The use of bone block allografts in sinus augmentation, followed by delayed implant placement: A case series
Identifieur interne : 002B41 ( Pmc/Curation ); précédent : 002B40; suivant : 002B42The use of bone block allografts in sinus augmentation, followed by delayed implant placement: A case series
Auteurs : Eurico D. Aloja ; Massimiliano Ricci ; Guerino Caso ; Enrico Santi ; Tonelli Paolo ; Barone Antono ; Ugo CovaniSource :
- Contemporary Clinical Dentistry [ 0976-237X ] ; 2013.
Abstract
This article reports the clinical outcomes observed in a large number of patients receiving block bone allograft used for sinus augmentation and delayed implant placement.
In total, 28 patients (13 males) with a mean age of 49.8 ± 10.1 years (range: 33-67 years) were included in this case series. All selected patients suffered from severe alveolar ridge atrophy in the posterior maxilla and required bone augmentation procedures, followed by implant placement after 6 months. All patients were followed for 18 months after the grafting, with scheduled monthly visits and/or more frequent visits if required. The survival rates for both the bone blocks and placed implants were then evaluated.
A total of 42 blocks and 90 implants were placed. Only one bone graft and 5 implants failed; the survival rate was 97.2% and 95.5% for the bone grafts and implants, respectively. The graft failed due to the onset of post-surgical infectious sinusitis, while in some patients’ implants showed absence of osteointegration at the end of the healing phase. Of note, all failed implants were observed in heavy smokers; in all other patients, blocks and implants were successful.
This preliminary case series suggests that the grafting of bone allograft followed by delayed implant placement may be a promising strategy for sinus augmentation. More extended and larger follow-up studies are needed to confirm this preliminary data.
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DOI: 10.4103/0976-237X.111587
PubMed: 23853446
PubMed Central: 3703687
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Aloja</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Ricci, Massimiliano" sort="Ricci, Massimiliano" uniqKey="Ricci M" first="Massimiliano" last="Ricci">Massimiliano Ricci</name><affiliation><nlm:aff id="aff2"><italic>University of Pisa, Istituto Stomatologco Tirreno, Versilia General Hospital, Lido di Camaiore, Italy</italic></nlm:aff></affiliation></author><author><name sortKey="Caso, Guerino" sort="Caso, Guerino" uniqKey="Caso G" first="Guerino" last="Caso">Guerino Caso</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Santi, Enrico" sort="Santi, Enrico" uniqKey="Santi E" first="Enrico" last="Santi">Enrico Santi</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Paolo, Tonelli" sort="Paolo, Tonelli" uniqKey="Paolo T" first="Tonelli" last="Paolo">Tonelli Paolo</name><affiliation><nlm:aff id="aff3"><italic>University of Florence, Italy</italic></nlm:aff></affiliation></author><author><name sortKey="Antono, Barone" sort="Antono, Barone" uniqKey="Antono B" first="Barone" last="Antono">Barone Antono</name><affiliation><nlm:aff id="aff2"><italic>University of Pisa, Istituto Stomatologco Tirreno, Versilia General Hospital, Lido di Camaiore, Italy</italic></nlm:aff></affiliation></author><author><name sortKey="Covani, Ugo" sort="Covani, Ugo" uniqKey="Covani U" first="Ugo" last="Covani">Ugo Covani</name><affiliation><nlm:aff id="aff2"><italic>University of Pisa, Istituto Stomatologco Tirreno, Versilia General Hospital, Lido di Camaiore, Italy</italic></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23853446</idno><idno type="pmc">3703687</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3703687</idno><idno type="RBID">PMC:3703687</idno><idno type="doi">10.4103/0976-237X.111587</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">002B41</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002B41</idno><idno type="wicri:Area/Pmc/Curation">002B41</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002B41</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The use of bone block allografts in sinus augmentation, followed by delayed implant placement: A case series</title><author><name sortKey="Aloja, Eurico D" sort="Aloja, Eurico D" uniqKey="Aloja E" first="Eurico D." last="Aloja">Eurico D. Aloja</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Ricci, Massimiliano" sort="Ricci, Massimiliano" uniqKey="Ricci M" first="Massimiliano" last="Ricci">Massimiliano Ricci</name><affiliation><nlm:aff id="aff2"><italic>University of Pisa, Istituto Stomatologco Tirreno, Versilia General Hospital, Lido di Camaiore, Italy</italic></nlm:aff></affiliation></author><author><name sortKey="Caso, Guerino" sort="Caso, Guerino" uniqKey="Caso G" first="Guerino" last="Caso">Guerino Caso</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Santi, Enrico" sort="Santi, Enrico" uniqKey="Santi E" first="Enrico" last="Santi">Enrico Santi</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Paolo, Tonelli" sort="Paolo, Tonelli" uniqKey="Paolo T" first="Tonelli" last="Paolo">Tonelli Paolo</name><affiliation><nlm:aff id="aff3"><italic>University of Florence, Italy</italic></nlm:aff></affiliation></author><author><name sortKey="Antono, Barone" sort="Antono, Barone" uniqKey="Antono B" first="Barone" last="Antono">Barone Antono</name><affiliation><nlm:aff id="aff2"><italic>University of Pisa, Istituto Stomatologco Tirreno, Versilia General Hospital, Lido di Camaiore, Italy</italic></nlm:aff></affiliation></author><author><name sortKey="Covani, Ugo" sort="Covani, Ugo" uniqKey="Covani U" first="Ugo" last="Covani">Ugo Covani</name><affiliation><nlm:aff id="aff2"><italic>University of Pisa, Istituto Stomatologco Tirreno, Versilia General Hospital, Lido di Camaiore, Italy</italic></nlm:aff></affiliation></author></analytic><series><title level="j">Contemporary Clinical Dentistry</title><idno type="ISSN">0976-237X</idno><idno type="eISSN">0976-2361</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Purpose:</title><p>This article reports the clinical outcomes observed in a large number of patients receiving block bone allograft used for sinus augmentation and delayed implant placement.</p></sec><sec id="st2"><title>Patients and Methods:</title><p>In total, 28 patients (13 males) with a mean age of 49.8 ± 10.1 years (range: 33-67 years) were included in this case series. All selected patients suffered from severe alveolar ridge atrophy in the posterior maxilla and required bone augmentation procedures, followed by implant placement after 6 months. All patients were followed for 18 months after the grafting, with scheduled monthly visits and/or more frequent visits if required. The survival rates for both the bone blocks and placed implants were then evaluated.</p></sec><sec id="st3"><title>Results:</title><p>A total of 42 blocks and 90 implants were placed. Only one bone graft and 5 implants failed; the survival rate was 97.2% and 95.5% for the bone grafts and implants, respectively. The graft failed due to the onset of post-surgical infectious sinusitis, while in some patients’ implants showed absence of osteointegration at the end of the healing phase. Of note, all failed implants were observed in heavy smokers; in all other patients, blocks and implants were successful.</p></sec><sec id="st4"><title>Conclusions:</title><p>This preliminary case series suggests that the grafting of bone allograft followed by delayed implant placement may be a promising strategy for sinus augmentation. More extended and larger follow-up studies are needed to confirm this preliminary data.