Peri-implant bone loss around posterior mandible dental implants placed after distraction osteogenesis: preliminary findings.

Autor: Polo, Wilson C. K., Soares de Araujo, Ney, Lima, Ynara B. O., Joly, Julio Cesar, Sendyk, Wilson R., Cury, Patricia R., de Araujo, Ney Soares
Předmět:
Zdroj: Journal of Periodontology; Feb2007, Vol. 78 Issue 2, p204-208, 5p, 1 Chart
Abstrakt: Background: The present study evaluates implant survival and peri-implant bone loss around posterior mandible dental implants placed at sites of distraction osteogenesis. Methods: On removal of the distraction devices, 34 dental implants were inserted into 14 posterior mandible sites in 10 healthy, non-smoking female patients. Prosthetic treatment was performed 4 months after implant placement using fixed implant prostheses. After 6 to 16.5 months, periapical radiographs were taken and evaluated for peri-implant bone loss and radiolucency. The distance between the implant margin and the first visible bone-implant contact was measured on the mesial and distal aspects of the implants using imaging software. Radiographic dimensional distortion was corrected as a function of the known true dimension of the implant. Results: Of the 34 implants placed, two (5.9%) failed to integrate at reentry surgery. Both were replaced and restored during the course of the study so that a total of 34 implants was followed for 12.1 +/- 3.8 months post-restoration and 16.1 +/- 3.8 months post-insertion. Mean loss of marginal bone height was 2.6 +/- 1.0 mm. During the follow-up period, radiolucent lines along the implant surface were absent. Conclusions: The mean peri-implant bone loss in areas of alveolar bone distraction was 1.9 mm/year. A high implant survival rate was observed. [ABSTRACT FROM AUTHOR]
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