Use of buccal fat pad to repair post-extraction peri-implant bone defects in the posterior maxilla. A preliminary prospective study
Identifieur interne : 000975 ( Pmc/Checkpoint ); précédent : 000974; suivant : 000976Use of buccal fat pad to repair post-extraction peri-implant bone defects in the posterior maxilla. A preliminary prospective study
Auteurs : María Pe Arrocha-Diago [Espagne] ; Rocío Alonso-González [Espagne] ; Amparo Aloy-Pr Sper [Espagne] ; David Pe Arrocha-Oltra [Espagne] ; Fabio Camacho [Espagne] ; Miguel Pe Arrocha-Diago [Espagne]Source :
- Medicina Oral, Patología Oral y Cirugía Bucal [ 1698-4447 ] ; 2015.
Abstract
Extensive literature exists about the use of the BFP in the treatment of oral defects but, to our knowledge, no article refers to the use of the BFP as a substitute of the membrane barriers for treatment of peri-implant bone defects. The aim was to evaluate the use of the buccal fat pad as a coating material for bone grafting in the peri-implant bone defect regeneration of immediate implants placed in the posterior maxilla.
A preliminary prospective study of patients involving immediate implants in which the buccal fat pad was used as a coating material to peri-implant bone defects was carried out. The outcome measures assessed were: postoperative pain and swelling, complications related to buccal fat pad surgery, implant survival and success rates and peri-implant marginal bone loss at 12 months of prosthetic loading.
Twenty-seven patients (17 women and 10 men) with a mean age of 55.3 ± 8.9 years, and a total of 43 implants were included. Two-thirds of the patients reported either no pain or only mild intensity pain and moderate inflammation, two days after surgery. Post-operative period was well tolerated by the patients and no serious complications occurred. None wound dehiscence occurred. Implant survival and success rates were 97.6% and the average marginal bone loss 1 year after loading was 0.58 ± 0.27 mm.
Within the limits of this preliminary study, the use of the buccal fat pad as a coating material for bone grafting in peri-implant bone defects placed in the upper posterior maxilla was a well-tolerated technique by patients; high implant success rate was achieved with a minimal peri-implant marginal bone loss at 12 months of prosthetic loading.
Url:
DOI: 10.4317/medoral.20212
PubMed: 26241450
PubMed Central: 4670250
Affiliations:
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<author><name sortKey="Pe Arrocha Diago, Maria" sort="Pe Arrocha Diago, Maria" uniqKey="Pe Arrocha Diago M" first="María" last="Pe Arrocha-Diago">María Pe Arrocha-Diago</name>
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<author><name sortKey="Alonso Gonzalez, Rocio" sort="Alonso Gonzalez, Rocio" uniqKey="Alonso Gonzalez R" first="Rocío" last="Alonso-González">Rocío Alonso-González</name>
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<author><name sortKey="Pe Arrocha Oltra, David" sort="Pe Arrocha Oltra, David" uniqKey="Pe Arrocha Oltra D" first="David" last="Pe Arrocha-Oltra">David Pe Arrocha-Oltra</name>
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<author><name sortKey="Pe Arrocha Diago, Miguel" sort="Pe Arrocha Diago, Miguel" uniqKey="Pe Arrocha Diago M" first="Miguel" last="Pe Arrocha-Diago">Miguel Pe Arrocha-Diago</name>
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<series><title level="j">Medicina Oral, Patología Oral y Cirugía Bucal</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Extensive literature exists about the use of the BFP in the treatment of oral defects but, to our knowledge, no article refers to the use of the BFP as a substitute of the membrane barriers for treatment of peri-implant bone defects. The aim was to evaluate the use of the buccal fat pad as a coating material for bone grafting in the peri-implant bone defect regeneration of immediate implants placed in the posterior maxilla.</p>
</sec>
<sec><title>Material and Methods</title>
<p>A preliminary prospective study of patients involving immediate implants in which the buccal fat pad was used as a coating material to peri-implant bone defects was carried out. The outcome measures assessed were: postoperative pain and swelling, complications related to buccal fat pad surgery, implant survival and success rates and peri-implant marginal bone loss at 12 months of prosthetic loading.</p>
</sec>
<sec><title>Results</title>
<p>Twenty-seven patients (17 women and 10 men) with a mean age of 55.3 ± 8.9 years, and a total of 43 implants were included. Two-thirds of the patients reported either no pain or only mild intensity pain and moderate inflammation, two days after surgery. Post-operative period was well tolerated by the patients and no serious complications occurred. None wound dehiscence occurred. Implant survival and success rates were 97.6% and the average marginal bone loss 1 year after loading was 0.58 ± 0.27 mm.</p>
</sec>
<sec><title>Conclusions</title>
<p>Within the limits of this preliminary study, the use of the buccal fat pad as a coating material for bone grafting in peri-implant bone defects placed in the upper posterior maxilla was a well-tolerated technique by patients; high implant success rate was achieved with a minimal peri-implant marginal bone loss at 12 months of prosthetic loading.</p>
<p><bold>Key words:</bold>
Buccal fat pad, immediate implant, peri-implant bone defect.
