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Implant treatment in atrophic posterior mandibles: vertical regeneration with block bone grafts versus implants with 5.5-mm intrabony length.

Identifieur interne : 000871 ( PubMed/Curation ); précédent : 000870; suivant : 000872

Implant treatment in atrophic posterior mandibles: vertical regeneration with block bone grafts versus implants with 5.5-mm intrabony length.

Auteurs : David Pe Arrocha-Oltra ; Amparo Aloy-Pr Sper ; Juan Cervera-Ballester ; Maria Pe Arrocha-Diago ; Luigi Canullo ; Miguel Pe Arrocha-Diago

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RBID : pubmed:24818205

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English descriptors

Abstract

To retrospectively compare the outcomes of implants placed in posterior mandibles vertically regenerated with onlay autogenous block bone grafts and short dental implants.

PubMed: 24818205

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pubmed:24818205

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<title xml:lang="en">Implant treatment in atrophic posterior mandibles: vertical regeneration with block bone grafts versus implants with 5.5-mm intrabony length.</title>
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<name sortKey="Pe Arrocha Oltra, David" sort="Pe Arrocha Oltra, David" uniqKey="Pe Arrocha Oltra D" first="David" last="Pe Arrocha-Oltra">David Pe Arrocha-Oltra</name>
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<author>
<name sortKey="Aloy Pr Sper, Amparo" sort="Aloy Pr Sper, Amparo" uniqKey="Aloy Pr Sper A" first="Amparo" last="Aloy-Pr Sper">Amparo Aloy-Pr Sper</name>
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<name sortKey="Cervera Ballester, Juan" sort="Cervera Ballester, Juan" uniqKey="Cervera Ballester J" first="Juan" last="Cervera-Ballester">Juan Cervera-Ballester</name>
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<name sortKey="Pe Arrocha Diago, Maria" sort="Pe Arrocha Diago, Maria" uniqKey="Pe Arrocha Diago M" first="Maria" last="Pe Arrocha-Diago">Maria Pe Arrocha-Diago</name>
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<name sortKey="Canullo, Luigi" sort="Canullo, Luigi" uniqKey="Canullo L" first="Luigi" last="Canullo">Luigi Canullo</name>
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<name sortKey="Pe Arrocha Diago, Miguel" sort="Pe Arrocha Diago, Miguel" uniqKey="Pe Arrocha Diago M" first="Miguel" last="Pe Arrocha-Diago">Miguel Pe Arrocha-Diago</name>
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<name sortKey="Aloy Pr Sper, Amparo" sort="Aloy Pr Sper, Amparo" uniqKey="Aloy Pr Sper A" first="Amparo" last="Aloy-Pr Sper">Amparo Aloy-Pr Sper</name>
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<name sortKey="Cervera Ballester, Juan" sort="Cervera Ballester, Juan" uniqKey="Cervera Ballester J" first="Juan" last="Cervera-Ballester">Juan Cervera-Ballester</name>
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<name sortKey="Pe Arrocha Diago, Maria" sort="Pe Arrocha Diago, Maria" uniqKey="Pe Arrocha Diago M" first="Maria" last="Pe Arrocha-Diago">Maria Pe Arrocha-Diago</name>
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<name sortKey="Pe Arrocha Diago, Miguel" sort="Pe Arrocha Diago, Miguel" uniqKey="Pe Arrocha Diago M" first="Miguel" last="Pe Arrocha-Diago">Miguel Pe Arrocha-Diago</name>
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<term>Alveolar Ridge Augmentation (methods)</term>
<term>Bone Substitutes (therapeutic use)</term>
<term>Bone Transplantation (methods)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implantation, Endosseous (statistics & numerical data)</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Mandible (pathology)</term>
<term>Mandible (surgery)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladies mandibulaires ()</term>
<term>Maladies mandibulaires (rééducation et réadaptation)</term>
<term>Mandibule ()</term>
<term>Mandibule (anatomopathologie)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire ()</term>
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<term>Statistique non paramétrique</term>
<term>Substituts osseux (usage thérapeutique)</term>
<term>Transplantation osseuse ()</term>
<term>Échec de restauration dentaire</term>
<term>Études rétrospectives</term>
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<term>Bone Substitutes</term>
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<term>Mandibule</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous, Partially</term>
<term>Mandibular Diseases</term>
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<term>Maladies mandibulaires</term>
<term>Mâchoire partiellement édentée</term>
<term>Résorption alvéolaire</term>
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<term>Dental Implantation, Endosseous</term>
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<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous, Partially</term>
<term>Mandible</term>
<term>Mandibular Diseases</term>
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<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Substituts osseux</term>
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<term>Adult</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Statistics, Nonparametric</term>
</keywords>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladies mandibulaires</term>
<term>Mandibule</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption alvéolaire</term>
<term>Statistique non paramétrique</term>
