Reconstruction of alveolar jaw bone. An experimental and clinical study of immediate and preformed autologous bone grafts in combination with osseointegrated implants.
Identifieur interne : 00D891 ( Main/Exploration ); précédent : 00D890; suivant : 00D892Reconstruction of alveolar jaw bone. An experimental and clinical study of immediate and preformed autologous bone grafts in combination with osseointegrated implants.
Auteurs : U. Breine ; P I Br NemarkSource :
- Scandinavian journal of plastic and reconstructive surgery [ 0036-5556 ] ; 1980.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Alvéoloplastie (), Animaux, Chiens, Femelle, Humains, Mandibule, Maxillaire, Mâchoire édentée (), Mâle, Pose d'implant dentaire endo-osseux, Processus alvéolaire (imagerie diagnostique), Processus alvéolaire (physiopathologie), Radiographie, Survie du greffon, Titane, Transplantation autologue, Transplantation de moelle osseuse, Transplantation osseuse.
- MESH :
- imagerie diagnostique : Processus alvéolaire.
- physiopathologie : Processus alvéolaire.
- Adulte, Adulte d'âge moyen, Alvéoloplastie, Animaux, Chiens, Femelle, Humains, Mandibule, Maxillaire, Mâchoire édentée, Mâle, Pose d'implant dentaire endo-osseux, Radiographie, Survie du greffon, Titane, Transplantation autologue, Transplantation de moelle osseuse, Transplantation osseuse.
English descriptors
- KwdEn :
- Adult, Alveolar Process (diagnostic imaging), Alveolar Process (physiopathology), Alveoloplasty (methods), Animals, Bone Marrow Transplantation, Bone Transplantation, Dental Implantation, Endosseous, Dogs, Female, Graft Survival, Humans, Jaw, Edentulous (surgery), Male, Mandible, Maxilla, Middle Aged, Radiography, Titanium, Transplantation, Autologous.
- MESH :
- chemical : Titanium.
- diagnostic imaging : Alveolar Process.
- methods : Alveoloplasty.
- physiopathology : Alveolar Process.
- surgery : Jaw, Edentulous.
- Adult, Animals, Bone Marrow Transplantation, Bone Transplantation, Dental Implantation, Endosseous, Dogs, Female, Graft Survival, Humans, Male, Mandible, Maxilla, Middle Aged, Radiography, Transplantation, Autologous.
Abstract
In edentulousness, which cannot be adequately compensated for by a denture but causes considerable oral dysfunction, the treatment of choice is a bridge construction on osseointegrated titanium fixtures. In those cases, where the quantity or quality of the alveolar ridge--as a consequence of progressing resorption--does not provide enough bone tissue for lasting implant anchorage, restoration of jaw bone anatomy is required. In attempts to evaluate the best material and method for bone reconstruction in these cases, experimental and clinical studies on various grafting procedures were performed. The immediate, autologous cancellous bone and marrow graft was not found to provide volume restitution to the required extent because of rapid graft resorption. The biomechanical capacities of the jaw bone were, however, restored to such a degree that fixtures could be integrated and permanent bridge stability achieved in 13 out of 18 cases. In order to avoid resorptive derangement of the anatomy of the reconstructed alveolar region a modified transplantation technique was developed. In an experimental study in dogs a procedure of preformation of autologous composite bone grafts containing integrated titanium implants was designed. The results indicated that this procedure could provide graft persistance together with implant stability. Clinical applications of this reconstructive procedure showed that preformed grafts containing incorporated implants from the proximal tibial metaphysis could be used to restore jaw bone anatomy and that the implants remained integrated within the transplanted, remodelled bone, providing permanent support for bridge constructions.
