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Implant treatment in combination with lateral augmentation of the alveolar process : a 3-year prospective study

Hellem, Sölve ; Astrand, Per ; Stenström, Birgitta ; Engquist, Bo ; Bengtsson, Martin LU orcid and Dahlgren, Simon (2003) In Clinical Implant Dentistry and Related Research 5(4). p.40-233
Abstract

BACKGROUND: In patients in whom the height of the alveolar process is adequate but the crest is too narrow to host an implant, lateral augmentation is required. Such augmentations have mostly been performed using autogenous bone blocks secured to the buccal surface. An alternative to autogenous bone may be bovine hydroxyapatite (Bio-Oss, Geistlich Pharma AG, Wolhusen, Switzerland) or other bone substitutes.

PURPOSE: The aim of this study was to evaluate the clinical and radiographic outcome of dental implants inserted after lateral augmentation of too narrow alveolar processes with a combination of bovine hydroxyapatite (Bio-Oss) and autogenous bone.

METHODS: Thirty patients (14 males and 16 females) with a mean age of 41.6... (More)

BACKGROUND: In patients in whom the height of the alveolar process is adequate but the crest is too narrow to host an implant, lateral augmentation is required. Such augmentations have mostly been performed using autogenous bone blocks secured to the buccal surface. An alternative to autogenous bone may be bovine hydroxyapatite (Bio-Oss, Geistlich Pharma AG, Wolhusen, Switzerland) or other bone substitutes.

PURPOSE: The aim of this study was to evaluate the clinical and radiographic outcome of dental implants inserted after lateral augmentation of too narrow alveolar processes with a combination of bovine hydroxyapatite (Bio-Oss) and autogenous bone.

METHODS: Thirty patients (14 males and 16 females) with a mean age of 41.6 years fulfilled the inclusion criteria. Twenty-nine augmentation sites with a total of 74 implants could be followed for 3 years.

RESULTS: Three implants were lost; these were lost before loading (at the abutment operation). The survival rate was 95.9%. The mean marginal bone loss during the 3-year observation period was 0.3 +/- 0.2 mm.

CONCLUSIONS: A 50/50 combination of Bio-Oss and autogenous bone chips stabilized with Tisseel (Baxter AG/Duo Quick AG, Vienna, Austria) was useful for lateral augmentation of the alveolar crest. Lateral grafts with Bio-Oss, autogenous bone, and Tisseel made it possible to achieve good implant stability and high implant survival results. The bone level changes adjacent to the implants were the same as in nongrafted cases.

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publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adolescent, Adult, Aged, Alveolar Ridge Augmentation/methods, Animals, Bone Matrix/transplantation, Bone Substitutes, Bone Transplantation, Cattle, Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Durapatite, Female, Fibrin Tissue Adhesive, Humans, Jaw, Edentulous, Partially/diagnostic imaging, Male, Maxilla/surgery, Middle Aged, Minerals, Prospective Studies, Radiography
in
Clinical Implant Dentistry and Related Research
volume
5
issue
4
pages
8 pages
publisher
Wiley-Blackwell
external identifiers
  • scopus:1342302782
  • pmid:15127994
ISSN
1523-0899
DOI
10.1111/j.1708-8208.2003.tb00206.x
language
English
LU publication?
no
id
8bf7e8e8-ee9c-4f02-9d9d-90715423a585
date added to LUP
2021-11-09 11:15:51
date last changed
2024-03-07 22:38:24
@article{8bf7e8e8-ee9c-4f02-9d9d-90715423a585,
  abstract     = {{<p>BACKGROUND: In patients in whom the height of the alveolar process is adequate but the crest is too narrow to host an implant, lateral augmentation is required. Such augmentations have mostly been performed using autogenous bone blocks secured to the buccal surface. An alternative to autogenous bone may be bovine hydroxyapatite (Bio-Oss, Geistlich Pharma AG, Wolhusen, Switzerland) or other bone substitutes.</p><p>PURPOSE: The aim of this study was to evaluate the clinical and radiographic outcome of dental implants inserted after lateral augmentation of too narrow alveolar processes with a combination of bovine hydroxyapatite (Bio-Oss) and autogenous bone.</p><p>METHODS: Thirty patients (14 males and 16 females) with a mean age of 41.6 years fulfilled the inclusion criteria. Twenty-nine augmentation sites with a total of 74 implants could be followed for 3 years.</p><p>RESULTS: Three implants were lost; these were lost before loading (at the abutment operation). The survival rate was 95.9%. The mean marginal bone loss during the 3-year observation period was 0.3 +/- 0.2 mm.</p><p>CONCLUSIONS: A 50/50 combination of Bio-Oss and autogenous bone chips stabilized with Tisseel (Baxter AG/Duo Quick AG, Vienna, Austria) was useful for lateral augmentation of the alveolar crest. Lateral grafts with Bio-Oss, autogenous bone, and Tisseel made it possible to achieve good implant stability and high implant survival results. The bone level changes adjacent to the implants were the same as in nongrafted cases.</p>}},
  author       = {{Hellem, Sölve and Astrand, Per and Stenström, Birgitta and Engquist, Bo and Bengtsson, Martin and Dahlgren, Simon}},
  issn         = {{1523-0899}},
  keywords     = {{Adolescent; Adult; Aged; Alveolar Ridge Augmentation/methods; Animals; Bone Matrix/transplantation; Bone Substitutes; Bone Transplantation; Cattle; Dental Implantation, Endosseous; Dental Prosthesis, Implant-Supported; Dental Restoration Failure; Durapatite; Female; Fibrin Tissue Adhesive; Humans; Jaw, Edentulous, Partially/diagnostic imaging; Male; Maxilla/surgery; Middle Aged; Minerals; Prospective Studies; Radiography}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{40--233}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Clinical Implant Dentistry and Related Research}},
  title        = {{Implant treatment in combination with lateral augmentation of the alveolar process : a 3-year prospective study}},
  url          = {{http://dx.doi.org/10.1111/j.1708-8208.2003.tb00206.x}},
  doi          = {{10.1111/j.1708-8208.2003.tb00206.x}},
  volume       = {{5}},
  year         = {{2003}},
}