Maxillofacial Plastic and Reconstructive Surgery

  • 제40권
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  • Pages.3.1-3.8
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  • 2018
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
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Lateral alveolar ridge augmentation procedure using subperiosteal tunneling technique: a pilot study

  • Kakar, Ashish (Yenepoya University Dental College, University Road) ;
  • Kakar, Kanupriya (Private Practice) ;
  • Sripathi Rao, Bappanadu H. (Yenepoya University Dental College, University Road) ;
  • Lindner, Annette (Institute for Clinical Chemistry and Laboratory Medicine, Medical Center, University of Freiburg) ;
  • Nagursky, Heiner (Institute for Clinical Chemistry and Laboratory Medicine, Medical Center, University of Freiburg) ;
  • Jain, Gaurav (Dental Surgery, Indraprastha Apollo Hospitals) ;
  • Patney, Aditya (Mahajan Imaging Center)
  • 투고 : 2017.08.16
  • 심사 : 2018.01.18
  • 발행 : 2018.12.31
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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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참고문헌

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  3. Comparison of in‐situ bone ring technique and tent‐pole technique for horizontally deficient alveolar ridge in the anterior maxilla vol.22, pp.2, 2018, https://doi.org/10.1111/cid.12887
  4. Enhanced Bone Regeneration in Variable-Type Biphasic Ceramic Phosphate Scaffolds Using rhBMP-2 vol.22, pp.21, 2018, https://doi.org/10.3390/ijms222111485