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Bone augmentation with TiMesh. autologous bone versus autologous bone and bone substitutes. A systematic review

Identifieur interne : 000446 ( Pmc/Curation ); précédent : 000445; suivant : 000447

Bone augmentation with TiMesh. autologous bone versus autologous bone and bone substitutes. A systematic review

Auteurs : Fabrizio Carini [Italie] ; Salvatore Longoni [Italie] ; Ernesto Amosso [Italie] ; Jacopo Paleari [Italie] ; Stefania Carini [Italie] ; Gianluca Porcaro [Italie]

Source :

RBID : PMC:4308965

Abstract

SummaryAim of the study

Reconstruction of segmental defects and the atrophic maxilla and mandible is performed using various techniques. Bone substitutes have received a wealth of reports in the literature demonstrating a long-term success when used in alveolar bone augmentation procedures.

Materials and methods

We reviewed articles comparing TiMesh GBR technique with different percentage of bone: autogenous bone alone (AB); anorganic bovine bone alone (ABB); 50:50 or 70:30. From an initial pool of 122, we selected 14 studies. ANOVA followed by Tukey HSD test was used for statistical analysis.

Results

We present a table analysing fundamental parameters to value a successful GBR therapy. Autogenous bone remains the gold standard in GBR technique with TiMesh; however, the combination between AB/ABB in relation 50:50 and 70:30 allows reducing surgical cost exploiting properties of eterologous bone.

Conclusion

The use of autologous bone is associated with a height and width gain of bone, which are greater compared to other techniques, with a lower exposure of the mesh and a lower bone resorption. The use of heterologous graft leads to a lower bone earn and to percentage of resorption greater than autologous graft but does not differ from the gain and resorption of the bone of AB/ABB in percentage 50:50 and 70:30.


Url:
PubMed: 25678948
PubMed Central: 4308965

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PMC:4308965

Le document en format XML

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<name sortKey="Carini, Fabrizio" sort="Carini, Fabrizio" uniqKey="Carini F" first="Fabrizio" last="Carini">Fabrizio Carini</name>
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<nlm:aff id="af1-27-36">Department of Surgery and Translational Medicine, University of Milano-Bicocca, Monza, Italy</nlm:aff>
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<title>Summary</title>
<sec>
<title>Aim of the study</title>
<p>Reconstruction of segmental defects and the atrophic maxilla and mandible is performed using various techniques. Bone substitutes have received a wealth of reports in the literature demonstrating a long-term success when used in alveolar bone augmentation procedures.</p>
</sec>
<sec>
<title>Materials and methods</title>
<p>We reviewed articles comparing TiMesh GBR technique with different percentage of bone: autogenous bone alone (AB); anorganic bovine bone alone (ABB); 50:50 or 70:30. From an initial pool of 122, we selected 14 studies. ANOVA followed by Tukey HSD test was used for statistical analysis.</p>
</sec>
<sec>
<title>Results</title>
<p>We present a table analysing fundamental parameters to value a successful GBR therapy. Autogenous bone remains the gold standard in GBR technique with TiMesh; however, the combination between AB/ABB in relation 50:50 and 70:30 allows reducing surgical cost exploiting properties of eterologous bone.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>The use of autologous bone is associated with a height and width gain of bone, which are greater compared to other techniques, with a lower exposure of the mesh and a lower bone resorption. The use of heterologous graft leads to a lower bone earn and to percentage of resorption greater than autologous graft but does not differ from the gain and resorption of the bone of AB/ABB in percentage 50:50 and 70:30.</p>
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<italic>versus</italic>
autologous bone and bone substitutes. A systematic review</article-title>
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<given-names>Fabrizio</given-names>
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<degrees>MD, DMD, DDS</degrees>
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<given-names>Ernesto</given-names>
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<given-names>Jacopo</given-names>
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<degrees>DMD, DDS</degrees>
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<surname>Carini</surname>
<given-names>Stefania</given-names>
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<degrees>MS-6</degrees>
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<given-names>Gianluca</given-names>
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<degrees>DMD, DDS</degrees>
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Department of Surgery and Translational Medicine, University of Milano-Bicocca, Monza, Italy</aff>
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School of Medicine, University of Milan-Bicocca, Monza, Italy</aff>
<author-notes>
<corresp id="c1-27-36">Corresponding author: Gianluca Porcaro, School of Oral Surgery, University of Milan-Bicocca, via Pergolesi 33, 20900 Monza, Italy, E-mail:
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<copyright-year>2014</copyright-year>
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<abstract>
<title>Summary</title>
<sec>
<title>Aim of the study</title>
<p>Reconstruction of segmental defects and the atrophic maxilla and mandible is performed using various techniques. Bone substitutes have received a wealth of reports in the literature demonstrating a long-term success when used in alveolar bone augmentation procedures.</p>
</sec>
<sec>
<title>Materials and methods</title>
<p>We reviewed articles comparing TiMesh GBR technique with different percentage of bone: autogenous bone alone (AB); anorganic bovine bone alone (ABB); 50:50 or 70:30. From an initial pool of 122, we selected 14 studies. ANOVA followed by Tukey HSD test was used for statistical analysis.</p>
</sec>
<sec>
<title>Results</title>
<p>We present a table analysing fundamental parameters to value a successful GBR therapy. Autogenous bone remains the gold standard in GBR technique with TiMesh; however, the combination between AB/ABB in relation 50:50 and 70:30 allows reducing surgical cost exploiting properties of eterologous bone.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>The use of autologous bone is associated with a height and width gain of bone, which are greater compared to other techniques, with a lower exposure of the mesh and a lower bone resorption. The use of heterologous graft leads to a lower bone earn and to percentage of resorption greater than autologous graft but does not differ from the gain and resorption of the bone of AB/ABB in percentage 50:50 and 70:30.</p>
</sec>
</abstract>
<kwd-group>
<kwd>GBR technique</kwd>
<kwd>TiMesh</kwd>
<kwd>alveolar ridge augmentation</kwd>
<kwd>anorganic bovine bone</kwd>
<kwd>bone substitute</kwd>
</kwd-group>
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</front>
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