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Autogenous Bone Graft Healing in Alveolar Bone Splitting Technique: Histological Study

Year 2018, Issue: 3, 160 - 166, 01.12.2018
https://doi.org/10.21306/jids.2018.217

Abstract

Aim: Alveolar bone splitting technique is a clinically well-established procedure used to increase the width of atrophic alveolar bone before dental implants, but there are a limited number of histological studies related to bone healing after ridge splitting. This study aims to evaluate the healing of autogenous bone graft which applied in the gaps of two stage splitting technique. Material and Method: This study included 7 cases of tow stage splitting technique applied in the posterior region of mandible, autogenous bone graft taken from retromolar region was applied into the gaps of splitting, histological bone examination was assessed following trephine bone harvesting during the dental implant insertion. Results: Moderate to complete integration of the bone graft was found in 6 specimens with good bone formation. While in the seventh specimen the integration and bone formation were weak.Conclusion: Application of autogenous bone graft in the alveolar splitting technique leaded to have good integration and good bone formation

References

  • 1. Schropp L1, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: A clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent 2003;23(4):313-323.
  • 2. Tallgren A. The continuing reduction of the residual alveolar ridges in complete denture wearers: A mixed-longitudinal study covering 25 years. J Prosthet Dent 2003;89(5):427-435.
  • 3. Araújo MG, Sukekava F, Wennström JL, Lindhe J. Tissue modeling following implant placement in fresh extraction sockets. Clin Oral Implants Res 2006;17(6):615-624.
  • 4. Reich KM, Huber CD, Lippnig WR, Ulm C, Watzek G, Tangl S. Atrophy of the residual alveolar ridge following tooth loss in an historical population. Oral Dis 2011;17(1):33-44.
  • 5. Doimi JR, Aguirre Balseca GM, La Torre AC. Placement of dental implants in atrophic jaw with divided crest and ridge expansion technique. Revista Odontológica Mexicana 2017; 21(3): 192-198.
  • 6. Juodzbalys G, Raustia AM, Kubilius R. A 5-year followup study on one-stage implants inserted concomitantly with localized alveolar ridge augmentation. J Oral Rehabil 2007;34(10):781-789.
  • 7. Scipioni A, Bruschi GB, Calesini G. The edentulous ridge expansion technique: A five-year study. Int J Periodontics Restor Dent 1994;14:451-459.
  • 8. Moro A, Gasparini G, Foresta E, Saponaro G, Falchi M, Cardarelli L, De Angelis P, Forcione M, Garagiola U, D’Amato G, Pelo S. Alveolar Ridge Split Technique Using Piezosurgery with Specially Designed Tips. Biomed Res Int 2017;2017:4530378.
  • 9. Mustafa MN, Khalil AF, Melek LN. Evaluation of piezotomed alveolar ridge splitting with stereolithographic surgical guide for implant placement (clinical study). Future Dental Journal 2017; 3: 47-54.
  • 10. Dohiem MM, Hossam I, Nassar HI, Charkawia HE. Bone changes in ridge split with immediate implant placement: A systematic review. Future Dental Journal 2015; 1: 6-1 2.
  • 11. Abu Tair J. Modification of mandibular ridge splitting technique for horizontal augmentation of atrophic ridges. Ann Maxillofac Surg 2014;4(1):19-23.
  • 12. Enislidis G, Wittwer G, Ewers R. Preliminary report on a staged ridge splitting technique for implant placement in the mandible: A technical note. Int J Oral Maxillfac Implants 2006;21:445-449.
  • 13. González-García R, Monje F, Moreno C. Alveolar split osteotomy for the treatment of the severe narrow ridge maxillary atrophy: A modified technique. Int J Oral Maxillofac Surg 2011; 40: 57-64.
  • 14. Osborn JF. Die alveolar-expansions plastik. Quintessenz 1985: 39: 9-14.
  • 15. Nentwig GH, Kniha H. Die Rekonstruktion lokaler Alveolarfortsatzrezessionen im Frontzahnbereich mit Kalziumphosphatkeramik. Zahnärzt Implantol 1986; 2: 80-85.
  • 16. Engelke WG, Diederichs CG, Jacobs HG,Deckwer I. Alveolar reconstruction with splitting osteotomy and microfixation of implants. Int J Oral Maxillofac Implants 1997;12:310-318.
