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Alveolar bone grafting

Daniele Cardaropoli, Lorenzo Tamagnone, Alessandro Roffredo, Andrea De Maria, Lorena Gaveglio
Alveolar ridge preservation is of great importance for successful implant therapy. This study investigated the effects of a xenogeneic tridimensional collagen matrix (CM) in conjunction with deproteinized bovine bone mineral blended with 10% collagen (DBBM-C) on the healing of 12 intact extraction sockets in the esthetic area. Cone beam computed tomograpy examinations revealed nearly stable alveolar ridge dimensions (> 90% of the ridge horizontal dimension was preserved). New bone formation of approximately 45% and adequate resorption of the grafted material were histologically observed...
2018: International Journal of Periodontics & Restorative Dentistry
Jakub Hadzik, Maciej Krawiec, Paweł Kubasiewicz-Ross, Agata Prylińska-Czyżewska, Tomasz Gedrange, Marzena Dominiak
BACKGROUND Short dental implants are considered an alternative method of treatment to the maxillary sinus elevation and bone augmentation procedure at the sites of a reduced alveolar ridge height. The aim of the study was to determine the most effective therapeutic approach for a single tooth replacement in a reduced maxillary alveolar crest. MATERIAL AND METHODS We enrolled 30 partially edentulous patients having a residual crestal height of 6 mm and a minimal width of the alveolar ridge of 6-7 mm: 15 patients received regular dental implants (OsseoSpeed™ L11 Ø4 mm and L13 Ø4 mm) and the implantation was preceded by the sinus lift procedure from a lateral window approach with the application of a xenogeneic bone graft, whereas the remaining 15 patients received short implants (OsseoSpeed™ L6 mm Ø4 mm) without the sinus lift and augmentation procedure...
August 14, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Gerhard K P Bittermann, Adrianus P de Ruiter, Arnold Jn Bittermann, Aebele B Mink van de Molen, Robert Jj van Es, Ron Koole, Antoine Jwp Rosenberg
OBJECTIVE: To evaluate midfacial growth and dental arch relationships in patients treated for bilateral cleft lip and palate (BCLP). MATERIALS AND METHODS: Data were collected from all patients with BCLP treated at our hospital between 2004 and 2014, with or without premaxillary osteotomy (PO). Dental casts for pre-secondary alveolar bone grafting with PO (SABG + PO) and end-point dental casts were analyzed using the BAURU yardstick scoring system. Pre-SABG + PO, post-SABG + PO, and end-point SABG + PO lateral cephalograms were analyzed...
July 26, 2018: Journal of Cranio-maxillo-facial Surgery
Jean-Charles Doucet, Kathleen A Russell, John Daskalogiannakis, Ana M Mercado, Nicholas Emanuele, Lindsay James, Ronald R Hathaway, Ross E Long
OBJECTIVE: To investigate the effect that alveolar bone grafting (ABG) around 6 years of age has on facial growth by assessing craniofacial growth outcomes. DESIGN: Retrospective cohort study. SETTING: North American cleft centers. PARTICIPANTS: A total of 33 children with complete unilateral cleft lip and palate who were consecutively treated with secondary ABG around 6 years of age were compared to 148 participants from 4 centers with late secondary ABG...
August 13, 2018: Cleft Palate-craniofacial Journal
Cecilie Gjerde, Kamal Mustafa, Sølve Hellem, Markus Rojewski, Harald Gjengedal, Mohammed Ahmed Yassin, Xin Feng, Siren Skaale, Trond Berge, Annika Rosen, Xie-Qi Shi, Aymen B Ahmed, Bjørn Tore Gjertsen, Hubert Schrezenmeier, Pierre Layrolle
BACKGROUND: Autologous grafting, despite some disadvantages, is still considered the gold standard for reconstruction of maxillofacial bone defects. The aim of this study was to evaluate bone regeneration using bone marrow-derived mesenchymal stromal cells (MSCs) in a clinical trial, a less invasive approach than autologous bone grafting. This comprehensive clinical trial included subjects with severe mandibular ridge resorption. METHODS: The study included 11 subjects aged 52-79 years with severe mandibular ridge resorption...
August 9, 2018: Stem Cell Research & Therapy
Nicolas Graillon, Nathalie Degardin, Jean Marc Foletti, Magali Seiler, Marine Alessandrini, Audrey Gallucci
BACKGROUND: Secondary alveolar bone grafting in patients with clefts lip and palate is usually performed with iliac crest bone harvesting, however using bone substitute allow to avoid harvesting morbidity. The purpose of our study was to assess if the use of a bioactive glass ceramic is an acceptable alternative to iliac crest bone harvesting in alveolar clefts treatment. METHODS: A prospective study including all patients who have benefited of alveolar grafting by GlassBONE™ (Noraker, France), a synthetic resorbable bioactive glass 45S5 ceramic was conducted...
