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Tissue-engineered polymer-based periosteal bone grafts for maxillary sinus augmentation: five-year clinical results.

Identifieur interne : 001033 ( PubMed/Checkpoint ); précédent : 001032; suivant : 001034

Tissue-engineered polymer-based periosteal bone grafts for maxillary sinus augmentation: five-year clinical results.

Auteurs : Wolfram Trautvetter [Allemagne] ; Christian Kaps ; Rainer Schmelzeisen ; Sebastian Sauerbier ; Michael Sittinger

Source :

RBID : pubmed:21680073

Descripteurs français

English descriptors

Abstract

Augmentation of the maxillary sinus with allogenic or alloplastic materials, as well as autologous bone grafts, has inherent disadvantages. Therefore, the aim of our study was to evaluate the long-term clinical repair effect of autologous periosteal bone grafts on atrophic maxillary bone.

DOI: 10.1016/j.joms.2011.02.096
PubMed: 21680073


Affiliations:


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pubmed:21680073

Le document en format XML

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<div type="abstract" xml:lang="en">Augmentation of the maxillary sinus with allogenic or alloplastic materials, as well as autologous bone grafts, has inherent disadvantages. Therefore, the aim of our study was to evaluate the long-term clinical repair effect of autologous periosteal bone grafts on atrophic maxillary bone.</div>
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<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">In the present retrospective cohort study, augmentation of the edentulous atrophic posterior maxilla was performed using autologous tissue-engineered periosteal bone grafts based on bioresorbable polymer scaffolds and, in a 1-step procedure, simultaneous insertion of dental implants. The clinical evaluation of 10 patients was performed by radiologic assessment of bone formation, with a follow-up of 5 years. Bone formation was further documented by measuring the bone height and by histologic examination.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Excellent clinical and radiologic results were achieved as early as 4 months after transplantation of the periosteal bone grafts. The bone height remained significantly (P < .05) greater (median 14.2 mm) than the preoperative atrophic bone (median 6.9 mm) during the 5-year observation period. Histologically, the bone biopsy specimens of 2 patients obtained after 6 months showed trabecular bone with osteocytes and active osteoblasts. No signs of bone resorption, formation of connective tissue, or necrosis were seen.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Our results suggest that the transplantation of autologous periosteal bone grafts and implantation of dental implants in a 1-step procedure is a reliable procedure that leads to bone formation in the edentulous posterior maxilla, remaining stable in the long term for a period of at least 5 years.</AbstractText>
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