  • 17. Han J, Shin SI, Herr Y, Kwon YH, Chung JH. The effects of bone grafting material and a collagen membrane in the ridge splitting technique: An experimental study in dogs. Clin Oral Impl Res 2011;22(12):1391-1398.
  • 18- Marquezan M, Osório A, Sant’Anna E, Souza MM, Maia L. Does bone mineral density influence the primary stability of dental implants? A systematic review. Clin Oral Implants Res 2012; 23(7): 767-774.
  • 19. Simion M, Baldoni M, Zaffe D. Jawbone enlargement using immediate implant placement associated with a split-crest technique and guided tissue regeneration. Int J Periodontics Restorative Dent 1992; 12: 462-473.
  • 20. Cortellini P, Pini Prato G, Tonetti MS. Periodontal regeneration of human infrabony defects. II. Re-entry procedures and bone measures. J Periodontol 1993; 64:261-268.
  • 21. Gurler G, Delilbasi C, Garip H, Tufekcioglu S. Comparison of alveolar ridge splitting and autogenous onlay bone grafting to enable implant placement in patients with atrophic jaw bones. Saudi Med J 2017;38(12):1207-1212.
  • 22. Belleggia F, Pozzi A, Rocci M, Barlattani A, Gargari M. Piezoelectric surgery in mandibular split crest technique with immediate implant placement: A case report. Oral Implantol (Rome) 2008;1:116-23
  • 23. Holtzclaw DJ, Toscano NJ, Rosen PS. Reconstruction of posterior mandibular alveolar ridge deficiencies with the piezoelectric hinge-assisted ridge split technique: A retrospective observational report. J Periodontol 2010;81(11):1580-1586.
  • 24. Oikarinen KS, Sàndor GK, Kainulainen VT, Salonen-Kemppi M. Augmentation of the narrow traumatized anterior alveolar ridge to facilitate dental implant placement. Dent Traumatol. 2003;19(1):19-29.
  • 25. Brugnami F, Caleffi C. Prosthetically driven Implant Placement: How to achieve the appropriate implant site development. Keio J Med 2005; 54 (4): 172-178.
  • 26. Misch CM. Implant site development using ridge splitting techniques. Oral Maxillofac Surg Clin North Am 2004;16: 65- 74.
  • 27. González-García R, Monje F, Moreno C. Alveolar split osteotomy for the treatment of the severe narrow ridge maxillary atrophy: A modified technique. Int J Oral Maxillofac Surg 2011; 40: 57-64.
  • 28. Han JY, Shin SI, Herr Y, Kwon YH, Chung JH. The effects of bone grafting material and a collagen membrane in the ridge splitting technique: An experimental study in dogs. Clin Oral Implants Res 2011; 22(12): 1391-1398.
  • 29. Galindo-Moreno P, Avila G, Fernández-Barbero JE, Mesa F, O’Valle-Ravassa F, Wang HL. Clinical and histologic comparison of two different composite grafts for sinus augmentation: a pilot clinical trial. Clin Oral Implants Res 2008;19: 755-759.
  • 30. Chiapasco M, Zaniboni M, Rimondini L. Autogenous onlay bone grafts vs. alveolar distraction osteogenesis for the correction of vertically deficient edentulous ridges: A 2-4-year prospective study on humans. Clin Oral Implants Res 2007;18: 432-440.
  • 31. Moses O, Nemcovsky CE, Langer Y, Tal H. Severely resorbed mandible treated with iliac crest autogenous bone graft and dental implants: 17-year follow-up. Int J Oral Maxillofac Implants 2007;22:1017-1021.
  • 32. Sbordone C, Toti P, Guidetti F, Califano L, Pannone G, Sbordone L. Volumetric changes after sinus augmentation using blocks of autogenous iliac bone or freeze-dried allogeneic bone. A non-randomized study. J Craniomaxillofac Surg 2014;42:113-118.
  • 33. Nkenke E, Neukam FW. Autogenous bone harvesting and grafting in advanced jaw resorption: Morbidity, resorption and implant survival. Eur J Oral Implantol 2014;7:203-217.
  • 34. Sakkas A, Wilde F, Heufelder M, Winter K, Schramm A. Autogenous bone grafts in oral implantology—is it still a “gold standard”? A consecutive review of 279 patients with 456 clinical procedures. Int J Implant Dent 2017;3(1):23.
  • 35. Schwartz-Arad D, Levin L. Intraoral autogenous block onlay bone grafting for extensive reconstruction of atrophic maxillary alveolar ridges. J Periodontol 2005;76: 636-641.
  • 36. Funaki K, Takahashi T, Yamuchi K. Horizontal alveolar ridge augmentation using distraction osteogenesis: Comparison with a bone-splitting method in a dog model. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107:350-358.