<term>Transplantation osseuse</term>
<term>Échec de restauration dentaire</term>
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<front>
<div type="abstract" xml:lang="en">To retrospectively compare the outcomes of implants placed in posterior mandibles vertically regenerated with onlay autogenous block bone grafts and short dental implants.</div>
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<DateCompleted>
<Year>2014</Year>
<Month>07</Month>
<Day>18</Day>
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<DateRevised>
<Year>2014</Year>
<Month>05</Month>
<Day>12</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1942-4434</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>29</Volume>
<Issue>3</Issue>
<PubDate>
<MedlineDate>2014 May-Jun</MedlineDate>
</PubDate>
</JournalIssue>
<Title>The International journal of oral & maxillofacial implants</Title>
<ISOAbbreviation>Int J Oral Maxillofac Implants</ISOAbbreviation>
</Journal>
<ArticleTitle>Implant treatment in atrophic posterior mandibles: vertical regeneration with block bone grafts versus implants with 5.5-mm intrabony length.</ArticleTitle>
<Pagination>
<MedlinePgn>659-66</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.11607/jomi.3262</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To retrospectively compare the outcomes of implants placed in posterior mandibles vertically regenerated with onlay autogenous block bone grafts and short dental implants.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Consecutive patients with vertical bone atrophy in edentulous mandibular posterior regions (7 to 8 mm of bone above the inferior alveolar nerve) were treated with either implants placed in regenerated bone using autologous block bone grafts (group 1) or short implants (with 5.5-mm intrabony length) in native bone (group 2) between 2005 and 2010 and followed for 12 months after loading. The procedure used was the established treatment protocol for this type of patient at the Oral Surgery Unit (University of Valencia, Spain) at the time of surgery. All grafts were obtained using piezosurgery. The outcomes assessed were: complications related to the procedure, implant survival, implant success, and peri-implant marginal bone loss. Statistical analysis was done using the Fisher exact test and the Mann-Whitney test.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Thirty-seven patients were included, 20 (45 implants) in group 1 and 17 (35 implants) in group 2. In group 1, 13 implants were less than 10 mm long (2 were 7 mm and 11 were 8.5 mm), and 32 were 10 mm or longer; the diameter was 3.6 mm in 6 implants, 4.2 mm in 31, and 5.5 mm in 8. In group 2 all implants were 7 mm long; the diameter measured 4.2 mm in 14 implants and 5.5 mm in 21 implants. Complications related to the block bone grafting procedure were temporary hypoesthesia in one patient, wound dehiscence with graft exposure in three patients, and exposure of the osteosynthesis screw without bone graft exposure in one patient. After 12 months, implant survival rates were 95.6% in group 1 and 97.1 % in group 2; success rates were 91.1% and 97.1%, respectively. The average marginal bone loss was 0.7 ± 1.1 mm in group 1 and 0.6 ± 0.3 mm in group 2.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">When residual bone height over the mandibular canal is between 7 and 8 mm, short implants (with 5.5-mm intrabony length) might be a preferable treatment option over vertical augmentation, reducing chair time, expense, and morbidity.</AbstractText>
</Abstract>
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<Author ValidYN="Y">
<LastName>Peñarrocha-Oltra</LastName>
<ForeName>David</ForeName>
<Initials>D</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Aloy-Prósper</LastName>
<ForeName>Amparo</ForeName>
<Initials>A</Initials>
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<LastName>Cervera-Ballester</LastName>
<ForeName>Juan</ForeName>
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<LastName>Peñarrocha-Diago</LastName>
<ForeName>Maria</ForeName>
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<LastName>Peñarrocha-Diago</LastName>
<ForeName>Miguel</ForeName>
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<Country>United States</Country>
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<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName>
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<DescriptorName UI="D018786" MajorTopicYN="N">Bone Substitutes</DescriptorName>
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<DescriptorName UI="D016025" MajorTopicYN="N">Bone Transplantation</DescriptorName>
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<DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
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<DescriptorName UI="D017267" MajorTopicYN="N">Dental Prosthesis Design</DescriptorName>
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<DescriptorName UI="D019094" MajorTopicYN="Y">Dental Prosthesis, Implant-Supported</DescriptorName>
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<DescriptorName UI="D019232" MajorTopicYN="N">Dental Restoration Failure</DescriptorName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<DescriptorName UI="D008336" MajorTopicYN="N">Mandibular Diseases</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
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<DescriptorName UI="D018709" MajorTopicYN="N">Statistics, Nonparametric</DescriptorName>
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