Clinical evaluation of 262 osseointegrated implants placed in sites grafted with calcium phosphosilicate putty: a retrospective study.
Identifieur interne : 005323 ( Ncbi/Curation ); précédent : 005322; suivant : 005324Clinical evaluation of 262 osseointegrated implants placed in sites grafted with calcium phosphosilicate putty: a retrospective study.
Auteurs : Charles A. Babbush [États-Unis] ; Ali KanawatiSource :
- The Journal of oral implantology [ 0160-6972 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Alvéole dentaire (), Analyse de survie, Composés du calcium (usage thérapeutique), Extraction dentaire, Femelle, Humains, Implants dentaires, Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Ostéo-intégration (physiologie), Phosphates de calcium (usage thérapeutique), Pose d'implant dentaire endo-osseux (), Péri-implantite (), Radiographie rétrocoronaire, Reconstruction de crête alvéolaire (), Régénération osseuse (physiologie), Réintervention, Résorption alvéolaire (), Résultat thérapeutique, Silicates (usage thérapeutique), Substituts osseux (usage thérapeutique), Viscosité, Échec de restauration dentaire, Études de suivi, Études rétrospectives.
- MESH :
- physiologie : Ostéo-intégration, Régénération osseuse.
- rééducation et réadaptation : Mâchoire édentée.
- usage thérapeutique : Composés du calcium, Phosphates de calcium, Silicates, Substituts osseux.
- Adulte d'âge moyen, Alvéole dentaire, Analyse de survie, Extraction dentaire, Femelle, Humains, Implants dentaires, Mâchoire édentée, Mâle, Pose d'implant dentaire endo-osseux, Péri-implantite, Radiographie rétrocoronaire, Reconstruction de crête alvéolaire, Réintervention, Résorption alvéolaire, Résultat thérapeutique, Viscosité, Échec de restauration dentaire, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Alveolar Bone Loss (surgery), Alveolar Ridge Augmentation (methods), Bone Regeneration (physiology), Bone Substitutes (therapeutic use), Calcium Compounds (therapeutic use), Calcium Phosphates (therapeutic use), Dental Implantation, Endosseous (methods), Dental Implants, Dental Restoration Failure, Female, Follow-Up Studies, Humans, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Male, Middle Aged, Osseointegration (physiology), Peri-Implantitis (surgery), Radiography, Bitewing, Reoperation, Retrospective Studies, Silicates (therapeutic use), Survival Analysis, Tooth Extraction, Tooth Socket (surgery), Treatment Outcome, Viscosity.
- MESH :
- chemical , therapeutic use : Bone Substitutes, Calcium Compounds, Calcium Phosphates, Silicates.
- methods : Alveolar Ridge Augmentation, Dental Implantation, Endosseous.
- physiology : Bone Regeneration, Osseointegration.
- rehabilitation : Jaw, Edentulous.
- surgery : Alveolar Bone Loss, Jaw, Edentulous, Peri-Implantitis, Tooth Socket.
- chemical : Dental Implants, Dental Restoration Failure, Female, Follow-Up Studies, Humans, Male, Middle Aged, Radiography, Bitewing, Reoperation, Retrospective Studies, Survival Analysis, Tooth Extraction, Treatment Outcome, Viscosity.
Abstract
Along with the widespread use of dental implants, regenerative procedures have become an indispensable tool for implant surgeons in managing residual ridges and the surrounding bone. Putty bone grafts have significantly superior handling characteristics in comparison to particulates. These include ease of placement, enhanced particle containment, and a viscous consistency that has allowed for unique delivery systems to be developed. The aim of this study was to report the clinical efficacy of calcium phosphosilicate (CPS) putty in a wide variety of indications related to implant reconstruction and to report the survival rate of implants placed in these grafted sites. The CPS putty was used as the graft material of choice. Treatments were categorized into following groups: extraction graft, extraction with immediate implant placement, all-on-four concept, peri-implantitis treatment, bone augmentation before implant placement, implant replacement graft, and grafting around implant placed in resorbed ridges. Included in the analysis were 65 patients (36 men, 29 women) with a mean age of 63 ± 12 years. In total, 262 implants were placed. Four implants were diagnosed with peri-implantitis and were treated as described in category 4, for a total of 266 grafted sites. Two implants from the extraction graft category and 3 implants from the all-on-four group were lost and replaced with successfully osseointegrated implants during a mean study follow-up period of 12.24 ± 2.32 months. The implant success rate at 1 year was 98.1% (257/262). Based on results of this large-scale, retrospective study we conclude that (1) the use of putty bone grafts can simplify bone-grafting procedures and reduce intraoperative time in various grafting indications, (2) this study verified the efficacy of a CPS putty bone graft biomaterial in a large array of implant-related surgical indications, and (3) implants placed in sites grafted with CPS putty yield very high survival rates.
