Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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THE STUDY ON THE BONE RESORPTION RATE AFTER VERTICAL ALVEOLAR RIDGE AUGMENTATION

수직적 치조제 증강술후 발생하는 골흡수량에 관한 연구

  • Jeon, Ha-Ryong (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University, School of Medicine) ;
  • Kim, Jong-Won (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University, School of Medicine) ;
  • Kwon, Ho-Beom (Department of Prosthodontics, Samsung Medical Center, Sungkyunkwan University, School of Medicine) ;
  • Lee, Dong-Hwan (Department of Prosthodontics, Samsung Medical Center, Sungkyunkwan University, School of Medicine) ;
  • Hong, Jong-Rak (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University, School of Medicine) ;
  • Kim, Chang-Soo (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University, School of Medicine)
  • 전하룡 (성균관의대 삼성서울병원 구강악안면외과) ;
  • 김종원 (성균관의대 삼성서울병원 구강악안면외과) ;
  • 권호범 (성균관의대 삼성서울병원 보철과) ;
  • 이동환 (성균관의대 삼성서울병원 보철과) ;
  • 홍종락 (성균관의대 삼성서울병원 구강악안면외과) ;
  • 김창수 (성균관의대 삼성서울병원 구강악안면외과)
  • Published : 2006.06.30
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Abstract

Purpose: This study presents radiographic and laboratory analysis and comparison of bone resorption rate of grafted endochondral bone and intramembranous bone on the aspect of height and volumetric change. Patients and Methods: 18 partially edentulous patients who needed alveolar ridge augmentation for implant placement during the years 2002 to 2004 were selected for this study. Group A consisted of 5 males & 3 females who were treated with intraoral(intramembranous) bone and Group B consisted of 8 males & 2 females who were treated with iliac(endochondral) bone. Non-standard periapical X-ray was taken at day 1, 2 month, 4 months, 8 months after the surgery. Resorption rate of grafted bone were measured on these X-rays and compared. Also we calculated volume of grafted bone with models which was fabricated at 1.5 months, 6 months. Results: There was bone resorption in both groups. Group B showed more bone resorption than Group A. In Group A, the resorption rate according to the radiographic measurements was 9.81 %, and resorption rate according to volumetric measurement was 16.5 %. In group B, the resorption rate according to the radiographic measurements was 15.9 %, and resorption rate according to volumetric measurement was 30.6 %. Significant difference is on radiographic resorption of post-op 2, 4, 8 months on two groups (P < 0.05). Also significant difference is on volume resorption on two groups (P < 0.05). Conclusion: We found that more bone resorption occurred with iliac(endochondral) bone and when we use intraoral bone, that bone can maintain their vitality for alveolar ridge augmentation.