Alveolar Kemik Split Tekniğinde Otojen Kemik Grefti İyileşmesi: Histolojik Çalışma

Year 2018, Issue: 3, 160 - 166, 01.12.2018
https://doi.org/10.21306/jids.2018.217

Abstract

Amaç: Alveolar kemik split tekniği atrafik alveolar kemik genişliğini dental implantlar öncesi arttırmak için klinik olarak iyi bilinen bir prosedür olmakla birlikte kemik split sonrası kemik iyileşmesi ile ilgili sınırlı sayıda histolojik çalışma vardır. Bu çalışma, iki aşamalı split tekniği ile uygulanan otojen kemik greftinin iyileşmesini değerlendirmeyi amaçlamaktadır. Gereç ve Yöntem: Bu çalışmada mandibulada posterior bölgede 7 olguda uygulanan iki aşamalı split tekniği sunulmaktadır. Retromolar bölgeden alınan otojen kemik grefti alveolar yaralılara uygulandı. Dental implant yerleştirilmesi sırasında trephine kemik toplanması sonrası histolojik kemik incelemesi değerlendirildi. Bulgular: 6 örnekte orta ile iyi tamamlanmış kemik grafti integrasyonu ile iyi kemik oluşumu bulundu. Sonuç: Alveolar kemik split tekniğinde yaralılara otojen kemik grefti uygulaması iyi entegrasyon ve iyi kemik oluşumu ile sonuçlanır

