Share This Article:

A Comparative Study of Bone Resorption between Implant Placement Sites and Non-Implant Placement Sites after Autogenous Block Bone Grafts in the Anterior Maxilla

Abstract Full-Text HTML Download Download as PDF (Size:1687KB) PP. 197-207
DOI: 10.4236/ojst.2014.44029    2,651 Downloads   3,533 Views  

ABSTRACT

The aim of this study was to compare the bone resorption differences between implant placement sites (IPS) and non-implant placement sites (NIPS) after autogenous block bone grafts in the anterior maxilla. Fourteen patients (58 edentulous sites) with alveolar atrophy in the anterior maxilla were treated with autogenous block bone grafts. CBCT examinations were performed at 1 month before surgery (T0), immediately after surgery (T1), 3 to 4 months after surgery (T2), 6 to 7 months after surgery before implant placement (T3), 12 to 13 months after surgery (T4), and the longest follow-up point (T5). Alveolar crestal and basal bone width (ACBW, ABBW), and alveolar bone height (ABH) were measured and divided into IPS (30 sites) and NIPS (28 sites). All results were compared by the Wilcoxon Signed Rank test. The bone resorption changes for both groups were the same. For these three parameters, ACBW didn’t change significantly from T2 to T3 and T4 to T5, ABBW didn’t change at every period from T2 to T5, and ABH didn’t change from T4 to T5. The bone resorption volume of ACBW and ABH in NIPS were more than in IPS after implant placement surgery, while the volume of ABBW was similar in both groups. At T5, the bone resorption percentages of ACBW, ABBW, and ABH were 25.57%, 16.85% and 43.84% in IPS, and 33.55%, 15.92% and 46.44% in NIPS. A more rapid loss of alveolar crest in NIPS resulted from implant placement surgery, and this reminded us of the importance of immediate implant placement.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Zheng, J. , Zhang, S. , Fan, H. , Lu, E. , Yang, C. and Zhao, J. (2014) A Comparative Study of Bone Resorption between Implant Placement Sites and Non-Implant Placement Sites after Autogenous Block Bone Grafts in the Anterior Maxilla. Open Journal of Stomatology, 4, 197-207. doi: 10.4236/ojst.2014.44029.

