Early bone resorption after vertical bone augmentation - a comparison of calvarial and iliac grafts
Objective and aim Severe cases of bone atrophy in the maxilla or mandible are often reconstructed using bone from extraoral donor sides. Most commonly, grafts from the iliac crest are used for augmentation, however, frequently associated with bone resorption as possible late complication. Calvarial...
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| Veröffentlicht in: | Clinical oral implants research 2013-07, Vol.24 (7), p.820-825 |
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| creator | Mertens, Christian Decker, Christian Seeberger, Robin Hoffmann, Jürgen Sander, Anja Freier, Kolja |
| description | Objective and aim
Severe cases of bone atrophy in the maxilla or mandible are often reconstructed using bone from extraoral donor sides. Most commonly, grafts from the iliac crest are used for augmentation, however, frequently associated with bone resorption as possible late complication. Calvarial bone grafts, often reported to show less resorption, are an alternative. The aim of this study was to compare the bone stability of vertical bone grafts from the iliac crest and the calvarium.
Patients and methods
Twenty‐three patients receiving vertical onlay bone grafts were included in this retrospective cohort study. In nine patients alveolar ridge defects were treated with bone from the iliac crest. Fourteen patients were reconstructed using calvarial bone grafts.
To quantify bone resorption, the data of digital panographs were evaluated. Radiographs were taken prior to bone grafting, after augmentation surgery, 6 months after bone healing, prior to implant surgery, after implant surgery and at yearly intervals thereafter.
Results
Postoperative complications at the recipient site occurred equally in both groups. The complication rate was 35.7% for the calvarial group and 33.3% in the iliac crest group. No donor‐site complications were reported in either group. After bone augmentation procedure, a mean vertical bone gain of 8.55 mm (SD 5.96) was measured. Bone grafts from the iliac crest showed a significantly higher bone loss of 24.16% (SD 8.47) than grafts from the calvarium (8.44%, SD 3.64) at the time of implant placement (P = 0.0003). Implant survival was similar in both groups.
Discussion
Both bone‐grafting approaches are successful and reliable techniques, enabling implant placement in even highly atrophied alveolar ridges and with identical implant survival rates, although bone resorption differs. Within the limitations of this study bone from the calvarium shows higher bone stability in the early healing phase. |
| doi_str_mv | 10.1111/j.1600-0501.2012.02463.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1372056611</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1372056611</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5063-7b2bf885d51a7a6cbe6d44f30a230815e42bb13141d4201445e9523611b0444d3</originalsourceid><addsrcrecordid>eNqNkctu2zAQRYkiReOk_YWCy2ykzvAlaZFFYSROAaMFihZeEpREBXT0cEnZsf--VJR4HW7IwZx7B7xDCEVIMZ5v2xQVQAISMGWALAUmFE-PH8ji3LggCyhAJhkqvCRXIWwBQBV58YlcMiZkLvNiQao749sTLYfeUm_D4HejG3pqmtF6erB-dJVp57bZP3a2H80LkFBDq6HbGe9CLIeGRu4Qq0ibvqaudaaijz4ahc_kY2PaYL-83tfk7_3dn-VDsv61-rH8vk4qCYonWcnKJs9lLdFkRlWlVbUQDQfDOOQorWBliRwF1iJ-WghpC8m4QixBCFHza3Iz--788G9vw6g7Fyrbtqa3wz5o5BkDqaLgHaiSIJFJHtF8Ris_hOBto3fedcafNIKetqG3egpdT6HraRv6ZRv6GKVfX6fsy87WZ-Fb_BG4nYFn19rTu431cv17ekV9MutdGO3xrDf-SauMZ1Jvfq70ZqU2BWKu7_l_3YmlzA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1365051253</pqid></control><display><type>article</type><title>Early bone resorption after vertical bone augmentation - a comparison of calvarial and iliac grafts</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Mertens, Christian ; Decker, Christian ; Seeberger, Robin ; Hoffmann, Jürgen ; Sander, Anja ; Freier, Kolja</creator><creatorcontrib>Mertens, Christian ; Decker, Christian ; Seeberger, Robin ; Hoffmann, Jürgen ; Sander, Anja ; Freier, Kolja</creatorcontrib><description>Objective and aim
Severe cases of bone atrophy in the maxilla or mandible are often reconstructed using bone from extraoral donor sides. Most commonly, grafts from the iliac crest are used for augmentation, however, frequently associated with bone resorption as possible late complication. Calvarial bone grafts, often reported to show less resorption, are an alternative. The aim of this study was to compare the bone stability of vertical bone grafts from the iliac crest and the calvarium.
