A Novel Procedure for the Immediate Reconstruction of Severely Resorbed Alveolar Sockets for Advanced Periodontal Disease
Identifieur interne : 006E35 ( Ncbi/Merge ); précédent : 006E34; suivant : 006E36A Novel Procedure for the Immediate Reconstruction of Severely Resorbed Alveolar Sockets for Advanced Periodontal Disease
Auteurs : Mario Aimetti [Italie] ; Valeria Manavella [Italie] ; Luca Cricenti [Italie] ; Federica Romano [Italie]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2017.
Abstract
Url:
DOI: 10.1155/2017/9370693
PubMed: 28250998
PubMed Central: 5303851
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A Novel Procedure for the Immediate Reconstruction of Severely Resorbed Alveolar Sockets for Advanced Periodontal Disease</title><author><name sortKey="Aimetti, Mario" sort="Aimetti, Mario" uniqKey="Aimetti M" first="Mario" last="Aimetti">Mario Aimetti</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical Sciences, Periodontology Section, CIR Dental School, University of Turin, Via Nizza 230, 10126 Turin, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical Sciences, Periodontology Section, CIR Dental School, University of Turin, Via Nizza 230, 10126 Turin</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Manavella, Valeria" sort="Manavella, Valeria" uniqKey="Manavella V" first="Valeria" last="Manavella">Valeria Manavella</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical Sciences, Periodontology Section, CIR Dental School, University of Turin, Via Nizza 230, 10126 Turin, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical Sciences, Periodontology Section, CIR Dental School, University of Turin, Via Nizza 230, 10126 Turin</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Cricenti, Luca" sort="Cricenti, Luca" uniqKey="Cricenti L" first="Luca" last="Cricenti">Luca Cricenti</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical Sciences, Periodontology Section, CIR Dental School, University of Turin, Via Nizza 230, 10126 Turin, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical Sciences, Periodontology Section, CIR Dental School, University of 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type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5303851</idno><idno type="RBID">PMC:5303851</idno><idno type="doi">10.1155/2017/9370693</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">001B38</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001B38</idno><idno type="wicri:Area/Pmc/Curation">001B38</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001B38</idno><idno type="wicri:Area/Pmc/Checkpoint">000350</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000350</idno><idno type="wicri:Area/Ncbi/Merge">006E35</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A Novel Procedure for the Immediate Reconstruction of Severely Resorbed Alveolar Sockets for Advanced Periodontal Disease</title><author><name sortKey="Aimetti, Mario" sort="Aimetti, Mario" uniqKey="Aimetti M" first="Mario" last="Aimetti">Mario Aimetti</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical Sciences, Periodontology Section, CIR Dental School, University of Turin, Via Nizza 230, 10126 Turin, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical Sciences, Periodontology Section, CIR Dental School, University of Turin, Via Nizza 230, 10126 Turin</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Manavella, Valeria" sort="Manavella, Valeria" uniqKey="Manavella V" first="Valeria" last="Manavella">Valeria Manavella</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical Sciences, Periodontology Section, CIR Dental School, University of Turin, Via Nizza 230, 10126 Turin, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical Sciences, Periodontology Section, CIR Dental School, University of Turin, Via Nizza 230, 10126 Turin</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Cricenti, Luca" sort="Cricenti, Luca" uniqKey="Cricenti L" first="Luca" last="Cricenti">Luca Cricenti</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical Sciences, Periodontology Section, CIR Dental School, University of Turin, Via Nizza 230, 10126 Turin, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical Sciences, Periodontology Section, CIR Dental School, University of Turin, Via Nizza 230, 10126 Turin</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Romano, Federica" sort="Romano, Federica" uniqKey="Romano F" first="Federica" last="Romano">Federica Romano</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical Sciences, Periodontology Section, CIR Dental School, University of Turin, Via Nizza 230, 10126 Turin, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical Sciences, Periodontology Section, CIR Dental School, University of Turin, Via Nizza 230, 10126 Turin</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Background.</italic> Several clinical techniques and a variety of biomaterials have been introduced over the years in an effort to overcome bone remodeling and resorption after tooth extraction. However, the predictability of these procedures in sockets with severely resorbed buccal/lingual plate due to periodontal disease is still unknown.<italic> Case Description.