</p>
</sec>
</div>
</front>
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</biblStruct>
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</author>
<author><name sortKey="Carrillo, C" uniqKey="Carrillo C">C Carrillo</name>
</author>
<author><name sortKey="Penarrocha, M" uniqKey="Penarrocha M">M Penarrocha</name>
</author>
<author><name sortKey="Pennarocha, M" uniqKey="Pennarocha M">M Pennarocha</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Pe Arrocha Diago, M" uniqKey="Pe Arrocha Diago M">M Peñarrocha-Diago</name>
</author>
<author><name sortKey="Aloy Pr Sper, A" uniqKey="Aloy Pr Sper A">A Aloy-Prósper</name>
</author>
<author><name sortKey="Pe Arrocha Oltra, D" uniqKey="Pe Arrocha Oltra D">D Peñarrocha-Oltra</name>
</author>
<author><name sortKey="Guirado, Jl" uniqKey="Guirado J">JL Guirado</name>
</author>
<author><name sortKey="Pe Arrocha Diago, M" uniqKey="Pe Arrocha Diago M">M Peñarrocha-Diago</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Gonzalez Santana, H" uniqKey="Gonzalez Santana H">H González-Santana</name>
</author>
<author><name sortKey="Pe Arrocha Diago, M" uniqKey="Pe Arrocha Diago M">M Peñarrocha-Diago</name>
</author>
<author><name sortKey="Guarinos Carb, J" uniqKey="Guarinos Carb J">J Guarinos-Carbó</name>
</author>
<author><name sortKey="Balaguer Martinez, J" uniqKey="Balaguer Martinez J">J Balaguer-Martínez</name>
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<biblStruct><analytic><author><name sortKey="Price, Dd" uniqKey="Price D">DD Price</name>
</author>
<author><name sortKey="Mcgrath, Pa" uniqKey="Mcgrath P">PA McGrath</name>
</author>
<author><name sortKey="Rafii, A" uniqKey="Rafii A">A Rafii</name>
</author>
<author><name sortKey="Buckingham, B" uniqKey="Buckingham B">B Buckingham</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Med Oral Patol Oral Cir Bucal</journal-id>
<journal-id journal-id-type="iso-abbrev">Med Oral Patol Oral Cir Bucal</journal-id>
<journal-id journal-id-type="publisher-id">Medicina Oral S.L.</journal-id>
<journal-title-group><journal-title>Medicina Oral, Patología Oral y Cirugía Bucal</journal-title>
</journal-title-group>
<issn pub-type="ppub">1698-4447</issn>
<issn pub-type="epub">1698-6946</issn>
<publisher><publisher-name>Medicina Oral S.L.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26241450</article-id>
<article-id pub-id-type="pmc">4670250</article-id>
<article-id pub-id-type="publisher-id">20212</article-id>
<article-id pub-id-type="doi">10.4317/medoral.20212</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
<subj-group><subject>Oral Surgery</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Use of buccal fat pad to repair post-extraction peri-implant bone
defects in the posterior maxilla. A preliminary prospective study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Peñarrocha-Diago</surname>
<given-names>María</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alonso-González</surname>
<given-names>Rocío</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Aloy-Prósper</surname>
<given-names>Amparo</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Peñarrocha-Oltra</surname>
<given-names>David</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Camacho</surname>
<given-names>Fabio</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Peñarrocha-Diago</surname>
<given-names>Miguel</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Full Professor of Oral Surgery. Stomatology Department. Faculty of Medicine and Dentistry. University of Valencia, Spain</aff>
<aff id="A2"><label>2</label>
Master in Oral Surgery and Implant Dentistry, Stomatology Department. Faculty of Medicine and Dentistry. University of Valencia, Spain</aff>
<aff id="A3"><label>3</label>
Master in Oral Surgery and Implant Dentistry. Collaborating Professor of Oral Surgery, Stomatology Department. Faculty of Medicine and Dentistry. University of Valencia, Spain</aff>
<aff id="A4"><label>4</label>
Full Professor of Oral Surgery. Stomatology Department. Faculty of Medicine and Dentistry. University of Murcia, Spain</aff>
<aff id="A5"><label>5</label>