References

  • 1. Schropp L1, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: A clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent 2003;23(4):313-323.
  • 2. Tallgren A. The continuing reduction of the residual alveolar ridges in complete denture wearers: A mixed-longitudinal study covering 25 years. J Prosthet Dent 2003;89(5):427-435.
  • 3. Araújo MG, Sukekava F, Wennström JL, Lindhe J. Tissue modeling following implant placement in fresh extraction sockets. Clin Oral Implants Res 2006;17(6):615-624.
  • 4. Reich KM, Huber CD, Lippnig WR, Ulm C, Watzek G, Tangl S. Atrophy of the residual alveolar ridge following tooth loss in an historical population. Oral Dis 2011;17(1):33-44.
  • 5. Doimi JR, Aguirre Balseca GM, La Torre AC. Placement of dental implants in atrophic jaw with divided crest and ridge expansion technique. Revista Odontológica Mexicana 2017; 21(3): 192-198.
  • 6. Juodzbalys G, Raustia AM, Kubilius R. A 5-year followup study on one-stage implants inserted concomitantly with localized alveolar ridge augmentation. J Oral Rehabil 2007;34(10):781-789.
  • 7. Scipioni A, Bruschi GB, Calesini G. The edentulous ridge expansion technique: A five-year study. Int J Periodontics Restor Dent 1994;14:451-459.
  • 8. Moro A, Gasparini G, Foresta E, Saponaro G, Falchi M, Cardarelli L, De Angelis P, Forcione M, Garagiola U, D’Amato G, Pelo S. Alveolar Ridge Split Technique Using Piezosurgery with Specially Designed Tips. Biomed Res Int 2017;2017:4530378.
  • 9. Mustafa MN, Khalil AF, Melek LN. Evaluation of piezotomed alveolar ridge splitting with stereolithographic surgical guide for implant placement (clinical study). Future Dental Journal 2017; 3: 47-54.
  • 10. Dohiem MM, Hossam I, Nassar HI, Charkawia HE. Bone changes in ridge split with immediate implant placement: A systematic review. Future Dental Journal 2015; 1: 6-1 2.
  • 11. Abu Tair J. Modification of mandibular ridge splitting technique for horizontal augmentation of atrophic ridges. Ann Maxillofac Surg 2014;4(1):19-23.
  • 12. Enislidis G, Wittwer G, Ewers R. Preliminary report on a staged ridge splitting technique for implant placement in the mandible: A technical note. Int J Oral Maxillfac Implants 2006;21:445-449.
  • 13. González-García R, Monje F, Moreno C. Alveolar split osteotomy for the treatment of the severe narrow ridge maxillary atrophy: A modified technique. Int J Oral Maxillofac Surg 2011; 40: 57-64.
  • 14. Osborn JF. Die alveolar-expansions plastik. Quintessenz 1985: 39: 9-14.
  • 15. Nentwig GH, Kniha H. Die Rekonstruktion lokaler Alveolarfortsatzrezessionen im Frontzahnbereich mit Kalziumphosphatkeramik. Zahnärzt Implantol 1986; 2: 80-85.
  • 16. Engelke WG, Diederichs CG, Jacobs HG,Deckwer I. Alveolar reconstruction with splitting osteotomy and microfixation of implants. Int J Oral Maxillofac Implants 1997;12:310-318.
  • 17. Han J, Shin SI, Herr Y, Kwon YH, Chung JH. The effects of bone grafting material and a collagen membrane in the ridge splitting technique: An experimental study in dogs. Clin Oral Impl Res 2011;22(12):1391-1398.
  • 18- Marquezan M, Osório A, Sant’Anna E, Souza MM, Maia L. Does bone mineral density influence the primary stability of dental implants? A systematic review. Clin Oral Implants Res 2012; 23(7): 767-774.
  • 19. Simion M, Baldoni M, Zaffe D. Jawbone enlargement using immediate implant placement associated with a split-crest technique and guided tissue regeneration. Int J Periodontics Restorative Dent 1992; 12: 462-473.
  • 20. Cortellini P, Pini Prato G, Tonetti MS. Periodontal regeneration of human infrabony defects. II. Re-entry procedures and bone measures. J Periodontol 1993; 64:261-268.
  • 21. Gurler G, Delilbasi C, Garip H, Tufekcioglu S. Comparison of alveolar ridge splitting and autogenous onlay bone grafting to enable implant placement in patients with atrophic jaw bones. Saudi Med J 2017;38(12):1207-1212.
  • 22. Belleggia F, Pozzi A, Rocci M, Barlattani A, Gargari M. Piezoelectric surgery in mandibular split crest technique with immediate implant placement: A case report. Oral Implantol (Rome) 2008;1:116-23
  • 23. Holtzclaw DJ, Toscano NJ, Rosen PS. Reconstruction of posterior mandibular alveolar ridge deficiencies with the piezoelectric hinge-assisted ridge split technique: A retrospective observational report. J Periodontol 2010;81(11):1580-1586.
  • 24. Oikarinen KS, Sàndor GK, Kainulainen VT, Salonen-Kemppi M. Augmentation of the narrow traumatized anterior alveolar ridge to facilitate dental implant placement. Dent Traumatol. 2003;19(1):19-29.
  • 25. Brugnami F, Caleffi C. Prosthetically driven Implant Placement: How to achieve the appropriate implant site development. Keio J Med 2005; 54 (4): 172-178.
  • 26. Misch CM. Implant site development using ridge splitting techniques. Oral Maxillofac Surg Clin North Am 2004;16: 65- 74.
  • 27. González-García R, Monje F, Moreno C. Alveolar split osteotomy for the treatment of the severe narrow ridge maxillary atrophy: A modified technique. Int J Oral Maxillofac Surg 2011; 40: 57-64.
  • 28. Han JY, Shin SI, Herr Y, Kwon YH, Chung JH. The effects of bone grafting material and a collagen membrane in the ridge splitting technique: An experimental study in dogs. Clin Oral Implants Res 2011; 22(12): 1391-1398.
  • 29. Galindo-Moreno P, Avila G, Fernández-Barbero JE, Mesa F, O’Valle-Ravassa F, Wang HL. Clinical and histologic comparison of two different composite grafts for sinus augmentation: a pilot clinical trial. Clin Oral Implants Res 2008;19: 755-759.
  • 30. Chiapasco M, Zaniboni M, Rimondini L. Autogenous onlay bone grafts vs. alveolar distraction osteogenesis for the correction of vertically deficient edentulous ridges: A 2-4-year prospective study on humans. Clin Oral Implants Res 2007;18: 432-440.
  • 31. Moses O, Nemcovsky CE, Langer Y, Tal H. Severely resorbed mandible treated with iliac crest autogenous bone graft and dental implants: 17-year follow-up. Int J Oral Maxillofac Implants 2007;22:1017-1021.
  • 32. Sbordone C, Toti P, Guidetti F, Califano L, Pannone G, Sbordone L. Volumetric changes after sinus augmentation using blocks of autogenous iliac bone or freeze-dried allogeneic bone. A non-randomized study. J Craniomaxillofac Surg 2014;42:113-118.
  • 33. Nkenke E, Neukam FW. Autogenous bone harvesting and grafting in advanced jaw resorption: Morbidity, resorption and implant survival. Eur J Oral Implantol 2014;7:203-217.
  • 34. Sakkas A, Wilde F, Heufelder M, Winter K, Schramm A. Autogenous bone grafts in oral implantology—is it still a “gold standard”? A consecutive review of 279 patients with 456 clinical procedures. Int J Implant Dent 2017;3(1):23.
  • 35. Schwartz-Arad D, Levin L. Intraoral autogenous block onlay bone grafting for extensive reconstruction of atrophic maxillary alveolar ridges. J Periodontol 2005;76: 636-641.
  • 36. Funaki K, Takahashi T, Yamuchi K. Horizontal alveolar ridge augmentation using distraction osteogenesis: Comparison with a bone-splitting method in a dog model. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107:350-358.
There are 36 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Abdulkareem Almarrawı This is me

