Mandibles grafted with fresh-frozen bone: an evaluation of implant outcome.
Identifieur interne : 001E20 ( PubMed/Corpus ); précédent : 001E19; suivant : 001E21Mandibles grafted with fresh-frozen bone: an evaluation of implant outcome.
Auteurs : Francesco Carinci ; Giorgio Brunelli ; Ilaria Zollino ; Maurizio Franco ; Alessandro Viscioni ; Leone Rigo ; Riccardo Guidi ; Laura StrohmengerSource :
- Implant dentistry [ 1538-2982 ] ; 2009.
English descriptors
- KwdEn :
- Alveolar Bone Loss (etiology), Alveolar Bone Loss (surgery), Alveolar Ridge Augmentation (methods), Bone Transplantation (methods), Cryopreservation (methods), Dental Abutments, Dental Implants, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Female, Follow-Up Studies, Humans, Jaw, Edentulous (surgery), Jaw, Edentulous, Partially (surgery), Male, Mandible (surgery), Middle Aged, Osseointegration (physiology), Retrospective Studies, Surgical Wound Infection (etiology), Tissue Preservation (methods), Treatment Outcome.
- MESH :
- chemical : Dental Implants.
- etiology : Alveolar Bone Loss, Surgical Wound Infection.
- methods : Alveolar Ridge Augmentation, Bone Transplantation, Cryopreservation, Tissue Preservation.
- physiology : Osseointegration.
- surgery : Alveolar Bone Loss, Jaw, Edentulous, Jaw, Edentulous, Partially, Mandible.
- Dental Abutments, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Female, Follow-Up Studies, Humans, Male, Middle Aged, Retrospective Studies, Treatment Outcome.
Abstract
In the last decade several studies have been performed to evaluate the clinical outcome of implants inserted into grafted mandibles with autologous bone, but none is available on mandibles grafted with fresh-frozen bone. Thus, we planned a retrospective study on a series of implants inserted into homologue fresh-frozen bone to evaluate their clinical outcome. Twenty-one patients were operated on, 28 onlay grafts were inserted into the mandible, and 63 implants placed. Patients had total and partial edentulism in 11 and 10 cases, respectively. The mean follow-up was 20 months. No or reduced crestal bone resorption was considered an indicator of success rate to evaluate the effect of several host-, implant-, and occlusal-related factors. The difference between the implant-abutment junction and the bone crestal level was defined as the implant abutment junction (IAJ) and calculated at the time of operation and during follow-up by means of radiographs. Delta IAJ, the difference between theIAJ at the last check-up and the IAJ recorded just after the operation, were stratified according to variables of interests. Kaplan-Meier algorithm and Cox regression were then performed to detect those variables statistically associated with the delta IAJ. Only 2 of 63 implants were lost (i.e., survival rates = 96.8%) and no differences were detected among the studied variables. On the contrary, Cox regression showed that prosthetic restoration (i.e., removable dentures) was the only factor correlated with a statistically significant lower delta IAJ (i.e., reduced crestal bone loss) and thus a better clinical outcome. Implants inserted into mandibles grafted with fresh-frozen bone allografts have high survival rates and success rate, which are comparable with those obtained with autologous iliac crest bone grafts.
