Long Term Follow‐Up of Dental Implants Placed in Autologous Onlay Bone Graft

Schwartz‐Arad, Devorah; Ofec, Ronen; Eliyahu, Galit; Ruban, Angela; Sterer, Nir

doi:10.1111/cid.12288

Cited by 27 publications

(30 citation statements)

References 46 publications

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“…Two studies added Bio‐Oss to the AB block, and one study added particulate beta‐tricalcium phosphate . One study used only Bio‐Oss blocks, and finally one study used AB block with particulate Bio‐Oss and platelet‐rich plasma . The most common harvest site was the iliac crest, which was used in nine studies.…”

Section: Resultsmentioning

confidence: 99%

“…As can be seen in the data presented in Table , a clear trend was the evaluation of implant survival solely, rather than overall success, when defining the success criteria. Thus, 12 studies cited implant survival as their main outcome, while five studies stated that they intended to use some predefined criteria for success assessment (eg, Albrektsson et al, Buser et al), although this goal was not necessarily achieved. Of those studies reporting a success rate, one study reported a survival rate and patients' subjective sensation, one study reported a survival rate, clinical parameters and patients' subjective sensation, and one study reported a survival rate and clinical parameters .…”

Section: Resultsmentioning

confidence: 99%

“…As shown in Table , intraoral radiographs were used in eight of the included studies: in five of them, images were taken annually, in one study, images were acquired at 5‐ and 10‐year follow‐ups, one study acquired radiographs at 1, 3 and 5 years' follow‐up, while one study referred only to images and results at 10 years' follow‐up . Panoramic radiographs were included in six studies: in two of them, the images were taken annually, in 2, at 5 and 10 years' follow‐up, in one study, images were acquired annually until 5 years and then every 2 years, and finally in one study, radiographs were acquired only at 5 years' follow‐up . In three studies, the type of radiographs and the time of acquisition were not specified .…”

Section: Resultsmentioning

confidence: 99%

“…Although 14 studies included some sort of radiographic evaluation of the implants, only 10 of these included MBL assessment as part of their methodology. One study referred to a bone loss threshold, one study to the changes in bone height as a percentage compared to the baseline, and eight studies presented continuous measurements of the loss of bone height around the implant.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Long term follow‐up of titanium implants installed in block‐grafted areas: A systematic review

Fuglsig

Thorn

Ingerslev

et al. 2018

Clin Implant Dent Rel Res

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Background An enduring clinical question concerns the outcome (ie, success) of implants placed in areas grafted with block‐grafts. Objective To undertake a systematic review of the literature on the long term results (≥5 years) of implants placed in maxillofacial areas grafted with any type of osseous block‐grafts in two‐stage surgeries. Further, the review addresses how available success criteria were used within the studies. Materials and Methods The MEDLINE (PubMed) and EMBASE bibliographic databases were searched up to March 2017 for studies evaluating the long term results of implants placed in grafted areas. The search strategy was restricted to English language publications using combined terms which referred to the treatment method (implants placed in areas grafted with bone blocks), and follow‐up characteristics (≥5 years and assessment of at least one parameter related to implant success criteria). To qualify for inclusion, studies should present outcome measurements indicating the success (or at least the survival) of the implants. Results The search strategy yielded 17 studies, which were included in this systematic review. These studies presented survival rates ranging from 88.7% (after 15 years follow‐up) to 98.7% (after 5 years follow‐up). Five studies presented data based on predefined success criteria with success rates ranging from 86.8% to 100%. In these studies, the term “success” was often not properly defined. Conclusion The long term survival (≥5 years) of implants placed into block‐grafted areas in two‐stage surgeries was not lower than 75%, while success rates ranged from 86.8% to 100%. Although it was possible to identify published success criteria for implant follow‐up, there is no broad consensus on how to report implant success in a consistent manner.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Long term follow‐up of titanium implants installed in block‐grafted areas: A systematic review

Fuglsig

Thorn

Ingerslev

et al. 2018

Clin Implant Dent Rel Res

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“…Histological long‐term data indicate that these nonautologous particles may often be well osseointegrated but that they sometimes may be surrounded by multinucleated giant cells, indicating a foreign body response in the tissue. Furthermore, long‐term follow‐up data in a recent study on implants placed in grafted sites indicated that even though a high survival rate was observed early after implant surgery, an increasing failure rates was observed in certain situations . Implant failure rates reaching 14‐35% after 5 years were reported in posterior jaws, indicating an ongoing inflammatory process at these grafted sites.…”

Section: Discussionmentioning

confidence: 99%

A retrospective study on 1592 consecutively performed operations in one private referral clinic. Part II: Peri‐implantitis and implant failures

Jemt

Karouni

Abitbol³

et al. 2017

Clin Implant Dent Rel Res

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Peri-implantitis seem to be associated to surgical protocols more often in the posterior lower jaw in routine practice. The problems seem to increase during the inclusion period, possibly related to increased use of direct implant placement technique and grafting protocols. Early inflammatory problems have in the previous report on the present patient group been associated to the mid-aged patient. Overall/late implant failures were shown to be associated to earlier inflammatory problems, smoking habits, surgical technique, and treatment in the posterior lower jaw.

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Use of homologous bone for alveolar crest reconstruction in 483 patients with 5 years’ outcomes post implantation

Procopio

Trojan

Frigo

et al. 2019

Oral Maxillofac Surg

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Purpose The purpose of this study was to evaluate the clinical course of bone reconstruction of the alveolar crest using homologous fresh-frozen bone harvested from deceased donors. Methods A retrospective survey was based on the Castelfranco Veneto Hospital database, in which 3264 clinical records with a primary or secondary diagnosis of alveolar atrophy were collected over a 10-year period. A random sample of 483 patients with at least 5 years’ follow-up was included in the survey. Patients were contacted by telephone and administered a questionnaire with specific questions to build a significant sample. Results Of the patients, 449 (93% of the sample) had an uneventful follow-up after surgery and 93.2% received at least one implant, with a mean of 3.4 implants per patient. At the time of the survey, 93% of the patients were wearing a dental prosthesis, 86.9% had not lost any implants, and 6.7% had lost at least one implant, while 6.4% still had implants but presented some clinical problems. Finally, patients were asked to provide an index score (1–10 points) on the therapy as a whole, i.e., bone graft, implants, and prostheses. A score of insufficient (up to 5 points) was given by 5.3% of patients, of sufficient (6 to 7 points) by 6.1%, and of good/very good (over 7) by 88.6%. Conclusions Homologous bone for alveolar crest reconstruction can be a valid alternative to autologous grafting if specific tissue limitations are considered when planning therapy. Creeping substitution is partial and slower than in autologous grafts, especially in cases where cortical bone is thick or volume graft is very large. The quality of soft tissue coverage and mucosa lining is also important, possibly due to slower tissue revascularization, so future implants should predictably be positioned primarily within the original host bone.

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Long Term Follow‐Up of Dental Implants Placed in Autologous Onlay Bone Graft

Cited by 27 publications

References 46 publications

Long term follow‐up of titanium implants installed in block‐grafted areas: A systematic review

Long term follow‐up of titanium implants installed in block‐grafted areas: A systematic review

A retrospective study on 1592 consecutively performed operations in one private referral clinic. Part II: Peri‐implantitis and implant failures

Use of homologous bone for alveolar crest reconstruction in 483 patients with 5 years’ outcomes post implantation

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