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A prospective randomized split-mouth study comparing iliac onlay grafts in atrophied edentulous patients: covered with periosteum or a bioresorbable membrane.

Identifieur interne : 001D78 ( PubMed/Corpus ); précédent : 001D77; suivant : 001D79

A prospective randomized split-mouth study comparing iliac onlay grafts in atrophied edentulous patients: covered with periosteum or a bioresorbable membrane.

Auteurs : Susanne Heberer ; B Rbel Rühe ; Leif Krekeler ; Tania Schink ; John J. Nelson ; Katja Nelson

Source :

RBID : pubmed:19397644

English descriptors

Abstract

In this prospective study, solid monocortical iliac onlay grafts of the maxilla were randomly covered with a bioresorbable membrane and periosteum within the maxilla. Histologic specimens were analyzed by light microscopy after a healing period of three months and the rate of resorption of the grafts were measured.

DOI: 10.1111/j.1600-0501.2008.01638.x
PubMed: 19397644

Links to Exploration step

pubmed:19397644

Le document en format XML

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<title xml:lang="en">A prospective randomized split-mouth study comparing iliac onlay grafts in atrophied edentulous patients: covered with periosteum or a bioresorbable membrane.</title>
<author>
<name sortKey="Heberer, Susanne" sort="Heberer, Susanne" uniqKey="Heberer S" first="Susanne" last="Heberer">Susanne Heberer</name>
<affiliation>
<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Clinical Navigation and Robotics, Charité-Campus Virchow Clinic, Berlin, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Ruhe, B Rbel" sort="Ruhe, B Rbel" uniqKey="Ruhe B" first="B Rbel" last="Rühe">B Rbel Rühe</name>
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<author>
<name sortKey="Krekeler, Leif" sort="Krekeler, Leif" uniqKey="Krekeler L" first="Leif" last="Krekeler">Leif Krekeler</name>
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<author>
<name sortKey="Schink, Tania" sort="Schink, Tania" uniqKey="Schink T" first="Tania" last="Schink">Tania Schink</name>
</author>
<author>
<name sortKey="Nelson, John J" sort="Nelson, John J" uniqKey="Nelson J" first="John J" last="Nelson">John J. Nelson</name>
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<name sortKey="Nelson, Katja" sort="Nelson, Katja" uniqKey="Nelson K" first="Katja" last="Nelson">Katja Nelson</name>
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<title xml:lang="en">A prospective randomized split-mouth study comparing iliac onlay grafts in atrophied edentulous patients: covered with periosteum or a bioresorbable membrane.</title>
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<name sortKey="Heberer, Susanne" sort="Heberer, Susanne" uniqKey="Heberer S" first="Susanne" last="Heberer">Susanne Heberer</name>
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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Clinical Navigation and Robotics, Charité-Campus Virchow Clinic, Berlin, Germany.</nlm:affiliation>
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<name sortKey="Ruhe, B Rbel" sort="Ruhe, B Rbel" uniqKey="Ruhe B" first="B Rbel" last="Rühe">B Rbel Rühe</name>
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<name sortKey="Krekeler, Leif" sort="Krekeler, Leif" uniqKey="Krekeler L" first="Leif" last="Krekeler">Leif Krekeler</name>
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<name sortKey="Schink, Tania" sort="Schink, Tania" uniqKey="Schink T" first="Tania" last="Schink">Tania Schink</name>
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<name sortKey="Nelson, John J" sort="Nelson, John J" uniqKey="Nelson J" first="John J" last="Nelson">John J. Nelson</name>
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<name sortKey="Nelson, Katja" sort="Nelson, Katja" uniqKey="Nelson K" first="Katja" last="Nelson">Katja Nelson</name>
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<series>
<title level="j">Clinical oral implants research</title>
<idno type="eISSN">1600-0501</idno>
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<date when="2009" type="published">2009</date>
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<term>Adult</term>
<term>Aged</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Analysis of Variance</term>
<term>Bone Resorption (prevention & control)</term>
<term>Female</term>
<term>Graft Survival (physiology)</term>
<term>Guided Tissue Regeneration, Periodontal (methods)</term>
<term>Humans</term>
<term>Ilium (transplantation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Maxilla (surgery)</term>
<term>Membranes, Artificial</term>
<term>Middle Aged</term>
<term>Periosteum (transplantation)</term>
