Retrospective long-term analysis of bone level changes after horizontal alveolar crest reconstruction with autologous bone grafts harvested from the posterior region of the mandible
Identifieur interne : 006656 ( Ncbi/Merge ); précédent : 006655; suivant : 006657Retrospective long-term analysis of bone level changes after horizontal alveolar crest reconstruction with autologous bone grafts harvested from the posterior region of the mandible
Auteurs : Jan Oliver Voss [Allemagne] ; Tobias Dieke [Allemagne] ; Christian Doll [Allemagne] ; Claudia Sachse [Allemagne] ; Katja Nelson [Allemagne] ; Jan-Dirk Raguse [Allemagne] ; Susanne Nahles [Allemagne]Source :
- Journal of Periodontal & Implant Science [ 2093-2278 ] ; 2016.
Abstract
The goal of this study was to evaluate the long-term success of horizontal alveolar crest augmentation of the retromolar region of the mandible with particulated bone, as well as factors affecting subsequent peri-implant bone loss.
A total of 109 patients (68 female, 41 male) suffering from alveolar ridge deficiencies of the maxilla and mandible were included in this study. All patients were treated with particulated retromolar bone grafts from the mandible prior to the insertion of endosseous dental implants. Mesial and distal peri-implant crestal bone changes were assessed at six time points. Several parameters, including implant survival and the influence of age, gender, localisation of the implant, diameter, covering procedures, and time points of implant placement, were analysed to identify associations with bone level changes using the Mann-Whitney U-test, the Kruskal-Wallis test, and Spearman's rank-order correlation coefficient.
A total of 164 dental implants were placed in the maxilla (n=97) and in the mandible (n=67). The mean observation period was 105.26±21.58 months after implantation. The overall survival rate was 97.6% after 10 years. Overall, peri-implant bone loss was highest during the first year, but decreased over time. The mean amount of bone loss after 10 years was 2.47 mm mesially and 2.50 mm distally. Bone loss was significantly influenced by implant type and primary stability.
The use of particulated autologous retromolar bone grafts is a reliable technique for the horizontal reconstruction of local alveolar ridge deficiencies. Our results demonstrate that implants placed in augmented bone demonstrated similar bone level changes compared to implants inserted in non-augmented regions.
Url:
DOI: 10.5051/jpis.2016.46.2.72
PubMed: 27127688
PubMed Central: 4848382
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Retrospective long-term analysis of bone level changes after horizontal alveolar crest reconstruction with autologous bone grafts harvested from the posterior region of the mandible</title>
<author><name sortKey="Voss, Jan Oliver" sort="Voss, Jan Oliver" uniqKey="Voss J" first="Jan Oliver" last="Voss">Jan Oliver Voss</name>
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<author><name sortKey="Dieke, Tobias" sort="Dieke, Tobias" uniqKey="Dieke T" first="Tobias" last="Dieke">Tobias Dieke</name>
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<country xml:lang="fr">Allemagne</country>
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<series><title level="j">Journal of Periodontal & Implant Science</title>
<idno type="ISSN">2093-2278</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>The goal of this study was to evaluate the long-term success of horizontal alveolar crest augmentation of the retromolar region of the mandible with particulated bone, as well as factors affecting subsequent peri-implant bone loss.</p>
</sec>
<sec><title>Methods</title>
<p>A total of 109 patients (68 female, 41 male) suffering from alveolar ridge deficiencies of the maxilla and mandible were included in this study. All patients were treated with particulated retromolar bone grafts from the mandible prior to the insertion of endosseous dental implants. Mesial and distal peri-implant crestal bone changes were assessed at six time points. Several parameters, including implant survival and the influence of age, gender, localisation of the implant, diameter, covering procedures, and time points of implant placement, were analysed to identify associations with bone level changes using the Mann-Whitney U-test, the Kruskal-Wallis test, and Spearman's rank-order correlation coefficient.</p>
</sec>
<sec><title>Results</title>
<p>A total of 164 dental implants were placed in the maxilla (n=97) and in the mandible (n=67). The mean observation period was 105.26±21.58 months after implantation. The overall survival rate was 97.6% after 10 years. Overall, peri-implant bone loss was highest during the first year, but decreased over time. The mean amount of bone loss after 10 years was 2.47 mm mesially and 2.50 mm distally. Bone loss was significantly influenced by implant type and primary stability.</p>
</sec>
<sec><title>Conclusions</title>
<p>The use of particulated autologous retromolar bone grafts is a reliable technique for the horizontal reconstruction of local alveolar ridge deficiencies. Our results demonstrate that implants placed in augmented bone demonstrated similar bone level changes compared to implants inserted in non-augmented regions.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Periodontal Implant Sci</journal-id>
<journal-id journal-id-type="iso-abbrev">J Periodontal Implant Sci</journal-id>
<journal-id journal-id-type="publisher-id">JPIS</journal-id>
<journal-title-group><journal-title>Journal of Periodontal & Implant Science</journal-title>
</journal-title-group>
<issn pub-type="ppub">2093-2278</issn>
<issn pub-type="epub">2093-2286</issn>
<publisher><publisher-name>Korean Academy of Periodontology</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27127688</article-id>
<article-id pub-id-type="pmc">4848382</article-id>
