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Bone grafting to the maxillary sinuses, nasal floor and anterior maxilla in the atrophic edentulous maxilla. A two-stage technique.

Identifieur interne : 009A52 ( Ncbi/Merge ); précédent : 009A51; suivant : 009A53

Bone grafting to the maxillary sinuses, nasal floor and anterior maxilla in the atrophic edentulous maxilla. A two-stage technique.

Auteurs : S. Lundgren [Suède] ; E. Nyström ; H. Nilson ; J. Gunne ; O. Lindhagen

Source :

RBID : pubmed:9418144

Descripteurs français

English descriptors

Abstract

This study presents the results from 20 consecutive patients treated with an autogenous bone graft from the iliac crest. In ten patients the graft was placed in the maxillary sinuses and the floor of the nose (inlay group). Ten patients, in addition to the inlay graft, had a corticocancellous bone block secured with mini-screws to the anterior maxillary ridge (inlay/onlay group). Endosteal implants (Brånemark) were placed six months after surgery. A total of 136 implants were placed, of which eight failed to integrate during the six-month healing period. A further 15 implants were lost during the follow-up period. For the inlay group the average follow-up period was 22 months and for the inlay/onlay group 19 months. Donor site morbidity was significantly less when iliac bone was harvested with a trephine (inlay group) than in patients treated with our routine procedure for bone harvesting (inlay/onlay group). Surgical technique, donor site morbidity, implant survival and patient acceptance are presented.

PubMed: 9418144

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Le document en format XML

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<term>Alveolar Ridge Augmentation (methods)</term>
<term>Atrophy</term>
<term>Bone Screws</term>
<term>Bone Transplantation (adverse effects)</term>
<term>Bone Transplantation (methods)</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
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<term>Jaw, Edentulous (surgery)</term>
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<term>Osseointegration</term>
<term>Osteotomy (adverse effects)</term>
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<term>Patient Satisfaction</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Cicatrisation de plaie</term>
<term>Femelle</term>
<term>Fosse nasale ()</term>
<term>Humains</term>
<term>Ilium ()</term>
<term>Implants dentaires</term>
<term>Maxillaire ()</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (anatomopathologie)</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Ostéotomie (effets indésirables)</term>
<term>Ostéotomie (instrumentation)</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Satisfaction du patient</term>
<term>Sinus maxillaire ()</term>
<term>Sujet âgé</term>
<term>Transplantation autologue</term>
<term>Transplantation osseuse ()</term>
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<term>Maxillaire</term>
<term>Mâchoire édentée</term>
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<term>Jaw, Edentulous</term>
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<term>Adult</term>
<term>Aged</term>
<term>Atrophy</term>
<term>Bone Screws</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Restoration Failure</term>
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<term>Male</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
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<term>Adulte</term>
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<term>Atrophie</term>
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<term>Femelle</term>
<term>Fosse nasale</term>
<term>Humains</term>
<term>Ilium</term>
<term>Implants dentaires</term>
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<div type="abstract" xml:lang="en">This study presents the results from 20 consecutive patients treated with an autogenous bone graft from the iliac crest. In ten patients the graft was placed in the maxillary sinuses and the floor of the nose (inlay group). Ten patients, in addition to the inlay graft, had a corticocancellous bone block secured with mini-screws to the anterior maxillary ridge (inlay/onlay group). Endosteal implants (Brånemark) were placed six months after surgery. A total of 136 implants were placed, of which eight failed to integrate during the six-month healing period. A further 15 implants were lost during the follow-up period. For the inlay group the average follow-up period was 22 months and for the inlay/onlay group 19 months. Donor site morbidity was significantly less when iliac bone was harvested with a trephine (inlay group) than in patients treated with our routine procedure for bone harvesting (inlay/onlay group). Surgical technique, donor site morbidity, implant survival and patient acceptance are presented.</div>
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