Patients and methods
Twenty‐three patients receiving vertical onlay bone grafts were included in this retrospective cohort study. In nine patients alveolar ridge defects were treated with bone from the iliac crest. Fourteen patients were reconstructed using calvarial bone grafts.
To quantify bone resorption, the data of digital panographs were evaluated. Radiographs were taken prior to bone grafting, after augmentation surgery, 6 months after bone healing, prior to implant surgery, after implant surgery and at yearly intervals thereafter.
Results
Postoperative complications at the recipient site occurred equally in both groups. The complication rate was 35.7% for the calvarial group and 33.3% in the iliac crest group. No donor‐site complications were reported in either group. After bone augmentation procedure, a mean vertical bone gain of 8.55 mm (SD 5.96) was measured. Bone grafts from the iliac crest showed a significantly higher bone loss of 24.16% (SD 8.47) than grafts from the calvarium (8.44%, SD 3.64) at the time of implant placement (P = 0.0003). Implant survival was similar in both groups.
Discussion
Both bone‐grafting approaches are successful and reliable techniques, enabling implant placement in even highly atrophied alveolar ridges and with identical implant survival rates, although bone resorption differs. Within the limitations of this study bone from the calvarium shows higher bone stability in the early healing phase.</description><identifier>ISSN: 0905-7161</identifier><identifier>EISSN: 1600-0501</identifier><identifier>DOI: 10.1111/j.1600-0501.2012.02463.x</identifier><identifier>PMID: 22458589</identifier><language>eng</language><publisher>Denmark: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Alveolar Bone Loss - etiology ; Alveolar Ridge Augmentation - methods ; Atrophy ; Autografts - transplantation ; autologous bone grafts ; bone resorption ; Bone Transplantation - classification ; calvarium ; Cohort Studies ; Dental Implantation, Endosseous - instrumentation ; Dental Implants ; Dentistry ; Female ; Follow-Up Studies ; Humans ; iliac crest ; Ilium - surgery ; Image Processing, Computer-Assisted - methods ; Male ; Mandibular Diseases - surgery ; Maxillary Diseases - surgery ; Middle Aged ; Postoperative Complications ; Radiography, Panoramic - methods ; Reconstructive Surgical Procedures - methods ; Retrospective Studies ; Skull - surgery ; Survival Analysis ; Tomography, X-Ray Computed - methods ; Transplant Donor Site - surgery ; vertical bone augmentation</subject><ispartof>Clinical oral implants research, 2013-07, Vol.24 (7), p.820-825</ispartof><rights>2012 John Wiley & Sons A/S</rights><rights>2012 John Wiley & Sons A/S.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5063-7b2bf885d51a7a6cbe6d44f30a230815e42bb13141d4201445e9523611b0444d3</citedby><cites>FETCH-LOGICAL-c5063-7b2bf885d51a7a6cbe6d44f30a230815e42bb13141d4201445e9523611b0444d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-0501.2012.02463.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-0501.2012.02463.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22458589$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mertens, Christian</creatorcontrib><creatorcontrib>Decker, Christian</creatorcontrib><creatorcontrib>Seeberger, Robin</creatorcontrib><creatorcontrib>Hoffmann, Jürgen</creatorcontrib><creatorcontrib>Sander, Anja</creatorcontrib><creatorcontrib>Freier, Kolja</creatorcontrib><title>Early bone resorption after vertical bone augmentation - a comparison of calvarial and iliac grafts</title><title>Clinical oral implants research</title><addtitle>Clin. Oral Impl. Res</addtitle><description>Objective and aim
Severe cases of bone atrophy in the maxilla or mandible are often reconstructed using bone from extraoral donor sides. Most commonly, grafts from the iliac crest are used for augmentation, however, frequently associated with bone resorption as possible late complication. Calvarial bone grafts, often reported to show less resorption, are an alternative. The aim of this study was to compare the bone stability of vertical bone grafts from the iliac crest and the calvarium.
Patients and methods
Twenty‐three patients receiving vertical onlay bone grafts were included in this retrospective cohort study. In nine patients alveolar ridge defects were treated with bone from the iliac crest. Fourteen patients were reconstructed using calvarial bone grafts.
