Long-term follow up of transoral rib grafts for mandibular atrophy

Davis, W. Howard; Martinoff, James T.; Kaminishi, Ronald M.

doi:10.1016/0278-2391(84)90092-2

Cited by 55 publications

(22 citation statements)

References 15 publications

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“…The bone regeneration process is performed in order to repair congenital and acquired bone defects (Rapaport et al, 1971;Schmitz and Hollinger, 1986), deficient alveolar ridges (Curtis and Ware, 1977;Davis et al, 1984), and congenital facial bony defects (Boyne, 1970). Many different regeneration procedures such as guided bone regeneration (GBR), autogenous bone grafts and alloplasts, have been investigated (Bell and Beirne, 1988;Zahedi et al, 1998;Dupoirieux et al, 2002) in an attempt to improve the repair process.…”

Section: Introductionmentioning

confidence: 99%

Mandibular defect repair by TGF-β and IGF-1 released from a biodegradable osteoconductive hydrogel

Srouji

Rachmiel

Blumenfeld

et al. 2005

Journal of Cranio-Maxillofacial Surgery

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Section: Introductionmentioning

confidence: 99%

Mandibular defect repair by TGF-β and IGF-1 released from a biodegradable osteoconductive hydrogel

Srouji

Rachmiel

Blumenfeld

et al. 2005

Journal of Cranio-Maxillofacial Surgery

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“…Existen series de casos que reportan la utilización de injertos autólogos costales para la reconstrucción de mandíbulas con reabsorción severa (7,8). La técnica consistía en tomar dos costillas del paciente, una de las cuales se colocaba sobre la superficie crestal del reborde mandibular a través de un abordaje intraoral, y la otra costilla se particularizaba para colocarla en las superficies vestibular y lingual.…”

Section: Introductionunclassified

Colocación de implantes de oseointegración en mandíbulas con reabsorción severa utilizando la técnica “tent pole” serie de casos

2013

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ResumenLa rehabilitación protésica mandibular implanto-soportada actualmente es una excelente opción de tratamiento para pacientes edéntulos, ya que brinda adecuada estabilidad y mejor acceso para la higiene. La reabsorción del reborde alveolar mandibular ocurre en sentido vertical y horizontal. Muchos de estos pacientes presentan alturas alveolares que oscilan entre los 3 mm y 8 mm, aumentando el brazo de palanca de la prótesis con respecto al soporte mandibular.La opción de aumentar el reborde alveolar en altura y grosor mediante la técnica "Tent Pole", evita futuras complicaciones como fracturas patológicas que sin duda complicarían el manejo. Utilizando este método no solo se logra un aumento de grosor y altura alveolar, sino que también evita la contaminación de los injertos que ocurre a través del abordaje intraoral (1-4). A continuación, presentamos una serie de tres casos utilizando esta técnica.Palabras clave: Tent Pole, atrofia mandibular, implantes de oseointegración OSSEOINTEGRATED IMPLANTS PLACEMENT IN SEVERLY RESORBED MANDIBLES USING THE "TENT POLE" TECHNIQUE. CASE SERIES AbstractMandibular rehabilitation with implant-supported prostheses is now an excellent treatment option for edentulous patients because it provides increased stability and improved oral hygiene. Mandibular alveolar resorption occurs in vertical and horizontal vectors. There are patients presenting mandibular alveolar heights between 3 and 8 mm which unfavorably increases the prosthetic level arm.The option to increase the alveolar height and thickness before implant placement avoids complications like pathological fractures which compromises the results. By using the "Tent Pole" technique the surgeon achieves an increase of alveolar width and height, and by the way preventing contamination of the grafts through communication with the oral cavity, (1-4). We present a series of three cases using this technique.

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“…[3] However, autogenous bone has several drawbacks such as the need for a second surgical site, donor site morbidity and longer hospitalization period. [4] Furthermore, a high percentage of infections and a rapid and unpredictable resorption may invalidate long term results. [4] Finally, several reviews, indicate that the exclusive use of autogenous bone does not improve the survival rate of the implant.…”

Section: Introductionmentioning

confidence: 99%

“…[4] Furthermore, a high percentage of infections and a rapid and unpredictable resorption may invalidate long term results. [4] Finally, several reviews, indicate that the exclusive use of autogenous bone does not improve the survival rate of the implant. [5] Since sinus augmentation is an elective procedure, the reduction of patient morbidity to a minimum is mandatory.…”

Section: Introductionmentioning

confidence: 99%

The use of bone block allografts in sinus augmentation, followed by delayed implant placement: A case series

Aloja¹,

Ricci

Caso³

et al. 2013

Contemp Clin Dent

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Purpose:This article reports the clinical outcomes observed in a large number of patients receiving block bone allograft used for sinus augmentation and delayed implant placement.Patients and Methods:In total, 28 patients (13 males) with a mean age of 49.8 ± 10.1 years (range: 33-67 years) were included in this case series. All selected patients suffered from severe alveolar ridge atrophy in the posterior maxilla and required bone augmentation procedures, followed by implant placement after 6 months. All patients were followed for 18 months after the grafting, with scheduled monthly visits and/or more frequent visits if required. The survival rates for both the bone blocks and placed implants were then evaluated.Results:A total of 42 blocks and 90 implants were placed. Only one bone graft and 5 implants failed; the survival rate was 97.2% and 95.5% for the bone grafts and implants, respectively. The graft failed due to the onset of post-surgical infectious sinusitis, while in some patients’ implants showed absence of osteointegration at the end of the healing phase. Of note, all failed implants were observed in heavy smokers; in all other patients, blocks and implants were successful.Conclusions:This preliminary case series suggests that the grafting of bone allograft followed by delayed implant placement may be a promising strategy for sinus augmentation. More extended and larger follow-up studies are needed to confirm this preliminary data.

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Long-term follow up of transoral rib grafts for mandibular atrophy

Cited by 55 publications

References 15 publications

Mandibular defect repair by TGF-β and IGF-1 released from a biodegradable osteoconductive hydrogel

Mandibular defect repair by TGF-β and IGF-1 released from a biodegradable osteoconductive hydrogel

Colocación de implantes de oseointegración en mandíbulas con reabsorción severa utilizando la técnica “tent pole” serie de casos

The use of bone block allografts in sinus augmentation, followed by delayed implant placement: A case series

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