tomography, X-Ray Computed</term>
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<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Biopsie</term>
<term>Densité osseuse (physiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire ()</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Ostéo-intégration (physiologie)</term>
<term>Ostéocytes (anatomopathologie)</term>
<term>Ostéogenèse (physiologie)</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Régénération tissulaire guidée ()</term>
<term>Résorption alvéolaire ()</term>
<term>Résorption alvéolaire (imagerie diagnostique)</term>
<term>Sinus maxillaire ()</term>
<term>Sinus maxillaire (imagerie diagnostique)</term>
<term>Tomodensitométrie</term>
<term>Transplantation osseuse ()</term>
<term>Transplantation osseuse (imagerie diagnostique)</term>
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<term>Ostéocytes</term>
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<term>Alveolar Bone Loss</term>
<term>Bone Transplantation</term>
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
<term>Maxillary Sinus</term>
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<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Résorption alvéolaire</term>
<term>Sinus maxillaire</term>
<term>Transplantation osseuse</term>
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<term>Alveolar Ridge Augmentation</term>
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<term>Dental Implantation, Endosseous</term>
<term>Guided Tissue Regeneration</term>
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<term>Maxilla</term>
<term>Osteocytes</term>
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<term>Ostéo-intégration</term>
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<term>Atrophie</term>
<term>Biopsie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Régénération tissulaire guidée</term>
<term>Résorption alvéolaire</term>
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<div type="abstract" xml:lang="en">Effectively restoring a grossly atrophic maxilla can be difficult for the implant surgeon. The placement of dental implants in patients who are edentulous in the posterior maxilla can present difficulties because of deficient posterior alveolar ridge and increased pneumatization of the maxillary sinus, resulting in a minimal hard tissue bed. Implant placement requires adequate quality and quantity of bone, especially in the posterior maxilla. Insufficient bone height and width in this area of the maxilla, because of expansion of the maxillary sinus and atrophic reduction of the alveolar ridge, represents a contraindication for conventional insertion of dental implants. The reconstruction of edentulous patients with adequate bone volume and density by the use of bone graft and, subsequently, the placement of dental implants has become a viable treatment option with high predictability. It is commonly shared that autologous bone graft is the gold standard grafting method in the augmentation of Higmoro antrum and in any kinds of guided bone regeneration. In this article, the authors report a case of severe maxillary atrophy that is augmented by block bone graft harvested from iliac crest. An early placement of implants is possible due to the quick healing of the site, as proven by histologic examinations.</div>
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