To quantify bone resorption, the data of digital panographs were evaluated. Radiographs were taken prior to bone grafting, after augmentation surgery, 6 months after bone healing, prior to implant surgery, after implant surgery and at yearly intervals thereafter.
Results
Postoperative complications at the recipient site occurred equally in both groups. The complication rate was 35.7% for the calvarial group and 33.3% in the iliac crest group. No donor‐site complications were reported in either group. After bone augmentation procedure, a mean vertical bone gain of 8.55 mm (SD 5.96) was measured. Bone grafts from the iliac crest showed a significantly higher bone loss of 24.16% (SD 8.47) than grafts from the calvarium (8.44%, SD 3.64) at the time of implant placement (P = 0.0003). Implant survival was similar in both groups.
Discussion
Both bone‐grafting approaches are successful and reliable techniques, enabling implant placement in even highly atrophied alveolar ridges and with identical implant survival rates, although bone resorption differs. Within the limitations of this study bone from the calvarium shows higher bone stability in the early healing phase.</description><subject>Adult</subject><subject>Aged</subject><subject>Alveolar Bone Loss - etiology</subject><subject>Alveolar Ridge Augmentation - methods</subject><subject>Atrophy</subject><subject>Autografts - transplantation</subject><subject>autologous bone grafts</subject><subject>bone resorption</subject><subject>Bone Transplantation - classification</subject><subject>calvarium</subject><subject>Cohort Studies</subject><subject>Dental Implantation, Endosseous - instrumentation</subject><subject>Dental Implants</subject><subject>Dentistry</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>iliac crest</subject><subject>Ilium - surgery</subject><subject>Image Processing, Computer-Assisted - methods</subject><subject>Male</subject><subject>Mandibular Diseases - surgery</subject><subject>Maxillary Diseases - surgery</subject><subject>Middle Aged</subject><subject>Postoperative Complications</subject><subject>Radiography, Panoramic - methods</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Retrospective Studies</subject><subject>Skull - surgery</subject><subject>Survival Analysis</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Transplant Donor Site - surgery</subject><subject>vertical bone augmentation</subject><issn>0905-7161</issn><issn>1600-0501</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkctu2zAQRYkiReOk_YWCy2ykzvAlaZFFYSROAaMFihZeEpREBXT0cEnZsf--VJR4HW7IwZx7B7xDCEVIMZ5v2xQVQAISMGWALAUmFE-PH8ji3LggCyhAJhkqvCRXIWwBQBV58YlcMiZkLvNiQao749sTLYfeUm_D4HejG3pqmtF6erB-dJVp57bZP3a2H80LkFBDq6HbGe9CLIeGRu4Qq0ibvqaudaaijz4ahc_kY2PaYL-83tfk7_3dn-VDsv61-rH8vk4qCYonWcnKJs9lLdFkRlWlVbUQDQfDOOQorWBliRwF1iJ-WghpC8m4QixBCFHza3Iz--788G9vw6g7Fyrbtqa3wz5o5BkDqaLgHaiSIJFJHtF8Ris_hOBto3fedcafNIKetqG3egpdT6HraRv6ZRv6GKVfX6fsy87WZ-Fb_BG4nYFn19rTu431cv17ekV9MutdGO3xrDf-SauMZ1Jvfq70ZqU2BWKu7_l_3YmlzA</recordid><startdate>201307</startdate><enddate>201307</enddate><creator>Mertens, Christian</creator><creator>Decker, Christian</creator><creator>Seeberger, Robin</creator><creator>Hoffmann, Jürgen</creator><creator>Sander, Anja</creator><creator>Freier, Kolja</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>201307</creationdate><title>Early bone resorption after vertical bone augmentation - a comparison of calvarial and iliac grafts</title><author>Mertens, Christian ; Decker, Christian ; Seeberger, Robin ; Hoffmann, Jürgen ; Sander, Anja ; Freier, Kolja</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5063-7b2bf885d51a7a6cbe6d44f30a230815e42bb13141d4201445e9523611b0444d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Alveolar Bone Loss - etiology</topic><topic>Alveolar Ridge Augmentation - methods</topic><topic>Atrophy</topic><topic>Autografts - transplantation</topic><topic>autologous bone grafts</topic><topic>bone resorption</topic><topic>Bone Transplantation - classification</topic><topic>calvarium</topic><topic>Cohort Studies</topic><topic>Dental Implantation, Endosseous - instrumentation</topic><topic>Dental Implants</topic><topic>Dentistry</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>iliac crest</topic><topic>Ilium - surgery</topic><topic>Image Processing, Computer-Assisted - methods</topic><topic>Male</topic><topic>Mandibular Diseases - surgery</topic><topic>Maxillary Diseases - surgery</topic><topic>Middle Aged</topic><topic>Postoperative