Permucosal implants combined with iliac crest onlay grafts used in extreme atrophy of the mandible: long‐term results of a prospective study
Identifieur interne : 006E72 ( Main/Exploration ); précédent : 006E71; suivant : 006E73Permucosal implants combined with iliac crest onlay grafts used in extreme atrophy of the mandible: long‐term results of a prospective study
Auteurs : Jan Willem Verhoeven [Pays-Bas] ; Marco Stephan Cune [Pays-Bas] ; Jan Ruijter [Pays-Bas]Source :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2006-02.
English descriptors
- KwdEn :
- Anterior mandible, Atrophic mandible, Atrophy, Augmentation, Bone grafts, Bone resorption model, Cephalometric radiographs, Clin, Cune, Dorsal, Dorsal sites, Endosseous implants, Endosteal implants, Extreme atrophy, Extreme mandibular atrophy, Graft, Graft material, Grafted bone, Iliac crest onlay grafts, Impl, Implant, Implant placement, Implants research, International journal, Keller, Mandible, Mandibular, Maxillofacial, Neukam, Observation period, Onlay, Onlay graft, Oral impl, Oral maxillofacial implants, Oral maxillofacial surgery, Overall model, Overall prediction, Permucosal, Permucosal implants, Preliminary report, Present study, Prospective study, Radiograph, Raghoebar, Resorbed, Resorbed mandible, Resorbed mandibles, Resorption, Resorption model, Resorption process, Resorption rate, Retrospective study, Sandwich osteotomy, Short implants, Stellingsma, Subgroup, Symphyseal height, Transmandibular implant, Tted, Ventral, Ventral sites, Verhoeven, Vertical distraction, Younger patients.
- Teeft :
- Anterior mandible, Atrophic mandible, Atrophy, Augmentation, Bone grafts, Bone resorption model, Cephalometric radiographs, Clin, Cune, Dorsal, Dorsal sites, Endosseous implants, Endosteal implants, Extreme atrophy, Extreme mandibular atrophy, Graft, Graft material, Grafted bone, Iliac crest onlay grafts, Impl, Implant, Implant placement, Implants research, International journal, Keller, Mandible, Mandibular, Maxillofacial, Neukam, Observation period, Onlay, Onlay graft, Oral impl, Oral maxillofacial implants, Oral maxillofacial surgery, Overall model, Overall prediction, Permucosal, Permucosal implants, Preliminary report, Present study, Prospective study, Radiograph, Raghoebar, Resorbed, Resorbed mandible, Resorbed mandibles, Resorption, Resorption model, Resorption process, Resorption rate, Retrospective study, Sandwich osteotomy, Short implants, Stellingsma, Subgroup, Symphyseal height, Transmandibular implant, Tted, Ventral, Ventral sites, Verhoeven, Vertical distraction, Younger patients.
Abstract
Abstract: Thirteen patients received an onlay bone‐graft augmentation to their severely atrophic mandible in combination with simultaneous implant insertion. This treatment modality was studied in a long‐term prospective clinical and radiographic study. A reproducible measurement method, consisting of oblique lateral cephalometric radiographs, in combination with an image analysis system, was used to accurately assess the graft resorption rate. On average, 51% (95% confidence interval 42–61%) of the grafted bone height remained after 10–11 years. Resorption of the graft occurred mainly during the first years and showed a marked degree of individual variance. In the following years, the resorption rate followed a predictable pattern in most of our patients. Ventral and dorsal sites exhibited a similar degree of resorption. Peri‐implantitis occurred in nine patients. Ten muco‐gingival surgical interventions were necessary in four of these nine patients. No implants were lost and 12 patients indicated that they were satisfied. It is concluded that the described surgical technique should be used on stringent indication only, and alternative techniques are discussed.
