Histological Features and Biocompatibility of Bone and Soft Tissue Substitutes in the Atrophic Alveolar Ridge Reconstruction
Identifieur interne : 006566 ( Ncbi/Merge ); précédent : 006565; suivant : 006567Histological Features and Biocompatibility of Bone and Soft Tissue Substitutes in the Atrophic Alveolar Ridge Reconstruction
Auteurs : Carlo Maiorana [Italie] ; Mario Beretta [Italie] ; Davide Rancitelli [Italie] ; Giovanni Battista Grossi [Italie] ; Marco Cicciù [Italie] ; Alan Scott Herford [États-Unis]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2016.
Abstract
The reconstruction of the atrophic alveolar ridges for implant placement is today a common procedure in dentistry daily practice. The surgical reconstruction provides for the optimization of the supporting bone for the implants and a restoration of the amount of keratinized gingiva for esthetic and functional reasons. In the past, tissue regeneration has been performed with autogenous bone and free gingival or connective tissue grafts. Nowadays, bone substitutes and specific collagen matrix allow for a complete restoration of the atrophic ridge without invasive harvesting procedures. A maxillary reconstruction of an atrophic ridge by means of tissue substitutes and its histological features are then presented.
Url:
DOI: 10.1155/2016/3608602
PubMed: 27022489
PubMed Central: 4781934
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PMC:4781934Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>The reconstruction of the atrophic alveolar ridges for implant placement is today a common procedure in dentistry daily practice. The surgical reconstruction provides for the optimization of the supporting bone for the implants and a restoration of the amount of keratinized gingiva for esthetic and functional reasons. In the past, tissue regeneration has been performed with autogenous bone and free gingival or connective tissue grafts. Nowadays, bone substitutes and specific collagen matrix allow for a complete restoration of the atrophic ridge without invasive harvesting procedures. A maxillary reconstruction of an atrophic ridge by means of tissue substitutes and its histological features are then presented.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id>
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<issn pub-type="epub">2090-6455</issn>
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<article-id pub-id-type="doi">10.1155/2016/3608602</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Histological Features and Biocompatibility of Bone and Soft Tissue Substitutes in the Atrophic Alveolar Ridge Reconstruction</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-8748-9483</contrib-id>
<name><surname>Maiorana</surname>
<given-names>Carlo</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-2223-2553</contrib-id>
<name><surname>Beretta</surname>
<given-names>Mario</given-names>
</name>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rancitelli</surname>
<given-names>Davide</given-names>
</name>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Grossi</surname>
<given-names>Giovanni Battista</given-names>
</name>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-2311-9728</contrib-id>
<name><surname>Cicciù</surname>
<given-names>Marco</given-names>
</name>
<xref ref-type="aff" rid="I3"><sup>3</sup>
</xref>
<xref ref-type="corresp" rid="cor1"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Herford</surname>
<given-names>Alan Scott</given-names>
</name>
<xref ref-type="aff" rid="I4"><sup>4</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1"><sup>1</sup>
Center for Edentulism and Jawbone Atrophies, Fondazione IRCCS Policlinico, Department of Oral Sciences, University of Milan, 20141 Milan, Italy</aff>
<aff id="I2"><sup>2</sup>
Oral Surgery and Implantology, Fondazione IRCCS Policlinico, University of Milan, 20141 Milan, Italy</aff>
<aff id="I3"><sup>3</sup>
Human Pathology Department, School of Dentistry University of Messina, 98100 Messina, Italy</aff>
<aff id="I4"><sup>4</sup>
Oral and Maxillofacial Surgery, Loma Linda University School of Dentistry, Loma Linda, CA 95231, USA</aff>
<author-notes><corresp id="cor1">*Marco Cicciù: <email>acromarco@yahoo.it</email>
</corresp>
<fn fn-type="other"><p>Academic Editor: Miguel de Araújo Nobre</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>23</day>
<month>2</month>
<year>2016</year>
</pub-date>
<volume>2016</volume>
<elocation-id>3608602</elocation-id>
<history><date date-type="received"><day>1</day>
<month>11</month>
<year>2015</year>
</date>
<date date-type="rev-recd"><day>23</day>
<month>1</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>11</day>
<month>2</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2016 Carlo Maiorana et al.</copyright-statement>