DOI: 10.1097/ID.0b013e318192cbbe
PubMed: 19212241
Links to Exploration step
pubmed:19212241Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Mandibles grafted with fresh-frozen bone: an evaluation of implant outcome.</title><author><name sortKey="Carinci, Francesco" sort="Carinci, Francesco" uniqKey="Carinci F" first="Francesco" last="Carinci">Francesco Carinci</name><affiliation><nlm:affiliation>Maxillofacial Surgery, University of Ferrara, Ferrara, Italy. crc@unife.it</nlm:affiliation></affiliation></author><author><name sortKey="Brunelli, Giorgio" sort="Brunelli, Giorgio" uniqKey="Brunelli G" first="Giorgio" last="Brunelli">Giorgio Brunelli</name></author><author><name sortKey="Zollino, Ilaria" sort="Zollino, Ilaria" uniqKey="Zollino I" first="Ilaria" last="Zollino">Ilaria Zollino</name></author><author><name sortKey="Franco, Maurizio" sort="Franco, Maurizio" uniqKey="Franco M" first="Maurizio" last="Franco">Maurizio Franco</name></author><author><name sortKey="Viscioni, Alessandro" sort="Viscioni, Alessandro" uniqKey="Viscioni A" first="Alessandro" last="Viscioni">Alessandro Viscioni</name></author><author><name sortKey="Rigo, Leone" sort="Rigo, Leone" uniqKey="Rigo L" first="Leone" last="Rigo">Leone Rigo</name></author><author><name sortKey="Guidi, Riccardo" sort="Guidi, Riccardo" uniqKey="Guidi R" first="Riccardo" last="Guidi">Riccardo Guidi</name></author><author><name sortKey="Strohmenger, Laura" sort="Strohmenger, Laura" uniqKey="Strohmenger L" first="Laura" last="Strohmenger">Laura Strohmenger</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009</date><idno type="RBID">pubmed:19212241</idno><idno type="pmid">19212241</idno><idno type="doi">10.1097/ID.0b013e318192cbbe</idno><idno type="wicri:Area/PubMed/Corpus">001E20</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001E20</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Mandibles grafted with fresh-frozen bone: an evaluation of implant outcome.</title><author><name sortKey="Carinci, Francesco" sort="Carinci, Francesco" uniqKey="Carinci F" first="Francesco" last="Carinci">Francesco Carinci</name><affiliation><nlm:affiliation>Maxillofacial Surgery, University of Ferrara, Ferrara, Italy. crc@unife.it</nlm:affiliation></affiliation></author><author><name sortKey="Brunelli, Giorgio" sort="Brunelli, Giorgio" uniqKey="Brunelli G" first="Giorgio" last="Brunelli">Giorgio Brunelli</name></author><author><name sortKey="Zollino, Ilaria" sort="Zollino, Ilaria" uniqKey="Zollino I" first="Ilaria" last="Zollino">Ilaria Zollino</name></author><author><name sortKey="Franco, Maurizio" sort="Franco, Maurizio" uniqKey="Franco M" first="Maurizio" last="Franco">Maurizio Franco</name></author><author><name sortKey="Viscioni, Alessandro" sort="Viscioni, Alessandro" uniqKey="Viscioni A" first="Alessandro" last="Viscioni">Alessandro Viscioni</name></author><author><name sortKey="Rigo, Leone" sort="Rigo, Leone" uniqKey="Rigo L" first="Leone" last="Rigo">Leone Rigo</name></author><author><name sortKey="Guidi, Riccardo" sort="Guidi, Riccardo" uniqKey="Guidi R" first="Riccardo" last="Guidi">Riccardo Guidi</name></author><author><name sortKey="Strohmenger, Laura" sort="Strohmenger, Laura" uniqKey="Strohmenger L" first="Laura" last="Strohmenger">Laura Strohmenger</name></author></analytic><series><title level="j">Implant dentistry</title><idno type="eISSN">1538-2982</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alveolar Bone Loss (etiology)</term><term>Alveolar Bone Loss (surgery)</term><term>Alveolar Ridge Augmentation (methods)</term><term>Bone Transplantation (methods)</term><term>Cryopreservation (methods)</term><term>Dental Abutments</term><term>Dental Implants</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Jaw, Edentulous (surgery)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Male</term><term>Mandible (surgery)</term><term>Middle Aged</term><term>Osseointegration (physiology)</term><term>Retrospective Studies</term><term>Surgical Wound Infection (etiology)</term><term>Tissue Preservation (methods)</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Alveolar Bone Loss</term><term>Surgical Wound Infection</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Bone Transplantation</term><term>Cryopreservation</term><term>Tissue Preservation</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Osseointegration</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Alveolar Bone Loss</term><term>Jaw, Edentulous</term><term>Jaw, Edentulous, Partially</term><term>Mandible</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Dental Abutments</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In the last decade several studies have been performed to evaluate the clinical outcome of implants inserted into grafted mandibles with autologous bone, but none is available on mandibles grafted with fresh-frozen bone. Thus, we planned a retrospective study on a series of implants inserted into homologue fresh-frozen bone to evaluate their clinical outcome. Twenty-one patients were operated on, 28 onlay grafts were inserted into the mandible, and 63 implants placed. Patients had total and partial edentulism in 11 and 10 cases, respectively. The mean follow-up was 20 months. No or reduced crestal bone resorption was considered an indicator of success rate to evaluate the effect of several host-, implant-, and occlusal-related factors. The difference between the implant-abutment junction and the bone crestal level was defined as the implant abutment junction (IAJ) and calculated at the time of operation and during follow-up by means of radiographs. Delta IAJ, the difference between theIAJ at the last check-up and the IAJ recorded just after the operation, were stratified according to variables of interests. Kaplan-Meier algorithm and Cox regression were then performed to detect those variables statistically associated with the delta IAJ. Only 2 of 63 implants were lost (i.e., survival rates = 96.8%) and no differences were detected among the studied variables. On the contrary, Cox regression showed that prosthetic restoration (i.e., removable dentures) was the only factor correlated with a statistically significant lower delta IAJ (i.e., reduced crestal bone loss) and thus a better clinical outcome. Implants inserted into mandibles grafted with fresh-frozen bone allografts have high survival rates and success rate, which are comparable with those obtained with autologous iliac crest bone grafts.