References

[1] Isaksson, S. and Alberius, P. (1992) Maxillary Alveolar Ridge Augmentation with Onlay Bone-Grafts and Immediate Endosseous Implants. Journal of Cranio-Maxillofacial Surgery, 20, 2-7.
http://dx.doi.org/10.1016/S1010-5182(05)80187-8
[2] Hollinger, J.O., Brekke, J. and Gruskin, E. (1996) Role of Bone Substitutes. Clinical Orthopaedics and Related Research, 324, 55-65.
http://dx.doi.org/10.1097/00003086-199603000-00008
[3] Wang, S., Zhang, Z. and Xia, L. (2010) Systematic Evaluation of a Tissue-Engineered Bone for Maxillary Sinus Augmentation in Large Animal Canine Model. Bone, 46, 91-100.
http://dx.doi.org/10.1016/j.bone.2009.09.008
[4] Zhang, W., Wang, X., Wang, S., et al. (2011) The Use of Injectable Sonication-Induced Silk Hydrogel for VEGF(165) and BMP-2 Delivery for Elevation of the Maxillary Sinus Floor. Biomaterials, 32, 9415-9424.
http://dx.doi.org/10.1016/j.biomaterials.2011.08.047
[5] Block, M.S., Ducote, C.W. and Mercante, D.E. (2012) Horizontal Augmentation of Thin Maxillary Ridge with Bovine Particulate Xenograft Is Stable during 500 Days of Follow-Up: Preliminary Results of 12 Consecutive Patients. Journal of Oral and Maxillofacial Surgery, 70, 1321-1330.
http://dx.doi.org/10.1016/j.joms.2012.01.026
[6] Barone, A., Toti, P., Piattelli, A., et al. (2014) Extraction Socket Healing in Humans after Ridge Preservation Techniques: A Comparison between Flapless and Flapped Procedure in a Randomized Clinical Trial. Journal of Periodontology, 85, 14-23.
[7] Sbordone, C., Toti, P., Guidetti, F., et al. (2012) Volume Changes of Iliac Crest Autogenous Bone Grafts after Vertical and Horizontal Alveolar Ridge Augmentation of Atrophic Maxillas and Mandibles: A 6-Year Computerized Tomographic Follow-Up. Journal of Oral and Maxillofacial Surgery, 70, 2559-2565.
http://dx.doi.org/10.1016/j.joms.2012.07.040
[8] Cordaro, L., Torsello, F., Miuccio, M.T., et al. (2011) Mandibular Bone Harvesting for Alveolar Reconstruction and Implant Placement: Subjective and Objective Cross-Sectional Evaluation of Donor and Recipient Site up to 4 Years. Clinical Oral Implants Research, 22, 1320-1326.
http://dx.doi.org/10.1111/j.1600-0501.2010.02115.x
[9] Nissan, J., Gross, O., Mardinger, O., et al. (2011) Post-Traumatic Implant-Supported Restoration of the Anterior Maxillary Teeth Using Cancellous Bone Block Allografts. Journal of Oral and Maxillofacial Surgery, 69, e513-e518.
http://dx.doi.org/10.1016/j.joms.2011.08.002
[10] Wakimoto, M., Matsumura, T., Ueno, T., et al. (2012) Bone Quality and Quantity of the Anterior Maxillary Trabecular Bone in Dental Implant Sites. Clinical Oral Implants Research, 23, 1314-1319.
http://dx.doi.org/10.1111/j.1600-0501.2011.02347.x
[11] Nkenke, E., Schultze-Mosgau, S., Radespiel-Troger, M., et al. (2001) Morbidity of Harvesting of Chin Grafts: A Prospective Study. Clinical Oral Implants Research, 12, 495-502.
http://dx.doi.org/10.1034/j.1600-0501.2001.120510.x
[12] Dasmah, A., Thor, A., Ekestubbe, A., et al. (2012) Particulate vs. Block Bone Grafts: Three-Dimensional Changes in Graft Volume after Reconstruction of the Atrophic Maxilla, a 2-Year Radiographic Follow-Up. Journal of Cranio-Maxillofacial Surgery, 40, 654-659.
[13] Nyström, E., Legrell, P.E., Forssell, A., et al. (1995) Combined Use of Bone Grafts and Implants in the Severely Resorbed Maxilla. Postoperative Evaluation by Computed Tomography. International Journal of Oral and Maxillofacial Surgery, 24, 20-25.
http://dx.doi.org/10.1016/S0901-5027(05)80851-3
[14] Her, S., Kang, T. and Fien, M.J. (2012) Titanium Mesh as an Alternative to a Membrane for Ridge Augmentation. Journal of Cranio-Maxillofacial Surgery, 70, 803-810.
http://dx.doi.org/10.1016/j.joms.2011.11.017
[15] Thor, A. (2002) Reconstruction of the Anterior Maxilla with Platelet Gel, Autogenous Bone, and Titanium Mesh: A Case Report. Clinical Oral Implants Research, 4, 150-155.
http://dx.doi.org/10.1111/j.1708-8208.2002.tb00166.x
[16] Esposito, M., Hirsch, J.M., Lekholm, U. and Thomsen, P. (1998) Biological Factors Contributing to Failures of Osseointegrated Oral Implants, (I). Success Criteria and Epidemiology. European Journal of Oral Sciences, 106, 527-551.
http://dx.doi.org/10.1046/j.0909-8836..t01-2-.x
[17] Cosyn, J., Sabzevar, M.M. and De Bruyn, H. (2012) Predictors of Inter-Proximal and Midfacial Recession Following Single Implant Treatment in the Anterior Maxilla: A Multivariate Analysis. Journal of Clinical Periodontology, 39, 895-903.
