Using the intact periosteum for horizontal bone augmentation of peri-implant defects: a retrospective cohort study |
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| Affiliation: | 1. State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China;2. Department of Oral Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China;3. West China School of Stomatology, Sichuan University, Chengdu, Sichuan, China;4. Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China;1. Consultant OMFS – Aintree University Hospitals NHS Trust, United Kingdom;2. Department of OMFS, RWTH Aachen University Hospital, Aachen, Germany;3. MKG - Chirurgie Lindenarcaden, Lübeck, Germany;4. Department of OMFS, Ramon y Cajal University Hospital, University of Alcala, Madrid, Spain;5. Barts and The London Institute of Medicine Dentistry, United Kingdom;1. Aintree University Hospitals NHS Trust, United Kingdom;2. Department of OMFS, RWTH Aachen University Hospital, Aachen, Germany;3. MKG – Chirurgie Lindenarcaden, Lübeck, Germany;4. Department of OMFS, Ramon y Cajal University Hospital, University of Alcala, Madrid, Spain;5. Barts and The London Institute of Medicine and Dentistry, United Kingdom;1. Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland;2. Department of Neurosurgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland;3. Department of Oral and Maxillofacial Surgery, University of Turku, Department of Oral and Maxillofacial Diseases, Turku University Hospital, Turku, Finland;1. ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital, Madrid, Spain;2. ENT and Cervicofacial Surgery Department. Villalba General University Hospital, Collado Villalba, Spain;3. Departamento de Mineralogía y Petrología, de la Facultad de Ciencias Geológicas de la Universidad Complutense de Madrid, Spain;4. Instituto de Investigación Sanitaria, Research Unit. Fundación Jiménez Diaz University Hospital, Madrid, Spain |
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| Abstract: | The objectives of this study were to observe hard tissue changes in guided bone regeneration (GBR) with intact periosteum and soft block deproteinised bovine bone mineral (DBBM), and evaluate whether the result of horizontal bone augmentation varied by initial peri-implant defect depth. Forty patients with a single missing tooth and contained peri-implant defect were categorised into three groups according to their presurgical defect depth (≤ 2, 2–4, and 4–6 mm). Cone-beam computed tomography (CBCT) images were collected and reconstructed preoperatively, postoperatively, and at six months’ follow up. The buccal bone width (BBW -0, -3, -5), alveolar bone width (ABW -0, -3, -5) and volume of augmented area were measured. At the six-month follow up the increase in BBW, ABW at all levels, and in bone volume, was statistically significant (all p < 0.001). No statistical significance in bone dimensions or bone resorption was found among groups (all p > 0.05). Histological analysis detected new bone formation in intimate contact with bone grafts underlying the periosteum. Within the limitations of this study, the insights gained may be of assistance to suggest that comparable and acceptable results of horizontal bone augmentation can be achieved in cases of peri-implant defect depth of ≤6 mm by means of GBR with intact periosteum. |
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| Keywords: | Periosteum Guided bone regeneration Horizontal bone augmentation Peri-implant defect |
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