</italic> A patient with advanced periodontitis underwent extraction of upper right lateral and central incisors. The central incisor exhibited complete buccal bone plate loss and a 9 mm vertical bone deficiency on its palatal side. The alveolar sockets were filled with collagen sponge and covered with a nonresorbable high-density PTFE membrane. Primary closure was not attained and any rigid scaffold material was not used. Histologic analysis provided evidence of new bone formation. At 12 months a cone-beam computed tomographic scan revealed enough bone volume to insert two conventional dental implants in conjunction with minor horizontal bone augmentation procedures.<italic> Clinical Implications.</italic> This case report would seem to support the potential of the proposed reconstructive approach in changing the morphology of severely resorbed alveolar sockets, minimizing the need for advanced bone regeneration procedures during implant placement.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Schropp, L" uniqKey="Schropp L">L. Schropp</name></author><author><name sortKey="Wenzel, A" uniqKey="Wenzel A">A. Wenzel</name></author><author><name sortKey="Kostopoulos, L" uniqKey="Kostopoulos L">L. Kostopoulos</name></author><author><name sortKey="Karring, T" uniqKey="Karring T">T. Karring</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Horowitz, R" uniqKey="Horowitz R">R. Horowitz</name></author><author><name sortKey="Holtzclaw, D" uniqKey="Holtzclaw D">D. Holtzclaw</name></author><author><name sortKey="Rosen, P S" uniqKey="Rosen P">P. S. Rosen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thalmair, T" uniqKey="Thalmair T">T. Thalmair</name></author><author><name sortKey="Fickl, S" uniqKey="Fickl S">S. Fickl</name></author><author><name sortKey="Schneider, D" uniqKey="Schneider D">D. Schneider</name></author><author><name sortKey="Hinze, M" uniqKey="Hinze M">M. Hinze</name></author><author><name sortKey="Wachtel, H" uniqKey="Wachtel H">H. Wachtel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Toloue, S M" uniqKey="Toloue S">S. M. Toloue</name></author><author><name sortKey="Chesnoiu Matei, I" uniqKey="Chesnoiu Matei I">I. Chesnoiu-Matei</name></author><author><name sortKey="Blanchard, S B" uniqKey="Blanchard S">S. B. Blanchard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcallister, B S" uniqKey="Mcallister B">B. S. McAllister</name></author><author><name sortKey="Haghighat, K" uniqKey="Haghighat K">K. Haghighat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, J S" uniqKey="Lee J">J.-S. Lee</name></author><author><name sortKey="Jung, J S" uniqKey="Jung J">J.-S. Jung</name></author><author><name sortKey="Im, G I" uniqKey="Im G">G.-I. Im</name></author><author><name sortKey="Kim, B S" uniqKey="Kim B">B.-S. Kim</name></author><author><name sortKey="Cho, K S" uniqKey="Cho K">K.-S. Cho</name></author><author><name sortKey="Kim, C S" uniqKey="Kim C">C.-S. Kim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bartee, B K" uniqKey="Bartee B">B. K. Bartee</name></author><author><name sortKey="Carr, J A" uniqKey="Carr J">J. A. 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Becker</name></author><author><name sortKey="Caffesse, R" uniqKey="Caffesse R">R. Caffesse</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carmagnola, D" uniqKey="Carmagnola D">D. Carmagnola</name></author><author><name sortKey="Adriaens, P" uniqKey="Adriaens P">P. Adriaens</name></author><author><name sortKey="Berglundh, T" uniqKey="Berglundh T">T. Berglundh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cardaropoli, D" uniqKey="Cardaropoli D">D. Cardaropoli</name></author><author><name sortKey="Cardaropoli, G" uniqKey="Cardaropoli G">G. Cardaropoli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Santos, F A" uniqKey="Santos F">F. A. Santos</name></author><author><name sortKey="Pochapski, M T" uniqKey="Pochapski M">M. T. Pochapski</name></author><author><name sortKey="Martins, M C" uniqKey="Martins M">M. C. Martins</name></author><author><name sortKey="Zen Bio, E G" uniqKey="Zen Bio E">E. G. Zenóbio</name></author><author><name sortKey="Spolidoro, L C" uniqKey="Spolidoro L">L. C. Spolidoro</name></author><author><name sortKey="Marcantonio, E" uniqKey="Marcantonio E">E. Marcantonio</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Avila Ortiz, G" uniqKey="Avila Ortiz G">G. Avila-Ortiz</name></author><author><name sortKey="Elangovan, S" uniqKey="Elangovan S">S. Elangovan</name></author><author><name sortKey="Kramer, K W O" uniqKey="Kramer K">K. W. O. Kramer</name></author><author><name sortKey="Blanchette, D" uniqKey="Blanchette D">D. Blanchette</name></author><author><name sortKey="Dawson, D V" uniqKey="Dawson D">D. V. Dawson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Barber, H D" uniqKey="Barber H">H. D. Barber</name></author><author><name sortKey="Lignelli, J" uniqKey="Lignelli J">J. 