바로가기메뉴

본문 바로가기 주메뉴 바로가기

ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

logo

메뉴

자가 온레이 블럭골 이식 후 증대된 치조골과 임플란트의 평가

Evaluation of augmented alveolar bone and dental implant after autogenous onlay block bone graft

Abstract

The purpose of this study is to evaluate the clinical results of vertical alveolar ridge augmentation using autogenous block bone graft, especially resorption rate, and outcomes of dental implants placed in the grafted site. Patients and Methods: Medical records and radiographs were reviewed. Twenty-seven patients who have been received the autogenous block bone graft which harvested from chin, ramus, and ilium, and the implant installation on 31 areas(22 maxillas and 9 mandibles) were included. Eight implants were installed simultaneously at the time of bone graft in 4 patients, and 65 implants were installed after 4.9 months(range 2~18 months) of autogenous block bone graft in 23 patients. The resorption amount and rate of augmented bone, and the success and survival rates implants were evaluated. Results: Mean height of the augmented block bone was 5.9±2.3 mm(range from 2.5 to 13.0 mm). Mean follow-up period after block bone graft was 30.4 months(range from 16 to 55 months). Mean resorption of the augmented block bone was 2.0±1.5 mm (range from 0.5 to 7.24 mm). The success and survival rates of the implants were 78.1% and 98.6%, respectively. Conclusion: This study indicates that the autogenous block bone graft is a useful and stable method for alveolar ridge augmentation for dental implant. And more augmentation is needed to compensate the resorption of the grafted bone.

keywords
Autogenous onlay bone graft, Alveolar ridge augmentation, Autogenous block bone graft, Resorption

참고문헌

1.

1. Chiapasco M, Zaniboni M, Boisco M. Augmentation procedures for the rehabilitation of deficient edentulous ridges with oral implants. Clin Oral Implant Res 2006;17:136-59.

2.

2. Kahnberg KE, Nystrom E, Bartholdsson L. Combined use of bone grafts and Branemark fixtures in the treatment of severely resorbed maxillae. Int J Oral Maxillofac Implants 1989;4:297-304

3.

3. Misch CM. Maxillary autogenous bone grafting. Dent Clin North Am 2011;55:697-713.

4.

4. Buser D, Mericske-Stern R, Bernard JP, Behneke A, Behneke N, Hirt HP, et al. Long-term evaluation of non-submerged ITI implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants. Clin Oral Implants Res 1997;8:161-72.

5.

5. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants 1986;1:11-25.

6.

6. Chiapasco M, Zaniboni M. Failures in jaw reconstructive surgery with autogenous onlay bone grafts for pre-implant purposes: incidence, prevention and management of complications. Oral Maxillofac Surg Clin North Am 2011;23:1-15.

7.

7. Burchardt H: The biology of bone graft repair. Clin Orthop Relat Res 174:28, 1983.

8.

8. Misch CM, Misch CE, Resnik RR. Reconstruction of maxillary alveolar defects with mandibular symphysis grafts for dental implants: a preliminary procedural report. Int J Oral Maxillofac Implants 1992;7:360-6.

9.

9. Misch CM. Comparison of intraoral donor sites for onlay grafting prior to implant placement. Int J Oral Maxillofac Implants 1997;12:767-76.

10.

10. Jensen J, Sindet-Pedersen S. Autogenous mandibular bone grafts and osseointegrated implants for reconstruction of severely atrophied maxilla:a preliminary report. J Oral Maxillofac Surg 1991;49:1277-87.

11.

11. Cordaro L, Amade DS, Cordaro M. Clinical results of alveolar ridge augmentation with mandibular block bone grafts in partially edentulous patients prior to implant placement. Clin Oral Implants Res 2002;13:103-11.

12.

12. Peleg M, Garg AK, Misch CM, et al. Maxillary sinus and ridge augmentations using a surfacederived autogenous bone graft. J Oral Maillofac Surg 2004;62:1535-44.

13.

13. Chiapasco M, Zaniboni M, Boisco M. Bone augmentation procedures in implant dentistry. Int J Oral Maxillofac Implants 2009;24:237-59.

14.

14. Roccuzzo M, Ramieri G, Bunino M, Berrone S. Autogenous bone graft alone or associated with titanium mesh for vertical alveolar ridge augmentation: a controlled clinical trial. Clin Oral Implants Res. 2007;18:286-94.

15.

15. Felice P, Pistilli R, Lizio G, et al. Inlay versus onlay iliac bone grafting in atrophic posterior mandible: a prospective controlled clinical trial for the comparison of two techniques. Clin Implant Dent Relat Res. 2009;11:69-82.

16.

16. De Carvalho PS, Vasconcellos LW, Pi J. Influence of bed preparation on the incorporation of autogenous bone grafts: A study in dogs. Int J Oral Maxillofac Implants 2000;15:565-570.

17.

17. Lin KY, Bartlett SP, Yaremchuk MJ, et al. The effect of rigid fixation on the survival of onlay bone grafts:An experimental study. Plast Reconstr Surg 1990;86:449-456.

18.

18. Buser D, Dula K, Hirt HP, Schenk RK. Lateral ridge augmentation using autografts and barrier membranes: A clinical study with 40 partially edentulous patients. J Oral Maxillofac Surg 1996;54:420-432.

19.

19. Urbani G, Lombardo G, Santi E, Tarnow D. Localized ridge augmentation with chin grafts and resorbable pins: Case reports. Int J Periodontics Restorative Dent 1998;18:363-375.

20.

20. Adell R, Lekholm U, Grondahl K. Reconstruction of severely resorbed edentulous maxillae using osseointegrated fixtures in immediate autogenous bone grafts. Int J Oral Maxillofac Implants 1990;5:233-246.

21.

21. Breine U, Branemark PI. Reconstruction of alveolar jaw bone. An experimental and clinical study of immediate and preformed autologous bone grafts in combination with osseointegrated implants. Scand J Plast Reconstr Surg 1980;14:23-48.

22.

22. Whittaker JM, James RA, Lozada J. Histological response and clinical evaluation of heterograft and allograft materials in the elevation of the maxillary sinus for the preparation of endosteal dental implant sites. Simultaneous sinus elevation and root form implantation: An eight-month autopsy report. J Oral Implantol 1989;15:141-144.

23.

23. Pikos MA. Block autografts for localized ridge augmentation: Part II. The posterior mandible. Implant Dent 2000;9:67-75.

24.

24. Nystrom E, Ahlqvist J, Kahnberg KE, et al. Autogenous onlay bone grafts fixed with screw implants for the treatment of severely resorbed maxillae. Radiographic evaluation of preoperative bone dimensions, postoperative bone loss, and changes in soft-tissue profile. Int J Oral Maxillofac Surg 1996;25:351-9.

25.

25. Matsumoto MA, Filho HN, Francishone CE. Microscopic analysis of reconstructed maxillary alveolar ridges using autogenous bone grafts from the chin and iliac crest. Int J Oral Maxillofac Implants 2002;17:507-16.

logo