<article-id pub-id-type="doi">10.5051/jpis.2016.46.2.72</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Retrospective long-term analysis of bone level changes after horizontal alveolar crest reconstruction with autologous bone grafts harvested from the posterior region of the mandible</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0002-1760-2599</contrib-id>
<name><surname>Voss</surname>
<given-names>Jan Oliver</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0001-5500-0647</contrib-id>
<name><surname>Dieke</surname>
<given-names>Tobias</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0002-0439-759X</contrib-id>
<name><surname>Doll</surname>
<given-names>Christian</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0002-6804-2149</contrib-id>
<name><surname>Sachse</surname>
<given-names>Claudia</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0002-0516-3234</contrib-id>
<name><surname>Nelson</surname>
<given-names>Katja</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0003-4982-6105</contrib-id>
<name><surname>Raguse</surname>
<given-names>Jan-Dirk</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0001-8522-0763</contrib-id>
<name><surname>Nahles</surname>
<given-names>Susanne</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Oral and Maxillofacial Surgery, Campus Virchow Clinic, Charité - Universitätsmedizin Berlin, Berlin,<country>Germany</country>
.</aff>
<aff id="A2"><label>2</label>
Dental Practice, Belleza-Praxisklinik für Implantologie und Ästhetik, Berlin,<country>Germany</country>
.</aff>
<aff id="A3"><label>3</label>
Department of Oral and Maxillofacial Surgery, Medical Center - University of Freiburg, Freiburg,<country>Germany</country>
.</aff>
<author-notes><corresp>Correspondence to Susanne Nahles. Department of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Campus Virchow-Clinic, Augustenburger Platz 1, Berlin 13353, Germany. <email>susanne.nahles@charite.de</email>
, Tel: +49-30-450555022, Fax: +49-30-450555901</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>4</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>26</day>
<month>4</month>
<year>2016</year>
</pub-date>
<volume>46</volume>
<issue>2</issue>
<fpage>72</fpage>
<lpage>83</lpage>
<history><date date-type="received"><day>25</day>
<month>1</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>18</day>
<month>3</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2016 Korean Academy of Periodontology</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
).</license-p>
</license>
</permissions>
<abstract><sec><title>Purpose</title>
<p>The goal of this study was to evaluate the long-term success of horizontal alveolar crest augmentation of the retromolar region of the mandible with particulated bone, as well as factors affecting subsequent peri-implant bone loss.</p>
</sec>
<sec><title>Methods</title>
<p>A total of 109 patients (68 female, 41 male) suffering from alveolar ridge deficiencies of the maxilla and mandible were included in this study. All patients were treated with particulated retromolar bone grafts from the mandible prior to the insertion of endosseous dental implants. Mesial and distal peri-implant crestal bone changes were assessed at six time points. Several parameters, including implant survival and the influence of age, gender, localisation of the implant, diameter, covering procedures, and time points of implant placement, were analysed to identify associations with bone level changes using the Mann-Whitney U-test, the Kruskal-Wallis test, and Spearman's rank-order correlation coefficient.</p>
</sec>
<sec><title>Results</title>
<p>A total of 164 dental implants were placed in the maxilla (n=97) and in the mandible (n=67). The mean observation period was 105.26±21.58 months after implantation. The overall survival rate was 97.6% after 10 years. Overall, peri-implant bone loss was highest during the first year, but decreased over time. The mean amount of bone loss after 10 years was 2.47 mm mesially and 2.50 mm distally. Bone loss was significantly influenced by implant type and primary stability.</p>
</sec>
<sec><title>Conclusions</title>
<p>The use of particulated autologous retromolar bone grafts is a reliable technique for the horizontal reconstruction of local alveolar ridge deficiencies. Our results demonstrate that implants placed in augmented bone demonstrated similar bone level changes compared to implants inserted in non-augmented regions.</p>
</sec>
</abstract>
<abstract abstract-type="graphical"><title>Graphical Abstract</title>
<p><graphic xlink:href="jpis-46-72-abf001.jpg" position="float" orientation="portrait"></graphic>
</p>
</abstract>
<kwd-group kwd-group-type="author"><kwd>Alveolar ridge augmentation</kwd>
<kwd>Autografts</kwd>
<kwd>Bone resorption</kwd>
<kwd>Bone transplantation</kwd>
<kwd>Dental implants</kwd>
<kwd>Mandible</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Allemagne</li>
</country>
</list>
<tree><country name="Allemagne"><noRegion><name sortKey="Voss, Jan Oliver" sort="Voss, Jan Oliver" uniqKey="Voss J" first="Jan Oliver" last="Voss">Jan Oliver Voss</name>
</noRegion>
<name sortKey="Dieke, Tobias" sort="Dieke, Tobias" uniqKey="Dieke T" first="Tobias" last="Dieke">Tobias Dieke</name>
<name sortKey="Doll, Christian" sort="Doll, Christian" uniqKey="Doll C" first="Christian" last="Doll">Christian Doll</name>
<name sortKey="Nahles, Susanne" sort="Nahles, Susanne" uniqKey="Nahles S" first="Susanne" last="Nahles">Susanne Nahles</name>
<name sortKey="Nelson, Katja" sort="Nelson, Katja" uniqKey="Nelson K" first="Katja" last="Nelson">Katja Nelson</name>
<name sortKey="Raguse, Jan Dirk" sort="Raguse, Jan Dirk" uniqKey="Raguse J" first="Jan-Dirk" last="Raguse">Jan-Dirk Raguse</name>
<name sortKey="Sachse, Claudia" sort="Sachse, Claudia" uniqKey="Sachse C" first="Claudia" last="Sachse">Claudia Sachse</name>
</country>
</tree>
</affiliations>
</record>
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