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Long-term stability of autologous bone graft of intraoral origin after lateral sinus floor elevation with simultaneous implant placement.
- Source :
-
Clinical implant dentistry and related research [Clin Implant Dent Relat Res] 2018 Oct; Vol. 20 (5), pp. 713-721. Date of Electronic Publication: 2018 Aug 24. - Publication Year :
- 2018
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Abstract
- Background: Lateral approach to maxillary sinus floor elevation (LSFE) with autologous bone grafts and simultaneous implant insertion is a widespread technique for prosthetic rehabilitation of the atrophic maxilla.<br />Purpose: To analyze implant survival and autologous bone graft resorption after LSFE, in patients with at least 5 years follow-up.<br />Materials and Methods: Thirty-three patients (mean age 56 years, range 46-68 years) who had undergone LSFE with intraoral autologous bone graft from mandibular ramus and simultaneous implant insertion were included. A minimum of 5 years of follow-up was required. The total peri-implant bone height was measured at mesial and distal aspects of the implants immediately after surgery (T0) and after a period ranging from 5 to 11.5 years after surgery (mean 7.65 ± 1.80 years) (T1) on digital panoramic and periapical radiographs. Wilcoxon matched-pairs signed rank test was used to compare bone graft height at T0 and T1. The influence of patient-, surgery-, and implant-related factors on the outcomes was investigated.<br />Results: Of the 58 implants placed, no one was lost. All prostheses were in function, and no biological or mechanical complications occurred. The residual ridge height at the involved sites averaged 6.48 ± 1.72 mm. The mean bone height at grafted regions was 12.05 ± 2.47 mm at T0 and 12.13 ± 2.39 mm at T1 (not statistically significant). Marginal bone level change at T1 averaged -1.22 ± 1.60 mm. None of the evaluated factors significantly affected the results.<br />Conclusion: Autologous bone grafts from intraoral donor sites display excellent volume stability over time that may contribute to optimal outcomes of the procedure.<br /> (© 2018 Wiley Periodicals, Inc.)
Details
- Language :
- English
- ISSN :
- 1708-8208
- Volume :
- 20
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Clinical implant dentistry and related research
- Publication Type :
- Academic Journal
- Accession number :
- 30144262
- Full Text :
- https://doi.org/10.1111/cid.12649