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Ridge augmentation

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https://www.readbyqxmd.com/read/27908574/reconstruction-of-a-post-traumatic-maxillary-ridge-using-a-radial-forearm-free-flap-and-immediate-tissue-engineering-bone-morphogenetic-protein-bone-marrow-aspirate-concentrate-and-cortical-cancellous-bone-case-report
#1
James C Melville, Ramzey Tursun, J Marshall Green, Robert E Marx
The purpose of this article is to describe reconstruction of the maxillary alveolar ridge by use of a microvascular free flap combined with an immediate tissue-engineered bone graft. This novel surgical technique involved the use of a radial forearm free flap and immediate allogeneic avascular bone graft augmented with bone morphogenetic protein and bone marrow aspirate concentrate. A poly-d,l-lactic acid mesh was used a containment unit for the bone graft. The patient was successfully treated with a viable radial forearm free flap for soft tissue and regeneration of bone with adequate height and width, which allowed the placement of 3 dental implants with excellent arch coordination...
November 9, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27896212/effect-of-slow-forced-eruption-on-the-vertical-levels-of-the-interproximal-bone-and-papilla-and-the-width-of-the-alveolar-ridge
#2
Eun-Young Kwon, Ju-Youn Lee, Jeomil Choi
OBJECTIVE: Forced eruption has been proposed for the reconstruction of deficient bone and soft tissue. The aim of this study was to examine the changes in the alveolar ridge width and the vertical levels of the interproximal bone and papilla following forced eruption. METHODS: Patients whose hopeless maxillary anterior teeth were expected to undergo severe bone resorption and soft tissue recession upon extraction were recruited. In addition, patients whose maxillary anterior teeth required forced eruption for restoration due to tooth fracture or dental caries were included...
November 2016: Korean Journal of Orthodontics
https://www.readbyqxmd.com/read/27893512/flap-designs-for-flap-advancement-during-implant-therapy-a-systematic-review
#3
Alexandra B Plonka, Rachel A Sheridan, Hom-Lay Wang
PURPOSE: Guided bone regeneration (GBR) procedures allow ridge augmentation before or at time of implant placement. GBR outcomes rely on primary passive tension-free wound closure, which may be achieved by a variety of flap designs and surgical procedures. A comprehensive literature review of flap design and management is provided, including material types, incision design, reflection, releasing, and suturing techniques. MATERIALS AND METHODS: Two reviewers completed a literature search using the PubMed database and a manual search of relevant journals...
November 23, 2016: Implant Dentistry
https://www.readbyqxmd.com/read/27891316/histologic-and-histomorphometric-evaluation-of-two-grafting-materials-cenobone-and-itb-mba-in-open-sinus-lift-surgery
#4
Babak Amoian, Maryam Seyedmajidi, Hamidreza Safipor, Sediqe Ebrahimipour
AIMS AND OBJECTIVES: Alveolar ridge reduction caused after tooth extraction can be minimized through ridge preservation and application of graft materials. The aim of this study was to compare the histologic and histomorphometric aspects of bone particulated allografts, Cenobone and ITB-MBA, in the reconstruction of vertical alveolar ridge after maxillary sinus augmentation. MATERIALS AND METHODS: This clinical trial was performed among 20 patients. The participants were randomly divided into two groups of 10 participants...
September 2016: Journal of International Society of Preventive & Community Dentistry
https://www.readbyqxmd.com/read/27890226/tissue-engineering-for-vertical-ridge-reconstruction
#5
REVIEW
Neel Patel, Beomjune Kim, Waleed Zaid, Daniel Spagnoli
This article provides an overview of basic tissue engineering principles as they are applied to vertical ridge defects and reconstructive techniques for these types of deficiencies. Presented are multiple clinical cases ranging from office-based dentoalveolar procedures to the more complex reconstruction of postresection mandibular defects. Several different types of regenerative tissue constructs are presented; either used alone or in combination with traditional reconstructive techniques and procedures, such as maxillary sinus augmentation, Le Fort I osteotomy, and microvascular free tissue transfer...
