Survival Rate of Dental Implants in Horizontal Alveolar Distraction Osteogenesis

Yıl 2019, Cilt: 5 Sayı: 1, 1 - 9, 25.04.2019

Abdulkareem Almarrawı

Öz

Distraction osteogenesis (DO) is the surgical technique of generating new bone by progressive stretching of divided bone segments. Alveolar DO was introduced as an effective new technique for ridge augmentation in vertical and horizontal directions. The aim of this study was to evaluate the clinical outcomes of horizontal alveolar DO, by assessment the survival rate of dental implants placed in the distracted bones.
12 systematically healthy individuals, with reduction in the width of alveolar bone in posterior mandible, bone reconstruction was done by horizontal alveolar DO. After 4 months dental implants were placed. The survival rate of dental implants was assessed in two periods: the first before functional loading (4 months), and the second after functional loading (lasted to 6 months).
Survival rates of dental implants were 100% in the first period and 94.1% in the second.
Distraction osteogenesis can be an effective and reliable surgical method to correct deficits of edentulous ridges.

Anahtar Kelimeler

Alveolar Bone, Distraction Osteogenesis (DO), Dental Implant, Survival Rate

Yatay Alveolar Distraksiyon Osteogenezinde Dental İmplantların Sağkalım Oranı

Öz

DO, ayrılmış kemik segmentlerinin aşamalı gerilmesiyle arada yeni kemiğin olustuğu cerrahi tekniktir. Alveolar DO, vertikal ve horizontal yönlerde aveolar kemik ogmentasyonu için etkili bir teknik olarak tanıtılmıştır. Bu çalışmanın amaçı, horizontal alveolar DO nun teknik sonuçların, ve distrakte kemiklere yerleştirilmiş dental implantların sağ kalım oranını değerlendirmektir.
Mandibular posterior alveolar kemik genişliğinde azalma olan 12 sağlıklı bireyde horizontal alveolar DO ile kemik rekonstrüksiyonu yapıldı. 4 ay sonra, dental implantlar yerleştirildi. Dental implantların sağ kalım oranı iki periotta değerlendirildi. Fonksiyonel yüklemeden önce (4 ay), ve ikincisi: fonksiyonel yüklemeden sonrası (6 ay sürdü).
Dental implantların sağkalım oranları birinci dönemde % 100, ikincisinde % 94.1 bulundu.
DO dişsiz alveolar sırtların eksikliklerinin düzeltilmesinde etkili ve güvenilir bir cerrahi yöntem olabilir.

Anahtar Kelimeler

Alveolar Kemik, Distraksiyon Osteogenezi (DO), Dental İmplant, Sağkalım Oranı

Kaynakça

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