<term>Statistics, Nonparametric</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Membranes, Artificial</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Guided Tissue Regeneration, Periodontal</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Graft Survival</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Bone Resorption</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en">
<term>Ilium</term>
<term>Periosteum</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Analysis of Variance</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Statistics, Nonparametric</term>
<term>Treatment Outcome</term>
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<front>
<div type="abstract" xml:lang="en">In this prospective study, solid monocortical iliac onlay grafts of the maxilla were randomly covered with a bioresorbable membrane and periosteum within the maxilla. Histologic specimens were analyzed by light microscopy after a healing period of three months and the rate of resorption of the grafts were measured.</div>
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<DateCompleted>
<Year>2009</Year>
<Month>09</Month>
<Day>08</Day>
</DateCompleted>
<DateRevised>
<Year>2009</Year>
<Month>04</Month>
<Day>28</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1600-0501</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>20</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2009</Year>
<Month>Mar</Month>
</PubDate>
</JournalIssue>
<Title>Clinical oral implants research</Title>
<ISOAbbreviation>Clin Oral Implants Res</ISOAbbreviation>
</Journal>
<ArticleTitle>A prospective randomized split-mouth study comparing iliac onlay grafts in atrophied edentulous patients: covered with periosteum or a bioresorbable membrane.</ArticleTitle>
<Pagination>
<MedlinePgn>319-26</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1111/j.1600-0501.2008.01638.x</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">In this prospective study, solid monocortical iliac onlay grafts of the maxilla were randomly covered with a bioresorbable membrane and periosteum within the maxilla. Histologic specimens were analyzed by light microscopy after a healing period of three months and the rate of resorption of the grafts were measured.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Fourteen patients (9 females and 5 males), with a mean age of 56 years (range 25-72) underwent augmentation with avascular iliac onlay bone grafts. The grafts were randomly covered either with a bioresorbable membrane (MC) or periosteum (PC). Resorption was measured with a digital caliper at the microscrews (slashed circle 1.5 mm) used to fixate the graft. Histologic evaluation of the specimens derived from the graft with a trephine bur (slashed circle 2 mm) from the implant site at implant placement after a 3-month healing period. Statistical evaluation of the data was performed using Analysis of variance and the Wilcoxon signed rank test.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Clinical appearance of the augmented bone after 3 months showed a dense cortical layer with good vascular perfusion. Thirty-three sites in 13 patients (one dropped put) were analyzed histomorphometrically and showed an average of 46% newly formed bone with no significant difference between the groups (P=0.46). The mean resorption rate at 56 measured sites was 1.2 mm (range 0.3-3.4 mm) after 3 months, with no significant difference between the MC sites and the PC sites (P=0.38).</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Histomorphometry of new bone formation after 3 months demonstrates no significant difference between the PC and MC groups. Initialization of graft resorption can be seen after 3 months with no significant difference as to whether the graft was covered with a membrane or the periosteum.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This study provides evidence that after avascular iliac bone grafting, the revascularization of the graft was sufficient after 3 months regardless of the graft coverage with no effect on the amount of initial resorption of the graft.</AbstractText>
</Abstract>
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<LastName>Heberer</LastName>
<ForeName>Susanne</ForeName>
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<Affiliation>Department of Oral and Maxillofacial Surgery, Clinical Navigation and Robotics, Charité-Campus Virchow Clinic, Berlin, Germany.</Affiliation>
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<Language>eng</Language>
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<PublicationType UI="D016449">Randomized Controlled Trial</PublicationType>
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<Country>Denmark</Country>
<MedlineTA>Clin Oral Implants Res</MedlineTA>
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<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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