Dental Implantation of Atrophic Jaws Reconstructed with Iliac Bone Graft Crest - Outcome of Seven Cases
DOI:
https://doi.org/10.3889/oamjms.2016.130Keywords:
Albania, alveolar ridge, augmentation, edentulism, iliac bone graftAbstract
BACKGROUND: Iliac bone grafts are used to augment alveolar ridges followed by subsequent dental implants in completely edentulous patients. In Albania the information about these issues is scarce.
AIM: To describe the procedure of iliac bone grafts augmentation of alveolar ridges and evaluate the survival rate of dental implants in completely edentulous patients in Albania.
SUBJECTS AND METHODS: Seven totally edentulous patients (three males, average age 45.9 years) presenting at Durrës Regional Hospital during 2008-2015 and seeking a solution to their problem through implantation procedures were included in the study. Patients were thoroughly examined, evaluated and the best augmentation procedure, using iliac crest bone grafts, and dental implantation technique was chosen. The number of dental implants placed was recorded and their survival rate was calculated.
RESULTS: The most common intervention site was maxillae (in 71.4% of cases). Dental implants were installed six months after augmentation, all fixed on the very stable augmented alveolar ridge. On average between 20%-30% of bone grafts, volume was resorbed. Of 37 implants settled, 36 of them or 97.3% survived.
CONCLUSION: Iliac bone grafts are a suitable augmentation source of bone in a patient suffering from complete edentulism in Albania. The survival rate of dental implants is very satisfactory.Downloads
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Peltzer K, Hewlett S, Yawson AE, Moynihan P, Preet R, Wu F, Guo G, Arokiasamy P, Snodgrass SJ, Chatterji S, Engelstad MW, Kowal P. Prevalence of loss of all teeth (edentulism) and associated factors in older adults in China, Ghana, India, Mexico, Russia and South Africa. Int J Environ Res Public Health. 2014;11:11308-24. https://doi.org/10.3390/ijerph111111308 PMid:25361046 PMCid:PMC4245614 DOI: https://doi.org/10.3390/ijerph111111308
Cawood JI, Howell RA. A classification of the edentulous jaws. Int J Oral Maxillofac Surg. 1988;17:232–6. https://doi.org/10.1016/S0901-5027(88)80047-X DOI: https://doi.org/10.1016/S0901-5027(88)80047-X
McGarry TJ, Nimmo A, Skiba JF, Ahlstrom RH, Smith CR, Kounjian JH. Classification system for complete edentulism. J Prosthodont. 1999;8(1):27–39. https://doi.org/10.1111/j.1532-849X.1999.tb00005.x PMid:10356552 DOI: https://doi.org/10.1111/j.1532-849X.1999.tb00005.x
Peterson's principles of oral and maxillofacial surgery – 3rd ed. (eds. Miloro M, Ghali GE, Larsen PE, Waite PD). People's Medical Publishing House USA, Shelton, Connecticut, 2011:p.123.
Sun Z, Herring SW, Tee BC, Gales J. Alveolar ridge reduction after tooth extraction in adolescents: an animal study. Arch Oral Biol. 2013;58(7):813–25. https://doi.org/10.1016/j.archoralbio.2012.12.013 PMid:23380583 PMCid:PMC3665758 DOI: https://doi.org/10.1016/j.archoralbio.2012.12.013
Bays RA. The pathophysiology and anatomy of edentulous bone loss. In: Fonseka R, Davis W, editors. Reconstructive preprosthetic oral and maxillofacial surgery. Philadelphia:W.B. Saunders, 1985:19–41.
Starshak TJ. Oral anatomy and physiology. In: Starshak TJ, Saunders B, editors. Preprosthetic oral and maxillofacial surgery. St.Louis: Mosby, 1980.
Weyant RJ, Pandav RS, Plowman JL, Ganguli M. Medical and cognitive correlates of denture wearing in older community-dwelling adults. J Am Geriatr Soc. 2004;52:596–600. https://doi.org/10.1111/j.1532-5415.2004.52168.x PMid:15066077 DOI: https://doi.org/10.1111/j.1532-5415.2004.52168.x
Yu Y-H, Lai Y-L, Cheung WS, Kuo H-K. Oral health status and self-reported functional dependence in community-dwelling older adults. J Am Geriatr Soc. 2011;59:519–23. https://doi.org/10.1111/j.1532-5415.2010.03311.x PMid:21391942 DOI: https://doi.org/10.1111/j.1532-5415.2010.03311.x
Vogel R, Smith-Palmer J, Valentine W. Evaluating the health economic implications and cost-effectiveness of dental implants: a literature review. Int J Oral Maxillofac Implants. 2013;28:343–56. https://doi.org/10.11607/jomi.2921 PMid:23527335 DOI: https://doi.org/10.11607/jomi.2921
Adell R, Eriksson B, Lekholm U, Brånemark PI, Jemt T. A long-term follow up study of osseointegrated implants in the treatment of totally edentulous jaws. Int J Oral Maxillofac Implants. 1990;5:347–59. PMid:2094653
Monje A, Chan HL, Suarez F, Galindo-Moreno P, Wnag HL. Marginal bone loss around tilted implants in comparison to straight implants: a meta-analysis. Int J Oral Maxillofac Implants. 2012;27:1576–83. PMid:23189313
Rodriguez-Chessa JG, Olate S, Netto HD, Shibli J, de Moraes M, Mazzonetto M. Treatment of atrophic maxilla with zygomatic implants in 29 consecutives patients. Int J Clin Exp Med. 2014;15:426–30.