http://dx.doi.org/10.1111/j.1600-051X.2012.01921.x
[18] Ishikawa, T., Salama, M., Funato, A., Kitajima, H., Moroi, H., Salama, H. and Garber, D. (2010) Three-Dimensional Bone and Soft Tissue Requirements for Optimizing Esthetic Results in Compromised Cases with Multiple Implants. International Journal of Periodontics & Restorative Dentistry, 30, 503-511.
[19] Dasmah, A., Thor, A., Ekestubbe, A., Sennerby, L. and Rasmusson, L. (2013) Marginal Bone-Level Alterations at Implants Installed in Block versus Particulate Onlay Bone Grafts Mixed with Platelet-Rich Plasma in Atrophic Maxilla. A Prospective 5-Year Follow-Up Study of 15 Patients. Clinical Implant Dentistry and Related Research, 15, 7-14.
http://dx.doi.org/10.1111/j.1708-8208.2011.00377.x
[20] Johannsen, A., Westergren, A. and Johannsen, G. (2012) Dental Implants from the Patients Perspective: Transition from Tooth Loss, through Amputation to Implants-Negative and Positive Trajectories. Journal of Clinical Periodontology, 39, 681-687.
http://dx.doi.org/10.1111/j.1600-051X.2012.01893.x
[21] Ortega-Martinez, J., Perez-Pascual, T., Mareque-Bueno, S., Hernández-Alfaro, F. and Ferrés-Padró, E. (2012) Immediate Implants Following Tooth Extraction. A Systematic Review. Medicina Oral, Patología Oral y Cirugía Bucal, 17, e251-e261.
http://dx.doi.org/10.4317/medoral.17469
[22] Lundgren, S., Sjostrom, M., Nystrom, E. and Sennerby, L. (2008) Strategies in Reconstruction of the Atrophic Maxilla with Autogenous Bone Grafts and Endosseous Implants. Periodontology 2000, 47, 143-161.
http://dx.doi.org/10.1111/j.1600-0757.2008.00265.x
[23] Nyström, E., Lundgren, S., Gunne, J. and Nilson, H. (1997) Interpositional Bone Grafting and Le Fort I Osteotomy for Reconstruction of the Atrophic Edentulous Maxilla. A Two-Stage Technique. International Journal of Oral and Maxillofacial Surgery, 26, 423-427.
http://dx.doi.org/10.1016/S0901-5027(97)80006-9
[24] Cosyn, J. and De Rouck, T. (2009) Aesthetic Outcome of Single-Tooth Implant Restorations Following Early Implant Placement and Guided Bone Regeneration: Crown and Soft Tissue Dimensions Compared with Contralateral Teeth. Clinical Oral Implants Research, 20, 1063-1069.
http://dx.doi.org/10.1111/j.1600-0501.2009.01746.x
[25] Davis, W.H., Martinoff, J.T. and Kaminishi, R.M. (1984) Long-Term Follow up of Transoral Rib Grafts for Mandibular Atrophy. Journal of Oral and Maxillofacial Surgery, 42, 606-609.
http://dx.doi.org/10.1016/0278-2391(84)90092-2
[26] Donovan, M.G., Dickerson, N.C., Hellstein, J.W. and Hanson, L.J. (1993) Autologous Calvarial and Iliac Onlay Bone Grafts in Miniature Swine. Journal of Oral and Maxillofacial Surgery, 51, 898-903.
http://dx.doi.org/10.1016/S0278-2391(10)80112-0
[27] von Arx, T. and Buser, D. (2006) Horizontal Ridge Augmentation Using Autogenous Block Grafts and the Guided Bone Regeneration Technique with Collagen Membranes: A Clinical Study with 42 Patients. Clinical Oral Implants Research, 17, 359-366.
http://dx.doi.org/10.1111/j.1600-0501.2005.01234.x
[28] Kühl, S., Götz, H., Hansen, T., Kreisler, M., Behneke, A., Heil, U., Duschner, H. and d’Hoedt, B. (2010) Three-Dimensional Analysis of Bone Formation after Maxillary Sinus Augmentation by Means of Microcomputed Tomography: A Pilot Study. International Journal of Oral & Maxillofacial Implants, 25, 930-938.
[29] Bhandari, S. and Chaturvedi, R. (2012) Immediate Natural Tooth Pontic: A Viable yet Temporary Prosthetic Solution: A Patient Reported Outcome. Indian Journal of Dental Research, 23, 59-63.
http://dx.doi.org/10.4103/0970-9290.99040
[30] Lin, K.Y., Bartlett, S.P., Yaremchuk, M.J., Fallon, M., Grossman, R.F. and Whitaker, L.A. (1990) The Effect of Rigid Fixation on the Survival of Onlay Bone Grafts: An Experimental Study. Plastic & Reconstructive Surgery, 86, 449-456.
http://dx.doi.org/10.1097/00006534-199009000-00010
[31] Hellem, S., Astrand, P., Stenstrom, B., Engquist, B., Bengtsson, M. and Dahlgren, S. (2003) Implant Treatment in Combination with Lateral Augmentation of the Alveolar Process: A 3-Year Prospective Study. Clinical Implant Dentistry and Related Research, 5, 233-240.
http://dx.doi.org/10.1111/j.1708-8208.2003.tb00206.x

  
comments powered by Disqus

Copyright © 2019 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.