Analysis of the compatibility of dental implant systems in fibula free flap reconstruction
Identifieur interne : 003481 ( Main/Merge ); précédent : 003480; suivant : 003482Analysis of the compatibility of dental implant systems in fibula free flap reconstruction
Auteurs : Ramin Carbiner [Royaume-Uni] ; Waseem Jerjes [Royaume-Uni] ; Kaveh Shakib [Royaume-Uni] ; Peter V. Giannoudis [Royaume-Uni] ; Colin Hopper [Royaume-Uni]Source :
- Head & Neck Oncology [ 1758-3284 ] ; 2012.
Abstract
As a result of major ablative surgery, head and neck oncology patients can be left with significant defects in the orofacial region. The resultant defect raises the need for advanced reconstruction techniques. The reconstruction in this region is aimed at restoring function and facial contour. The use of vascularised free flaps has revolutionised the reconstruction in the head and neck. Advances in reconstruction techniques have resulted in continuous improvement of oral rehabilitation. For example, endosteal implants are being used to restore the masticatory function by the way of prosthetic replacement of the dentition. Implant rehabilitation usually leads to improved facial appearance, function, restoration of speech and mastication. Suitable dental implant placement’s site requires satisfactory width, height and quality of bone. Reconstruction of hard tissue defects therefore will need to be tailored to meet the needs for implant placement.
The aim of this feasibility study was to assess the compatibility of five standard commercially available dental implant systems (Biomet 3i, Nobel Biocare, Astra tech, Straumann and Ankylos) for placement into vascularised fibula graft during the reconstruction of oromandibular region.
Radiographs (2D) of the lower extremities from 142 patients in the archives of the Department of Radiology in University College London Hospitals (UCLH) were analysed in this study. These radiographs were from 61 females and 81 males. Additionally, 60 unsexed dry fibular bones, 30 right sided, acquired from the collection of the Department of Anatomy, University College London (UCL) were also measured to account for the 3D factor.
In the right fibula (dry bone), 90% of the samples measured had a width of 13.1 mm. While in the left fibula (dry bone), 90% of the samples measured had a width of 13.3 mm. Fibulas measured on radiographs had a width of 14.3 mm in 90% of the samples. The length ranges of the dental implants used in this study were: 7-13 mm (Biomet 3i), 10-13 mm (Nobel biocare), 8-13 mm (Astra Tech), 8-12 mm (Straumann ) and 8-11 mm (Ankylos).
This study reached a conclusion that the width of fibula is sufficient for placement of most frequently used dental implants for oral rehabilitation after mandibular reconstructive procedures.
Url:
DOI: 10.1186/1758-3284-4-37
PubMed: 22721258
PubMed Central: 3448503
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type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I2">Unit of Oral and Maxillofacial Surgery, UCL Eastman Dental Institute, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Unit of Oral and Maxillofacial Surgery, UCL Eastman Dental Institute, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Jerjes, Waseem" sort="Jerjes, Waseem" uniqKey="Jerjes W" first="Waseem" last="Jerjes">Waseem Jerjes</name><affiliation wicri:level="3"><nlm:aff id="I3">Department of Surgery, UCL Medical School, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Surgery, UCL Medical School, London</wicri:regionArea><placeName><settlement 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nuts="1">Yorkshire-et-Humber</region></placeName></affiliation></author><author><name sortKey="Shakib, Kaveh" sort="Shakib, Kaveh" uniqKey="Shakib K" first="Kaveh" last="Shakib">Kaveh Shakib</name><affiliation wicri:level="1"><nlm:aff id="I6">Department of Oral and Maxillofacial Surgery, Chase Farm Hospital, Enfield, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Chase Farm Hospital, Enfield</wicri:regionArea><wicri:noRegion>Enfield</wicri:noRegion></affiliation></author><author><name sortKey="Giannoudis, Peter V" sort="Giannoudis, Peter V" uniqKey="Giannoudis P" first="Peter V" last="Giannoudis">Peter V. Giannoudis</name><affiliation wicri:level="1"><nlm:aff id="I4">Academic Department of Trauma and Orthopaedic Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Academic Department of Trauma and Orthopaedic Surgery, Leeds Teaching Hospitals NHS Trust, Leeds</wicri:regionArea><wicri:noRegion>Leeds</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="I5">Leeds Institute of Molecular