July 26, 2018: Journal of Cranio-maxillo-facial Surgery
Tiago Turri de Castro Ribeiro, Mariana Chaves Petri Feitosa, Rogério Almeida Penhavel, Renata Sathler Zanda, Guilherme Janson, Reinaldo Mazzottini, Daniela G Garib
Growth deficiency of the maxilla is a frequent finding in patients with complete unilateral cleft lip and palate. When the sagittal discrepancy is severe, orthodontic treatment combined with orthognathic surgery is required. This article reports the treatment of a girl born with unilateral cleft lip and palate who had lip and palate repair at 3 and 12 months of age, respectively. At 3 years of age, she already showed a severe anteroposterior maxillary deficiency with an anterior crossbite in the deciduous dentition...
August 2018: American Journal of Orthodontics and Dentofacial Orthopedics
Michael R Bykowski, Wesley Sivak, Catharine Garland, Franklyn P Cladis, Jesse A Goldstein, Joseph E Losee
OBJECTIVE: To evaluate postoperative pain, hospital length of stay (LOS), and associated costs of multiple perioperative analgesic strategies following alveolar bone grafting (ABG). DESIGN: Retrospective comparative cohort study. SETTING: Tertiary care pediatric hospital. PATIENTS/PARTICIPANTS: Iliac crest bone graft (ICBG) harvest techniques: "Open Harvest" (n = 22), "Trephine Only" (n = 14), or "Trephine + Pain Pump" (n = 25)...
August 2, 2018: Cleft Palate-craniofacial Journal
P Dragonas, T Katsaros, G Avila-Ortiz, L Chambrone, J H Schiavo, A Palaiologou
This systematic review aimed to assess the effects of leukocyte-platelet-rich fibrin (L-PRF) on bone regeneration, soft tissue healing, and postoperative complications in patients undergoing ridge preservation, ridge augmentation, and maxillary sinus augmentation procedures. A comprehensive literature search was conducted by two independent reviewers. Only randomized and non-randomized controlled clinical trials were selected. Outcome data were extracted and critically analyzed. A total of 17 articles were included in the qualitative synthesis...
July 6, 2018: International Journal of Oral and Maxillofacial Surgery
Noha A El-Ashmawi, Sherif A ElKordy, Mona M Salah Fayed, Amr El-Beialy, Khaled H Attia
OBJECTIVE: The aim of the systematic review is to evaluate the effects of gingivoperiosteoplasty (GPP) on alveolar bone quality and facial growth in patients with cleft lip and palate (CLP). SEARCH METHODS: Electronic and manual search was done up to October 2017. Eligibility Criteria: Clinical and observational studies that compared GPP to control; patients without GPP evaluated either before or after the age for secondary bone graft (SBG). DATA COLLECTION AND ANALYSIS: Studies selection was done by 2 authors independently...
July 27, 2018: Cleft Palate-craniofacial Journal
Jung-Seok Lee, Jae-Kook Cha, Chang-Sung Kim
BACKGROUNDS: Clinical benefits in bone grafting of intact extraction socket have been widely known, but limited evidence is available for the procedure in damaged extraction sockets due to periodontal disease. PURPOSE: This study aimed to determine the dimensional alteration of alveolar ridge following bone grafting of damaged extraction sockets, and compare the outcomes of using deproteinized bovine (DBBM) versus porcine bone mineral (DPBM) in the damaged sockets...
July 27, 2018: Clinical Implant Dentistry and related Research
Hanna Aludden, Arne Mordenfeld, Mats Hallman, Ann-Eva Christensen, Thomas Starch-Jensen
OBJECTIVE: To test the hypothesis of no difference in the long-term treatment outcome after osteotome-mediated sinus floor elevation with or without a grafting material. MATERIALS AND METHODS: A MEDLINE/PubMed, Cochrane Library, and EMBASE search in combination with a hand-search of relevant journals was conducted, including human studies published in English from January 1, 1986 to December 1, 2017. RESULTS: One comparative and 7 noncomparative studies fulfilled the inclusion criteria...
August 2018: Implant Dentistry
Nina Bono, Paolo Tarsini, Gabriele Candiani
BACKGROUND: Great interest has recently been focused on tooth and tooth derivatives as suitable substrates for the treatment of alveolar bone defects. Here, we propose the use of demineralized baby teeth (BT) as potential grafting materials for bone augmentation procedures. METHODS: Particles of human BT (Ø < 1 mm) were demineralized by means of a chemical/thermal treatment. Demineralized BT particles were thoroughly characterized by scanning electron microscopy/energy dispersive X-ray analyses to evaluate the effects of the demineralization on BT topography and mineral phase composition, and by enzyme-linked immunosorbent assays (ELISA) to quantify collagen and bone morphogenetic protein-2 (BMP-2) protein contents...