February 2017: Oral and Maxillofacial Surgery Clinics of North America
https://www.readbyqxmd.com/read/27882310/minimal-invasive-horizontal-ridge-augmentation-using-subperiosteal-tunneling-technique
#6
Hyun-Suk Kim, Young-Kyun Kim, Pil-Young Yun
BACKGROUND: The goal of this study was to retrospectively evaluate the prognosis of minimal invasive horizontal ridge augmentation (MIHRA) technique using small incision and subperiosteal tunneling technique. METHODS: This study targeted 25 partially edentulous patients (10 males and 15 females, mean age 48.8 ± 19.7 years) who needed bone graft for installation of the implants due to alveolar bone deficiency. The patients took the radiographic exam, panoramic and periapical view at first visit, and had implant fixture installation surgery...
December 2016: Maxillofacial Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27865631/the-influence-of-cortical-bone-perforation-on-guided-bone-regeneration-in-humans
#7
S A Danesh-Sani, D Tarnow, J K Yip, R Mojaver
The purpose of this study was to evaluate the effect of cortical bone perforation on angiogenesis and osteogenesis of the augmented ridge in guided bone regeneration. Eighteen patients who had osseous defects in the mandible were selected. In the test group (n=9), alveolar cortical bone in the area of regeneration was perforated. No decortication was performed in the control group (n=9). Subsequently, defects were augmented by guided bone regeneration using resorbable membrane and bovine bone. After a healing period of 7 months, trephine cores were harvested for histological and histomorphometric analysis of the grafted areas...
November 16, 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27860210/limitation-of-the-antibiotic-eluting-bone-graft-substitute-an-example-of-gentamycin-impregnated-calcium-sulfate
#8
Chang-Chin Wu, Yang-Kai Huang, Wei-Jen Chang, Yun-Ching Wu, Chen-Chie Wang, Kai-Chiang Yang
Patients with inadequate volume of alveolar processes or bone defects commonly require graft substitutes in oral, maxillofacial or orthopedic surgery. Ridge augmentation and reconstruction of facial bony defects with bone graft materials achieve better outcomes in functional and aesthetic rehabilitation. The injectable calcium sulfate filler is used widely in intra-operative applications. Calcium sulfate bone filler has been shown to upregulate bone formation-related mRNA genes in vitro and improve osseointegration in vivo...
November 18, 2016: Journal of Biomedical Materials Research. Part B, Applied Biomaterials
https://www.readbyqxmd.com/read/27859471/volumetric-changes-at-pontic-sites-with-or-without-soft-tissue-grafting-a-controlled-clinical-study-with-a-10-year-follow-up
#9
Stefan P Bienz, Irena Sailer, Ignacio Sanz-Martin, Ronald E Jung, Christoph H F Hämmerle, Daniel S Thoma
OBJECTIVE: to evaluate volumetric changes of soft tissues at pontic sites in patients treated with or without soft tissue grafting over an observation period of 10 years. MATERIALS AND METHODS: A total of 17 patients receiving a tooth-borne fixed dental prosthesis (FDP) were enrolled in this study. Nine patients received a subepithelial connective tissue graft at the pontic site (test). Eight patients continued without soft tissue grafting (control). Baseline impressions were taken after delivery of the final FDP and at 10 years...
November 17, 2016: Journal of Clinical Periodontology
https://www.readbyqxmd.com/read/27857771/a-histologic-histomorphometric-and-radiographic-comparison-between-two-complexes-of-cenoboen-cenomembrane-and-bio-oss-bio-gide-in-lateral-ridge-augmentation-a-clinical-trial
#10
Babak Amoian, Ehsan Moudi, Maryam Seyed Majidi, S M Ali Tabatabaei
BACKGROUND: Several grafting materials have been used for alveolar ridge augmentation. The literature lacks researches to compare CenoBone to other grafting materials. The aim of this study was to compare CenoBone/CenoMembrane complex to Bio-Oss/Bio-Gide complex in lateral alveolar bone augmentation in terms of radiographic, histologic, and histomorphometric parameters. MATERIALS AND METHODS: In this randomized controlled trial, ten patients who needed lateral ridge augmentation were selected and augmentations were done using either of CenoBone/CenoMembrane or Bio-Oss/Bio-Gide complexes...
