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Implant Treatment in Combination with Lateral Augmentation of the Alveolar Process: A 3‐Year Prospective Study

Identifieur interne : 007F52 ( Main/Exploration ); précédent : 007F51; suivant : 007F53

Implant Treatment in Combination with Lateral Augmentation of the Alveolar Process: A 3‐Year Prospective Study

Auteurs : Solve Hellem [Suède, Norvège] ; Per Strand [Suède] ; Birgitta Stenström [Suède] ; Bo Engquist [Suède] ; Martin Bengtsson [Suède] ; Simon Dahlgren [Suède]

Source :

RBID : ISTEX:236983C92B5CCF0F5D3AE3FB251022B74C197C01

Descripteurs français

English descriptors

Abstract

Background: In patients in whom the height of the alveolar process is adequate but the crest is too narrow to host an implant, lateral augmentation is required. Such augmentations have mostly been performed using autogenous bone blocks secured to the buccal surface. An alternative to autogenous bone may be bovine hydroxyapatite (Bio‐Oss, Geistlich Pharma AG, Wolhusen, Switzerland) or other bone substitutes. Purpose: The aim of this study was to evaluate the clinical and radiographic outcome of dental implants inserted after lateral augmentation of too narrow alveolar processes with a combination of bovine hydroxyapatite (Bio‐Oss) and autogenous bone. Methods: Thirty patients (14 males and 16 females) with a mean age of 41.6 years fulfilled the inclusion criteria. Twenty‐nine augmentation sites with a total of 74 implants could be followed for 3 years. Results: Three implants were lost; these were lost before loading (at the abutment operation). The survival rate was 95.9%. The mean marginal bone loss during the 3‐year observation period was 0.3 ± 0.2 mm. Conclusions: A 50/50 combination of Bio‐Oss and autogenous bone chips stabilized with Tisseel (Baxter AG/Duo Quick AG, Vienna, Austria) was useful for lateral augmentation of the alveolar crest. Lateral grafts with Bio‐Oss, autogenous bone, and Tisseel made it possible to achieve good implant stability and high implant survival results. The bone level changes adjacent to the implants were the same as in nongrafted cases.

Url:
DOI: 10.1111/j.1708-8208.2003.tb00206.x


Affiliations:


