Reconstruction of the Anterior Maxilla with Platelet Gel, Autogenous Bone, and Titanium Mesh: A Case Report
Identifieur interne : 008407 ( Main/Exploration ); précédent : 008406; suivant : 008408Reconstruction of the Anterior Maxilla with Platelet Gel, Autogenous Bone, and Titanium Mesh: A Case Report
Auteurs : Andreas Thor [Suède]Source :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2002-10.
Descripteurs français
- KwdFr :
- Adulte, Filet chirurgical, Gels, Humains, Incisive, Maxillaire (), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Plaquettes, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Prothèse partielle fixe, Reconstruction de crête alvéolaire (), Résorption alvéolaire (), Thrombocytaphérèse, Titane, Transplantation osseuse.
- MESH :
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Wicri :
English descriptors
- KwdEn :
- Abutment, Abutment connection, Abutment surgery, Adult, Alveolar Bone Loss (surgery), Alveolar Ridge Augmentation (methods), Alveolar crest, Anterior maxilla, Anterior part, Augmentation, Augmentation procedure, Autogenous, Autogenous bone, Autogenous platelet, Blood Platelets, Bone Transplantation, Bone graft, Bone grafts, Bone reconstruction, Bone volume, Bovine thrombin, Calcium chloride, Clinical implant dentistry, Clinical photograph, Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Denture, Denture, Partial, Fixed, Endogenous growth factors, Endosseous implants, Fixture installation, Frontal aspect, Gels, Graft, Grafted bone, Healing abutments, Healing period, Humans, Iliac crest, Implant, Implant placement, Incisor, Jaw, Edentulous, Partially (rehabilitation), Male, Mandibular reconstruction, Maxilla, Maxilla (surgery), Maxillary, Maxillary sinus floor, Maxillofac, Maxillofacial surgery, Oral maxillofac implants, Oral maxillofac surg, Oral surg, Partial denture, Particulate cancellous bone, Particulated, Particulated autogenous bone, Particulated corticocancellous bone, Platelet, Platelet count, Plateletpheresis, Preliminary report, Prosthetic phase, Radiographic appearance, Residual ridge, Resorbed maxillae, Resorption, Severe resorption, Sinus, Stockholm soder hospital, Study models, Surg, Surgical Mesh, Thrombin, Titanium, Titanium mesh.
- MESH :
- chemical : Gels, Titanium.
- methods : Alveolar Ridge Augmentation.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Alveolar Bone Loss, Maxilla.
- Teeft :
- Abutment, Abutment connection, Abutment surgery, Adult, Alveolar crest, Anterior maxilla, Anterior part, Augmentation, Augmentation procedure, Autogenous, Autogenous bone, Autogenous platelet, Blood Platelets, Bone Transplantation, Bone graft, Bone grafts, Bone reconstruction, Bone volume, Bovine thrombin, Calcium chloride, Clinical implant dentistry, Clinical photograph, Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Denture, Denture, Partial, Fixed, Endogenous growth factors, Endosseous implants, Fixture installation, Frontal aspect, Graft, Grafted bone, Healing abutments, Healing period, Humans, Iliac crest, Implant, Implant placement, Incisor, Male, Mandibular reconstruction, Maxilla, Maxillary, Maxillary sinus floor, Maxillofac, Maxillofacial surgery, Oral maxillofac implants, Oral maxillofac surg, Oral surg, Partial denture, Particulate cancellous bone, Particulated, Particulated autogenous bone, Particulated corticocancellous bone, Platelet, Platelet count, Plateletpheresis, Preliminary report, Prosthetic phase, Radiographic appearance, Residual ridge, Resorbed maxillae, Resorption, Severe resorption, Sinus, Stockholm soder hospital, Study models, Surg, Surgical Mesh, Thrombin, Titanium, Titanium mesh.
