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Bifunctional Sculpturing of the Bone Graft for 3-Dimensional Augmentation of the Atrophic Posterior Mandible

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Bifunctional Sculpturing of the Bone Graft for 3-Dimensional Augmentation of the Atrophic Posterior Mandible

Auteurs : Francesco Polini [Italie] ; Massimo Robiony [Italie] ; Salvatore Sembronio [Italie] ; Fabio Costa [Italie] ; Massimo Politi [Italie]

Source :

Journal of oral and maxillofacial surgery [ 0278-2391 ] ; 2009.

RBID : Pascal:09-0049248

Descripteurs français

Pascal (Inist)
- Atrophie, Chirurgie, Postérieur, Mandibule, Stomatologie, Traitement, Greffe osseuse.
Wicri :
- topic : Chirurgie.

English descriptors

KwdEn :
- Atrophy, Bone graft, Mandible, Posterior, Stomatology, Surgery, Treatment.

Abstract

Short implant procedures may suffer from fixture instability, if incorrectly planned and performed, and from an esthetically compromised rehabilitation, due to increased interarch distance and increased crown-implant ratio. Several procedures have been proposed to achieve alveolar ridge augmentation with different success and complication rates: onlay grafts, alveolar sandwich osteotomies, titanium micromesh, alveolar distraction, and alveolar nerve transposition. The edentulous posterior mandible suffers from the presence of a compact cortical layer, which tends to limit graft osteogenesis, because of a low permeability to the osteogenic elements (microvessels and cells). This report introduces a variant to the endochondral onlay bone graft, in which an external cortical layer is placed above a biologically active core of cancellous bone and platelet-rich plasma. This solution provides easy 3-dimensional conformation of the graft, enhancing its mechanical stability. The presence of the biologically active core provides better vascular support and a valid interface between graft and the osteogenetic cell lines.

Affiliations:

Italie

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<front><div type="abstract" xml:lang="en">Short implant procedures may suffer from fixture instability, if incorrectly planned and performed, and from an esthetically compromised rehabilitation, due to increased interarch distance and increased crown-implant ratio. Several procedures have been proposed to achieve alveolar ridge augmentation with different success and complication rates: onlay grafts, alveolar sandwich osteotomies, titanium micromesh, alveolar distraction, and alveolar nerve transposition. The edentulous posterior mandible suffers from the presence of a compact cortical layer, which tends to limit graft osteogenesis, because of a low permeability to the osteogenic elements (microvessels and cells). This report introduces a variant to the endochondral onlay bone graft, in which an external cortical layer is placed above a biologically active core of cancellous bone and platelet-rich plasma. This solution provides easy 3-dimensional conformation of the graft, enhancing its mechanical stability. The presence of the biologically active core provides better vascular support and a valid interface between graft and the osteogenetic cell lines.</div>
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<tree><country name="Italie"><noRegion><name sortKey="Polini, Francesco" sort="Polini, Francesco" uniqKey="Polini F" first="Francesco" last="Polini">Francesco Polini</name>
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Bifunctional Sculpturing of the Bone Graft for 3-Dimensional Augmentation of the Atrophic Posterior Mandible

Bifunctional Sculpturing of the Bone Graft for 3-Dimensional Augmentation of the Atrophic Posterior Mandible

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri