Alveolar ridge augmentation using chin bone graft, bovine bone mineral, and titanium mesh: Clinical, histological, and histomorphomtric study
Identifieur interne : 003167 ( Pmc/Curation ); précédent : 003166; suivant : 003168Alveolar ridge augmentation using chin bone graft, bovine bone mineral, and titanium mesh: Clinical, histological, and histomorphomtric study
Auteurs : Jihad Khamees ; Mohammad Atef Darwiche ; Nabil KochajiSource :
- Journal of Indian Society of Periodontology [ 0972-124X ] ; 2012.
Abstract
Resorption of the alveolar ridge often leaves insufficient bone volume. Very few studies have investigated the quantity and quality of bone formation in humans, following alveolar ridge augmentation, using autogenous bone and bovine bone mineral (BBM) under titanium mesh.
Sixteen alveolar bone defects divided into two groups; control group with symphyseal autogenous bone covered by titanium mesh; and test group with symphyseal autogenous bone mixed with BBM in 1: 1 ratio and covered by titanium mesh. The outcomes were evaluated clinically, histologically, and histomorphometrically.
Clinical measurements showed that the horizontal bone gain was 3.44±0.54 mm and 2.88±0.57 mm, on average, for control group and test group, respectively. While graft absorption was 2.66±0.98 mm (43.62%) and 1.67±1.00 mm (36.65%), on average, for control group and test group, respectively. In the test group, BBM particles were still recognizable, on histologic analysis. They were surrounded completely or partly by newly formed bone. Clear signs of resorption of the BBM were found, with osteoclast cell noticed in the area. Histomorphometrically, the newly formed bone was 78.40%±13.97% and 65.58%±6.59%, whereas connective tissue constituted 21.60%±13.97% and 23.87%±4.79% for control group and test group, respectively. The remaining BBM particles occupied 10.55%±1.80%. All differences between the control and test groups were not significant (
This investigation suggests that horizonal ridge augmentation with titanium mesh and autogenous bone alone or mixed with BBM are predictable and ridges were augmented even if mesh exposure occurs.
Url:
DOI: 10.4103/0972-124X.99268
PubMed: 23055591
PubMed Central: 3459505
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<author><name sortKey="Khamees, Jihad" sort="Khamees, Jihad" uniqKey="Khamees J" first="Jihad" last="Khamees">Jihad Khamees</name>
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<author><name sortKey="Darwiche, Mohammad Atef" sort="Darwiche, Mohammad Atef" uniqKey="Darwiche M" first="Mohammad Atef" last="Darwiche">Mohammad Atef Darwiche</name>
<affiliation><nlm:aff id="aff2"><italic>Department of Periodontology, Former Dean of Dental School, University of Damascus, Damascus, Syria</italic>
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<author><name sortKey="Kochaji, Nabil" sort="Kochaji, Nabil" uniqKey="Kochaji N" first="Nabil" last="Kochaji">Nabil Kochaji</name>
<affiliation><nlm:aff id="aff3"><italic>Department of Histology and Pathology, Dental School, University of Damascus, Damascus, Syria</italic>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Alveolar ridge augmentation using chin bone graft, bovine bone mineral, and titanium mesh: Clinical, histological, and histomorphomtric study</title>
<author><name sortKey="Khamees, Jihad" sort="Khamees, Jihad" uniqKey="Khamees J" first="Jihad" last="Khamees">Jihad Khamees</name>
<affiliation><nlm:aff id="aff1"></nlm:aff>
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<author><name sortKey="Darwiche, Mohammad Atef" sort="Darwiche, Mohammad Atef" uniqKey="Darwiche M" first="Mohammad Atef" last="Darwiche">Mohammad Atef Darwiche</name>
<affiliation><nlm:aff id="aff2"><italic>Department of Periodontology, Former Dean of Dental School, University of Damascus, Damascus, Syria</italic>
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<author><name sortKey="Kochaji, Nabil" sort="Kochaji, Nabil" uniqKey="Kochaji N" first="Nabil" last="Kochaji">Nabil Kochaji</name>
<affiliation><nlm:aff id="aff3"><italic>Department of Histology and Pathology, Dental School, University of Damascus, Damascus, Syria</italic>
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<series><title level="j">Journal of Indian Society of Periodontology</title>
<idno type="ISSN">0972-124X</idno>
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<front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title>
<p>Resorption of the alveolar ridge often leaves insufficient bone volume. Very few studies have investigated the quantity and quality of bone formation in humans, following alveolar ridge augmentation, using autogenous bone and bovine bone mineral (BBM) under titanium mesh.</p>
</sec>
<sec id="st2"><title>Materials and Methods:</title>
<p>Sixteen alveolar bone defects divided into two groups; control group with symphyseal autogenous bone covered by titanium mesh; and test group with symphyseal autogenous bone mixed with BBM in 1: 1 ratio and covered by titanium mesh. The outcomes were evaluated clinically, histologically, and histomorphometrically.</p>
</sec>
<sec id="st3"><title>Results:</title>
