Sandwich osteotomy for the reconstruction of deficient alveolar bone
| Autor: | Omri Emodi, Adi Rachmiel, Dekel Shilo, Y. Israel, Dana Rachmiel |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Diagnostic Imaging Male medicine.medical_treatment Alveolar Bone Loss Dentistry Osteotomy 03 medical and health sciences 0302 clinical medicine Humans Medicine Bone regeneration Survival rate Sandwich technique Dental alveolus Retrospective Studies Dental Implants Minerals Bone Transplantation business.industry Dental Implantation Endosseous Soft tissue Alveolar Ridge Augmentation 030206 dentistry Middle Aged Treatment Outcome medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Distraction osteogenesis Female Surgery Cortical bone Oral Surgery business |
| Zdroj: | International Journal of Oral and Maxillofacial Surgery. 47:1350-1357 |
| ISSN: | 0901-5027 |
| Popis: | Alveolar bone deficiency is a very common problem encountered by the practitioner when planning dental implants. The severity of the deficiency is variable. Many practitioners perform augmentation using the method they feel comfortable with and do not necessarily use the most appropriate method. This is a retrospective study on 21 patients between the ages of 25 and 63 years exhibiting moderate vertical alveolar bone deficiency and treated by the sandwich technique. Mean vertical bone gain was 7.5mm. Sixty-one dental implants were inserted showing a survival rate of 96.7% with a median of 3.1 years follow-up. Main advantages of the method include minimal relapse, single operation and preservation of the native cortical bone in the occlusal surface. We believe the surgeon should maintain the capability of using different augmentation techniques and utilize them appropriately for different severities of deficiency. We wish to establish a paradigm for using different augmentation methods We recommend using the sandwich technique in the moderate deficient cases as described in this work, using alveolar distraction osteogenesis for the severe cases as described in our previous work, where lack of soft tissue for proper closure is a major limitation, and using guided bone regeneration for minor deficiencies. |
| Databáze: | OpenAIRE |
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