Autogenous mandibular bone grafts and osseointegrated implants for reconstruction of the severely atrophied maxilla: a preliminary report.
Identifieur interne : 00BC08 ( Main/Merge ); précédent : 00BC07; suivant : 00BC09Autogenous mandibular bone grafts and osseointegrated implants for reconstruction of the severely atrophied maxilla: a preliminary report.
Auteurs : J. Jensen [Danemark] ; S. Sindet-PedersenSource :
- Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [ 0278-2391 ] ; 1991.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Humains, Implants dentaires, Lâchage de suture (étiologie), Maladies du maxillaire supérieur (), Mandibule (), Mâchoire édentée (), Mâle, Ostéo-intégration, Pose d'implant dentaire endo-osseux, Reconstruction de crête alvéolaire (), Reconstruction de crête alvéolaire (effets indésirables), Résorption alvéolaire (), Sujet âgé, Transplantation osseuse, Études de suivi.
- MESH :
- effets indésirables : Reconstruction de crête alvéolaire.
- étiologie : Lâchage de suture.
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Humains, Implants dentaires, Maladies du maxillaire supérieur, Mandibule, Mâchoire édentée, Mâle, Ostéo-intégration, Pose d'implant dentaire endo-osseux, Reconstruction de crête alvéolaire, Résorption alvéolaire, Sujet âgé, Transplantation osseuse, Études de suivi.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Alveolar Bone Loss (surgery), Alveolar Ridge Augmentation (adverse effects), Alveolar Ridge Augmentation (methods), Bone Transplantation, Dental Implantation, Endosseous, Dental Implants, Female, Follow-Up Studies, Humans, Jaw, Edentulous (surgery), Male, Mandible (surgery), Maxillary Diseases (surgery), Middle Aged, Osseointegration, Surgical Wound Dehiscence (etiology).
- MESH :
- chemical : Dental Implants.
- adverse effects : Alveolar Ridge Augmentation.
- etiology : Surgical Wound Dehiscence.
- methods : Alveolar Ridge Augmentation.
- surgery : Alveolar Bone Loss, Jaw, Edentulous, Mandible, Maxillary Diseases.
- Adolescent, Adult, Aged, Bone Transplantation, Dental Implantation, Endosseous, Female, Follow-Up Studies, Humans, Male, Middle Aged, Osseointegration.
Abstract
The purpose of this study is to present results obtained with a new procedure for reconstruction of the severely atrophied maxillary alveolar ridge that involves the use of intramembranous corticocancellous bone grafts obtained from the mandibular symphysis fixed to the residual bone by endosseous implants. A total of 107 implants were installed in grafted regions in 26 patients. The follow-up period ranged from 6 to 32 months, with a mean of 16 months. In partially edentulous patients the bone grafts were fixed with implants to the residual bone as 1) onlay graft to the alveolar ridge (8 implants in 4 patients); 2) grafts to the nasal and/or sinus floor after a transoral exposure and elevation of the mucosa of the maxillary sinus and/or the nasal mucosa (33 implants in 11 patients); or 3) a combination of these two (5 implants in 2 patients). In totally edentulous patients, implants and grafts were used as a combination of grafting to both the alveolar ridge and nasal and/or sinus floor sites (61 implants in 9 patients). One hundred of 107 implants showed normal clinical and radiologic healing, whereas 7 implants in 4 patients (6.5%) were lost prior to loading. Seventeen patients have had the implants and bone grafts loaded by a prosthodontic reconstruction from 6 to 26 months (mean, 14 months) without loss of any implants. Postoperative marginal resorption of the onlay bone graft of less than 15% was observed. These findings suggest, that the previously observed rapid resorption of endochondral iliac crest onlay bone grafts and the number of lost implants can be significantly reduced if bone from the mandibular symphysis firmly anchored with titanium implants is used.
PubMed: 1955919
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pubmed:1955919Le document en format XML
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<term>Adult</term>
<term>Aged</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Alveolar Ridge Augmentation (adverse effects)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Maxillary Diseases (surgery)</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Surgical Wound Dehiscence (etiology)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Lâchage de suture (étiologie)</term>
<term>Maladies du maxillaire supérieur ()</term>
<term>Mandibule ()</term>
<term>Mâchoire édentée ()</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Reconstruction de crête alvéolaire (effets indésirables)</term>
<term>Résorption alvéolaire ()</term>
<term>Sujet âgé</term>
<term>Transplantation osseuse</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Maxillary Diseases</term>
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<term>Adult</term>
<term>Aged</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
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<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maladies du maxillaire supérieur</term>
<term>Mandibule</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption alvéolaire</term>
<term>Sujet âgé</term>
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<front><div type="abstract" xml:lang="en">The purpose of this study is to present results obtained with a new procedure for reconstruction of the severely atrophied maxillary alveolar ridge that involves the use of intramembranous corticocancellous bone grafts obtained from the mandibular symphysis fixed to the residual bone by endosseous implants. A total of 107 implants were installed in grafted regions in 26 patients. The follow-up period ranged from 6 to 32 months, with a mean of 16 months. In partially edentulous patients the bone grafts were fixed with implants to the residual bone as 1) onlay graft to the alveolar ridge (8 implants in 4 patients); 2) grafts to the nasal and/or sinus floor after a transoral exposure and elevation of the mucosa of the maxillary sinus and/or the nasal mucosa (33 implants in 11 patients); or 3) a combination of these two (5 implants in 2 patients). In totally edentulous patients, implants and grafts were used as a combination of grafting to both the alveolar ridge and nasal and/or sinus floor sites (61 implants in 9 patients). One hundred of 107 implants showed normal clinical and radiologic healing, whereas 7 implants in 4 patients (6.5%) were lost prior to loading. Seventeen patients have had the implants and bone grafts loaded by a prosthodontic reconstruction from 6 to 26 months (mean, 14 months) without loss of any implants. Postoperative marginal resorption of the onlay bone graft of less than 15% was observed. These findings suggest, that the previously observed rapid resorption of endochondral iliac crest onlay bone grafts and the number of lost implants can be significantly reduced if bone from the mandibular symphysis firmly anchored with titanium implants is used.</div>
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