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">19212241</PMID><DateCompleted><Year>2009</Year><Month>06</Month><Day>17</Day></DateCompleted><DateRevised><Year>2009</Year><Month>02</Month><Day>12</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1538-2982</ISSN><JournalIssue CitedMedium="Internet"><Volume>18</Volume><Issue>1</Issue><PubDate><Year>2009</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Implant dentistry</Title><ISOAbbreviation>Implant Dent</ISOAbbreviation></Journal><ArticleTitle>Mandibles grafted with fresh-frozen bone: an evaluation of implant outcome.</ArticleTitle><Pagination><MedlinePgn>86-95</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/ID.0b013e318192cbbe</ELocationID><Abstract><AbstractText>In the last decade several studies have been performed to evaluate the clinical outcome of implants inserted into grafted mandibles with autologous bone, but none is available on mandibles grafted with fresh-frozen bone. Thus, we planned a retrospective study on a series of implants inserted into homologue fresh-frozen bone to evaluate their clinical outcome. Twenty-one patients were operated on, 28 onlay grafts were inserted into the mandible, and 63 implants placed. Patients had total and partial edentulism in 11 and 10 cases, respectively. The mean follow-up was 20 months. No or reduced crestal bone resorption was considered an indicator of success rate to evaluate the effect of several host-, implant-, and occlusal-related factors. The difference between the implant-abutment junction and the bone crestal level was defined as the implant abutment junction (IAJ) and calculated at the time of operation and during follow-up by means of radiographs. Delta IAJ, the difference between theIAJ at the last check-up and the IAJ recorded just after the operation, were stratified according to variables of interests. Kaplan-Meier algorithm and Cox regression were then performed to detect those variables statistically associated with the delta IAJ. Only 2 of 63 implants were lost (i.e., survival rates = 96.8%) and no differences were detected among the studied variables. On the contrary, Cox regression showed that prosthetic restoration (i.e., removable dentures) was the only factor correlated with a statistically significant lower delta IAJ (i.e., reduced crestal bone loss) and thus a better clinical outcome. Implants inserted into mandibles grafted with fresh-frozen bone allografts have high survival rates and success rate, which are comparable with those obtained with autologous iliac crest bone grafts.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Carinci</LastName><ForeName>Francesco</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Maxillofacial Surgery, University of Ferrara, Ferrara, Italy. crc@unife.it</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brunelli</LastName><ForeName>Giorgio</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Zollino</LastName><ForeName>Ilaria</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Franco</LastName><ForeName>Maurizio</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Viscioni</LastName><ForeName>Alessandro</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Rigo</LastName><ForeName>Leone</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Guidi</LastName><ForeName>Riccardo</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Strohmenger</LastName><ForeName>Laura</ForeName><Initials>L</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Implant Dent</MedlineTA><NlmUniqueID>9206481</NlmUniqueID><ISSNLinking>1056-6163</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance></Chemical></ChemicalList><CitationSubset>D</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000540" MajorTopicYN="N">Alveolar Ridge Augmentation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016025" MajorTopicYN="N">Bone Transplantation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015925" MajorTopicYN="N">Cryopreservation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000044" MajorTopicYN="N">Dental Abutments</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015921" MajorTopicYN="N">Dental Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019094" MajorTopicYN="N">Dental Prosthesis, Implant-Supported</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019232" MajorTopicYN="N">Dental Restoration Failure</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016348" MajorTopicYN="N">Osseointegration</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013530" MajorTopicYN="N">Surgical Wound Infection</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014021" MajorTopicYN="N">Tissue Preservation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2009</Year><Month>2</Month><Day>13</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2009</Year><Month>2</Month><Day>13</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2009</Year><Month>6</Month><Day>18</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">19212241</ArticleId><ArticleId IdType="doi">10.1097/ID.0b013e318192cbbe</ArticleId><ArticleId IdType="pii">00008505-200902000-00013</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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