Risoluzione Di Un Difetto Osseo Complesso Mediante Innesto Di Osso Autologo In Blocco

[Giacomo Tarquini]

Viene presentato un caso clinico riguardante un' atrofia ossea complessa (difetto passante bucco - palatale) in zona 2.4 risolto mediante innesto di un blocco di osso autologo prelevato dal ramo mandibolare. 

 

 

L' alternativa terapeutica consistente nell'esecuzione di una procedura di rigenerazione ossea guidata (GBR) è stata scartata poiché la paziente non ha fornito il suo consenso a ricevere innesti di origine eterologa, omologa o sintetica.

 

Un saluto 

Giacomo Tarquini 

Modificato Maggio 2, 2023 da Giacomo Tarquini

[Giacomo Tarquini]

 

Un saluto 

Giacomo Tarquini 

[Giacomo Tarquini]

Comparative Study

Comparison of Success Rate of Dental Implants Placed in Autogenous Bone Graft Regenerated Areas and Pristine Bone

Nur Altiparmak et al. J Craniofac Surg. 2020 Sep.

Abstract

Autogenous bone grafting still has been considered as the "gold standard" and wildly used in the case of alveolar bone reconstruction. The aim of the present study is to evaluate the success rate of implants placed in autogenous block augmented ridges and implants placed in pristine bone (PB). This study included 113 patients. Fifty-three patients were treated with autogenous block grafts and particulate bone, after 6 months of healing implant placements were performed in autogenous bone augmented (ABA) areas. In 60 patients implant placement was performed, with no need for grafting and implants were placed into the PB. Follow-up data (pain, mobility, exudation from peri-implant space, success rate, marginal bone resorption) were collected after 5 years of prosthetic loading. The cumulative implant success rate at the 5-year examination was 92.45% for the ABA group and 85% for PB group. There were 3 failed implants in the ABA group and 3 in PB group. Average marginal bone loss was 1.47 mm on ABA group and 1.58 mm on PB group. No statistically significant differences for pain, exudation from peri-implant space, implant mobility, implant success, peri-implant bone loss parameters, and patient satisfaction level were found between groups. The obtained data demonstrated that the success rate of implants placed in regenerated areas are very similar to the success rate of implants those placed in PB.

Modificato Agosto 12, 2023 da Giacomo Tarquini