Autogenous mandibular bone grafts and osseointegrated implants for reconstruction of the severely atrophied maxilla: a preliminary report.
Identifieur interne : 002809 ( Ncbi/Merge ); précédent : 002808; suivant : 002810Autogenous 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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Sindet-Pedersen</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1991">1991</date><idno type="RBID">pubmed:1955919</idno><idno type="pmid">1955919</idno><idno type="wicri:Area/PubMed/Corpus">004875</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">004875</idno><idno type="wicri:Area/PubMed/Curation">004875</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">004875</idno><idno type="wicri:Area/PubMed/Checkpoint">004875</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">004875</idno><idno type="wicri:Area/Ncbi/Merge">002809</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Autogenous mandibular bone grafts and osseointegrated implants for reconstruction of the severely atrophied maxilla: a preliminary report.</title><author><name sortKey="Jensen, J" sort="Jensen, J" uniqKey="Jensen J" first="J" last="Jensen">J. Jensen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Denmark.</nlm:affiliation><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Aarhus University Hospital</wicri:regionArea><wicri:noRegion>Aarhus University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Sindet Pedersen, S" sort="Sindet Pedersen, S" uniqKey="Sindet Pedersen S" first="S" last="Sindet-Pedersen">S. Sindet-Pedersen</name></author></analytic><series><title level="j">Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</title><idno type="ISSN">0278-2391</idno><imprint><date when="1991" type="published">1991</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><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></keywords><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></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Alveolar Ridge Augmentation</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Reconstruction de crête alvéolaire</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Surgical Wound Dehiscence</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Alveolar Bone Loss</term><term>Jaw, Edentulous</term><term>Mandible</term><term>Maxillary Diseases</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lâchage de suture</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Bone Transplantation</term><term>Dental Implantation, Endosseous</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Osseointegration</term></keywords><keywords scheme="MESH" 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>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><term>Transplantation osseuse</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><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></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">1955919</PMID><DateCompleted><Year>1991</Year><Month>12</Month><Day>30</Day></DateCompleted><DateRevised><Year>2004</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0278-2391</ISSN><JournalIssue CitedMedium="Print"><Volume>49</Volume><Issue>12</Issue><PubDate><Year>1991</Year><Month>Dec</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></Journal><ArticleTitle>Autogenous mandibular bone grafts and osseointegrated implants for reconstruction of the severely atrophied maxilla: a preliminary report.</ArticleTitle><Pagination><MedlinePgn>1277-87</MedlinePgn></Pagination><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jensen</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Denmark.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sindet-Pedersen</LastName><ForeName>S</ForeName><Initials>S</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Oral Maxillofac Surg</MedlineTA><NlmUniqueID>8206428</NlmUniqueID><ISSNLinking>0278-2391</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance></Chemical></ChemicalList><CitationSubset>AIM</CitationSubset><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000540" MajorTopicYN="N">Alveolar Ridge Augmentation</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016025" MajorTopicYN="Y">Bone Transplantation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003758" MajorTopicYN="Y">Dental Implantation, Endosseous</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015921" MajorTopicYN="N">Dental Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008439" MajorTopicYN="N">Maxillary Diseases</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016348" MajorTopicYN="N">Osseointegration</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013529" MajorTopicYN="N">Surgical Wound Dehiscence</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1991</Year><Month>12</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1991</Year><Month>12</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1991</Year><Month>12</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">1955919</ArticleId><ArticleId IdType="pii">0278-2391(91)90303-4</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Danemark</li></country></list><tree><noCountry><name sortKey="Sindet Pedersen, S" sort="Sindet Pedersen, S" uniqKey="Sindet Pedersen S" first="S" last="Sindet-Pedersen">S. Sindet-Pedersen</name></noCountry><country name="Danemark"><noRegion><name sortKey="Jensen, J" sort="Jensen, J" uniqKey="Jensen J" first="J" last="Jensen">J. Jensen</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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