Abstract
Background: Reconstruction of defects in the anterior part of the maxilla to enable implant placement is a challenging treatment. Recent studies have suggested that the use of autogenous platelet gel may contribute to improved healing of bone grafts. Purpose: A case is presented in which particulated autogenous bone, platelet gel, and a titanium mesh were used for alveolar bone reconstruction of the anterior maxilla prior to implant placement. Materials and Methods: Corticocancellous bone from the iliac crest was mixed with a preparation of autogenous platelet gel (platelet‐rich plasma, thrombin, and calcium chloride) and placed against a titanium mesh fixed to the bone of the palate in a patient with severe resorption of the anterior maxilla. After 4.5 months of healing the mesh was removed and titanium implants were placed. A prolonged healing period of 8 months was allowed before healing abutments were placed and a fixed dental bridge was fabricated. Results: Healing was uneventful, and the anterior maxilla had increased in height and width during the initial healing. All implants became integrated and have been supporting a fixed dental bridge for over 3 years with no dramatic dimensional changes of the graft. Conclusions: This case demonstrates that particulated autogenous bone and platelet gel may be used for reconstruction of the anterior maxilla. Autogenous growth factors in the gel possibly contributed to the positive outcome. Controlled clinical studies are needed to evaluate the effect of using platelet‐rich plasma.
Url:
DOI: 10.1111/j.1708-8208.2002.tb00166.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</term>
<term>Abutment connection</term>
<term>Abutment surgery</term>
<term>Adult</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Alveolar crest</term>
<term>Anterior maxilla</term>
<term>Anterior part</term>
<term>Augmentation</term>
<term>Augmentation procedure</term>
<term>Autogenous</term>
<term>Autogenous bone</term>
<term>Autogenous platelet</term>
<term>Blood Platelets</term>
<term>Bone Transplantation</term>
<term>Bone graft</term>
<term>Bone grafts</term>
<term>Bone reconstruction</term>
<term>Bone volume</term>
<term>Bovine thrombin</term>
<term>Calcium chloride</term>
<term>Clinical implant dentistry</term>
<term>Clinical photograph</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture</term>
<term>Denture, Partial, Fixed</term>
<term>Endogenous growth factors</term>
<term>Endosseous implants</term>
<term>Fixture installation</term>
<term>Frontal aspect</term>
<term>Gels</term>
<term>Graft</term>
<term>Grafted bone</term>
<term>Healing abutments</term>
<term>Healing period</term>
<term>Humans</term>
<term>Iliac crest</term>
<term>Implant</term>
<term>Implant placement</term>
<term>Incisor</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Mandibular reconstruction</term>
<term>Maxilla</term>
<term>Maxilla (surgery)</term>
<term>Maxillary</term>
<term>Maxillary sinus floor</term>
<term>Maxillofac</term>
<term>Maxillofacial surgery</term>
<term>Oral maxillofac implants</term>
<term>Oral maxillofac surg</term>
<term>Oral surg</term>
<term>Partial denture</term>
<term>Particulate cancellous bone</term>
<term>Particulated</term>
<term>Particulated autogenous bone</term>
<term>Particulated corticocancellous bone</term>
<term>Platelet</term>
<term>Platelet count</term>
<term>Plateletpheresis</term>
<term>Preliminary report</term>
<term>Prosthetic phase</term>
<term>Radiographic appearance</term>
<term>Residual ridge</term>
<term>Resorbed maxillae</term>
<term>Resorption</term>
<term>Severe resorption</term>
<term>Sinus</term>
<term>Stockholm soder hospital</term>
<term>Study models</term>
<term>Surg</term>
<term>Surgical Mesh</term>
<term>Thrombin</term>
<term>Titanium</term>
<term>Titanium mesh</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Filet chirurgical</term>
<term>Gels</term>
<term>Humains</term>
<term>Incisive</term>
<term>Maxillaire ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Plaquettes</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résorption alvéolaire ()</term>
<term>Thrombocytaphérèse</term>
<term>Titane</term>
<term>Transplantation osseuse</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Gels</term>
