Clinical results of alveolar ridge augmentation with mandibular block bone grafts in partially edentulous patients prior to implant placement
Identifieur interne : 008543 ( Main/Exploration ); précédent : 008542; suivant : 008544Clinical results of alveolar ridge augmentation with mandibular block bone grafts in partially edentulous patients prior to implant placement
Auteurs : Luca Cordaro [Italie, Niger] ; David Sarzi Amadè [Italie] ; Massimo Cordaro [Italie]Source :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2002-02.
Descripteurs français
- KwdFr :
- Cicatrisation de plaie, Complications postopératoires, Ecchymose (étiologie), Humains, Implants dentaires, Lambeaux chirurgicaux, Mandibule (), Mandibule (anatomopathologie), Maxillaire (), Maxillaire (anatomopathologie), Mâchoire partiellement édentée (), Mâchoire partiellement édentée (rééducation et réadaptation), Ostéo-intégration, Piliers dentaires, Pose d'implant dentaire endo-osseux (), Procédures de chirurgie ambulatoire, Prothèse dentaire implanto-portée, Prothèse partielle fixe, Reconstruction de crête alvéolaire (), Résorption osseuse (), Survie du greffon, Titane, Transplantation osseuse (), Vis orthopédiques, Études de suivi.
- MESH :
- anatomopathologie : Mandibule, Maxillaire.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- étiologie : Ecchymose.
- Wicri :
- topic : Chirurgie, Cicatrisation de plaie, Complications postopératoires, Humains, Implants dentaires, Lambeaux chirurgicaux, Mandibule, Maxillaire, Mâchoire partiellement édentée, Ostéo-intégration, Piliers dentaires, Pose d'implant dentaire endo-osseux, Procédures de chirurgie ambulatoire, Prothèse dentaire implanto-portée, Prothèse partielle fixe, Reconstruction de crête alvéolaire, Résorption osseuse, Survie du greffon, Titane, Transplantation osseuse, Vis orthopédiques, Études de suivi.
English descriptors
- KwdEn :
- Abutment connection, Alveolar, Alveolar Ridge Augmentation (methods), Alveolar ridge, Alveolar ridge augmentation, Ambulatory Surgical Procedures, Augmentation, Autogenous, Autogenous bone, Autogenous bone blocks, Barrier membranes, Bone Resorption (classification), Bone Screws, Bone Transplantation (methods), Bone augmentation, Bone blocks, Bone graft, Bone graft resorption, Bone resorption, Buser, Clin, Cordaro, Crestal, Crestal height, Dental Abutments, Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Dental implants, Denture, Partial, Fixed, Donor site, Donor sites, Ecchymosis (etiology), Edentulous, Edentulous patients, Follow-Up Studies, General anaesthesia, Graft, Graft Survival, Healing phase, Humans, Impl, Implant, Implant insertion, Implant placement, Implants research, Injerto oseo, International journal, Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Lateral, Lateral augmentation, Mandible, Mandible (pathology), Mandible (surgery), Mandibular, Mandibular bone blocks, Mandibular ramus, Mandibular sites, Mandibular symphysis, Maxilla (pathology), Maxilla (surgery), Maxillary, Maxillary sites, Maxillofacial, Maxillofacial implants, Maxillofacial surgery, Onlay, Oral impl, Oral implants, Oral surgery, Osseointegration, Osteosynthesis, Postoperative, Postoperative Complications, Preliminary report, Prosthetic loading, Ramus, Recipient site, Resorption, Surgery, Surgical Flaps, Symphysis, Tissue regeneration, Titanium, Titanium osteosynthesis screws, Unit bridge, Vertical augmentation, Wound Healing.
- MESH :
- chemical : Dental Implants, Titanium.
- classification : Bone Resorption.
- etiology : Ecchymosis.
- methods : Alveolar Ridge Augmentation, Bone Transplantation, Dental Implantation, Endosseous.
- pathology : Mandible, Maxilla.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially, Mandible, Maxilla.
- Teeft :
- Abutment connection, Alveolar, Alveolar ridge, Alveolar ridge augmentation, Ambulatory Surgical Procedures, Augmentation, Autogenous, Autogenous bone, Autogenous bone blocks, Barrier membranes, Bone Screws, Bone augmentation, Bone blocks, Bone graft, Bone graft resorption, Bone resorption, Buser, Clin, Cordaro, Crestal, Crestal height, Dental Abutments, Dental Prosthesis, Implant-Supported, Dental implants, Denture, Partial, Fixed, Donor site, Donor sites, Edentulous, Edentulous patients, Follow-Up Studies, General anaesthesia, Graft, Graft Survival, Healing phase, Humans, Impl, Implant, Implant insertion, Implant placement, Implants research, Injerto oseo, International journal, Lateral, Lateral augmentation, Mandible, Mandibular, Mandibular bone blocks, Mandibular ramus, Mandibular sites, Mandibular symphysis, Maxillary, Maxillary sites, Maxillofacial, Maxillofacial implants, Maxillofacial surgery, Onlay, Oral impl, Oral implants, Oral surgery, Osseointegration, Osteosynthesis, Postoperative, Postoperative Complications, Preliminary report, Prosthetic loading, Ramus, Recipient site, Resorption, Surgery, Surgical Flaps, Symphysis, Tissue regeneration, Titanium osteosynthesis screws, Unit bridge, Vertical augmentation, Wound Healing.