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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><journal-id journal-id-type="publisher-id">CRID</journal-id><journal-title-group><journal-title>Case Reports in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2090-6447</issn><issn pub-type="epub">2090-6455</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28250998</article-id><article-id pub-id-type="pmc">5303851</article-id><article-id pub-id-type="doi">10.1155/2017/9370693</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>A Novel Procedure for the Immediate Reconstruction of Severely Resorbed Alveolar Sockets for Advanced Periodontal Disease</article-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-0657-0787</contrib-id><name><surname>Aimetti</surname><given-names>Mario</given-names></name><xref ref-type="aff" rid="I1"></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-2004-0192</contrib-id><name><surname>Manavella</surname><given-names>Valeria</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-0944-9109</contrib-id><name><surname>Cricenti</surname><given-names>Luca</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-5172-299X</contrib-id><name><surname>Romano</surname><given-names>Federica</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib></contrib-group><aff id="I1">Department of Surgical Sciences, Periodontology Section, CIR Dental School, University of Turin, Via Nizza 230, 10126 Turin, Italy</aff><author-notes><corresp id="cor1">*Mario Aimetti: <email>mario.aimetti@unito.it</email></corresp><fn fn-type="other"><p>Academic Editor: Gerardo Gómez-Moreno</p></fn></author-notes><pub-date pub-type="ppub"><year>2017</year></pub-date><pub-date pub-type="epub"><day>30</day><month>1</month><year>2017</year></pub-date><volume>2017</volume><elocation-id>9370693</elocation-id><history><date date-type="received"><day>7</day><month>9</month><year>2016</year></date><date date-type="accepted"><day>21</day><month>12</month><year>2016</year></date></history><permissions><copyright-statement>Copyright © 2017 Mario Aimetti et al.</copyright-statement><copyright-year>2017</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><italic>Background.</italic> Several clinical techniques and a variety of biomaterials have been introduced over the years in an effort to overcome bone remodeling and resorption after tooth extraction. However, the predictability of these procedures in sockets with severely resorbed buccal/lingual plate due to periodontal disease is still unknown.<italic> Case Description.</italic> A patient with advanced periodontitis underwent extraction of upper right lateral and central incisors. The central incisor exhibited complete buccal bone plate loss and a 9 mm vertical bone deficiency on its palatal side. The alveolar sockets were filled with collagen sponge and covered with a nonresorbable high-density PTFE membrane. Primary closure was not attained and any rigid scaffold material was not used. Histologic analysis provided evidence of new bone formation. At 12 months a cone-beam computed tomographic scan revealed enough bone volume to insert two conventional dental implants in conjunction with minor horizontal bone augmentation procedures.<italic> Clinical Implications.</italic> This case report would seem to support the potential of the proposed reconstructive approach in changing the morphology of severely resorbed alveolar sockets, minimizing the need for advanced bone regeneration procedures during implant placement.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Maxillary right central and lateral incisors before extraction (a). Note extrusion of central and lateral incisors, migration of central incisor, and persistent inflammation (b). Preoperative radiographs showing severe interdental bone loss and widening of the residual periodontal ligament space as a consequence of the occlusal trauma (c). Intraoperative view following teeth removal (d). Occlusal view showing vertical bone resorption and partial nonspace maintaining defect at central incisor (e). After placement of a nonresorbable d-PTFE membrane to replace the missing buccal bony wall, the gap between the membrane and the residual palatal wall was filled with the collagen sponge (f). Flaps were repositioned and the membrane was left partially exposed and protected with the collagen sponge (g).</p></caption><graphic xlink:href="CRID2017-9370693.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>At 4 months the extraction sockets were completely filled by uniform radiodense bone tissue. Note the ridge morphology mimicking the space created beneath the membrane.</p></caption><graphic xlink:href="CRID2017-9370693.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>One year after the ridge reconstruction procedure ridge regeneration was achieved. Buccal view (a); occlusal view (b); cone-beam computed tomographic scan (c).</p></caption><graphic xlink:href="CRID2017-9370693.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Bone biopsy illustrating socket healing 4 months after the ridge reconstruction procedure. Hematoxylin and eosin staining. Total magnification: ×100 ((a), central incisor; (b), lateral incisor).</p></caption><graphic xlink:href="CRID2017-9370693.004"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Italie</li></country><region><li>Piémont</li></region><settlement><li>Turin</li></settlement></list><tree><country name="Italie"><region name="Piémont"><name sortKey="Aimetti, Mario" sort="Aimetti, Mario" uniqKey="Aimetti M" first="Mario" last="Aimetti">Mario Aimetti</name></region><name sortKey="Cricenti, Luca" sort="Cricenti, Luca" uniqKey="Cricenti L" first="Luca" last="Cricenti">Luca Cricenti</name><name sortKey="Manavella, Valeria" sort="Manavella, Valeria" uniqKey="Manavella V" first="Valeria" last="Manavella">Valeria Manavella</name><name sortKey="Romano, Federica" sort="Romano, Federica" uniqKey="Romano F" first="Federica" last="Romano">Federica Romano</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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