<term>Titanium</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</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>Alveolar Bone Loss</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Abutment</term>
<term>Abutment connection</term>
<term>Abutment surgery</term>
<term>Adult</term>
<term>Alveolar crest</term>
<term>Anterior maxilla</term>
<term>Anterior part</term>
<term>Augmentation</term>
<term>Augmentation procedure</term>
<term>Autogenous</term>
<term>Autogenous bone</term>
<term>Autogenous platelet</term>
<term>Blood Platelets</term>
<term>Bone Transplantation</term>
<term>Bone graft</term>
<term>Bone grafts</term>
<term>Bone reconstruction</term>
<term>Bone volume</term>
<term>Bovine thrombin</term>
<term>Calcium chloride</term>
<term>Clinical implant dentistry</term>
<term>Clinical photograph</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture</term>
<term>Denture, Partial, Fixed</term>
<term>Endogenous growth factors</term>
<term>Endosseous implants</term>
<term>Fixture installation</term>
<term>Frontal aspect</term>
<term>Graft</term>
<term>Grafted bone</term>
<term>Healing abutments</term>
<term>Healing period</term>
<term>Humans</term>
<term>Iliac crest</term>
<term>Implant</term>
<term>Implant placement</term>
<term>Incisor</term>
<term>Male</term>
<term>Mandibular reconstruction</term>
<term>Maxilla</term>
<term>Maxillary</term>
<term>Maxillary sinus floor</term>
<term>Maxillofac</term>
<term>Maxillofacial surgery</term>
<term>Oral maxillofac implants</term>
<term>Oral maxillofac surg</term>
<term>Oral surg</term>
<term>Partial denture</term>
<term>Particulate cancellous bone</term>
<term>Particulated</term>
<term>Particulated autogenous bone</term>
<term>Particulated corticocancellous bone</term>
<term>Platelet</term>
<term>Platelet count</term>
<term>Plateletpheresis</term>
<term>Preliminary report</term>
<term>Prosthetic phase</term>
<term>Radiographic appearance</term>
<term>Residual ridge</term>
<term>Resorbed maxillae</term>
<term>Resorption</term>
<term>Severe resorption</term>
<term>Sinus</term>
<term>Stockholm soder hospital</term>
<term>Study models</term>
<term>Surg</term>
<term>Surgical Mesh</term>
<term>Thrombin</term>
<term>Titanium</term>
<term>Titanium mesh</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adulte</term>
<term>Filet chirurgical</term>
<term>Gels</term>
<term>Humains</term>
<term>Incisive</term>
<term>Maxillaire</term>
<term>Mâle</term>
<term>Plaquettes</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption alvéolaire</term>
<term>Thrombocytaphérèse</term>
<term>Titane</term>
<term>Transplantation osseuse</term>
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<front><div type="abstract" xml:lang="en">Background: Reconstruction of defects in the anterior part of the maxilla to enable implant placement is a challenging treatment. Recent studies have suggested that the use of autogenous platelet gel may contribute to improved healing of bone grafts. Purpose: A case is presented in which particulated autogenous bone, platelet gel, and a titanium mesh were used for alveolar bone reconstruction of the anterior maxilla prior to implant placement. Materials and Methods: Corticocancellous bone from the iliac crest was mixed with a preparation of autogenous platelet gel (platelet‐rich plasma, thrombin, and calcium chloride) and placed against a titanium mesh fixed to the bone of the palate in a patient with severe resorption of the anterior maxilla. After 4.5 months of healing the mesh was removed and titanium implants were placed. A prolonged healing period of 8 months was allowed before healing abutments were placed and a fixed dental bridge was fabricated. Results: Healing was uneventful, and the anterior maxilla had increased in height and width during the initial healing. All implants became integrated and have been supporting a fixed dental bridge for over 3 years with no dramatic dimensional changes of the graft. Conclusions: This case demonstrates that particulated autogenous bone and platelet gel may be used for reconstruction of the anterior maxilla. Autogenous growth factors in the gel possibly contributed to the positive outcome. Controlled clinical studies are needed to evaluate the effect of using platelet‐rich plasma.</div>
</front>
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