Abstract
Abstract: A group of 15 partially edentulous patients who needed alveolar ridge augmentation for implant placement, were consecutively treated using a two‐stage technique in an outpatient environment. A total of 18 alveolar segments were grafted. During the first operation bone blocks harvested from the mandibular ramus or symphysis were placed as lateral or vertical onlay grafts and fixed with titanium osteosynthesis screws after exposure of the deficient alveolar ridge. After 6 months of healing the flap was re‐opened, the screws were removed and the implants placed. Twelve months after the first operation implant‐supported fixed bridges could be provided to the patients. Mean lateral augmentation obtained at the time of bone grafting was 6.5±0.33 mm, that reduced during healing because of graft resorption to a mean of 5.0±0.23 mm. Mean vertical augmentation obtained in the 9 sites where it was needed was 3.4±0.66 mm at bone grafting and 2.2±0.66 mm at implant placement. Mean lateral and vertical augmentation decreased by 23.5% and 42%, respectively, during bone graft healing (before implant insertion). Mandibular sites showed a larger amount of bone graft resorption than maxillary sites. All the 40 implants placed were integrated at the abutment connection and after prosthetic loading (mean follow‐up was 12 months). No major complications were recorded at donor or recipient sites. Soft tissue healing was uneventful, and pain and swelling were comparable to usual dentoalveolar procedures. A visible ecchymosis was present for 4 to 7 days when the bone was harvested from the mandibular symphysis. From a clinical point of view this procedure appears to be simple, safe and effective for treating localised alveolar ridge defects in partially edentulous patients.
Url:
DOI: 10.1034/j.1600-0501.2002.130113.x
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abutment connection</term>
<term>Alveolar</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Alveolar ridge</term>
<term>Alveolar ridge augmentation</term>
<term>Ambulatory Surgical Procedures</term>
<term>Augmentation</term>
<term>Autogenous</term>
<term>Autogenous bone</term>
<term>Autogenous bone blocks</term>
<term>Barrier membranes</term>
<term>Bone Resorption (classification)</term>
<term>Bone Screws</term>
<term>Bone Transplantation (methods)</term>
<term>Bone augmentation</term>
<term>Bone blocks</term>
<term>Bone graft</term>
<term>Bone graft resorption</term>
<term>Bone resorption</term>
<term>Buser</term>
<term>Clin</term>
<term>Cordaro</term>
<term>Crestal</term>
<term>Crestal height</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental implants</term>
<term>Denture, Partial, Fixed</term>
<term>Donor site</term>
<term>Donor sites</term>
<term>Ecchymosis (etiology)</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Follow-Up Studies</term>
<term>General anaesthesia</term>
<term>Graft</term>
<term>Graft Survival</term>
<term>Healing phase</term>
<term>Humans</term>
<term>Impl</term>
<term>Implant</term>
<term>Implant insertion</term>
<term>Implant placement</term>
<term>Implants research</term>
<term>Injerto oseo</term>
<term>International journal</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Lateral</term>
<term>Lateral augmentation</term>
<term>Mandible</term>
<term>Mandible (pathology)</term>
<term>Mandible (surgery)</term>
<term>Mandibular</term>
<term>Mandibular bone blocks</term>
<term>Mandibular ramus</term>
<term>Mandibular sites</term>
<term>Mandibular symphysis</term>
<term>Maxilla (pathology)</term>
<term>Maxilla (surgery)</term>
<term>Maxillary</term>
<term>Maxillary sites</term>
<term>Maxillofacial</term>
<term>Maxillofacial implants</term>
<term>Maxillofacial surgery</term>
<term>Onlay</term>
<term>Oral impl</term>
<term>Oral implants</term>
<term>Oral surgery</term>
<term>Osseointegration</term>
<term>Osteosynthesis</term>
<term>Postoperative</term>
<term>Postoperative Complications</term>
<term>Preliminary report</term>
<term>Prosthetic loading</term>
<term>Ramus</term>
<term>Recipient site</term>
<term>Resorption</term>
<term>Surgery</term>
<term>Surgical Flaps</term>
<term>Symphysis</term>
<term>Tissue regeneration</term>
<term>Titanium</term>
<term>Titanium osteosynthesis screws</term>
<term>Unit bridge</term>
<term>Vertical augmentation</term>
<term>Wound Healing</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Cicatrisation de plaie</term>
<term>Complications postopératoires</term>
<term>Ecchymose (étiologie)</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Lambeaux chirurgicaux</term>
<term>Mandibule ()</term>
<term>Mandibule (anatomopathologie)</term>
<term>Maxillaire ()</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Ostéo-intégration</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Procédures de chirurgie ambulatoire</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résorption osseuse ()</term>
<term>Survie du greffon</term>
<term>Titane</term>
<term>Transplantation osseuse ()</term>
<term>Vis orthopédiques</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
<term>Titanium</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Mandibule</term>
<term>Maxillaire</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Bone Resorption</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Ecchymosis</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
