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Bone augmentation procedures in implant dentistry.

Authors: M. Chiapasco; P. Casentini; M. Zaniboni;

Bone augmentation procedures in implant dentistry.

Abstract

This review evaluated (1) the success of different surgical techniques for the reconstruction of edentulous deficient alveolar ridges and (2) the survival/success rates of implants placed in the augmented areas.Clinical investigations published in English involving more than 10 consecutively treated patients and mean follow-up of at least 12 months after commencement of prosthetic loading were included. The following procedures were considered: onlay bone grafts, sinus floor elevation via a lateral approach, Le Fort I osteotomy with interpositional grafts, split ridge/ridge expansion techniques, and alveolar distraction osteogenesis. Full-text articles were identified using computerized and hand searches by key words. Success and related morbidity of augmentation procedures and survival/success rates of implants placed in the augmented sites were analyzed.A wide range of surgical procedures were identified. However, it was difficult to demonstrate that one surgical procedure offered better outcomes than another. Moreover, it is not yet known if some surgical procedures, eg, reconstruction of atrophic edentulous mandibles with onlay autogenous bone grafts or maxillary sinus grafting procedures in case of limited/moderate sinus pneumatization, improve long-term implant survival. Every surgical procedure presents advantages and disadvantages. Priority should be given to those procedures which are simpler and less invasive, involve less risk of complications, and reach their goals within the shortest time frame. The main limit encountered in this literature review was the overall poor methodological quality of the published articles. Larger well-designed long-term trials are needed.

Country
Italy
Related Organizations
Keywords

Dental Implants, Bone Transplantation, Dental Implantation, Endosseous, Alveolar Bone Loss, Osteogenesis, Distraction, Alveolar Ridge Augmentation, Maxillary Sinus, Treatment Outcome, Osseointegration, Bone Substitutes, Humans, Osteotomy, Le Fort, Dental Restoration Failure, atrophy ; alveolar bone loss ; mandible ; maxilla ; edentulous jaw ; edentulous maxilla ; edentulous mandible ; preprosthetic surgery ; oral surgical procedure ; alveolar ridge augmentation ; oral implant ; osseointegrated implant ; dental ; endosteal ; endosseous ; dental implantation ; implant-supported ; dental prosthesis ; implant-supported dental prosthesis ; guided bone regeneration ; guided tissue regeneration ; bone transplantation ; graft ; bone graft ; onlay bone graft ; calvarium ; iliac crest ; ilium ; distraction osteogenesis ; expansion ; Le Fort I ; maxillary sinus ; sinus lift ; sinus floor elevation ; oral sagittal osteotomy ; split crest ; ridge expansion ; humans ; follow-up study ; retrospective study ; prospective study ; comparative study ; randomized clinical trials ; free flap ; revascularized free flap, Oral Surgical Procedures, Preprosthetic

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    popularity
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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 1%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
434
Top 1%
Top 1%
Top 1%
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