Medicine, University of Leeds, Leeds, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Leeds Institute of Molecular Medicine, University of Leeds, Leeds</wicri:regionArea><orgName type="university">Université de Leeds</orgName><placeName><settlement type="city">Leeds</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Yorkshire-et-Humber</region></placeName></affiliation></author><author><name sortKey="Hopper, Colin" sort="Hopper, Colin" uniqKey="Hopper C" first="Colin" last="Hopper">Colin Hopper</name><affiliation wicri:level="3"><nlm:aff id="I1">Head and Neck Centre, University College London Hospitals, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Head and Neck Centre, University College London Hospitals, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I2">Unit of Oral and Maxillofacial Surgery, UCL Eastman Dental Institute, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Unit of Oral and Maxillofacial Surgery, UCL Eastman Dental Institute, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I3">Department of Surgery, UCL Medical School, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Surgery, UCL Medical School, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author></analytic><series><title level="j">Head & Neck Oncology</title><idno type="eISSN">1758-3284</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>As a result of major ablative surgery, head and neck oncology patients can be left with significant defects in the orofacial region. The resultant defect raises the need for advanced reconstruction techniques. The reconstruction in this region is aimed at restoring function and facial contour. The use of vascularised free flaps has revolutionised the reconstruction in the head and neck. Advances in reconstruction techniques have resulted in continuous improvement of oral rehabilitation. For example, endosteal implants are being used to restore the masticatory function by the way of prosthetic replacement of the dentition. Implant rehabilitation usually leads to improved facial appearance, function, restoration of speech and mastication. Suitable dental implant placement’s site requires satisfactory width, height and quality of bone. Reconstruction of hard tissue defects therefore will need to be tailored to meet the needs for implant placement.</p><p>The aim of this feasibility study was to assess the compatibility of five standard commercially available dental implant systems (Biomet 3i, Nobel Biocare, Astra tech, Straumann and Ankylos) for placement into vascularised fibula graft during the reconstruction of oromandibular region.</p><p>Radiographs (2D) of the lower extremities from 142 patients in the archives of the Department of Radiology in University College London Hospitals (UCLH) were analysed in this study. These radiographs were from 61 females and 81 males. Additionally, 60 unsexed dry fibular bones, 30 right sided, acquired from the collection of the Department of Anatomy, University College London (UCL) were also measured to account for the 3D factor.</p><p>In the right fibula (dry bone), 90% of the samples measured had a width of 13.1 mm. While in the left fibula (dry bone), 90% of the samples measured had a width of 13.3 mm. Fibulas measured on radiographs had a width of 14.3 mm in 90% of the samples. The length ranges of the dental implants used in this study were: 7-13 mm (Biomet 3i), 10-13 mm (Nobel biocare), 8-13 mm (Astra Tech), 8-12 mm (Straumann ) and 8-11 mm (Ankylos).</p><p>This study reached a conclusion that the width of fibula is sufficient for placement of most frequently used dental implants for oral rehabilitation after mandibular reconstructive procedures.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Breine, U" uniqKey="Breine U">U Breine</name></author><author><name sortKey="Br Nemark, Pi" uniqKey="Br Nemark P">PI Brånemark</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chen, Zw" uniqKey="Chen Z">ZW Chen</name></author><author><name sortKey="Yan, W" uniqKey="Yan W">W Yan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chiapasco, M" uniqKey="Chiapasco M">M Chiapasco</name></author><author><name sortKey="Abati, S" uniqKey="Abati S">S 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uniqKey="Kunz C">C Kunz</name></author><author><name sortKey="Hammer, B" uniqKey="Hammer B">B Hammer</name></author><author><name sortKey="Schenk, Rk" uniqKey="Schenk R">RK Schenk</name></author><author><name sortKey="Prein, J" uniqKey="Prein J">J Prein</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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