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Simultaneous or delayed placement of titanium implants in free autogenous iliac bone grafts histological analysis of the bone graft-titanium interface in 10 consecutive patients

Identifieur interne : 009586 ( Main/Exploration ); précédent : 009585; suivant : 009587

Simultaneous or delayed placement of titanium implants in free autogenous iliac bone grafts histological analysis of the bone graft-titanium interface in 10 consecutive patients

Auteurs : S. Lundgren [Suède] ; L. Rasmusson [Suède] ; M. Sjöström [Suède] ; L. Sennerby [Suède]

Source :

RBID : Pascal:99-0118468

Descripteurs français

English descriptors

Abstract

The aim of the present study was to histologically analyse the bone graft-titanium implant interface after six and twelve months of healing for a simultaneous approach and after six months for a delayed approach. For this purpose, screw-shaped c.p. titanium microimplants, 2 mm in diameter and 5 mm long, were placed and retrieved at different time intervals in ten consecutive patients with severely resorbed maxillac and treated with iliac cortico-cancellous bone grafts and titanium implants in a two-stage procedure. The histomorphometrical analyses of ground sections of the specimens showed a higher degree of bone-implant contact and more bone filling the implant threads in the delayed approach microimplants. This was probably due to the partly revascularized grafted bone in the delayed approach being able to respond to the surgical trauma, resulting in interfacial bone formation. It is concluded that the results from the present study favour the use of a delayed approach when using free autogenous bone grafts and titanium implants for reconstruction of the severely atrophied maxilla.


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Le document en format XML

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<term>Délai</term>
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<term>Titane</term>
<term>Simultané</term>
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<term>Histologie</term>
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<div type="abstract" xml:lang="en">The aim of the present study was to histologically analyse the bone graft-titanium implant interface after six and twelve months of healing for a simultaneous approach and after six months for a delayed approach. For this purpose, screw-shaped c.p. titanium microimplants, 2 mm in diameter and 5 mm long, were placed and retrieved at different time intervals in ten consecutive patients with severely resorbed maxillac and treated with iliac cortico-cancellous bone grafts and titanium implants in a two-stage procedure. The histomorphometrical analyses of ground sections of the specimens showed a higher degree of bone-implant contact and more bone filling the implant threads in the delayed approach microimplants. This was probably due to the partly revascularized grafted bone in the delayed approach being able to respond to the surgical trauma, resulting in interfacial bone formation. It is concluded that the results from the present study favour the use of a delayed approach when using free autogenous bone grafts and titanium implants for reconstruction of the severely atrophied maxilla.</div>
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