Complications</topic><topic>Radiography, Panoramic - methods</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Retrospective Studies</topic><topic>Skull - surgery</topic><topic>Survival Analysis</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Transplant Donor Site - surgery</topic><topic>vertical bone augmentation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mertens, Christian</creatorcontrib><creatorcontrib>Decker, Christian</creatorcontrib><creatorcontrib>Seeberger, Robin</creatorcontrib><creatorcontrib>Hoffmann, Jürgen</creatorcontrib><creatorcontrib>Sander, Anja</creatorcontrib><creatorcontrib>Freier, Kolja</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Clinical oral implants research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mertens, Christian</au><au>Decker, Christian</au><au>Seeberger, Robin</au><au>Hoffmann, Jürgen</au><au>Sander, Anja</au><au>Freier, Kolja</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early bone resorption after vertical bone augmentation - a comparison of calvarial and iliac grafts</atitle><jtitle>Clinical oral implants research</jtitle><addtitle>Clin. Oral Impl. Res</addtitle><date>2013-07</date><risdate>2013</risdate><volume>24</volume><issue>7</issue><spage>820</spage><epage>825</epage><pages>820-825</pages><issn>0905-7161</issn><eissn>1600-0501</eissn><abstract>Objective and aim
Severe cases of bone atrophy in the maxilla or mandible are often reconstructed using bone from extraoral donor sides. Most commonly, grafts from the iliac crest are used for augmentation, however, frequently associated with bone resorption as possible late complication. Calvarial bone grafts, often reported to show less resorption, are an alternative. The aim of this study was to compare the bone stability of vertical bone grafts from the iliac crest and the calvarium.
Patients and methods
Twenty‐three patients receiving vertical onlay bone grafts were included in this retrospective cohort study. In nine patients alveolar ridge defects were treated with bone from the iliac crest. Fourteen patients were reconstructed using calvarial bone grafts.
To quantify bone resorption, the data of digital panographs were evaluated. Radiographs were taken prior to bone grafting, after augmentation surgery, 6 months after bone healing, prior to implant surgery, after implant surgery and at yearly intervals thereafter.
Results
Postoperative complications at the recipient site occurred equally in both groups. The complication rate was 35.7% for the calvarial group and 33.3% in the iliac crest group. No donor‐site complications were reported in either group. After bone augmentation procedure, a mean vertical bone gain of 8.55 mm (SD 5.96) was measured. Bone grafts from the iliac crest showed a significantly higher bone loss of 24.16% (SD 8.47) than grafts from the calvarium (8.44%, SD 3.64) at the time of implant placement (P = 0.0003). Implant survival was similar in both groups.
Discussion
Both bone‐grafting approaches are successful and reliable techniques, enabling implant placement in even highly atrophied alveolar ridges and with identical implant survival rates, although bone resorption differs. Within the limitations of this study bone from the calvarium shows higher bone stability in the early healing phase.</abstract><cop>Denmark</cop><pub>Blackwell Publishing Ltd</pub><pmid>22458589</pmid><doi>10.1111/j.1600-0501.2012.02463.x</doi><tpages>6</tpages></addata></record> |
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| ispartof | Clinical oral implants research, 2013-07, Vol.24 (7), p.820-825 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Alveolar Bone Loss - etiology Alveolar Ridge Augmentation - methods Atrophy Autografts - transplantation autologous bone grafts bone resorption Bone Transplantation - classification calvarium Cohort Studies Dental Implantation, Endosseous - instrumentation Dental Implants Dentistry Female Follow-Up Studies Humans iliac crest Ilium - surgery Image Processing, Computer-Assisted - methods Male Mandibular Diseases - surgery Maxillary Diseases - surgery Middle Aged Postoperative Complications Radiography, Panoramic - methods Reconstructive Surgical Procedures - methods Retrospective Studies Skull - surgery Survival Analysis Tomography, X-Ray Computed - methods Transplant Donor Site - surgery vertical bone augmentation |
| title | Early bone resorption after vertical bone augmentation - a comparison of calvarial and iliac grafts |
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