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Tatum, H" uniqKey="Tatum H">H Tatum</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Misch, Ce" uniqKey="Misch C">CE Misch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Smiler, Dg" uniqKey="Smiler D">DG Smiler</name></author><author><name sortKey="Johnson, Pw" uniqKey="Johnson P">PW Johnson</name></author><author><name sortKey="Lozada, Jl" uniqKey="Lozada J">JL Lozada</name></author><author><name sortKey="Misch, C" uniqKey="Misch C">C Misch</name></author><author><name sortKey="Rosenlicht, Jl" uniqKey="Rosenlicht J">JL Rosenlicht</name></author><author><name sortKey="Tatum, Oh" uniqKey="Tatum O">OH Tatum</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davis, Wh" uniqKey="Davis W">WH Davis</name></author><author><name sortKey="Martinoff, Jt" uniqKey="Martinoff J">JT Martinoff</name></author><author><name sortKey="Kaminishi, Rm" uniqKey="Kaminishi R">RM Kaminishi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chiapasco, M" uniqKey="Chiapasco M">M Chiapasco</name></author><author><name sortKey="Casentini, P" uniqKey="Casentini P">P Casentini</name></author><author><name sortKey="Zaniboni, M" uniqKey="Zaniboni M">M Zaniboni</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wallace, Ss" uniqKey="Wallace S">SS Wallace</name></author><author><name sortKey="Froum, Sj" uniqKey="Froum S">SJ Froum</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nkenke, E" uniqKey="Nkenke E">E Nkenke</name></author><author><name sortKey="Stelzle, F" uniqKey="Stelzle F">F Stelzle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Boyne, Pj" uniqKey="Boyne P">PJ Boyne</name></author><author><name sortKey="James, Ra" uniqKey="James R">RA James</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Barone, A" uniqKey="Barone A">A Barone</name></author><author><name sortKey="Crespi, R" uniqKey="Crespi R">R Crespi</name></author><author><name sortKey="Aldini, Nn" uniqKey="Aldini N">NN Aldini</name></author><author><name sortKey="Fini, M" uniqKey="Fini M">M Fini</name></author><author><name sortKey="Giardino, R" uniqKey="Giardino R">R Giardino</name></author><author><name sortKey="Covani, U" uniqKey="Covani U">U Covani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chaushu, G" uniqKey="Chaushu G">G Chaushu</name></author><author><name sortKey="Vered, M" uniqKey="Vered M">M Vered</name></author><author><name sortKey="Mardinger, O" uniqKey="Mardinger O">O Mardinger</name></author><author><name sortKey="Nissan, J" uniqKey="Nissan J">J Nissan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pjetursson, Be" uniqKey="Pjetursson B">BE Pjetursson</name></author><author><name sortKey="Tan, Wc" uniqKey="Tan W">WC Tan</name></author><author><name sortKey="Zwahlen, M" uniqKey="Zwahlen M">M Zwahlen</name></author><author><name sortKey="Lang, Np" uniqKey="Lang N">NP Lang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ulm, C" uniqKey="Ulm C">C Ulm</name></author><author><name sortKey="Kneissel, M" uniqKey="Kneissel M">M Kneissel</name></author><author><name sortKey="Schedle, A" uniqKey="Schedle A">A Schedle</name></author><author><name sortKey="Solar, P" uniqKey="Solar P">P Solar</name></author><author><name sortKey="Matejka, M" uniqKey="Matejka M">M Matejka</name></author><author><name sortKey="Schneider, B" uniqKey="Schneider B">B Schneider</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alsaadi, G" uniqKey="Alsaadi G">G Alsaadi</name></author><author><name sortKey="Quirynen, M" uniqKey="Quirynen M">M Quirynen</name></author><author><name sortKey="Komarek, A" uniqKey="Komarek A">A Komárek</name></author><author><name sortKey="Van Steenberghe, D" uniqKey="Van Steenberghe D">D van Steenberghe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cordaro, L" uniqKey="Cordaro L">L Cordaro</name></author><author><name sortKey="Bosshardt, Dd" uniqKey="Bosshardt D">DD Bosshardt</name></author><author><name sortKey="Palattella, P" uniqKey="Palattella P">P Palattella</name></author><author><name sortKey="Rao, W" uniqKey="Rao W">W Rao</name></author><author><name sortKey="Serino, G" uniqKey="Serino G">G Serino</name></author><author><name sortKey="Chiapasco, M" uniqKey="Chiapasco M">M Chiapasco</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">Contemp Clin Dent</journal-id><journal-id journal-id-type="iso-abbrev">Contemp Clin Dent</journal-id><journal-id journal-id-type="publisher-id">CCD</journal-id><journal-title-group><journal-title>Contemporary Clinical Dentistry</journal-title></journal-title-group><issn pub-type="ppub">0976-237X</issn><issn pub-type="epub">0976-2361</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23853446</article-id><article-id pub-id-type="pmc">3703687</article-id><article-id pub-id-type="publisher-id">CCD-4-13</article-id><article-id pub-id-type="doi">10.4103/0976-237X.111587</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>The use of bone block allografts in sinus augmentation, followed by delayed implant placement: A case series</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Aloja</surname><given-names>Eurico D.