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Porous hydroxylapatite granules and blocks as alveolar ridge augmentation materials: a preliminary report.

Identifieur interne : 007426 ( Ncbi/Curation ); précédent : 007425; suivant : 007427

Porous hydroxylapatite granules and blocks as alveolar ridge augmentation materials: a preliminary report.

Auteurs : M E El Deeb ; P C Tompach ; A T Morstad

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RBID : pubmed:3054027

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English descriptors

Abstract

Porous hydroxylapatite (PHA) blocks and granules were used in the augmentation of 30 maxillary and mandibular ridges in 28 patients. The postoperative evaluation period was 2 years in all cases. The patients were evaluated clinically and radiographically, and by patient questionnaires. An increased incidence of dehiscence was noted with the blocks as compared with the granules. Overall prosthodontic assessment showed 95% improvement among the granule cases when compared with the preoperative ridge, and 88% improvement noted among the block cases. Patient rating of their general satisfaction with their dentures showed 82% improvement in the granule patients, and 55% in the block cases. Radiographically, the granules showed an average decrease of 8%. The results of this study show that PHA granules can be used as satisfactory alveolar ridge augmentation material, while the blocks show an increased number of complications and should be used only in very selected cases.

PubMed: 3054027

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M E El Deeb
<affiliation>
<nlm:affiliation>University of Minnesota School of Dentistry, Department of Oral and Maxillofacial Surgery, Minneapolis 55455.</nlm:affiliation>
<wicri:noCountry code="subField">Minneapolis 55455</wicri:noCountry>
</affiliation>

Le document en format XML

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<term>Adult</term>
<term>Aged</term>
<term>Alveolar Ridge Augmentation (adverse effects)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Hydroxyapatites</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (pathology)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Middle Aged</term>
<term>Oral Surgical Procedures, Preprosthetic (methods)</term>
<term>Paresthesia (etiology)</term>
<term>Prostheses and Implants</term>
<term>Radiography</term>
<term>Surgical Wound Dehiscence (etiology)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hydroxyapatites</term>
<term>Lâchage de suture (étiologie)</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (anatomopathologie)</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Paresthésie (étiologie)</term>
<term>Procédures de chirurgie préprothétique en odontologie ()</term>
<term>Prothèses et implants</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Reconstruction de crête alvéolaire (effets indésirables)</term>
<term>Sujet âgé</term>
<term>Études de suivi</term>
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<term>Hydroxyapatites</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
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<term>Mâchoire édentée</term>
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<term>Jaw, Edentulous</term>
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<term>Reconstruction de crête alvéolaire</term>
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<term>Surgical Wound Dehiscence</term>
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<term>Mâchoire édentée</term>
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<term>Alveolar Ridge Augmentation</term>
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<term>Aged</term>
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<term>Mandible</term>
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<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hydroxyapatites</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
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<term>Prothèses et implants</term>
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<front>
<div type="abstract" xml:lang="en">Porous hydroxylapatite (PHA) blocks and granules were used in the augmentation of 30 maxillary and mandibular ridges in 28 patients. The postoperative evaluation period was 2 years in all cases. The patients were evaluated clinically and radiographically, and by patient questionnaires. An increased incidence of dehiscence was noted with the blocks as compared with the granules. Overall prosthodontic assessment showed 95% improvement among the granule cases when compared with the preoperative ridge, and 88% improvement noted among the block cases. Patient rating of their general satisfaction with their dentures showed 82% improvement in the granule patients, and 55% in the block cases. Radiographically, the granules showed an average decrease of 8%. The results of this study show that PHA granules can be used as satisfactory alveolar ridge augmentation material, while the blocks show an increased number of complications and should be used only in very selected cases.</div>
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