July 26, 2018: Journal of Applied Biomaterials & Functional Materials
Luciano Malchiodi, Erika Giacomazzi, Alessandro Cucchi, Giulia Ricciotti, Riccardo Caricasulo, Dario Bertossi, Enrico Gherlone
The aim of this cohort study was to investigate the relationship between crestal bone levels and crown-to-implant ratio of ultra-short implants, after functional loading. 60 patients with single or partial edentulism and alveolar bone atrophy were enrolled and treated between December 2009 and January 2016. Without using bone-grafting procedures, patients were rehabilitated with ultra-short implants characterized by a micro-rough surface and a 6-mm length. Clinical and anatomical crown-to-implant (C/I) ratios and crestal bone levels (CBL) were measured after a follow-up period ranging from 12 to 72 months; all peri-implant and prosthetic parameters were recorded...
July 24, 2018: Journal of Oral Implantology
Po-Chun Chang, Hao-Chieh Chang, Tzu-Chiao Lin, Wei-Chiu Tai
BACKGROUND: Particulate anorganic bovine bone matrix (ABBM) is extensively used for alveolar ridge preservation (ARP). This study is to evaluate the potential of ABBM/gelatin cryogel scaffold of regular (250-1000 μm) and small (50-100 μm) particles for ARP. METHODS: ABBM was either condensed in a gypsum ring to simulate filling of ABBM in a defect or incorporated into a gelatin cryogel scaffold to disperse ABBM. Condensed regular-sized or small-sized ABBM (rABBM or sABBM) (±BMP-2) were subcutaneously implanted in rats to evaluate biocompatibility and osteogenic potential...
July 24, 2018: Journal of Periodontology
Toni Arcuri, Maykson Feitosa Pereira da Costa, Iury Machado Ribeiro, Byron Daia Barreto, João Paulo Lyra eSilva
INTRODUCTION: One of the most common esthetic complaints among dental patients is a gingival smile, which may be of multifactorial etiology, e.g. gingival hyperplasia, skeletal deformities featuring overgrowth of the anterior maxilla, altered passive eruption, maxillary alveolar tooth extrusion, fine lip and hypermobility of lip elevator muscles, which must be diagnosed prior to treatment so that the appropriate management approach can be selected. Maxillary overgrowth may give rise to subnasal skeletal depression where the upper lip retracts to during smiling, causing gingival exposure...
July 17, 2018: International Journal of Surgery Case Reports
Carlos Alberto Serrano, Patricia Castellanos, Daniele Botticelli
AIM: To perform a clinical and histomorphometric evaluation of a combination of allograft and xenograft for alveolar ridge preservation (ARP) procedures. METHODS: Seven consecutive cases in need of nonmolar tooth extraction and posterior implant placement were treated by ARP, using a combination of a cortico-trabecular allograft and a mineralized xenograft. All sites received a minimally traumatic tooth extraction, bone graft, collagen membrane placement, and flap closure as possible...
August 2018: Implant Dentistry
Rafael Guimarães Lima, Tito Guimarães Lima, Carlos Eduardo Francischone, Cecilia Turssi, Neuza Maria Souza Picorelli Assis, Bruno Salles Sotto-Maior
PURPOSE: The aim of this study was to evaluate volumetric stability of autologous and xenogeneic block grafts and primary stability of implants in maxillary grafted areas. MATERIALS AND METHODS: Each patient received one autologous block and xenogeneic block, both covered with a membrane. Bone thickness measurements clinically and tomographically were made before, immediately, and 6 months postoperatively. After 6 months, identical implants were placed in each grafted area, and primary stability was measured...
July 2018: International Journal of Oral & Maxillofacial Implants
Osny Ferreira Júnior, Etiene Andrade Munhoz, Jéssica de Fátima Segantin, Eduardo Sanches Gonçales, Paulo Sérgio Perri de Carvalho
OBJECTIVE: It is necessary to preserve height and thickness of the alveolar bone to facilitate rehabilitation with osteointegratable implants or simply to maintain bone integrity after extraction. Biomaterials associated with resorbable or non-resorbable membranes, when placed in the region of the socket, may contribute to avoid this unwanted reabsorption. OBJECTIVE: The objective of this study was to evaluate the distance of the crest of alveolar ridge to the cementoenamel junction (CEJ) of the lower second molars and the bone density of the third molar socket filled with Gen-Tech®, 5 years after an exodontia using cone beam computed tomography (CBCT) to visualize the central region of the sockets, without overlapping of the buccal and lingual cortical bones...
July 16, 2018: Journal of Applied Oral Science: Revista FOB
Natalia Dorosz, Marzena Dominiak
Reconstruction can be very problematic in the case of mandibular alveolar bone loss, which can also hinder the implant restorative treatment. The aim of the study was to present current views on reconstructing the alveolar part of mandibular bone, which allows the insertion of implants and then the placement of denture. Based on the available literature, the efficacy of various techniques of filling of mandibular bone losses was described and compared. Reconstruction with autogenous bone block graft had been used as a gold standard...
July 17, 2018: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
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