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Le document en format XML

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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Alveolar bone</term>
<term>Alveolar crest</term>
<term>Alveolar process</term>
<term>Animals</term>
<term>Augmentation</term>
<term>Autogenous</term>
<term>Autogenous bone</term>
<term>Autogenous bone chips</term>
<term>Baseline</term>
<term>Bone Matrix (transplantation)</term>
<term>Bone Substitutes</term>
<term>Bone Transplantation</term>
<term>Bone grafts</term>
<term>Bone level</term>
<term>Bone level changes</term>
<term>Bone mill</term>
<term>Bone substitutes</term>
<term>Bovine</term>
<term>Bovine hydroxyapatite</term>
<term>Bovine hydroxyapatite geistlich pharma</term>
<term>Branemark implants</term>
<term>Buccal side</term>
<term>Buccal surface</term>
<term>Cattle</term>
<term>Clinical implant dentistry</term>
<term>Clinical study</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental implants</term>
<term>Donor site</term>
<term>Donor sites</term>
<term>Durapatite</term>
<term>Edentulous patients</term>
<term>Female</term>
<term>Fibrin Tissue Adhesive</term>
<term>Fibrin glue</term>
<term>Fixture</term>
<term>Fixture installation</term>
<term>Good implant stability</term>
<term>Graft</term>
<term>Grafted</term>
<term>Grafted bone</term>
<term>Grafted material</term>
<term>Great variation</term>
<term>Healing period</term>
<term>High implant survival results</term>
<term>Histologic study</term>
<term>Humans</term>
<term>Hydroxyapatite</term>
<term>Iliac crest</term>
<term>Implant</term>
<term>Implant surface</term>
<term>Implant survival</term>
<term>Implant treatment</term>
<term>Inclusion criteria</term>
<term>Jaw, Edentulous, Partially (diagnostic imaging)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Lateral</term>
<term>Lateral augmentation</term>
<term>Lateral grafts</term>
<term>Male</term>
<term>Mandibular bone</term>
<term>Marginal bone changes</term>
<term>Marginal bone level</term>
<term>Maxilla (surgery)</term>
<term>Maxillary</term>
<term>Maxillary implants</term>
<term>Maxillary sinus</term>
<term>Maxillofac</term>
<term>Maxillofacial surgery</term>
<term>Middle Aged</term>
<term>Minerals</term>
<term>Nongrafted cases</term>
<term>Oral implants</term>
<term>Oral maxillofac implants</term>
<term>Oral maxillofac surg</term>
<term>Original alveolar bone</term>
<term>Original bone contour</term>
<term>Original contour</term>
<term>Osseointegrated implants</term>
<term>Prospective Studies</term>
<term>Prospective study</term>
<term>Radiographic</term>
<term>Radiographic examinations</term>
<term>Radiographic outcome</term>
<term>Radiography</term>
<term>Reference point</term>
<term>Sensory disturbances</term>
<term>Sinus</term>
<term>Sinus floor augmentation</term>
<term>Surg</term>
<term>Survival rate</term>
<term>Tisseel</term>
<term>Tlie</term>
<term>Tomographic images</term>
<term>University hospital</term>
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<term>Adolescent</term>
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<term>Adulte d'âge moyen</term>
<term>Animaux</term>
<term>Bovins</term>
<term>Colle de fibrine</term>
<term>Durapatite</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maxillaire ()</term>
<term>Minéraux</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Substituts osseux</term>
<term>Sujet âgé</term>
<term>Trame osseuse (transplantation)</term>
<term>Transplantation osseuse</term>
<term>Échec de restauration dentaire</term>
<term>Études prospectives</term>
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<term>Bone Substitutes</term>
<term>Durapatite</term>
<term>Fibrin Tissue Adhesive</term>
<term>Minerals</term>
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<term>Jaw, Edentulous, Partially</term>
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<term>Abutment operation</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Alveolar bone</term>
<term>Alveolar crest</term>
<term>Alveolar process</term>
<term>Animals</term>
<term>Augmentation</term>
<term>Autogenous</term>
<term>Autogenous bone</term>
<term>Autogenous bone chips</term>
<term>Baseline</term>
<term>Bone Transplantation</term>
<term>Bone grafts</term>
<term>Bone level</term>
<term>Bone level changes</term>
<term>Bone mill</term>
<term>Bone substitutes</term>
<term>Bovine</term>
<term>Bovine hydroxyapatite</term>
<term>Bovine hydroxyapatite geistlich pharma</term>
<term>Branemark implants</term>
<term>Buccal side</term>
<term>Buccal surface</term>
<term>Cattle</term>
<term>Clinical implant dentistry</term>
<term>Clinical study</term>
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<term>Fixture installation</term>
<term>Good implant stability</term>
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<term>Grafted</term>
<term>Grafted bone</term>
<term>Grafted material</term>
<term>Great variation</term>
<term>Healing period</term>
<term>High implant survival results</term>
<term>Histologic study</term>
<term>Humans</term>
<term>Hydroxyapatite</term>
<term>Iliac crest</term>
<term>Implant</term>
<term>Implant surface</term>
<term>Implant survival</term>
<term>Implant treatment</term>
<term>Inclusion criteria</term>
<term>Lateral</term>
<term>Lateral augmentation</term>
<term>Lateral grafts</term>
<term>Male</term>
<term>Mandibular bone</term>
<term>Marginal bone changes</term>
<term>Marginal bone level</term>
<term>Maxillary</term>
<term>Maxillary implants</term>
<term>Maxillary sinus</term>
<term>Maxillofac</term>
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<term>Oral maxillofac implants</term>
<term>Oral maxillofac surg</term>
<term>Original alveolar bone</term>
<term>Original bone contour</term>
<term>Original contour</term>
<term>Osseointegrated implants</term>
<term>Prospective Studies</term>
<term>Prospective study</term>
<term>Radiographic</term>
<term>Radiographic examinations</term>
<term>Radiographic outcome</term>
<term>Radiography</term>
<term>Reference point</term>
<term>Sensory disturbances</term>
<term>Sinus</term>
<term>Sinus floor augmentation</term>
<term>Surg</term>
<term>Survival rate</term>
<term>Tisseel</term>
<term>Tlie</term>
<term>Tomographic images</term>
<term>University hospital</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Animaux</term>
<term>Bovins</term>
<term>Colle de fibrine</term>
<term>Durapatite</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maxillaire</term>
<term>Minéraux</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Substituts osseux</term>
<term>Sujet âgé</term>
<term>Trame osseuse</term>
<term>Transplantation osseuse</term>
<term>Échec de restauration dentaire</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">Background: In patients in whom the height of the alveolar process is adequate but the crest is too narrow to host an implant, lateral augmentation is required. Such augmentations have mostly been performed using autogenous bone blocks secured to the buccal surface. An alternative to autogenous bone may be bovine hydroxyapatite (Bio‐Oss, Geistlich Pharma AG, Wolhusen, Switzerland) or other bone substitutes. Purpose: The aim of this study was to evaluate the clinical and radiographic outcome of dental implants inserted after lateral augmentation of too narrow alveolar processes with a combination of bovine hydroxyapatite (Bio‐Oss) and autogenous bone. Methods: Thirty patients (14 males and 16 females) with a mean age of 41.6 years fulfilled the inclusion criteria. Twenty‐nine augmentation sites with a total of 74 implants could be followed for 3 years. Results: Three implants were lost; these were lost before loading (at the abutment operation). The survival rate was 95.9%. The mean marginal bone loss during the 3‐year observation period was 0.3 ± 0.2 mm. Conclusions: A 50/50 combination of Bio‐Oss and autogenous bone chips stabilized with Tisseel (Baxter AG/Duo Quick AG, Vienna, Austria) was useful for lateral augmentation of the alveolar crest. Lateral grafts with Bio‐Oss, autogenous bone, and Tisseel made it possible to achieve good implant stability and high implant survival results. The bone level changes adjacent to the implants were the same as in nongrafted cases.</div>
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