Url:
DOI: 10.1111/j.1600-0501.2005.01165.x
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anterior mandible</term>
<term>Atrophic mandible</term>
<term>Atrophy</term>
<term>Augmentation</term>
<term>Bone grafts</term>
<term>Bone resorption model</term>
<term>Cephalometric radiographs</term>
<term>Clin</term>
<term>Cune</term>
<term>Dorsal</term>
<term>Dorsal sites</term>
<term>Endosseous implants</term>
<term>Endosteal implants</term>
<term>Extreme atrophy</term>
<term>Extreme mandibular atrophy</term>
<term>Graft</term>
<term>Graft material</term>
<term>Grafted bone</term>
<term>Iliac crest onlay grafts</term>
<term>Impl</term>
<term>Implant</term>
<term>Implant placement</term>
<term>Implants research</term>
<term>International journal</term>
<term>Keller</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Maxillofacial</term>
<term>Neukam</term>
<term>Observation period</term>
<term>Onlay</term>
<term>Onlay graft</term>
<term>Oral impl</term>
<term>Oral maxillofacial implants</term>
<term>Oral maxillofacial surgery</term>
<term>Overall model</term>
<term>Overall prediction</term>
<term>Permucosal</term>
<term>Permucosal implants</term>
<term>Preliminary report</term>
<term>Present study</term>
<term>Prospective study</term>
<term>Radiograph</term>
<term>Raghoebar</term>
<term>Resorbed</term>
<term>Resorbed mandible</term>
<term>Resorbed mandibles</term>
<term>Resorption</term>
<term>Resorption model</term>
<term>Resorption process</term>
<term>Resorption rate</term>
<term>Retrospective study</term>
<term>Sandwich osteotomy</term>
<term>Short implants</term>
<term>Stellingsma</term>
<term>Subgroup</term>
<term>Symphyseal height</term>
<term>Transmandibular implant</term>
<term>Tted</term>
<term>Ventral</term>
<term>Ventral sites</term>
<term>Verhoeven</term>
<term>Vertical distraction</term>
<term>Younger patients</term>
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<keywords scheme="Teeft" xml:lang="en"><term>Anterior mandible</term>
<term>Atrophic mandible</term>
<term>Atrophy</term>
<term>Augmentation</term>
<term>Bone grafts</term>
<term>Bone resorption model</term>
<term>Cephalometric radiographs</term>
<term>Clin</term>
<term>Cune</term>
<term>Dorsal</term>
<term>Dorsal sites</term>
<term>Endosseous implants</term>
<term>Endosteal implants</term>
<term>Extreme atrophy</term>
<term>Extreme mandibular atrophy</term>
<term>Graft</term>
<term>Graft material</term>
<term>Grafted bone</term>
<term>Iliac crest onlay grafts</term>
<term>Impl</term>
<term>Implant</term>
<term>Implant placement</term>
<term>Implants research</term>
<term>International journal</term>
<term>Keller</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Maxillofacial</term>
<term>Neukam</term>
<term>Observation period</term>
<term>Onlay</term>
<term>Onlay graft</term>
<term>Oral impl</term>
<term>Oral maxillofacial implants</term>
<term>Oral maxillofacial surgery</term>
<term>Overall model</term>
<term>Overall prediction</term>
<term>Permucosal</term>
<term>Permucosal implants</term>
<term>Preliminary report</term>
<term>Present study</term>
<term>Prospective study</term>
<term>Radiograph</term>
<term>Raghoebar</term>
<term>Resorbed</term>
<term>Resorbed mandible</term>
<term>Resorbed mandibles</term>
<term>Resorption</term>
<term>Resorption model</term>
<term>Resorption process</term>
<term>Resorption rate</term>
<term>Retrospective study</term>
<term>Sandwich osteotomy</term>
<term>Short implants</term>
<term>Stellingsma</term>
<term>Subgroup</term>
<term>Symphyseal height</term>
<term>Transmandibular implant</term>
<term>Tted</term>
<term>Ventral</term>
<term>Ventral sites</term>
<term>Verhoeven</term>
<term>Vertical distraction</term>
<term>Younger patients</term>
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<front><div type="abstract">Abstract: Thirteen patients received an onlay bone‐graft augmentation to their severely atrophic mandible in combination with simultaneous implant insertion. This treatment modality was studied in a long‐term prospective clinical and radiographic study. A reproducible measurement method, consisting of oblique lateral cephalometric radiographs, in combination with an image analysis system, was used to accurately assess the graft resorption rate. On average, 51% (95% confidence interval 42–61%) of the grafted bone height remained after 10–11 years. Resorption of the graft occurred mainly during the first years and showed a marked degree of individual variance. In the following years, the resorption rate followed a predictable pattern in most of our patients. Ventral and dorsal sites exhibited a similar degree of resorption. Peri‐implantitis occurred in nine patients. Ten muco‐gingival surgical interventions were necessary in four of these nine patients. No implants were lost and 12 patients indicated that they were satisfied. It is concluded that the described surgical technique should be used on stringent indication only, and alternative techniques are discussed.</div>
</front>
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<li>Utrecht (province)</li>
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<name sortKey="Cune, Marco Stephan" sort="Cune, Marco Stephan" uniqKey="Cune M" first="Marco Stephan" last="Cune">Marco Stephan Cune</name>
<name sortKey="Ruijter, Jan" sort="Ruijter, Jan" uniqKey="Ruijter J" first="Jan" last="Ruijter">Jan Ruijter</name>
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