EVALUATION OF THE ZYGOMATIC BUTTRESS AS A DONOR SITE FOR RIDGE AUGMENTATION PRIOR TO IMPLANT INSERTION IN THE ESTHETIC ZONE | ||||
| Alexandria Dental Journal | ||||
| Article 9, Volume 43, Issue 1, April 2018, Page 48-54 PDF (634.6 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/adjalexu.2018.57596 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Mohamed M. Solaiman1; Ahmed S. EL Mahallawy2; Nagy E. Hassan2 | ||||
| 1B.D.S (2011), Faculty of Dentistry, Alexandria University, Egypt | ||||
| 2Professor of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University, Egypt | ||||
| Abstract | ||||
| INTRODUCTION: Traumatic loss of teeth in the esthetic zone commonly results in significant loss of buccal bone. This leads to reduced esthetics, problems with phonetics and reduction in function. Single tooth replacement has become an indication for implant-based restoration. In case of lack of bone volume the need of surgical reconstruction of the alveolar ridge is warranted. Several bone grafting techniques have been described to ensure sufficient bone volume for implantation. OBJECTIVES: Evaluation of using the zygomatic buttress as an intraoral bone harvesting donor site for pre-implant grafting. MATERIALS AND METHODS: Twelve patients were selected with limited alveolar ridge defect in the esthetic zone that needs bone grafting procedure prior to dental implants. Patients were treated using a 2-stage technique where bone blocks harvested from the zygomatic buttress region were placed as onlay grafts and fixed with osteosynthesis micro screws. After 4 months of healing, screws were removed for implant placement RESULTS: Harvesting of 12 bone blocks were performed for all patients indicating a success rate of 100% for the zygomatic buttress area as a donor site. Final rehabilitation with dental implants was possible in 11 of 12 patients, yielding a success rate of 91.6%. Three patients (25%) had postoperative complications at the donor site and one patient (8.3%) at the recipient site. The mean value of bone width pre-operatively was 3.64 ± .48 mm which increased to 5.47 ± .57 mm post-operatively, the increase in mean value of bone width was statistically significant (p < 0.001). CONCLUSIONS: Harvesting of intraoral bone blocks from the zygomatic buttress region is an effective and safe method to treat localized alveolar ridge defect before implant placement. | ||||
| Keywords | ||||
| Zygomatic buttress; autogenous bone graft; dental implant; esthetic zone | ||||
| References | ||||
|
1. Chiapasco M, Zaniboni M, Boisco M. Augmentation procedures for the rehabilitation of deficient edentulous ridges with oral implants. Clin Oral Implants Res. 2006;136–59.
2. Toscano N, Shumaker N, Holtzclaw D. The art of block grafting: A review of the surgical protocol for reconstruction of alveolar ridge deficiency. J Implant Adv Clin Dent. 2010;2–957.
3. Williamson RA. Rehabilitation of the resorbed maxilla and mandible using autogenous bone grafts and osseointegrated implants. Int J Oral Maxillofac Implants. 1996;476–88.
4. Brånemark PI, Hansson BO, Adell R, Breine U, Lindström J, Hallén O, et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10- year period. Scand J Plast Reconstr Surg Suppl. 1977;16:1–132.
5. Adell R, Lekholm U, Gröndahl K, Brånemark PI, Lindström J, Jacobsson M. Reconstruction of severely resorbed edentulous maxillae using osseointegrated fixtures in immediate autogenous bone grafts. Int J Oral Maxillofac Implants. 1990;5:233–46.
6. Breine U, Brånemark PI. Reconstruction of alveolar jaw bone. An experimental and clinical study of immediate and preformed autologous bone grafts in combination with osseointegrated implants. Scand J Plast Reconstr Surg. 1980;14:23–48.
7. Cordaro L, Amadé DS, Cordaro M. Clinical results of alveolar ridge augmentation with mandibular block bone grafts in partially edentulous patients prior to implant placement. Clin Oral Implants Res. 2002 Feb;13:103–11.
8. Cordaro L. Bilateral simultaneous augmentation of the maxillary sinus floor with particulated mandible. Report of a technique and preliminary results. Clin Oral Implants Res. 2003 Apr 1;14:201–6.
9. Jensen J, Sindet-Pedersen S. Autogenous mandibular bone grafts and osseointegrated implants for reconstruction of the severely atrophied maxilla: a preliminary report. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 1991 Dec;49:1277–87.
10. Misch CM. Comparison of intraoral donor sites for onlay grafting prior to implant placement. Int J Oral Maxillofac Implants. 1997 Dec;12:767–76.
11. Misch CM, Misch CE, Resnik RR, Ismail YH. Reconstruction of maxillary alveolar defects with mandibular symphysis grafts for dental implants: a preliminary procedural report. Int J Oral Maxillofac Implants. 1992;7:360–6.