<copyright-year>2016</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>The reconstruction of the atrophic alveolar ridges for implant placement is today a common procedure in dentistry daily practice. The surgical reconstruction provides for the optimization of the supporting bone for the implants and a restoration of the amount of keratinized gingiva for esthetic and functional reasons. In the past, tissue regeneration has been performed with autogenous bone and free gingival or connective tissue grafts. Nowadays, bone substitutes and specific collagen matrix allow for a complete restoration of the atrophic ridge without invasive harvesting procedures. A maxillary reconstruction of an atrophic ridge by means of tissue substitutes and its histological features are then presented.</p>
</abstract>
</article-meta>
</front>
<floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label>
<caption><p>Clinical view of the left upper maxilla atrophic ridge.</p>
</caption>
<graphic xlink:href="CRID2016-3608602.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label>
<caption><p>The CT dental scan confirms the clinical view showing atrophic maxillary ridge with important horizontal bone defect. (a) It is possible to underline all the atrophies of the upper maxilla; (b) a particular of the axial section of the area involved in the grafting procedures.</p>
</caption>
<graphic xlink:href="CRID2016-3608602.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label>
<caption><p>Clinical view of the bone after the elevation of the mucoperiosteal flap.</p>
</caption>
<graphic xlink:href="CRID2016-3608602.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label>
<caption><p>Sinus lift was performed in order to increase the volume of the bone height.</p>
</caption>
<graphic xlink:href="CRID2016-3608602.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label>
<caption><p>A titanium mesh has been placed for increasing the vertical and horizontal defect.</p>
</caption>
<graphic xlink:href="CRID2016-3608602.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label>
<caption><p>The time titanium mesh removal showed a good healing and the bone volume recovering.</p>
</caption>
<graphic xlink:href="CRID2016-3608602.006"></graphic>
</fig>
<fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label>
<caption><p>Occlusal view of the increased bone after the bone regeneration procedure with the applied titanium mesh.</p>
</caption>
<graphic xlink:href="CRID2016-3608602.007"></graphic>
</fig>
<fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label>
<caption><p>A collagen membrane has been placed in order to favor the soft tissue healing.</p>
</caption>
<graphic xlink:href="CRID2016-3608602.008"></graphic>
</fig>
<fig id="fig9" orientation="portrait" position="float"><label>Figure 9</label>
<caption><p>At the time of dental implants the healed bone has been removed and analyzed in order to perform the histologic analysis.</p>
</caption>
<graphic xlink:href="CRID2016-3608602.009"></graphic>
</fig>
<fig id="fig10" orientation="portrait" position="float"><label>Figure 10</label>
<caption><p>Dental implant was placed and periosteal incision has to be made in order to have a complete soft tissue covering of the dental implants placed.</p>
</caption>
<graphic xlink:href="CRID2016-3608602.010"></graphic>
</fig>
<fig id="fig11" orientation="portrait" position="float"><label>Figure 11</label>
<caption><p>Histological image 40x magnification underlines the presence of new bone cells and some residual particles of the substitute material.</p>
</caption>
<graphic xlink:href="CRID2016-3608602.011"></graphic>
</fig>
<fig id="fig12" orientation="portrait" position="float"><label>Figure 12</label>
<caption><p>Two-year postoperative X-ray control evidences the integration of the dental implants for support of a fixed prosthetic rehabilitation.</p>
</caption>
<graphic xlink:href="CRID2016-3608602.012"></graphic>
</fig>
<fig id="fig13" orientation="portrait" position="float"><label>Figure 13</label>
<caption><p>Two-year clinical analyses show a good healing of the soft tissue.</p>
</caption>
<graphic xlink:href="CRID2016-3608602.013"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations><list><country><li>Italie</li>
<li>États-Unis</li>
</country>
<region><li>Californie</li>
<li>Lombardie</li>
</region>
<settlement><li>Milan</li>
</settlement>
</list>
<tree><country name="Italie"><region name="Lombardie"><name sortKey="Maiorana, Carlo" sort="Maiorana, Carlo" uniqKey="Maiorana C" first="Carlo" last="Maiorana">Carlo Maiorana</name>
</region>
<name sortKey="Beretta, Mario" sort="Beretta, Mario" uniqKey="Beretta M" first="Mario" last="Beretta">Mario Beretta</name>
<name sortKey="Cicciu, Marco" sort="Cicciu, Marco" uniqKey="Cicciu M" first="Marco" last="Cicciù">Marco Cicciù</name>
<name sortKey="Grossi, Giovanni Battista" sort="Grossi, Giovanni Battista" uniqKey="Grossi G" first="Giovanni Battista" last="Grossi">Giovanni Battista Grossi</name>
<name sortKey="Rancitelli, Davide" sort="Rancitelli, Davide" uniqKey="Rancitelli D" first="Davide" last="Rancitelli">Davide Rancitelli</name>
</country>
<country name="États-Unis"><region name="Californie"><name sortKey="Herford, Alan Scott" sort="Herford, Alan Scott" uniqKey="Herford A" first="Alan Scott" last="Herford">Alan Scott Herford</name>
</region>
</country>
</tree>
</affiliations>
</record>
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