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논문 기본 정보

자료유형
학술저널
저자정보
Ashish Kakar (Yenepoya University Dental College) Kanupriya Kakar (Private Practice) Bappanadu H. Sripathi Rao (Yenepoya University Dental College) Annette Lindner (University of Freiburg) Heiner Nagursky (University of Freiburg) Gaurav Jain (Indraprastha Apollo Hospitals) Aditya Patney (Mahajan Imaging Center)
저널정보
대한악안면성형재건외과학회 Maxillofacial Plastic Reconstructive Surgery Maxillofacial Plastic Reconstructive Surgery 제40권 제2호
발행연도
2018.2
수록면
1 - 8 (8page)
DOI
https://doi.org/10.1186/s40902-018-0142-8

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Background In this research article, we evaluate the use of sub-periosteal tunneling (tunnel technique) combined with alloplastic in situ hardening biphasic calcium phosphate (BCP, a compound of β-tricalcium phosphate and hydroxyapatite) bone graft for lateral augmentation of a deficient alveolar ridge.Methods A total of 9 patients with deficient mandibular alveolar ridges were included in the present pilot study. Ten lateral ridge augmentation were carried out using the sub-periosteal tunneling technique, including a bilateral procedure in one patient. The increase in ridge width was assessed using CBCT evaluation of the ridge preoperatively and at 4 months postoperatively. Histological assessment of the quality of bone formation was also carried out with bone cores obtained at the implant placement re-entry in one patient.Results The mean bucco-lingual ridge width increased in average from 4.17?±?0.99 mm to 8.56?±?1.93 mm after lateral bone augmentation with easy-graft CRYSTAL using the tunneling technique. The gain in ridge width was statistically highly significant (p?=?0.0019). Histomorphometric assessment of two bone cores obtained at the time of implant placement from one patient revealed 27.6% new bone and an overall mineralized fraction of 72.3% in the grafted area 4 months after the bone grafting was carried out.Conclusions Within the limits of this pilot study, it can be concluded that sub-periosteal tunneling technique using in situ hardening biphasic calcium phosphate is a valuable option for lateral ridge augmentation to allow implant placement in deficient alveolar ridges. Further prospective randomized clinical trials will be necessary to assess its performance in comparison to conventional ridge augmentation procedures.

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