Keywords

References

  1. Triplett RG, Schow SR: Autologous bone grafts and endosseous implants: complementary techniques. J Oral Maxillofac Surg 1996;54:486-494 https://doi.org/10.1016/S0278-2391(96)90126-3
  2. Tolman DE: Reconstructive procedures with endosseous implants in grafted bone: a review of the literature. Int J Oral Maxillofac Implants 1995;10:275-294
  3. Hislop WS, Finlay PM, Moos KF: A preliminary study into uses of anorganic bone in oral and maxillofacial surgery. Br J Oral Maxillofac Surg 1993;31:420-432
  4. Binger T, Hell B: Resorption of microsurgically vascularized bone grafts after augmentation of the mandible. J Craniomaxillofac Surg 1999;27:82-85 https://doi.org/10.1016/S1010-5182(99)80018-3
  5. Verhoeven JW, Cune MS, Terlou M, Zoon MA, de Putter C: The combined use of endosteal implants and iliac crest onlay grafts in the severely atrophic mandible: a longitudinal study. Int J Oral Maxillofac Surg 1997;26:351-357 https://doi.org/10.1016/S0901-5027(97)80796-5
  6. Chen NT, Glowacki J, Bucky LP, Hong HZ, Kim WK, Yaremchuk MJ: The roles of revascularization and resorption on endurance of craniofacial onlay bone grafts in the rabbit. Plast Reconstr Surg 1994;93:714-722; discussion 723-714 https://doi.org/10.1097/00006534-199404000-00009
  7. Donovan MG, Dickerson NC, Hellstein JW, Hanson LJ: Autologous calvarial and iliac onlay bone grafts in miniature swine. J Oral Maxillofac Surg 1993;51:898-903 https://doi.org/10.1016/S0278-2391(10)80112-0
  8. Proussaefs PT, Valencia G, Lozada J, Tatakis DN: A method to assess the clinical outcome of ridge augmentation procedures. J Periodontol 2002;73:302-306 https://doi.org/10.1902/jop.2002.73.3.302
  9. Peer LA: Fate of autogenous human bone grafts. Br J Plast Surg 1951;3:233-243 https://doi.org/10.1016/S0007-1226(50)80038-3
  10. Zins JE, Whitaker LA: Membranous versus endochondral bone: implications for craniofacial reconstruction. Plast Reconstr Surg 1983;72:778-785 https://doi.org/10.1097/00006534-198312000-00005
  11. Ozaki W, Buchman SR: Volume maintenance of onlay bone grafts in the craniofacial skeleton: micro-architecture versus embryologic origin. Plast Reconstr Surg 1998;102:291-299 https://doi.org/10.1097/00006534-199808000-00001
  12. Hardesty RA, Marsh JL: Craniofacial onlay bone grafting: a prospective evaluation of graft morphology, orientation, and embryonic origin. Plast Reconstr Surg 1990;85:5-14; discussion 15 https://doi.org/10.1097/00006534-199001000-00002
  13. Wong RW, Rabie AB: A quantitative assessment of the healing of intramembranous and endochondral autogenous bone grafts. Eur J Orthod 1999;21:119-126 https://doi.org/10.1093/ejo/21.2.119
  14. Carinci F, Farina A, Zanetti U, Vinci R, Negrini S, Calura G et al: Alveolar ridge augmentation: a comparative longitudinal study between calvaria and iliac crest bone grafts. J Oral Implantol 2005;31:39-45 https://doi.org/10.1563/0-716a.1
  15. Iizuka T, Smolka W, Hallermann W, Mericske-Stern R: Extensive augmentation of the alveolar ridge using autogenous calvarial split bone grafts for dental rehabilitation. Clin Oral Implants Res 2004;15:607-615 https://doi.org/10.1111/j.1600-0501.2004.01043.x
  16. Swart JG, Allard RH: Subperiosteal onlay augmentation of the mandible: a clinical and radiographic survey. J Oral Maxillofac Surg 1985;43:183-187 https://doi.org/10.1016/0278-2391(85)90157-0
  17. Johansson B, Grepe A, Wannfors K, Hirsch JM: A clinical study of changes in the volume of bone grafts in the atrophic maxilla. Dentomaxillofac Radiol 2001;30:157-161 https://doi.org/10.1038/sj.dmfr.4600601
  18. Proussaefs P, Lozada J, Kleinman A, Rohrer MD: The use of ramus autogenous block grafts for vertical alveolar ridge augmentation and implant placement: a pilot study. Int J Oral Maxillofac Implants 2002;17:238-248
  19. Raghoebar GM, Batenburg RH, Vissink A, Reintsema H: Augmentation of localized defects of the anterior maxillary ridge with autogenous bone before insertion of implants. J Oral Maxillofac Surg 1996;54:1180-1185; discussion 1185-1186 https://doi.org/10.1016/S0278-2391(96)90346-8
  20. Widmark G, Andersson B, Ivanoff CJ: Mandibular bone graft in the anterior maxilla for single-tooth implants. Presentation of surgical method. Int J Oral Maxillofac Surg 1997;26:106-109 https://doi.org/10.1016/S0901-5027(05)80827-6
  21. Rudman RA: Prospective evaluation of morbidity associated with iliac crest harvest for alveolar cleft grafting. J Oral Maxillofac Surg 1997;55:219-223; discussion 223-214 https://doi.org/10.1016/S0278-2391(97)90528-0
  22. Skoglund A, Hising P, Young C: A clinical and histologic examination in humans of the osseous response to implanted natural bone mineral. Int J Oral Maxillofac Implants 1997;12:194-199
  23. Studer SP, Sourlier D, Wegmann U, Scharer P, Rees TD: Quantitative measurement of volume changes induced by oral plastic surgery: validation of an optical method using different geometrically- formed specimens. J Periodontol 1997;68:950-962 https://doi.org/10.1902/jop.1997.68.10.950