<term>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Ecchymose</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Abutment connection</term>
<term>Alveolar</term>
<term>Alveolar ridge</term>
<term>Alveolar ridge augmentation</term>
<term>Ambulatory Surgical Procedures</term>
<term>Augmentation</term>
<term>Autogenous</term>
<term>Autogenous bone</term>
<term>Autogenous bone blocks</term>
<term>Barrier membranes</term>
<term>Bone Screws</term>
<term>Bone augmentation</term>
<term>Bone blocks</term>
<term>Bone graft</term>
<term>Bone graft resorption</term>
<term>Bone resorption</term>
<term>Buser</term>
<term>Clin</term>
<term>Cordaro</term>
<term>Crestal</term>
<term>Crestal height</term>
<term>Dental Abutments</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental implants</term>
<term>Denture, Partial, Fixed</term>
<term>Donor site</term>
<term>Donor sites</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Follow-Up Studies</term>
<term>General anaesthesia</term>
<term>Graft</term>
<term>Graft Survival</term>
<term>Healing phase</term>
<term>Humans</term>
<term>Impl</term>
<term>Implant</term>
<term>Implant insertion</term>
<term>Implant placement</term>
<term>Implants research</term>
<term>Injerto oseo</term>
<term>International journal</term>
<term>Lateral</term>
<term>Lateral augmentation</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular bone blocks</term>
<term>Mandibular ramus</term>
<term>Mandibular sites</term>
<term>Mandibular symphysis</term>
<term>Maxillary</term>
<term>Maxillary sites</term>
<term>Maxillofacial</term>
<term>Maxillofacial implants</term>
<term>Maxillofacial surgery</term>
<term>Onlay</term>
<term>Oral impl</term>
<term>Oral implants</term>
<term>Oral surgery</term>
<term>Osseointegration</term>
<term>Osteosynthesis</term>
<term>Postoperative</term>
<term>Postoperative Complications</term>
<term>Preliminary report</term>
<term>Prosthetic loading</term>
<term>Ramus</term>
<term>Recipient site</term>
<term>Resorption</term>
<term>Surgery</term>
<term>Surgical Flaps</term>
<term>Symphysis</term>
<term>Tissue regeneration</term>
<term>Titanium osteosynthesis screws</term>
<term>Unit bridge</term>
<term>Vertical augmentation</term>
<term>Wound Healing</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term>
<term>Cicatrisation de plaie</term>
<term>Complications postopératoires</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Lambeaux chirurgicaux</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Ostéo-intégration</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Procédures de chirurgie ambulatoire</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption osseuse</term>
<term>Survie du greffon</term>
<term>Titane</term>
<term>Transplantation osseuse</term>
<term>Vis orthopédiques</term>
<term>Études de suivi</term>
</keywords>
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<front><div type="abstract">Abstract: A group of 15 partially edentulous patients who needed alveolar ridge augmentation for implant placement, were consecutively treated using a two‐stage technique in an outpatient environment. A total of 18 alveolar segments were grafted. During the first operation bone blocks harvested from the mandibular ramus or symphysis were placed as lateral or vertical onlay grafts and fixed with titanium osteosynthesis screws after exposure of the deficient alveolar ridge. After 6 months of healing the flap was re‐opened, the screws were removed and the implants placed. Twelve months after the first operation implant‐supported fixed bridges could be provided to the patients. Mean lateral augmentation obtained at the time of bone grafting was 6.5±0.33 mm, that reduced during healing because of graft resorption to a mean of 5.0±0.23 mm. Mean vertical augmentation obtained in the 9 sites where it was needed was 3.4±0.66 mm at bone grafting and 2.2±0.66 mm at implant placement. Mean lateral and vertical augmentation decreased by 23.5% and 42%, respectively, during bone graft healing (before implant insertion). Mandibular sites showed a larger amount of bone graft resorption than maxillary sites. All the 40 implants placed were integrated at the abutment connection and after prosthetic loading (mean follow‐up was 12 months). No major complications were recorded at donor or recipient sites. Soft tissue healing was uneventful, and pain and swelling were comparable to usual dentoalveolar procedures. A visible ecchymosis was present for 4 to 7 days when the bone was harvested from the mandibular symphysis. From a clinical point of view this procedure appears to be simple, safe and effective for treating localised alveolar ridge defects in partially edentulous patients.</div>
</front>
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<name sortKey="Amade, David Sarzi" sort="Amade, David Sarzi" uniqKey="Amade D" first="David Sarzi" last="Amadè">David Sarzi Amadè</name>
<name sortKey="Cordaro, Massimo" sort="Cordaro, Massimo" uniqKey="Cordaro M" first="Massimo" last="Cordaro">Massimo Cordaro</name>
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<country name="Niger"><noRegion><name sortKey="Cordaro, Luca" sort="Cordaro, Luca" uniqKey="Cordaro L" first="Luca" last="Cordaro">Luca Cordaro</name>
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