September 2016: Dental Research Journal
https://www.readbyqxmd.com/read/27847815/comparison-of-bone-resorption-rates-after-intraoral-block-bone-and-guided-bone-regeneration-augmentation-for-the-reconstruction-of-horizontally-deficient-maxillary-alveolar-ridges
#11
B Alper Gultekin, Elcin Bedeloglu, T Emre Kose, Eitan Mijiritsky
Purpose. Bone atrophy after tooth loss may leave insufficient bone for implant placement. We compared volumetric changes after autogenous ramus block bone grafting (RBG) or guided bone regeneration (GBR) in horizontally deficient maxilla before implant placement. Materials and Methods. In this retrospective study, volumetric changes at RBG or GBR graft sites were evaluated using cone-beam computed tomography. The primary outcome variable was the volumetric resorption rate. Secondary outcomes were bone gain, graft success, and implant insertion torque...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27834419/limitations-and-options-using-resorbable-versus-nonresorbable-membranes-for-successful-guided-bone-regeneration
#12
Nikolaos K Soldatos, Popi Stylianou, Vasiliki P Koidou, Nikola Angelov, Raymond Yukna, Georgios E Romanos
OBJECTIVE: Deficient bony ridges often complicate the implant treatment plan. Several treatment modalities are used to regenerate bone, including guided bone regeneration (GBR). The purpose of this study was to summarize the knowledge on different types of membranes available and currently used in GBR procedures in a staged approach or with simultaneous implant placement. The primary role of the membranes is to exclude epithelial and connective tissue cells from the wound area to be regenerated, and to create and maintain the space into which pluripotential and osteogenic cells are free to migrate...
November 10, 2016: Quintessence International
https://www.readbyqxmd.com/read/27833350/staged-ridge-split-procedure-in-the-management-of-horizontal-ridge-deficiency-utilizing-piezosurgery
#13
A B Tarun Kumar, M G Triveni, V Priyadharshini, D S Mehta
AIM AND OBJECTIVES: Edentulism is an incapacitating and irretrievable condition which can lead unswervingly to functional limitation, physical, psychological and social handicap. Maintenance of bone after tooth loss to improve retention, function, and performance of the restoration is a challenging task. The existence of a thin edentulous ridge signifies a clinical situation that is more complex for the placement of endosseous implants. Dental rehabilitation of the edentulous ridges with oral implants has become a routine treatment modality in the last few decades with consistent long term results...
December 2016: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/27819850/sinus-elevation-through-transcrestal-window-approach-and-delayed-implant-placement-in-1-to-2-mm-residual-alveolar-bone-a-case-report
#14
Min Wang, Mingdong Yan, Haibin Xia, Yan Zhao
Sinus augmentation with a lateral window technique and delayed implant placement are the traditional treatment schedules when the residual alveolar bone height in atrophic posterior maxilla is less than 5 mm. This article presents a transcrestal window approach (TWA) to replace a missing first molar in an atrophic posterior maxillary ridge with 1 to 2 mm of residual bone height (RBH). Transcrestal sinus augmentation and delayed implant placement were performed. The antral pseudocyst that was located in the nasal wall of the maxillary sinus disappeared in the cone-beam computer tomography images taken after sinus elevation surgery...
December 2016: Implant Dentistry
https://www.readbyqxmd.com/read/27804178/the-influence-of-initial-alveolar-ridge-defect-morphology-on-the-outcome-of-implants-in-augmented-atrophic-posterior-mandible-an-exploratory-retrospective-study
#15
Arash Khojasteh, Saeed Reza Motamedian, Navid Sharifzadeh, Homayoun H Zadeh
OBJECTIVES: Clinicians commonly consider atrophic site topography as an important determinant in deciding the augmentation technique to utilize, as well as forecasting the likelihood of success. The purpose of this retrospective study was to examine the influence of initial atrophic posterior mandible morphology on the outcome of implants placed following augmentation. MATERIALS AND METHODS: A total of 52 patients contributed 71 edentulous sites, and 185 implants were placed with mean follow-up of 37...