Publication Date December 1, 2018
Published in Issue Year 2018 Issue: 3

Cite

APA Almarrawı, A. (2018). Autogenous Bone Graft Healing in Alveolar Bone Splitting Technique: Histological Study. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi)(3), 160-166. https://doi.org/10.21306/jids.2018.217
AMA Almarrawı A. Autogenous Bone Graft Healing in Alveolar Bone Splitting Technique: Histological Study. J Int Dent Sci. December 2018;(3):160-166. doi:10.21306/jids.2018.217
Chicago Almarrawı, Abdulkareem. “Autogenous Bone Graft Healing in Alveolar Bone Splitting Technique: Histological Study”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi), no. 3 (December 2018): 160-66. https://doi.org/10.21306/jids.2018.217.
EndNote Almarrawı A (December 1, 2018) Autogenous Bone Graft Healing in Alveolar Bone Splitting Technique: Histological Study. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 3 160–166.
IEEE A. Almarrawı, “Autogenous Bone Graft Healing in Alveolar Bone Splitting Technique: Histological Study”, J Int Dent Sci, no. 3, pp. 160–166, December 2018, doi: 10.21306/jids.2018.217.
ISNAD Almarrawı, Abdulkareem. “Autogenous Bone Graft Healing in Alveolar Bone Splitting Technique: Histological Study”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 3 (December 2018), 160-166. https://doi.org/10.21306/jids.2018.217.
JAMA Almarrawı A. Autogenous Bone Graft Healing in Alveolar Bone Splitting Technique: Histological Study. J Int Dent Sci. 2018;:160–166.
MLA Almarrawı, Abdulkareem. “Autogenous Bone Graft Healing in Alveolar Bone Splitting Technique: Histological Study”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi), no. 3, 2018, pp. 160-6, doi:10.21306/jids.2018.217.
Vancouver Almarrawı A. Autogenous Bone Graft Healing in Alveolar Bone Splitting Technique: Histological Study. J Int Dent Sci. 2018(3):160-6.

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