12. Misch CM. Ridge augmentation using mandibular ramus bone grafts for the placement of dental implants: presentation of a technique. Pract Periodontics Aesthetic Dent PPAD. 1996;8:127–135.
13. Sindet-Pedersen S, Enemark H. Mandibular bone grafts for reconstruction of alveolar clefts. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 1988;46:533–7.
14. Sindet-Pedersen S, Enemark H. Reconstruction of alveolar clefts with mandibular or iliac crest bone grafts: a comparative study. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 1990;48:554-558.
15. ten Bruggenkate CM, Kraaijenhagen HA, van der Kwast WA, Krekeler G, Oosterbeek HS. Autogenous maxillary bone grafts in conjunction with placement of I.T.I. endosseous implants. A preliminary report. Int J Oral Maxillofac Surg. 1992;21:81–4.
16. Jensen J, Sindet-Pedersen S, Oliver AJ. Varying treatment strategies for reconstruction of maxillary atrophy with implants: results in 98 patients. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 1994;52:210-216.
17. Gellrich N-C, Held U, Schoen R, Pailing T, Schramm A, Bormann K-H. Alveolar Zygomatic Buttress: A New Donor Site for Limited Preimplant Augmentation Procedures. J Oral Maxillofac Surg. 2007;65:275–80.
18. Broome ME. Measurement of Pain: Self-Report Strategies. J Pediatr Oncol Nurs. 1991;8:131–3.
19. McCaffery M, Beebe A, Latham J, Ball D. Pain : clinical manual for nursing practice. UK ed. St.Louis, MO : Mosby; 1994.
20. Yokobe J, Kitahara M, Matsushima M, Uezono S. Preference for different anchor descriptors on visual analogue scales among Japanese patients with chronic pain. PloS One. 2014;9–98.
21. Kotz S BN, Read CB, Vidakovic B. Encyclopedia of statistical sciences. In N.J: Wiley-Interscience; 2006;33– 59.
22. Sakkas A, Schramm A, Karsten W, Gellrich N-C, Wilde F. A clinical study of the outcomes and complications associated with zygomatic buttress block bone graft for limited preimplant augmentation procedures. J Cranio-Maxillofac Surg. 2016;44:249–56.
23. Bolender CL. Indications and contraindications for different types of implant therapy. J Dent Educ. 1988;52:757–9.
24. Dhanrajani PJ, Al-Rafee MA. Single-tooth implant restorations: a retrospective study. Implant Dent. 2005;14:125–30.
25. Moy PK, Medina D, Shetty V, Aghaloo TL. Dental implant failure rates and associated risk factors. Int J Oral Maxillofac Implants. 2005;20:569–77.
26. Balshi TJ, Wolfinger GJ. Two-implant-supported single molar replacement: interdental space requirements and comparison to alternative options. Int J Periodontics Restorative Dent. 1997;17:426–35.
27. Holahan CM, Koka S, Kennel KA, Weaver AL, Assad DA, Regennitter FJ, et al. Effect of osteoporotic status on the survival of titanium dental implants. Int J Oral Maxillofac Implants. 2008;23:905–10.
28. Clementini M, Rossetti PHO, Penarrocha D, Micarelli C, Bonachela WC, Canullo L. Systemic risk factors for peri-implant bone loss: a systematic review and metaanalysis. Int J Oral Maxillofac Surg. 2014;43:323–34.
29. Li J, Wang H-L. Common implant-related advanced bone grafting complications: classification, etiology, and management. Implant Dent. 2008;17:389–401.
30. Torretta S, Mantovani M, Testori T, Cappadona M, Pignataro L. Importance of ENT assessment in stratifying candidates for sinus floor elevation: a prospective clinical study. Clin Oral Implants Res. 2013;24:57–62.
31. Cassetta M, Sofan AA, Altieri F, Barbato E. Evaluation of alveolar cortical bone thickness and density for orthodontic mini-implant placement. J Clin Exp Dent. 2013;5:245-252.
32. Bornstein MM, Scarfe WC, Vaughn VM, Jacobs R. Cone beam computed tomography in implant dentistry: a systematic review focusing on guidelines, indications, and radiation dose risks. Int J Oral Maxillofac Implants. 2014;29:55–77.
33. Mello LA de, Garcia RR, Leles JLR, Leles CR, Silva MAGS. Impact of cone-beam computed tomography on implant planning and on prediction of implant size. Braz Oral Res. 2014;28:46–53.
34. Scabbia A, Cho KS, Sigurdsson TJ, Kim CK, Trombelli L. Cigarette smoking negatively affects healing response following flap debridement surgery. J Periodontol. 2001;72:43–9.
35. Levin L, Herzberg R, Dolev E, Schwartz-Arad D. Smoking and complications of onlay bone grafts and sinus lift operations. Int J Oral Maxillofac Implants. 2004;19:369–73. | ||||
|
Statistics Article View: 211 PDF Download: 441 |
||||