November 2, 2016: Clinical Oral Implants Research
https://www.readbyqxmd.com/read/27790598/short-implants-new-horizon-in-implant-dentistry
#16
REVIEW
Neha Jain, Manisha Gulati, Meenu Garg, Chetan Pathak
The choice of implant length is an essential factor in deciding the survival rates of these implants and the overall success of the prosthesis. Placing an implant in the posterior part of the maxilla and mandible has always been very critical due to poor bone quality and quantity. Long implants can be placed in association with complex surgical procedures such as sinus lift and bone augmentation. These techniques are associated with higher cost, increased treatment time and greater morbidity. Hence, there is need for a less invasive treatment option in areas of poor bone quantity and quality...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27785390/clinical-results-of-autologous-bone-augmentation-harvested-from-the-mandibular-ramus-prior-to-implant-placement-an-analysis-of-104-cases
#17
Andreas Sakkas, Konstantinidis Ioannis, Karsten Winter, Alexander Schramm, Frank Wilde
Background: The aim of this study was the evaluation of the clinical success and complication rates associated with autologous bone grafts harvested from the mandibular ramus for alveolar ridge augmentation and the identification of possible risk factors for graft failure. Methods: In a consecutive retrospective study 86 patients could be included. In these patients a total of 104 bone grafts from the mandibular ramus were harvested for alveolar ridge augmentation. Medical history, age of patient, smoking status, periodontal status and complications were recorded...
2016: GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
https://www.readbyqxmd.com/read/27779497/variable-selection-for-confounding-adjustment-in-high-dimensional-covariate-spaces-when-analyzing-healthcare-databases
#18
Sebastian Schneeweiss, Wesley Eddings, Robert J Glynn, Elisabetta Patorno, Jeremy Rassen, Jessica M Franklin
BACKGROUND: Data-adaptive approaches to confounding adjustment may improve performance beyond expert knowledge when analyzing electronic healthcare databases and have additional practical advantages for analyzing multiple databases in rapid cycles. Improvements seemed possible if outcome predictors were reliably identified empirically and adjusted. METHODS: In five cohort studies from diverse healthcare databases, we implemented a base-case high-dimensional propensity score algorithm with propensity score decile-adjusted outcome models to estimate treatment effects among prescription drug initiators...
October 21, 2016: Epidemiology
https://www.readbyqxmd.com/read/27753539/volumetric-stability-of-fresh-frozen-bone-blocks-in-atrophic-posterior-mandible-augmentation
#19
Erick Silva, Emanuela Prado Ferraz, Evandro Carneiro Martins Neto, Liat Chaushu, Gavriel Chaushu, Samuel Porfirio Xavier
The aim of this prospective controlled study present study is to evaluate volumetric changes of newly created bone following reconstruction of the atrophic posterior mandible using FFB. Twenty consecutive patients presenting for reconstruction of posterior mandibular alveolar bone ridge width ≤ 6.0 mm and/or height≤ 6.0 who met all inclusion and exlusion criteria were included. FFB blocks were used. The main outcome variable investigated was bone volume dynamics. Vertical, horizontal and three-dimensional bone gain data was measured from computerized tomography scans...
October 18, 2016: Journal of Oral Implantology
https://www.readbyqxmd.com/read/27747708/continuous-intra-sinus-bone-regeneration-after-nongrafted-sinus-lift-with-a-plla-mesh-plate-device-and-dental-implant-placement-in-an-atrophic-posterior-maxilla-a-case-report
#20
Takahiro Kaneko, Satoshi Nakamura, Shunsuke Hino, Norio Horie, Tetsuo Shimoyama
BACKGROUND: Sinus lift is a bone augmentation procedure that improves the alveolar crest height in an atrophic posterior maxilla. However, the regenerated bone volume can vary and generally has a tendency to decrease after sinus operation. This article describes nongrafted maxillary sinus lift using a bioresorbable unsintered hydroxyapatite combined with poly L-lactide (HA/PLLA) mesh plate device and dental implant placement in an atrophic posterior maxilla, after which continuous bone gain was observed around the implant apex during a postoperative follow-up period of 3 years...
December 2016: International Journal of Implant Dentistry
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