<p>Clinical measurements showed that the horizontal bone gain was 3.44±0.54 mm and 2.88±0.57 mm, on average, for control group and test group, respectively. While graft absorption was 2.66±0.98 mm (43.62%) and 1.67±1.00 mm (36.65%), on average, for control group and test group, respectively. In the test group, BBM particles were still recognizable, on histologic analysis. They were surrounded completely or partly by newly formed bone. Clear signs of resorption of the BBM were found, with osteoclast cell noticed in the area. Histomorphometrically, the newly formed bone was 78.40%±13.97% and 65.58%±6.59%, whereas connective tissue constituted 21.60%±13.97% and 23.87%±4.79% for control group and test group, respectively. The remaining BBM particles occupied 10.55%±1.80%. All differences between the control and test groups were not significant (<italic>P</italic>
>.05).</p>
</sec>
<sec id="st4"><title>Conclusion:</title>
<p>This investigation suggests that horizonal ridge augmentation with titanium mesh and autogenous bone alone or mixed with BBM are predictable and ridges were augmented even if mesh exposure occurs.</p>
</sec>
</div>
</front>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Indian Soc Periodontol</journal-id>
<journal-id journal-id-type="iso-abbrev">J Indian Soc Periodontol</journal-id>
<journal-id journal-id-type="publisher-id">JISP</journal-id>
<journal-title-group><journal-title>Journal of Indian Society of Periodontology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0972-124X</issn>
<issn pub-type="epub">0975-1580</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">23055591</article-id>
<article-id pub-id-type="pmc">3459505</article-id>
<article-id pub-id-type="publisher-id">JISP-16-235</article-id>
<article-id pub-id-type="doi">10.4103/0972-124X.99268</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Alveolar ridge augmentation using chin bone graft, bovine bone mineral, and titanium mesh: Clinical, histological, and histomorphomtric study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Khamees</surname>
<given-names>Jihad</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Darwiche</surname>
<given-names>Mohammad Atef</given-names>
</name>
<xref ref-type="aff" rid="aff2">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kochaji</surname>
<given-names>Nabil</given-names>
</name>
<xref ref-type="aff" rid="aff3">2</xref>
</contrib>
</contrib-group>
<aff id="aff1"><italic>Department of Periodontology, Dental School, University of Damascus, Damascus, Syria</italic>
</aff>
<aff id="aff2"><label>1</label>
<italic>Department of Periodontology, Former Dean of Dental School, University of Damascus, Damascus, Syria</italic>
</aff>
<aff id="aff3"><label>2</label>
<italic>Department of Histology and Pathology, Dental School, University of Damascus, Damascus, Syria</italic>
</aff>
<author-notes><corresp id="cor1"><bold>Address for correspondence:</bold>
Dr. Jihad Khamees, Department of Periodontology, Dental School, University of Damascus, Damascus, Syria. E-mail: <email xlink:href="jihadkham@hotmail.com">jihadkham@hotmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Apr-Jun</season>
<year>2012</year>
</pub-date>
<volume>16</volume>
<issue>2</issue>
<fpage>235</fpage>
<lpage>240</lpage>
<history><date date-type="received"><day>23</day>
<month>8</month>
<year>2010</year>
</date>
<date date-type="accepted"><day>28</day>
<month>11</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>Copyright: © Journal of Indian Society of Periodontology</copyright-statement>
<copyright-year>2012</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>Background:</title>
<p>Resorption of the alveolar ridge often leaves insufficient bone volume. Very few studies have investigated the quantity and quality of bone formation in humans, following alveolar ridge augmentation, using autogenous bone and bovine bone mineral (BBM) under titanium mesh.</p>
</sec>
<sec id="st2"><title>Materials and Methods:</title>
<p>Sixteen alveolar bone defects divided into two groups; control group with symphyseal autogenous bone covered by titanium mesh; and test group with symphyseal autogenous bone mixed with BBM in 1: 1 ratio and covered by titanium mesh. The outcomes were evaluated clinically, histologically, and histomorphometrically.</p>
</sec>
<sec id="st3"><title>Results:</title>
<p>Clinical measurements showed that the horizontal bone gain was 3.44±0.54 mm and 2.88±0.57 mm, on average, for control group and test group, respectively. While graft absorption was 2.66±0.98 mm (43.62%) and 1.67±1.00 mm (36.65%), on average, for control group and test group, respectively. In the test group, BBM particles were still recognizable, on histologic analysis. They were surrounded completely or partly by newly formed bone. Clear signs of resorption of the BBM were found, with osteoclast cell noticed in the area. Histomorphometrically, the newly formed bone was 78.40%±13.97% and 65.58%±6.59%, whereas connective tissue constituted 21.60%±13.97% and 23.87%±4.79% for control group and test group, respectively. The remaining BBM particles occupied 10.55%±1.80%. All differences between the control and test groups were not significant (<italic>P</italic>
>.05).</p>
</sec>
<sec id="st4"><title>Conclusion:</title>
<p>This investigation suggests that horizonal ridge augmentation with titanium mesh and autogenous bone alone or mixed with BBM are predictable and ridges were augmented even if mesh exposure occurs.</p>
</sec>
</abstract>
<kwd-group><kwd>Alveolar ridge augmentation</kwd>
<kwd>bovine bone</kwd>
<kwd>chin bone graft</kwd>
<kwd>histomorphometry</kwd>
<kwd>titanium mesh</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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