</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Ricci</surname><given-names>Massimiliano</given-names></name><xref ref-type="aff" rid="aff2">1</xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Caso</surname><given-names>Guerino</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Santi</surname><given-names>Enrico</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Paolo</surname><given-names>Tonelli</given-names></name><xref ref-type="aff" rid="aff3">2</xref></contrib><contrib contrib-type="author"><name><surname>Antono</surname><given-names>Barone</given-names></name><xref ref-type="aff" rid="aff2">1</xref></contrib><contrib contrib-type="author"><name><surname>Covani</surname><given-names>Ugo</given-names></name><xref ref-type="aff" rid="aff2">1</xref></contrib></contrib-group><aff id="aff1"><italic>Private Praticioner, Negrar, Italy</italic></aff><aff id="aff2"><label>1</label><italic>University of Pisa, Istituto Stomatologco Tirreno, Versilia General Hospital, Lido di Camaiore, Italy</italic></aff><aff id="aff3"><label>2</label><italic>University of Florence, Italy</italic></aff><author-notes><corresp id="cor1"><bold>Correspondence:</bold> Dr. Massimiliano Ricci, Istituto Stomatologico Tirreno Ospedale Della Versilia, Via Aurelia 335, Lido di Camaiore (LU), Tuscany, Italy. E-mail: <email xlink:href="ricci.massimiliano@yahoo.it">ricci.massimiliano@yahoo.it</email></corresp></author-notes><pub-date pub-type="ppub"><season>Jan-Mar</season><year>2013</year></pub-date><volume>4</volume><issue>1</issue><fpage>13</fpage><lpage>19</lpage><permissions><copyright-statement>Copyright: © Contemporary Clinical Dentistry</copyright-statement><copyright-year>2013</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><sec id="st1"><title>Purpose:</title><p>This article reports the clinical outcomes observed in a large number of patients receiving block bone allograft used for sinus augmentation and delayed implant placement.</p></sec><sec id="st2"><title>Patients and Methods:</title><p>In total, 28 patients (13 males) with a mean age of 49.8 ± 10.1 years (range: 33-67 years) were included in this case series. All selected patients suffered from severe alveolar ridge atrophy in the posterior maxilla and required bone augmentation procedures, followed by implant placement after 6 months. All patients were followed for 18 months after the grafting, with scheduled monthly visits and/or more frequent visits if required. The survival rates for both the bone blocks and placed implants were then evaluated.</p></sec><sec id="st3"><title>Results:</title><p>A total of 42 blocks and 90 implants were placed. Only one bone graft and 5 implants failed; the survival rate was 97.2% and 95.5% for the bone grafts and implants, respectively. The graft failed due to the onset of post-surgical infectious sinusitis, while in some patients’ implants showed absence of osteointegration at the end of the healing phase. Of note, all failed implants were observed in heavy smokers; in all other patients, blocks and implants were successful.</p></sec><sec id="st4"><title>Conclusions:</title><p>This preliminary case series suggests that the grafting of bone allograft followed by delayed implant placement may be a promising strategy for sinus augmentation. More extended and larger follow-up studies are needed to confirm this preliminary data.</p></sec></abstract><kwd-group><kwd>Grafting</kwd><kwd>implants</kwd><kwd>sinus block</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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