Alternative bone expansion technique for implant placement in atrophic edentulous maxilla and mandible.
Identifieur interne : 004340 ( Main/Merge ); précédent : 004339; suivant : 004341Alternative bone expansion technique for implant placement in atrophic edentulous maxilla and mandible.
Auteurs : Neophytos Demetriades [États-Unis] ; Jong Il Park ; Constantinos LaskaridesSource :
- The Journal of oral implantology [ 0160-6972 ] ; 2011.
Descripteurs français
- KwdFr :
- Facteurs temps, Femelle, Humains, Implants dentaires (effets indésirables), Mandibule (), Maxillaire (), Mâchoire partiellement édentée (), Mâchoire partiellement édentée (imagerie diagnostique), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Pose d'implant dentaire endo-osseux (), Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire (), Résorption alvéolaire (imagerie diagnostique), Résorption alvéolaire (étiologie), Résultat thérapeutique, Rétention de prothèse dentaire, Tomodensitométrie à faisceau conique, Transplantation osseuse, Vibration, Échec de restauration dentaire.
- MESH :
- effets indésirables : Implants dentaires.
- imagerie diagnostique : Mâchoire partiellement édentée, Résorption alvéolaire.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- étiologie : Résorption alvéolaire.
- Facteurs temps, Femelle, Humains, Mandibule, Maxillaire, Mâchoire partiellement édentée, Mâle, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire, Résultat thérapeutique, Rétention de prothèse dentaire, Tomodensitométrie à faisceau conique, Transplantation osseuse, Vibration, Échec de restauration dentaire.
English descriptors
- KwdEn :
- Alveolar Bone Loss (diagnostic imaging), Alveolar Bone Loss (etiology), Alveolar Ridge Augmentation (methods), Bone Transplantation, Cone-Beam Computed Tomography, Dental Implantation, Endosseous (methods), Dental Implants (adverse effects), Dental Prosthesis Retention, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Female, Humans, Jaw, Edentulous, Partially (diagnostic imaging), Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Male, Mandible (surgery), Maxilla (surgery), Time Factors, Treatment Outcome, Vibration.
- MESH :
- chemical , adverse effects : Dental Implants.
- diagnostic imaging : Alveolar Bone Loss, Jaw, Edentulous, Partially.
- etiology : Alveolar Bone Loss.
- methods : Alveolar Ridge Augmentation, Dental Implantation, Endosseous.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially, Mandible, Maxilla.
- Bone Transplantation, Cone-Beam Computed Tomography, Dental Prosthesis Retention, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Female, Humans, Male, Time Factors, Treatment Outcome, Vibration.
Abstract
This clinical review is an evaluation of the effectiveness of the split ridge bone augmentation technique performed in the atrophic maxilla and mandible with buccolingual bony defects. The osseointegration success of implant placement in the area of split ridge bone augmentation is assessed and compared to implant success rates indicated in the literature. This evaluation includes 15 patients who were treated with alveolar split ridge bone augmentation at Tufts University School of Dental Medicine. During initial consultation, all patients were diagnosed with a buccolingual bone dimension of 3-5 mm on the edentulous alveolar crest. This bony buccolingual dimension was inadequate for placement of implants of desirable width and correct angulation as dictated by the prosthetic requirements. Crestal split augmentation technique involved a surgical osteotomy that was followed by alveolar crest split and augmentation after buccolingual bony plate expansion, prior to implantation. Implants were placed either immediately or 3 weeks after the initial augmentation. No fixation was used to stabilize the buccal bony cortex after the completion of the augmentation. All patients were placed on periodic follow-ups for a 24-month period postoperatively. Implant success was determined with the use of Buser's Criteria. In total, 33 implants were placed in 15 patients. The overall success rate of osseointegration of the endosseous implants placed in the area of split ridge bone augmentation was found to be 97%. One patient presented with facial bone resorption and implant mobility 4 months after the surgery. The implant was removed and the area was reconstructed with autogenous bone graft and later implanted with an endosseous implant. Our results indicate that the split crest bone augmentation technique is a valid reconstructive procedure that can be used to augment the buccolingual alveolar defect prior to implant placement providing good bone foundation for placement of implants with desirable width in favorable angulation. In comparison to traditional bone grafts techniques, crestal split ridge bone augmentation enables placement of dental implants immediately or 3 weeks after augmentation and eradicates the possible morbidity of the donor sites.
DOI: 10.1563/AAID-JOI-D-10-00028
PubMed: 20662673
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pubmed:20662673Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alveolar Bone Loss (diagnostic imaging)</term>
<term>Alveolar Bone Loss (etiology)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Bone Transplantation</term>
<term>Cone-Beam Computed Tomography</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (diagnostic imaging)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Maxilla (surgery)</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
<term>Vibration</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Mandibule ()</term>
<term>Maxillaire ()</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résorption alvéolaire (imagerie diagnostique)</term>
<term>Résorption alvéolaire (étiologie)</term>
<term>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
<term>Tomodensitométrie à faisceau conique</term>
<term>Transplantation osseuse</term>
<term>Vibration</term>
<term>Échec de restauration dentaire</term>
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<term>Dental Implantation, Endosseous</term>
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<term>Mandible</term>
<term>Maxilla</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Résorption alvéolaire</term>
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<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
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<term>Humans</term>
<term>Male</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
<term>Vibration</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
<term>Tomodensitométrie à faisceau conique</term>
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<term>Vibration</term>
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<front><div type="abstract" xml:lang="en">This clinical review is an evaluation of the effectiveness of the split ridge bone augmentation technique performed in the atrophic maxilla and mandible with buccolingual bony defects. The osseointegration success of implant placement in the area of split ridge bone augmentation is assessed and compared to implant success rates indicated in the literature. This evaluation includes 15 patients who were treated with alveolar split ridge bone augmentation at Tufts University School of Dental Medicine. During initial consultation, all patients were diagnosed with a buccolingual bone dimension of 3-5 mm on the edentulous alveolar crest. This bony buccolingual dimension was inadequate for placement of implants of desirable width and correct angulation as dictated by the prosthetic requirements. Crestal split augmentation technique involved a surgical osteotomy that was followed by alveolar crest split and augmentation after buccolingual bony plate expansion, prior to implantation. Implants were placed either immediately or 3 weeks after the initial augmentation. No fixation was used to stabilize the buccal bony cortex after the completion of the augmentation. All patients were placed on periodic follow-ups for a 24-month period postoperatively. Implant success was determined with the use of Buser's Criteria. In total, 33 implants were placed in 15 patients. The overall success rate of osseointegration of the endosseous implants placed in the area of split ridge bone augmentation was found to be 97%. One patient presented with facial bone resorption and implant mobility 4 months after the surgery. The implant was removed and the area was reconstructed with autogenous bone graft and later implanted with an endosseous implant. Our results indicate that the split crest bone augmentation technique is a valid reconstructive procedure that can be used to augment the buccolingual alveolar defect prior to implant placement providing good bone foundation for placement of implants with desirable width in favorable angulation. In comparison to traditional bone grafts techniques, crestal split ridge bone augmentation enables placement of dental implants immediately or 3 weeks after augmentation and eradicates the possible morbidity of the donor sites.</div>
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