Implant Success in Distracted Bone Versus Autogenous Bone-Grafted Sites

2009 ◽  
Vol 35 (4) ◽  
pp. 181-184 ◽  
Author(s):  
Jeffrey A. Elo ◽  
Alan S. Herford ◽  
Philip J. Boyne

Abstract Endosseous implants are the treatment of choice for restoring function and reconstructing most edentulous areas of the maxilla and mandible. In general, alveolar bone defects can be reconstructed by either distraction osteogenesis or autogenous bone grafting. After alveolar reconstruction, endosseous implants are used to support and retain the prosthesis for restoration of form and function. Eighty-two consecutive patients requiring alveolar augmentation prior to implant placement were evaluated. All patients were given treatment options for reconstructing their alveolar defects, which included autogenous bone grafting vs distraction osteogenesis. Sixty-five patients received autogenous grafts (anterior iliac crest: 44; retromolar: 17; tibia: 2; chin: 2), and 17 patients underwent distraction osteogenesis prior to implant placement. A total of 184 implants were placed in the autogenous bone-grafted sites and 56 implants in the distracted bone sites. Implants placed in sites restored with autogenous bone grafts had an implant success rate of 97% (178/184), whereas implants placed in distracted bone sites had a success rate of 98% (55/56). In the autogenous grafted group, 3 implants failed in the posterior mandible, one in the anterior maxilla, one in the anterior mandible, and one in the posterior maxilla. In the distraction group, one implant failed in the posterior mandible. Both techniques are associated with good success rates. There was no statistical difference between implant success in autogenous bone vs distracted bone sites in this group of patients.

2010 ◽  
Vol 21 (3) ◽  
pp. 735-740 ◽  
Author(s):  
Nilüfer Çakr-Özkan ◽  
Ahmet Eyibilen ◽  
Fatih Özkan ◽  
Birsen Özyurt ◽  
Hüseyin Aslan

2011 ◽  
Vol 69 (4) ◽  
pp. 1248-1254 ◽  
Author(s):  
Nilüfer Çakır-Özkan ◽  
Ahmet Eyibilen ◽  
Fatih Özkan ◽  
Mustafa Yavuz Gülbahar ◽  
Yonca Betül Kabak

2012 ◽  
Vol 38 (4) ◽  
pp. 365-376 ◽  
Author(s):  
Efraim Kfir ◽  
Vered Kfir ◽  
Moshe Goldstein ◽  
Ziv Mazor ◽  
Edo Kaluski

Atrophic edentulous anterior maxilla is a challenging site for implant placement and has been successfully treated surgically by anterior maxillary osteoplasty. This procedure is associated with considerable discomfort, morbidity, and cost—and consequently reduced patient acceptance. The efficacy and safety of minimally invasive bone augmentation of the posterior maxilla has not been extended thus far to the anterior subnasal maxilla. We present 2 representative cases in which minimally invasive subnasal floor elevation was performed along with minimally invasive antral membrane balloon elevation. Both segments underwent bone grafting and implant placement during the same sitting. Minimally invasive anterior maxilla bone augmentation appears to be feasible. Designated instruments for alveolar ridge splitting and nasal mucosa elevation are likely to further enhance this initial favorable experience.


2012 ◽  
Vol 11 (3) ◽  
pp. 180
Author(s):  
Irma Drismayanti ◽  
Sariatun T ◽  
A’la Unas B ◽  
Muh. Ruslin ◽  
Eri H. Jubhari

Endosseous dental implants are the treatment of choice for restoring function and reconstructing most edentulousareas of the maxilla and mandible. One of the most common problems in oral implantology is insufficient bone heightbetween the alveolar ridge and the mandible canal, as a result of mandibular atrophy from edentulism. Generally,alveolar bone defects can be reconstructed by either distraction osteogenesis (DO)or autogenous bone grafting(ABG). This paper discussed implant successful rate in DO versus ABG. DO shows a higher successful rate of implantthan ABG with the result more esthetic, lower rate of infection and bone resorption, no pain at donor area, andrelatively uncomplicated.


2021 ◽  
Vol 11 (16) ◽  
pp. 7560
Author(s):  
Jeong-Kui Ku ◽  
Jae-Young Kim ◽  
Jong-Ki Huh

In the case of multiple hopeless teeth and severe bone loss, a conventional healing protocol of 3–4 months has been recommended to prevent the possibility of infection or unpredictable resorption of grafted bone during consolidation of the extraction socket. The use of a provisional denture is inevitable in the case of delayed implant placement, which is a common risk factor for wound dehiscence after a bone graft. Although autogenous bone is still the gold standard for bone grafting because of its excellent biocompatibility and osteogenic potential, there has been controversy in the unpredictable resorption of autogenous bone grafting. We present a case of successful maxillary rehabilitation without the use of provisional dentures by immediate implant placement, with early loading accompanying an extensive autogenous bone graft.


2018 ◽  
Vol 07 (05) ◽  
pp. 419-423 ◽  
Author(s):  
Rishabh Jethanandani ◽  
Schneider Rancy ◽  
Keith Corpus ◽  
Jeffrey Yao ◽  
Scott Wolfe

Background Isolated capitate nonunion is rare. No consensus on the appropriate treatment for this condition exists. Case Description We reported two cases of capitate fracture nonunion presenting several months after untreated high-impact wrist trauma. Treatment was delayed as both patients' nonunions were missed on conventional radiographs. Both were ultimately diagnosed with advanced imaging and successfully treated with internal fixation and autogenous bone grafting. The relevant literature pertaining to capitate nonunion was reviewed. Literature Review Immobilization and internal fixation with bone grafting for capitate nonunion have been described in the literature. Loss of vascular supply and progression to avascular necrosis is a concern after capitate nonunion. Clinical Relevance We present two cases and review the literature on the diagnosis and treatment of this rare injury to guide management. Internal fixation with autogenous bone grafting could play a role in management for this rare condition.


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