Bone grafting from a restorative perspective--are we winning the space race?
Identifieur interne : 008C75 ( Main/Exploration ); précédent : 008C74; suivant : 008C76Bone grafting from a restorative perspective--are we winning the space race?
Auteurs : S M HanlinSource :
- Annals of the Royal Australasian College of Dental Surgeons [ 0158-1570 ] ; 2000.
Descripteurs français
- KwdFr :
- Analyse de survie, Atrophie, Humains, Implants dentaires (effets indésirables), Maxillaire (), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Médecine factuelle, Ostéotomie, Pose d'implant dentaire endo-osseux (), Pose d'implant dentaire endo-osseux (effets indésirables), Reconstruction de crête alvéolaire (), Restaurations dentaires permanentes, Régénération osseuse, Résorption osseuse (), Résultat thérapeutique, Transplantation osseuse (), Transplantation osseuse (effets indésirables), Échec de restauration dentaire.
- MESH :
- effets indésirables : Implants dentaires, Pose d'implant dentaire endo-osseux, Transplantation osseuse.
- rééducation et réadaptation : Mâchoire édentée.
- Analyse de survie, Atrophie, Humains, Maxillaire, Mâchoire édentée, Médecine factuelle, Ostéotomie, Pose d'implant dentaire endo-osseux, Reconstruction de crête alvéolaire, Restaurations dentaires permanentes, Régénération osseuse, Résorption osseuse, Résultat thérapeutique, Transplantation osseuse, Échec de restauration dentaire.
English descriptors
- KwdEn :
- Alveolar Ridge Augmentation (methods), Atrophy, Bone Regeneration, Bone Resorption (surgery), Bone Transplantation (adverse effects), Bone Transplantation (methods), Dental Implantation, Endosseous (adverse effects), Dental Implantation, Endosseous (methods), Dental Implants (adverse effects), Dental Restoration Failure, Dental Restoration, Permanent, Evidence-Based Medicine, Humans, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Maxilla (surgery), Osteotomy, Survival Analysis, Treatment Outcome.
- MESH :
- chemical , adverse effects : Dental Implants.
- adverse effects : Bone Transplantation, Dental Implantation, Endosseous.
- methods : Alveolar Ridge Augmentation, Bone Transplantation, Dental Implantation, Endosseous.
- rehabilitation : Jaw, Edentulous.
- surgery : Bone Resorption, Jaw, Edentulous, Maxilla.
- Atrophy, Bone Regeneration, Dental Restoration Failure, Dental Restoration, Permanent, Evidence-Based Medicine, Humans, Osteotomy, Survival Analysis, Treatment Outcome.
Abstract
The edentulous maxilla presents diverse and complex rehabilitation problems for the clinician that are often not addressed with a conventional removable appliance. Implant therapy, although revolutionizing the management of the edentulous mandible, has yielded less than favourable treatment outcomes in the maxilla. Poor bone quality and small bone volume in the maxilla, at the time of implant surgery has been associated with more implant and prosthesis failure. Bone grafting appears to improve the survival rate of implants in the atrophic maxilla and many studies have been published outlining techniques in which various types of implants have been used in conjunction with grafting materials. It is as yet not clear from the studies of maxillary grafting, whether various grafting materials are equally capable of supporting implants. The small number of patients and implants evaluated in many studies makes it difficult to predict specific outcomes for a single patient. The occurrence and frequency of complications with endosseous implant placement and with bone grafting is generally poorly defined. In the year 2000, our patients, third party insurers, the legal system and the scientific community are expecting more evidence to support the effectiveness of dental health care strategies. Evidence-based practice has become the catch cry for therapeutic intervention and yet the dental literature reveals a wide range of treatment modalities for which research can be at best considered weak. Studies to date into patient-based assessment of implant therapy provides little scientific evidence of substantially more benefit to edentulous patients with severe alveolar loss from implant therapy than was gained from alternative forms of treatment. Bone grafting and bone regenerative procedures do hold promise for the rehabilitation of the edentulous maxilla, however the Space Race is far from won.
PubMed: 11709990
Affiliations:
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Le document en format XML
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<term>Atrophy</term>
<term>Bone Regeneration</term>
<term>Bone Resorption (surgery)</term>
<term>Bone Transplantation (adverse effects)</term>
<term>Bone Transplantation (methods)</term>
<term>Dental Implantation, Endosseous (adverse effects)</term>
<term>Dental Implantation, Endosseous (methods)</term>
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<term>Atrophie</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Maxillaire ()</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Médecine factuelle</term>
<term>Ostéotomie</term>
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<term>Pose d'implant dentaire endo-osseux (effets indésirables)</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Restaurations dentaires permanentes</term>
<term>Régénération osseuse</term>
<term>Résorption osseuse ()</term>
<term>Résultat thérapeutique</term>
<term>Transplantation osseuse ()</term>
<term>Transplantation osseuse (effets indésirables)</term>
<term>Échec de restauration dentaire</term>
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<term>Pose d'implant dentaire endo-osseux</term>
<term>Transplantation osseuse</term>
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<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Bone Resorption</term>
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
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<keywords scheme="MESH" xml:lang="en"><term>Atrophy</term>
<term>Bone Regeneration</term>
<term>Dental Restoration Failure</term>
<term>Dental Restoration, Permanent</term>
<term>Evidence-Based Medicine</term>
<term>Humans</term>
<term>Osteotomy</term>
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<term>Treatment Outcome</term>
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<term>Atrophie</term>
<term>Humains</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Médecine factuelle</term>
<term>Ostéotomie</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Restaurations dentaires permanentes</term>
<term>Régénération osseuse</term>
<term>Résorption osseuse</term>
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<term>Transplantation osseuse</term>
<term>Échec de restauration dentaire</term>
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<front><div type="abstract" xml:lang="en">The edentulous maxilla presents diverse and complex rehabilitation problems for the clinician that are often not addressed with a conventional removable appliance. Implant therapy, although revolutionizing the management of the edentulous mandible, has yielded less than favourable treatment outcomes in the maxilla. Poor bone quality and small bone volume in the maxilla, at the time of implant surgery has been associated with more implant and prosthesis failure. Bone grafting appears to improve the survival rate of implants in the atrophic maxilla and many studies have been published outlining techniques in which various types of implants have been used in conjunction with grafting materials. It is as yet not clear from the studies of maxillary grafting, whether various grafting materials are equally capable of supporting implants. The small number of patients and implants evaluated in many studies makes it difficult to predict specific outcomes for a single patient. The occurrence and frequency of complications with endosseous implant placement and with bone grafting is generally poorly defined. In the year 2000, our patients, third party insurers, the legal system and the scientific community are expecting more evidence to support the effectiveness of dental health care strategies. Evidence-based practice has become the catch cry for therapeutic intervention and yet the dental literature reveals a wide range of treatment modalities for which research can be at best considered weak. Studies to date into patient-based assessment of implant therapy provides little scientific evidence of substantially more benefit to edentulous patients with severe alveolar loss from implant therapy than was gained from alternative forms of treatment. Bone grafting and bone regenerative procedures do hold promise for the rehabilitation of the edentulous maxilla, however the Space Race is far from won.</div>
</front>
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