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Safety of zygomatic bone harvesting: a prospective study of 32 consecutive patients with simultaneous zygomatic bone grafting and 1-stage implant placement.

Identifieur interne : 006469 ( PubMed/Checkpoint ); précédent : 006468; suivant : 006470

Safety of zygomatic bone harvesting: a prospective study of 32 consecutive patients with simultaneous zygomatic bone grafting and 1-stage implant placement.

Auteurs : Vesa T. Kainulainen [Finlande] ; George K B. Sàndor ; Robert P. Carmichael ; Kyösti S. Oikarinen

Source :

RBID : pubmed:15839118

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English descriptors

Abstract

The purpose of this prospective study was to evaluate the safety of zygomatic bone harvesting and to determine whether a particulated zygomatic bone graft can be used simultaneously with 1-stage dental implants to reconstruct resorbed edentulous alveolar ridges.

PubMed: 15839118


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pubmed:15839118

Le document en format XML

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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Institute of Dentistry, University of Oulu and Oulu University Hospital, Oulu, Finland. vesa.kainulainen@oulu.fi</nlm:affiliation>
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<wicri:regionArea>Department of Oral and Maxillofacial Surgery, Institute of Dentistry, University of Oulu and Oulu University Hospital, Oulu</wicri:regionArea>
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<name sortKey="Oikarinen, Kyosti S" sort="Oikarinen, Kyosti S" uniqKey="Oikarinen K" first="Kyösti S" last="Oikarinen">Kyösti S. Oikarinen</name>
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<term>Adolescent</term>
<term>Adult</term>
<term>Alveolar Ridge Augmentation (adverse effects)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Bone Resorption (rehabilitation)</term>
<term>Bone Resorption (surgery)</term>
<term>Bone Transplantation</term>
<term>Dental Implants</term>
<term>Edema (etiology)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Intraoperative Complications</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Maxillary Sinus (injuries)</term>
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<term>Osseointegration</term>
<term>Pain, Postoperative (etiology)</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Safety</term>
<term>Survival Analysis</term>
<term>Tissue and Organ Harvesting (adverse effects)</term>
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<term>Zygoma (surgery)</term>
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<term>Adolescent</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Complications peropératoires</term>
<term>Complications postopératoires</term>
<term>Douleur postopératoire (étiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Oedème (étiologie)</term>
<term>Os zygomatique ()</term>
<term>Ostéo-intégration</term>
<term>Prélèvement d'organes et de tissus ()</term>
<term>Prélèvement d'organes et de tissus (effets indésirables)</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Reconstruction de crête alvéolaire (effets indésirables)</term>
<term>Résorption osseuse ()</term>
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<term>Sinus maxillaire (traumatismes)</term>
<term>Sécurité</term>
<term>Transplantation osseuse</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<term>Dental Implants</term>
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<term>Alveolar Ridge Augmentation</term>
<term>Tissue and Organ Harvesting</term>
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<term>Prélèvement d'organes et de tissus</term>
<term>Reconstruction de crête alvéolaire</term>
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<term>Edema</term>
<term>Pain, Postoperative</term>
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<keywords scheme="MESH" qualifier="injuries" xml:lang="en">
<term>Maxillary Sinus</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Tissue and Organ Harvesting</term>
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<term>Bone Resorption</term>
<term>Jaw, Edentulous</term>
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<term>Mâchoire édentée</term>
<term>Résorption osseuse</term>
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<term>Bone Resorption</term>
<term>Jaw, Edentulous</term>
<term>Zygoma</term>
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<term>Sinus maxillaire</term>
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<term>Douleur postopératoire</term>
<term>Oedème</term>
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<term>Adolescent</term>
<term>Adult</term>
<term>Bone Transplantation</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Intraoperative Complications</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Prospective Studies</term>
<term>Safety</term>
<term>Survival Analysis</term>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Complications peropératoires</term>
<term>Complications postopératoires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Os zygomatique</term>
<term>Ostéo-intégration</term>
<term>Prélèvement d'organes et de tissus</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption osseuse</term>
<term>Sécurité</term>
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<term>Études de suivi</term>
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<div type="abstract" xml:lang="en">The purpose of this prospective study was to evaluate the safety of zygomatic bone harvesting and to determine whether a particulated zygomatic bone graft can be used simultaneously with 1-stage dental implants to reconstruct resorbed edentulous alveolar ridges.</div>
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<Month>05</Month>
<Day>12</Day>
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<DateRevised>
<Year>2014</Year>
<Month>11</Month>
<Day>03</Day>
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<Volume>20</Volume>
<Issue>2</Issue>
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<MedlineDate>2005 Mar-Apr</MedlineDate>
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<Title>The International journal of oral & maxillofacial implants</Title>
<ISOAbbreviation>Int J Oral Maxillofac Implants</ISOAbbreviation>
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<ArticleTitle>Safety of zygomatic bone harvesting: a prospective study of 32 consecutive patients with simultaneous zygomatic bone grafting and 1-stage implant placement.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The purpose of this prospective study was to evaluate the safety of zygomatic bone harvesting and to determine whether a particulated zygomatic bone graft can be used simultaneously with 1-stage dental implants to reconstruct resorbed edentulous alveolar ridges.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Altogether, 82 dental implants were placed in 32 patients. Particulated bone grafts harvested from the zygomatic process were used in 72 of the implant sites. The volume of bone harvested, intraoperative complications, morbidity, and complications on follow-up visits were recorded. Implant survival was examined prospectively.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">As a harvest site, the zygoma yielded enough bone to complete the reconstructions in each case. The average zygomatic bone graft volume was 0.90 mL (SD 0.30). Perforation of the maxillary sinus occurred at 11 zygomatic sites. None of these perforations led to postoperative problems. No paresthesias or other complications were noted during follow-up examinations. Mean duration of postoperative swelling was 4.5 days, and patients used pain medication for a mean duration of 4 days. After the mean follow-up period of 26.9 months postplacement, 80 of 82 implants were osseointegrated (survival rate 97.6%).</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">[corrected] Zygomatic bone is an alternative donor site for bone harvesting with low morbidity. The bone graft yielded is sufficient for use in 2 to 3 implant sites.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The zygoma was a safe intraoral bone harvesting donor site in this patient population. Further, the use of simultaneous particulated zygomatic bone grafts and 1-stage implant placement appears to be an effective procedure.</AbstractText>
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<Affiliation>Department of Oral and Maxillofacial Surgery, Institute of Dentistry, University of Oulu and Oulu University Hospital, Oulu, Finland. vesa.kainulainen@oulu.fi</Affiliation>
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<DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
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<DescriptorName UI="D000540" MajorTopicYN="N">Alveolar Ridge Augmentation</DescriptorName>
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<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
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<DescriptorName UI="D012449" MajorTopicYN="N">Safety</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D016019" MajorTopicYN="N">Survival Analysis</DescriptorName>
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<DescriptorName UI="D020858" MajorTopicYN="Y">Tissue and Organ Harvesting</DescriptorName>
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