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The combined use of endosteal implants and iliac crest onlay grafts in the severely atrophic mandible: a longitudinal study.

Identifieur interne : 009B36 ( Main/Exploration ); précédent : 009B35; suivant : 009B37

The combined use of endosteal implants and iliac crest onlay grafts in the severely atrophic mandible: a longitudinal study.

Auteurs : J W Verhoeven [Pays-Bas] ; M S Cune ; M. Terlou ; M A Zoon ; C. De Putter

Source :

RBID : pubmed:9327286

Descripteurs français

English descriptors

Abstract

Thirteen patients, who received an onlay bone graft augmentation to their severely atrophic mandible in combination with a simultaneous implant insertion, were studied prospectively. A reproducible method that allowed for accurate assessment of graft resorption, consisting of lateral and oblique-lateral cephalometric radiographs in combination with an image analysis system, was used to assess the resorption rate in all patients and between subgroups of patients, according to selected patient and treatment characteristics. Thirty implants were placed, none of which were lost, and all patients expressed satisfaction after a mean observation period of 877 days. A mean resorption rate of 36% of the grafted bone height occurred, mainly during the first year and with some degree of individual variance. After three years the resorption had virtually stopped. No statistically significant differences between any of the subgroups of patients could be distinguished. Peri-implantitis was found around eight implants in seven patients. It is concluded that the described surgical technique should be used only if there are stringent indications.

PubMed: 9327286


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Le document en format XML

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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, University of Utrecht, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
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<name sortKey="Terlou, M" sort="Terlou, M" uniqKey="Terlou M" first="M" last="Terlou">M. Terlou</name>
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<name sortKey="Zoon, M A" sort="Zoon, M A" uniqKey="Zoon M" first="M A" last="Zoon">M A Zoon</name>
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<term>Aged</term>
<term>Alveolar Ridge Augmentation (adverse effects)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Atrophy</term>
<term>Bone Resorption (diagnostic imaging)</term>
<term>Bone Resorption (etiology)</term>
<term>Bone Resorption (pathology)</term>
<term>Bone Transplantation (adverse effects)</term>
<term>Bone Transplantation (pathology)</term>
<term>Cephalometry</term>
<term>Dental Implantation, Endosseous (adverse effects)</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Graft Survival</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Mandible (pathology)</term>
<term>Mandible (surgery)</term>
<term>Mandibular Diseases (diagnostic imaging)</term>
<term>Mandibular Diseases (etiology)</term>
<term>Mandibular Diseases (pathology)</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (surgery)</term>
<term>Patient Satisfaction</term>
<term>Periodontitis (etiology)</term>
<term>Prospective Studies</term>
<term>Radiography</term>
<term>Reproducibility of Results</term>
<term>Surgical Wound Dehiscence (etiology)</term>
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<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Bouche édentée ()</term>
<term>Céphalométrie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Lâchage de suture (étiologie)</term>
<term>Maladies mandibulaires (anatomopathologie)</term>
<term>Maladies mandibulaires (imagerie diagnostique)</term>
<term>Maladies mandibulaires (étiologie)</term>
<term>Mandibule ()</term>
<term>Mandibule (anatomopathologie)</term>
<term>Mâle</term>
<term>Parodontite (étiologie)</term>
<term>Pose d'implant dentaire endo-osseux (effets indésirables)</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Reconstruction de crête alvéolaire (effets indésirables)</term>
<term>Reproductibilité des résultats</term>
<term>Résorption osseuse (anatomopathologie)</term>
<term>Résorption osseuse (imagerie diagnostique)</term>
<term>Résorption osseuse (étiologie)</term>
<term>Satisfaction du patient</term>
<term>Sujet âgé</term>
<term>Survie du greffon</term>
<term>Traitement d'image par ordinateur</term>
<term>Transplantation osseuse (anatomopathologie)</term>
<term>Transplantation osseuse (effets indésirables)</term>
<term>Études de suivi</term>
<term>Études longitudinales</term>
<term>Études prospectives</term>
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<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en">
<term>Dental Implants</term>
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<term>Alveolar Ridge Augmentation</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
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<term>Maladies mandibulaires</term>
<term>Mandibule</term>
<term>Résorption osseuse</term>
<term>Transplantation osseuse</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Bone Resorption</term>
<term>Mandibular Diseases</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Implants dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Transplantation osseuse</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Bone Resorption</term>
<term>Mandibular Diseases</term>
<term>Periodontitis</term>
<term>Surgical Wound Dehiscence</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Maladies mandibulaires</term>
<term>Résorption osseuse</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Bone Resorption</term>
<term>Bone Transplantation</term>
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<term>Mandibular Diseases</term>
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<term>Lâchage de suture</term>
<term>Maladies mandibulaires</term>
<term>Parodontite</term>
<term>Résorption osseuse</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Atrophy</term>
<term>Cephalometry</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Graft Survival</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
<term>Prospective Studies</term>
<term>Radiography</term>
<term>Reproducibility of Results</term>
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<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Bouche édentée</term>
<term>Céphalométrie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Mâle</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Reproductibilité des résultats</term>
<term>Satisfaction du patient</term>
<term>Sujet âgé</term>
<term>Survie du greffon</term>
<term>Traitement d'image par ordinateur</term>
<term>Études de suivi</term>
<term>Études longitudinales</term>
<term>Études prospectives</term>
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<div type="abstract" xml:lang="en">Thirteen patients, who received an onlay bone graft augmentation to their severely atrophic mandible in combination with a simultaneous implant insertion, were studied prospectively. A reproducible method that allowed for accurate assessment of graft resorption, consisting of lateral and oblique-lateral cephalometric radiographs in combination with an image analysis system, was used to assess the resorption rate in all patients and between subgroups of patients, according to selected patient and treatment characteristics. Thirty implants were placed, none of which were lost, and all patients expressed satisfaction after a mean observation period of 877 days. A mean resorption rate of 36% of the grafted bone height occurred, mainly during the first year and with some degree of individual variance. After three years the resorption had virtually stopped. No statistically significant differences between any of the subgroups of patients could be distinguished. Peri-implantitis was found around eight implants in seven patients. It is concluded that the described surgical technique should be used only if there are stringent indications.</div>
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