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Maxillary alveolar ridge reconstruction with nonvascularized autogenous block bone: clinical results.

Identifieur interne : 001E44 ( Ncbi/Merge ); précédent : 001E43; suivant : 001E45

Maxillary alveolar ridge reconstruction with nonvascularized autogenous block bone: clinical results.

Auteurs : Antonio Barone [Italie] ; Ugo Covani

Source :

RBID : pubmed:17884536

Descripteurs français

English descriptors

Abstract

The purposes of this study were to evaluate the clinical success of bone reconstruction of the severely atrophic maxilla using autogenous bone harvested from the anterosuperior edge of iliac wing and to analyze the clinical success and the marginal bone level of dental implants placed 4 to 5 months after bone grafting and before prosthetic rehabilitation.

DOI: 10.1016/j.joms.2007.05.017
PubMed: 17884536

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pubmed:17884536

Le document en format XML

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<title xml:lang="en">Maxillary alveolar ridge reconstruction with nonvascularized autogenous block bone: clinical results.</title>
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<name sortKey="Barone, Antonio" sort="Barone, Antonio" uniqKey="Barone A" first="Antonio" last="Barone">Antonio Barone</name>
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<nlm:affiliation>Department of Oral Pathology and Oral Medicine, Nanoword Institute, School of Dental Medicine, University of Genova, Italy. barosurg@libero.it</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Oral Pathology and Oral Medicine, Nanoword Institute, School of Dental Medicine, University of Genova</wicri:regionArea>
<wicri:noRegion>University of Genova</wicri:noRegion>
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<name sortKey="Covani, Ugo" sort="Covani, Ugo" uniqKey="Covani U" first="Ugo" last="Covani">Ugo Covani</name>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Alveolar Bone Loss (complications)</term>
<term>Alveolar Bone Loss (diagnostic imaging)</term>
<term>Alveolar Bone Loss (pathology)</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Atrophy</term>
<term>Bone Transplantation (methods)</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported (methods)</term>
<term>Female</term>
<term>Graft Survival</term>
<term>Humans</term>
<term>Ilium (transplantation)</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (diagnostic imaging)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (pathology)</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Diseases (complications)</term>
<term>Maxillary Diseases (diagnostic imaging)</term>
<term>Maxillary Diseases (pathology)</term>
<term>Maxillary Diseases (surgery)</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Radiography</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Ilium (transplantation)</term>
<term>Implants dentaires</term>
<term>Maladies du maxillaire supérieur ()</term>
<term>Maladies du maxillaire supérieur (anatomopathologie)</term>
<term>Maladies du maxillaire supérieur (imagerie diagnostique)</term>
<term>Maxillaire ()</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire implanto-portée ()</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résorption alvéolaire ()</term>
<term>Résorption alvéolaire (anatomopathologie)</term>
<term>Résorption alvéolaire (imagerie diagnostique)</term>
<term>Résultat thérapeutique</term>
<term>Survie du greffon</term>
<term>Transplantation osseuse ()</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Maladies du maxillaire supérieur</term>
<term>Maxillaire</term>
<term>Résorption alvéolaire</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Maxillary Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
<term>Maxilla</term>
<term>Maxillary Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Maladies du maxillaire supérieur</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
<term>Résorption alvéolaire</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis, Implant-Supported</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Maxilla</term>
<term>Maxillary Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Maxilla</term>
<term>Maxillary Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en">
<term>Ilium</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Atrophy</term>
<term>Dental Abutments</term>
<term>Female</term>
<term>Graft Survival</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Radiography</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Ilium</term>
<term>Implants dentaires</term>
<term>Maladies du maxillaire supérieur</term>
<term>Maxillaire</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption alvéolaire</term>
<term>Résultat thérapeutique</term>
<term>Survie du greffon</term>
<term>Transplantation osseuse</term>
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<front>
<div type="abstract" xml:lang="en">The purposes of this study were to evaluate the clinical success of bone reconstruction of the severely atrophic maxilla using autogenous bone harvested from the anterosuperior edge of iliac wing and to analyze the clinical success and the marginal bone level of dental implants placed 4 to 5 months after bone grafting and before prosthetic rehabilitation.</div>
</front>
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<DateCompleted>
<Year>2007</Year>
<Month>11</Month>
<Day>05</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>24</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0278-2391</ISSN>
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<Volume>65</Volume>
<Issue>10</Issue>
<PubDate>
<Year>2007</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title>
<ISOAbbreviation>J. Oral Maxillofac. Surg.</ISOAbbreviation>
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<ArticleTitle>Maxillary alveolar ridge reconstruction with nonvascularized autogenous block bone: clinical results.</ArticleTitle>
<Pagination>
<MedlinePgn>2039-46</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The purposes of this study were to evaluate the clinical success of bone reconstruction of the severely atrophic maxilla using autogenous bone harvested from the anterosuperior edge of iliac wing and to analyze the clinical success and the marginal bone level of dental implants placed 4 to 5 months after bone grafting and before prosthetic rehabilitation.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">Fifty-six patients (18 men, 38 women) aged 27 to 63 years were included in the study and required treatment for maxillary atrophy. All patients selected were scheduled for onlay bone graft and titanium implants in a 2-stage procedure. The dental implants were inserted 4 to 5 months after grafting.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">No major complications were observed from the donor sites. A total of 129 onlay bone grafts were used to augment 56 severely resorbed maxillas. Three out of 129 bone grafts had to be removed because of early exposure occurring with bone grafts placed to increase the vertical dimension of the alveolar ridge. One hundred sixty-two implants were placed in the area of bone augmentation. Seven implants failed to integrate and were successfully re-placed without any need for additional bone grafting. The clinical measurements for bone resorption around implants revealed a mean bone loss of 0.05 mm (+/- 0.2); the marginal bone level evaluated with periapical radiographies was 0.3 mm (+/- 0.4) at implant placement and 0.1 mm (+/- 0.3) 6 months after placement.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The success rate of the block grafts was very good. The clinical and radiographic bone observations showed a very low rate of resorption after bone graft and implant placement. Therefore, on the basis of this preliminary study, iliac bone grafts (from the anterosuperior edge of the iliac wing) can be considered a promising treatment for severe maxillary atrophy.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Barone</LastName>
<ForeName>Antonio</ForeName>
<Initials>A</Initials>
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<Affiliation>Department of Oral Pathology and Oral Medicine, Nanoword Institute, School of Dental Medicine, University of Genova, Italy. barosurg@libero.it</Affiliation>
</AffiliationInfo>
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<LastName>Covani</LastName>
<ForeName>Ugo</ForeName>
<Initials>U</Initials>
</Author>
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<RegistryNumber>0</RegistryNumber>
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</Chemical>
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<CitationSubset>D</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000540" MajorTopicYN="N">Alveolar Ridge Augmentation</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001284" MajorTopicYN="N">Atrophy</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016025" MajorTopicYN="N">Bone Transplantation</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000044" MajorTopicYN="N">Dental Abutments</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<DescriptorName UI="D019094" MajorTopicYN="N">Dental Prosthesis, Implant-Supported</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006085" MajorTopicYN="N">Graft Survival</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D007085" MajorTopicYN="N">Ilium</DescriptorName>
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<DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName>
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<QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName>
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<MeshHeading>
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</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008439" MajorTopicYN="N">Maxillary Diseases</DescriptorName>
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<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016348" MajorTopicYN="Y">Osseointegration</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011859" MajorTopicYN="N">Radiography</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
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