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Guided Bone Regeneration of an Atrophic Mandible with a Heterologous Bone Block

Identifieur interne : 000D74 ( Pmc/Checkpoint ); précédent : 000D73; suivant : 000D75

Guided Bone Regeneration of an Atrophic Mandible with a Heterologous Bone Block

Auteurs : Danilo Alessio Di Stefano ; Gian Battista Greco ; Francesco Riboli

Source :

RBID : PMC:4755768

Abstract

The aim of this work was to test the effectiveness of using enzymatically deantigenated equine bone block as a scaffold for guided bone regeneration (GBR) during a horizontal augmentation of the lower jaw. A partially edentulous atrophic mandible was augmented using an equine-derived block with an expanded polytetrafluoroethylene membrane. After 8.5 months, two bone core samples were collected at the augmentation site, and implants were placed. A definitive prosthesis delivered 6 months after implant placement provided excellent functional and aesthetic rehabilitation throughout the follow-up period. Histological and histomorphometrical analysis of the biopsies showed newly formed bone to be present and the residual biomaterial was still undergoing remodeling. Comparison of cone beam computed tomography scans taken before augmentation and 26 months later showed maintenance of ridge width and possible corticalization of the vestibular augmented ridge side. The equine-derived bone block placed in accordance with GBR principles provided a successful clinical, radiographic, and histological outcome.


Url:
DOI: 10.1055/s-0035-1551544
PubMed: 26889354
PubMed Central: 4755768


Affiliations:


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PMC:4755768

Le document en format XML

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<institution>Department of Dentistry, Vita e Salute San Raffaele University, Milan, Italy</institution>
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<institution>Dentalnarco Odontoiatric Center, Trezzano Sul Naviglio, Italy</institution>
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<name sortKey="Greco, Gian Battista" sort="Greco, Gian Battista" uniqKey="Greco G" first="Gian Battista" last="Greco">Gian Battista Greco</name>
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<name sortKey="Riboli, Francesco" sort="Riboli, Francesco" uniqKey="Riboli F" first="Francesco" last="Riboli">Francesco Riboli</name>
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<title level="j">Craniomaxillofacial Trauma & Reconstruction</title>
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<p>The aim of this work was to test the effectiveness of using enzymatically deantigenated equine bone block as a scaffold for guided bone regeneration (GBR) during a horizontal augmentation of the lower jaw. A partially edentulous atrophic mandible was augmented using an equine-derived block with an expanded polytetrafluoroethylene membrane. After 8.5 months, two bone core samples were collected at the augmentation site, and implants were placed. A definitive prosthesis delivered 6 months after implant placement provided excellent functional and aesthetic rehabilitation throughout the follow-up period. Histological and histomorphometrical analysis of the biopsies showed newly formed bone to be present and the residual biomaterial was still undergoing remodeling. Comparison of cone beam computed tomography scans taken before augmentation and 26 months later showed maintenance of ridge width and possible corticalization of the vestibular augmented ridge side. The equine-derived bone block placed in accordance with GBR principles provided a successful clinical, radiographic, and histological outcome.</p>
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<journal-id journal-id-type="iso-abbrev">Craniomaxillofac Trauma Reconstr</journal-id>
<journal-id journal-id-type="doi">10.1055/s-00000151</journal-id>
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<given-names>Danilo Alessio</given-names>
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<degrees>DDS</degrees>
<xref rid="AF140398cr-1" ref-type="aff">1</xref>
<xref rid="AF140398cr-2" ref-type="aff">2</xref>
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<given-names>Gian Battista</given-names>
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<surname>Riboli</surname>
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<institution>Dentalnarco Odontoiatric Center, Trezzano Sul Naviglio, Italy</institution>
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<author-notes>
<corresp id="CO140398cr-1">
<bold>Address for correspondence </bold>
Danilo Alessio Di Stefano, DDS
<institution>Department of Dentistry</institution>
<institution>Vita e Salute San Raffaele University</institution>
<addr-line>Via Matteo Civitali 40, 20148 Milan</addr-line>
<country>Italy</country>
<email>distefano@centrocivitali.it</email>
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<month>5</month>
<year>2015</year>
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<pub-date pub-type="ppub">
<month>3</month>
<year>2016</year>
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<volume>9</volume>
<issue>1</issue>
<fpage>88</fpage>
<lpage>93</lpage>
<history>
<date date-type="received">
<day>16</day>
<month>9</month>
<year>2014</year>
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<date date-type="accepted">
<day>12</day>
<month>1</month>
<year>2015</year>
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<permissions>
<copyright-statement>© Thieme Medical Publishers</copyright-statement>
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<abstract>
<p>The aim of this work was to test the effectiveness of using enzymatically deantigenated equine bone block as a scaffold for guided bone regeneration (GBR) during a horizontal augmentation of the lower jaw. A partially edentulous atrophic mandible was augmented using an equine-derived block with an expanded polytetrafluoroethylene membrane. After 8.5 months, two bone core samples were collected at the augmentation site, and implants were placed. A definitive prosthesis delivered 6 months after implant placement provided excellent functional and aesthetic rehabilitation throughout the follow-up period. Histological and histomorphometrical analysis of the biopsies showed newly formed bone to be present and the residual biomaterial was still undergoing remodeling. Comparison of cone beam computed tomography scans taken before augmentation and 26 months later showed maintenance of ridge width and possible corticalization of the vestibular augmented ridge side. The equine-derived bone block placed in accordance with GBR principles provided a successful clinical, radiographic, and histological outcome.</p>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>equine bone</kwd>
<kwd>guided bone regeneration</kwd>
<kwd>heterologous bone</kwd>
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