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Reconstruction of the anterior maxilla with platelet gel, autogenous bone, and titanium mesh: a case report.

Identifieur interne : 002845 ( PubMed/Checkpoint ); précédent : 002844; suivant : 002846

Reconstruction of the anterior maxilla with platelet gel, autogenous bone, and titanium mesh: a case report.

Auteurs : Andreas Thor [Suède]

Source :

RBID : pubmed:12516648

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English descriptors

Abstract

Reconstruction of defects in the anterior part of the maxilla to enable implant placement is a challenging treatment. Recent studies have suggested that the use of autogenous platelet gel may contribute to improved healing of bone grafts.

PubMed: 12516648


Affiliations:


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pubmed:12516648

Le document en format XML

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<title xml:lang="en">Reconstruction of the anterior maxilla with platelet gel, autogenous bone, and titanium mesh: a case report.</title>
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<name sortKey="Thor, Andreas" sort="Thor, Andreas" uniqKey="Thor A" first="Andreas" last="Thor">Andreas Thor</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Stockholm Söder Hospital, Stockholm, Sweden. andreas.thor@kkir.ftv.lul.se</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, Stockholm Söder Hospital, Stockholm</wicri:regionArea>
<placeName>
<settlement type="city">Stockholm</settlement>
<region nuts="2">Svealand</region>
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<title xml:lang="en">Reconstruction of the anterior maxilla with platelet gel, autogenous bone, and titanium mesh: a case report.</title>
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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Stockholm Söder Hospital, Stockholm, Sweden. andreas.thor@kkir.ftv.lul.se</nlm:affiliation>
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<wicri:regionArea>Department of Oral and Maxillofacial Surgery, Stockholm Söder Hospital, Stockholm</wicri:regionArea>
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<title level="j">Clinical implant dentistry and related research</title>
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<term>Adult</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Blood Platelets</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Partial, Fixed</term>
<term>Gels</term>
<term>Humans</term>
<term>Incisor</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Maxilla (surgery)</term>
<term>Plateletpheresis</term>
<term>Surgical Mesh</term>
<term>Titanium</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Filet chirurgical</term>
<term>Gels</term>
<term>Humains</term>
<term>Incisive</term>
<term>Maxillaire ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Plaquettes</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résorption alvéolaire ()</term>
<term>Thrombocytaphérèse</term>
<term>Titane</term>
<term>Transplantation osseuse</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Gels</term>
<term>Titanium</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire partiellement édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Blood Platelets</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Partial, Fixed</term>
<term>Humans</term>
<term>Incisor</term>
<term>Male</term>
<term>Plateletpheresis</term>
<term>Surgical Mesh</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Filet chirurgical</term>
<term>Gels</term>
<term>Humains</term>
<term>Incisive</term>
<term>Maxillaire</term>
<term>Mâle</term>
<term>Plaquettes</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption alvéolaire</term>
<term>Thrombocytaphérèse</term>
<term>Titane</term>
<term>Transplantation osseuse</term>
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<front>
<div type="abstract" xml:lang="en">Reconstruction of defects in the anterior part of the maxilla to enable implant placement is a challenging treatment. Recent studies have suggested that the use of autogenous platelet gel may contribute to improved healing of bone grafts.</div>
</front>
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<DateCompleted>
<Year>2003</Year>
<Month>03</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">1523-0899</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>4</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2002</Year>
</PubDate>
</JournalIssue>
<Title>Clinical implant dentistry and related research</Title>
<ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation>
</Journal>
<ArticleTitle>Reconstruction of the anterior maxilla with platelet gel, autogenous bone, and titanium mesh: a case report.</ArticleTitle>
<Pagination>
<MedlinePgn>150-5</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Reconstruction of defects in the anterior part of the maxilla to enable implant placement is a challenging treatment. Recent studies have suggested that the use of autogenous platelet gel may contribute to improved healing of bone grafts.</AbstractText>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">A case is presented in which particulated autogenous bone, platelet gel, and a titanium mesh were used for alveolar bone reconstruction of the anterior maxilla prior to implant placement.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Corticocancellous bone from the iliac crest was mixed with a preparation of autogenous platelet gel (platelet-rich plasma, thrombin, and calcium chloride) and placed against a titanium mesh fixed to the bone of the palate in a patient with severe resorption of the anterior maxilla. After 4.5 months of healing the mesh was removed and titanium implants were placed. A prolonged healing period of 8 months was allowed before healing abutments were placed and a fixed dental bridge was fabricated.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Healing was uneventful, and the anterior maxilla had increased in height and width during the initial healing. All implants became integrated and have been supporting a fixed dental bridge for over 3 years with no dramatic dimensional changes of the graft.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This case demonstrates that particulated autogenous bone and platelet gel may be used for reconstruction of the anterior maxilla. Autogenous growth factors in the gel possibly contributed to the positive outcome. Controlled clinical studies are needed to evaluate the effect of using platelet-rich plasma.</AbstractText>
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