PubMed: 6992264
Affiliations:
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Le document en format XML
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Breine</name></author><author><name sortKey="Br Nemark, P I" sort="Br Nemark, P I" uniqKey="Br Nemark P" first="P I" last="Br Nemark">P I Br Nemark</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1980">1980</date><idno type="RBID">pubmed:6992264</idno><idno type="pmid">6992264</idno><idno type="wicri:Area/PubMed/Corpus">006063</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">006063</idno><idno type="wicri:Area/PubMed/Curation">006063</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">006063</idno><idno type="wicri:Area/PubMed/Checkpoint">006063</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">006063</idno><idno type="wicri:Area/Ncbi/Merge">009005</idno><idno type="wicri:Area/Ncbi/Curation">009005</idno><idno type="wicri:Area/Ncbi/Checkpoint">009005</idno><idno type="wicri:doubleKey">0036-5556:1980:Breine U:reconstruction:of:alveolar</idno><idno type="wicri:Area/Main/Merge">00E168</idno><idno type="wicri:Area/Main/Curation">00D891</idno><idno type="wicri:Area/Main/Exploration">00D891</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Reconstruction of alveolar jaw bone. An experimental and clinical study of immediate and preformed autologous bone grafts in combination with osseointegrated implants.</title><author><name sortKey="Breine, U" sort="Breine, U" uniqKey="Breine U" first="U" last="Breine">U. Breine</name></author><author><name sortKey="Br Nemark, P I" sort="Br Nemark, P I" uniqKey="Br Nemark P" first="P I" last="Br Nemark">P I Br Nemark</name></author></analytic><series><title level="j">Scandinavian journal of plastic and reconstructive surgery</title><idno type="ISSN">0036-5556</idno><imprint><date when="1980" type="published">1980</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Alveolar Process (diagnostic imaging)</term><term>Alveolar Process (physiopathology)</term><term>Alveoloplasty (methods)</term><term>Animals</term><term>Bone Marrow Transplantation</term><term>Bone Transplantation</term><term>Dental Implantation, Endosseous</term><term>Dogs</term><term>Female</term><term>Graft Survival</term><term>Humans</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Mandible</term><term>Maxilla</term><term>Middle Aged</term><term>Radiography</term><term>Titanium</term><term>Transplantation, Autologous</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Alvéoloplastie ()</term><term>Animaux</term><term>Chiens</term><term>Femelle</term><term>Humains</term><term>Mandibule</term><term>Maxillaire</term><term>Mâchoire édentée ()</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux</term><term>Processus alvéolaire (imagerie diagnostique)</term><term>Processus alvéolaire (physiopathologie)</term><term>Radiographie</term><term>Survie du greffon</term><term>Titane</term><term>Transplantation autologue</term><term>Transplantation de moelle osseuse</term><term>Transplantation osseuse</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Titanium</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Alveolar Process</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Processus alvéolaire</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveoloplasty</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Processus alvéolaire</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Alveolar Process</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Animals</term><term>Bone Marrow Transplantation</term><term>Bone Transplantation</term><term>Dental Implantation, Endosseous</term><term>Dogs</term><term>Female</term><term>Graft Survival</term><term>Humans</term><term>Male</term><term>Mandible</term><term>Maxilla</term><term>Middle Aged</term><term>Radiography</term><term>Transplantation, Autologous</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Alvéoloplastie</term><term>Animaux</term><term>Chiens</term><term>Femelle</term><term>Humains</term><term>Mandibule</term><term>Maxillaire</term><term>Mâchoire édentée</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux</term><term>Radiographie</term><term>Survie du greffon</term><term>Titane</term><term>Transplantation autologue</term><term>Transplantation de moelle osseuse</term><term>Transplantation osseuse</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In edentulousness, which cannot be adequately compensated for by a denture but causes considerable oral dysfunction, the treatment of choice is a bridge construction on osseointegrated titanium fixtures. In those cases, where the quantity or quality of the alveolar ridge--as a consequence of progressing resorption--does not provide enough bone tissue for lasting implant anchorage, restoration of jaw bone anatomy is required. In attempts to evaluate the best material and method for bone reconstruction in these cases, experimental and clinical studies on various grafting procedures were performed. The immediate, autologous cancellous bone and marrow graft was not found to provide volume restitution to the required extent because of rapid graft resorption. The biomechanical capacities of the jaw bone were, however, restored to such a degree that fixtures could be integrated and permanent bridge stability achieved in 13 out of 18 cases. In order to avoid resorptive derangement of the anatomy of the reconstructed alveolar region a modified transplantation technique was developed. In an experimental study in dogs a procedure of preformation of autologous composite bone grafts containing integrated titanium implants was designed. The results indicated that this procedure could provide graft persistance together with implant stability. Clinical applications of this reconstructive procedure showed that preformed grafts containing incorporated implants from the proximal tibial metaphysis could be used to restore jaw bone anatomy and that the implants remained integrated within the transplanted, remodelled bone, providing permanent support for bridge constructions.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Br Nemark, P I" sort="Br Nemark, P I" uniqKey="Br Nemark P" first="P I" last="Br Nemark">P I Br Nemark</name><name sortKey="Breine, U" sort="Breine, U" uniqKey="Breine U" first="U" last="Breine">U. Breine</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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