DOI: 10.1563/aaid-joi-D-13-00336
PubMed: 25072734
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pubmed:25072734Le document en format XML
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<term>Alveolar Ridge Augmentation (methods)</term>
<term>Bone Regeneration (physiology)</term>
<term>Bone Substitutes (therapeutic use)</term>
<term>Calcium Compounds (therapeutic use)</term>
<term>Calcium Phosphates (therapeutic use)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Osseointegration (physiology)</term>
<term>Peri-Implantitis (surgery)</term>
<term>Radiography, Bitewing</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Silicates (therapeutic use)</term>
<term>Survival Analysis</term>
<term>Tooth Extraction</term>
<term>Tooth Socket (surgery)</term>
<term>Treatment Outcome</term>
<term>Viscosity</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Alvéole dentaire ()</term>
<term>Analyse de survie</term>
<term>Composés du calcium (usage thérapeutique)</term>
<term>Extraction dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Ostéo-intégration (physiologie)</term>
<term>Phosphates de calcium (usage thérapeutique)</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Péri-implantite ()</term>
<term>Radiographie rétrocoronaire</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Régénération osseuse (physiologie)</term>
<term>Réintervention</term>
<term>Résorption alvéolaire ()</term>
<term>Résultat thérapeutique</term>
<term>Silicates (usage thérapeutique)</term>
<term>Substituts osseux (usage thérapeutique)</term>
<term>Viscosité</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<term>Calcium Compounds</term>
<term>Calcium Phosphates</term>
<term>Silicates</term>
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<term>Dental Implantation, Endosseous</term>
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<term>Régénération osseuse</term>
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<term>Jaw, Edentulous</term>
<term>Peri-Implantitis</term>
<term>Tooth Socket</term>
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<term>Phosphates de calcium</term>
<term>Silicates</term>
<term>Substituts osseux</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Survival Analysis</term>
<term>Tooth Extraction</term>
<term>Treatment Outcome</term>
<term>Viscosity</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Alvéole dentaire</term>
<term>Analyse de survie</term>
<term>Extraction dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Péri-implantite</term>
<term>Radiographie rétrocoronaire</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Réintervention</term>
<term>Résorption alvéolaire</term>
<term>Résultat thérapeutique</term>
<term>Viscosité</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<front><div type="abstract" xml:lang="en">Along with the widespread use of dental implants, regenerative procedures have become an indispensable tool for implant surgeons in managing residual ridges and the surrounding bone. Putty bone grafts have significantly superior handling characteristics in comparison to particulates. These include ease of placement, enhanced particle containment, and a viscous consistency that has allowed for unique delivery systems to be developed. The aim of this study was to report the clinical efficacy of calcium phosphosilicate (CPS) putty in a wide variety of indications related to implant reconstruction and to report the survival rate of implants placed in these grafted sites. The CPS putty was used as the graft material of choice. Treatments were categorized into following groups: extraction graft, extraction with immediate implant placement, all-on-four concept, peri-implantitis treatment, bone augmentation before implant placement, implant replacement graft, and grafting around implant placed in resorbed ridges. Included in the analysis were 65 patients (36 men, 29 women) with a mean age of 63 ± 12 years. In total, 262 implants were placed. Four implants were diagnosed with peri-implantitis and were treated as described in category 4, for a total of 266 grafted sites. Two implants from the extraction graft category and 3 implants from the all-on-four group were lost and replaced with successfully osseointegrated implants during a mean study follow-up period of 12.24 ± 2.32 months. The implant success rate at 1 year was 98.1% (257/262). Based on results of this large-scale, retrospective study we conclude that (1) the use of putty bone grafts can simplify bone-grafting procedures and reduce intraoperative time in various grafting indications, (2) this study verified the efficacy of a CPS putty bone graft biomaterial in a large array of implant-related surgical indications, and (3) implants placed in sites grafted with CPS putty yield very high survival rates.</div>
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