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Maxillary alveolar ridge augmentation with onlay bone-grafts and immediate endosseous implants.

Identifieur interne : 001576 ( Ncbi/Checkpoint ); précédent : 001575; suivant : 001577

Maxillary alveolar ridge augmentation with onlay bone-grafts and immediate endosseous implants.

Auteurs : S. Isaksson [Suède] ; P. Alberius

Source :

RBID : pubmed:1564115

Descripteurs français

English descriptors

Abstract

Management of the atrophic maxilla can be a taxing surgical problems. One treatment alternative is to use autogenous bone transplants and immediate titanium fixture implantation. Despite the extensive literature on routine implant treatment of the edentulous jaws, only very few reports have dealt with the outcome of bone graft reconstructive surgery as part of the dental implant restoration. This study presents the treatment and healing results of 8 consecutive patients, who, over a period of 2 years and 8 months, were treated using onlay iliac bone grafts to atrophic maxillary alveolar ridges with immediate implant insertion. The patients were followed for 32-64 months. 83% of the fixtures (n = 46) were well-integrated. Two fixtures in each of 2 patients were lost due to traumatic bone-graft fractures. Palpatory bone-graft volume and prosthetic function were, with the exception of 1 patient, good. Radiological examination demonstrated preservation of the major part of the vertical dimension of the grafted bone. Patient's assessment was of good aesthetics and intraoral function; 2 patients had minor phonetic problems. In conclusion, similar success to routine maxillary implant treatment can be achieved in the event of extreme maxillary bone deficiency, by bone grafting and immediate fixture insertion.

PubMed: 1564115


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pubmed:1564115

Le document en format XML

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<nlm:affiliation>Department of Oral Surgery, Länssjukhuset, Halmstad, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
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<term>Adult</term>
<term>Aged</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Alveoloplasty (methods)</term>
<term>Atrophy</term>
<term>Bone Resorption (etiology)</term>
<term>Bone Transplantation (methods)</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous (adverse effects)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (pathology)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Maxilla (pathology)</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Prosthesis-Related Infections (etiology)</term>
<term>Retrospective Studies</term>
<term>Titanium</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Alvéoloplastie ()</term>
<term>Atrophie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Infections dues aux prothèses (étiologie)</term>
<term>Maxillaire ()</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (anatomopathologie)</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (effets indésirables)</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résorption osseuse (étiologie)</term>
<term>Sujet âgé</term>
<term>Titane</term>
<term>Transplantation osseuse ()</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<term>Dental Implants</term>
<term>Titanium</term>
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<term>Dental Implantation, Endosseous</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Pose d'implant dentaire endo-osseux</term>
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<term>Bone Resorption</term>
<term>Prosthesis-Related Infections</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Alveoloplasty</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
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<term>Jaw, Edentulous</term>
<term>Maxilla</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Infections dues aux prothèses</term>
<term>Résorption osseuse</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Atrophy</term>
<term>Dental Abutments</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Retrospective Studies</term>
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<term>Adulte d'âge moyen</term>
<term>Alvéoloplastie</term>
<term>Atrophie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Sujet âgé</term>
<term>Titane</term>
<term>Transplantation osseuse</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<div type="abstract" xml:lang="en">Management of the atrophic maxilla can be a taxing surgical problems. One treatment alternative is to use autogenous bone transplants and immediate titanium fixture implantation. Despite the extensive literature on routine implant treatment of the edentulous jaws, only very few reports have dealt with the outcome of bone graft reconstructive surgery as part of the dental implant restoration. This study presents the treatment and healing results of 8 consecutive patients, who, over a period of 2 years and 8 months, were treated using onlay iliac bone grafts to atrophic maxillary alveolar ridges with immediate implant insertion. The patients were followed for 32-64 months. 83% of the fixtures (n = 46) were well-integrated. Two fixtures in each of 2 patients were lost due to traumatic bone-graft fractures. Palpatory bone-graft volume and prosthetic function were, with the exception of 1 patient, good. Radiological examination demonstrated preservation of the major part of the vertical dimension of the grafted bone. Patient's assessment was of good aesthetics and intraoral function; 2 patients had minor phonetic problems. In conclusion, similar success to routine maxillary implant treatment can be achieved in the event of extreme maxillary bone deficiency, by bone grafting and immediate fixture insertion.</div>
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