Professor and Chairman of Oral Surgery and Implantology, Valencia. University Medical and Dental School, Valencia, Spain</aff>
<author-notes><corresp> Clínicas odontológicas
Gascó Oliag 1
46021- Valencia Spain
, E-mail: <email>miguel.penarrocha@uv.es </email>
</corresp>
<fn id="FN1" fn-type="conflict"><p><bold>Conflict of interest statement:</bold>
The authors have declared that no conflict of interest exist.</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><month>11</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>4</day>
<month>8</month>
<year>2015</year>
</pub-date>
<volume>20</volume>
<issue>6</issue>
<fpage>e699</fpage>
<lpage>e706</lpage>
<history><date date-type="accepted"><day>16</day>
<month>4</month>
<year>2015</year>
</date>
<date date-type="received"><day>30</day>
<month>5</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>Copyright: © 2015 Medicina Oral S.L.</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.5/"><license-p>This is an open-access article distributed under the terms of 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><sec><title>Background</title>
<p>Extensive literature exists about the use of the BFP in the treatment of oral defects but, to our knowledge, no article refers to the use of the BFP as a substitute of the membrane barriers for treatment of peri-implant bone defects. The aim was to evaluate the use of the buccal fat pad as a coating material for bone grafting in the peri-implant bone defect regeneration of immediate implants placed in the posterior maxilla.</p>
</sec>
<sec><title>Material and Methods</title>
<p>A preliminary prospective study of patients involving immediate implants in which the buccal fat pad was used as a coating material to peri-implant bone defects was carried out. The outcome measures assessed were: postoperative pain and swelling, complications related to buccal fat pad surgery, implant survival and success rates and peri-implant marginal bone loss at 12 months of prosthetic loading.</p>
</sec>
<sec><title>Results</title>
<p>Twenty-seven patients (17 women and 10 men) with a mean age of 55.3 ± 8.9 years, and a total of 43 implants were included. Two-thirds of the patients reported either no pain or only mild intensity pain and moderate inflammation, two days after surgery. Post-operative period was well tolerated by the patients and no serious complications occurred. None wound dehiscence occurred. Implant survival and success rates were 97.6% and the average marginal bone loss 1 year after loading was 0.58 ± 0.27 mm.</p>
</sec>
<sec><title>Conclusions</title>
<p>Within the limits of this preliminary study, the use of the buccal fat pad as a coating material for bone grafting in peri-implant bone defects placed in the upper posterior maxilla was a well-tolerated technique by patients; high implant success rate was achieved with a minimal peri-implant marginal bone loss at 12 months of prosthetic loading.</p>
<p><bold>Key words:</bold>
Buccal fat pad, immediate implant, peri-implant bone defect.
</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Espagne</li>
</country>
</list>
<tree><country name="Espagne"><noRegion><name sortKey="Pe Arrocha Diago, Maria" sort="Pe Arrocha Diago, Maria" uniqKey="Pe Arrocha Diago M" first="María" last="Pe Arrocha-Diago">María Pe Arrocha-Diago</name>
</noRegion>
<name sortKey="Alonso Gonzalez, Rocio" sort="Alonso Gonzalez, Rocio" uniqKey="Alonso Gonzalez R" first="Rocío" last="Alonso-González">Rocío Alonso-González</name>
<name sortKey="Aloy Pr Sper, Amparo" sort="Aloy Pr Sper, Amparo" uniqKey="Aloy Pr Sper A" first="Amparo" last="Aloy-Pr Sper">Amparo Aloy-Pr Sper</name>
<name sortKey="Camacho, Fabio" sort="Camacho, Fabio" uniqKey="Camacho F" first="Fabio" last="Camacho">Fabio Camacho</name>
<name sortKey="Pe Arrocha Diago, Miguel" sort="Pe Arrocha Diago, Miguel" uniqKey="Pe Arrocha Diago M" first="Miguel" last="Pe Arrocha-Diago">Miguel Pe Arrocha-Diago</name>
<name sortKey="Pe Arrocha Oltra, David" sort="Pe Arrocha Oltra, David" uniqKey="Pe Arrocha Oltra D" first="David" last="Pe Arrocha-Oltra">David Pe Arrocha-Oltra</name>
</country>
</tree>
</affiliations>
</record>
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