Gallucci GO, Morton D, Weber HP. Loading protocols for dental implants in edentulous patients. Int J Oral Maxillofac Implants. 2009;24 Suppl:132-46. PMid:19885441
Kang YH, Kim HM, Byun JH, Kim UK, Sung IY, Cho YC, Park BW. Stability of simultaneously placed dental implants with autologous bone grafts harvested from the iliac crest or intraoral jaw bone. BMC Oral Health. 2015;15:172. https://doi.org/10.1186/s12903-015-0156-x PMid:26714451 PMCid:PMC4696287 DOI: https://doi.org/10.1186/s12903-015-0156-x
Faverani LP, Ramalho-Ferreira G, dos Santos PH, Rocha EP, Garcia Júnior IR, Pastori CM1, Assunção WG. Surgical techniques for maxillary bone grafting - literature review. Rev Col Bras Cir. 2014;41(1):61–7. https://doi.org/10.1590/S0100-69912014000100012 PMid:24770776 DOI: https://doi.org/10.1590/S0100-69912014000100012
Grillon GL, Gunther SF, Connole PW. A new technique of obtaining iliac bone graft. J Oral Maxillofac Surg.1984;42:172–6. https://doi.org/10.1016/S0278-2391(84)80028-2 DOI: https://doi.org/10.1016/S0278-2391(84)80028-2
World Bank. Albania Program Snapshot, April 2015. World Bank Group Partnership. Available at: https://www.worldbank.org/content/dam/Worldbank/document/eca/Albania-Snapshot.pdf. Last accessed: September 2016.
Fairbairn P, Leventis M. Protocol for Bone Augmentation with Simultaneous Early Implant Placement: A Retrospective Multicenter Clinical Study. Int J Dent. 2015; 2015:589135. https://doi.org/10.1155/2015/589135 PMid:26858757 PMCid:PMC4672140 DOI: https://doi.org/10.1155/2015/589135
Sjöström M, Lundgren S, Sennerby L. A histomorphometric comparison of the bone graft-titanium interface between interpositional and onlay/inlay bone grafting techniques. Int J Oral Maxillofac Implants. 2006;21(1):52–62. PMid:16519182
Shimizu T, Ohno K, Matsuura M, Segawa K, Michi K. An anatomical study of vascularized iliac bone grafts for dental implantation. J Craniomaxillofac Surg. 2002;30(3):184–8. https://doi.org/10.1054/jcms.2002.0299 PMid:12220998 DOI: https://doi.org/10.1054/jcms.2002.0299
Chiapasco M, Zaniboni M, Boisco M. Augmentation procedures for the rehabilitation of deficient edentulous ridges with oral implants. Clin Oral Implants Res. 2006;17 Suppl 2:136–59. https://doi.org/10.1111/j.1600-0501.2006.01357.x PMid:16968389 DOI: https://doi.org/10.1111/j.1600-0501.2006.01357.x
Schropp L, Isidor F. Timing of implant placement relative to tooth extraction. J Oral Rehabil. 2008;35(Suppl1):33–43. https://doi.org/10.1111/j.1365-2842.2007.01827.x PMid:18181932 DOI: https://doi.org/10.1111/j.1365-2842.2007.01827.x
Rieder D, Eggert J, Krafft T, Weber HP, Wichmann MG, Heckmann SM. Impact of placement and restoration timing on single-implant esthetic outcome–a randomized clinical trial. Clin Oral Implants Res. 2016;27(2):e80–6. https://doi.org/10.1111/clr.12539 PMid:25496243 DOI: https://doi.org/10.1111/clr.12539
Corinaldesi G, Pieri F, Sapigni L, Marchetti C. Evaluation of survival and success rates of dental implants placed at the time of or after alveolar ridge augmentation with an autogenous mandibular bone graft and titanium mesh: a 3- to 8-year retrospective study. Int J Oral Maxillofac Implants. 2009;24(6):1119–28. PMid:20162118
Nemcovsky CE, Artzi Z. Comparative study of buccal dehiscence defects in immediate, delayed, and late maxillary implant placement with collagen membranes: clinical healing between placement and second-stage surgery. J Periodontol. 2002;73(7):754–761. https://doi.org/10.1902/jop.2002.73.7.754 PMid:12146535 DOI: https://doi.org/10.1902/jop.2002.73.7.754
Moy PK, Medina D, Shetty V, Aghaloo TL. Dental implant failure rates and associated risk factors. Int J Oral Maxillofac Implants. 2005;20(4):569–77. PMid:16161741
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