Fresh-frozen bone allografts in maxillary alveolar augmentation: analysis of complications, adverse outcomes, and implant survival
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRN |
Texto Completo: | https://repositorio.ufrn.br/handle/123456789/51000 |
Resumo: | Background: Success of any bone augmentation procedure is dependent on several factors. Because complications occur in some cases, the aims of this study are to analyze adverse events associated with placement of fresh-frozen bone allografts (FFBAs) during alveolar ridge augmentation and to assess 1-year survival of dental implants placed in reconstructed sites. Methods: Fifty-eight consecutive patients (15 males and 43 females, aged 38 to 76 years; mean age: 58 – 9.2 years) requiring maxillary bone reconstruction prior to implant placement were enrolled in this study. A total of 268 implants was subsequently placed in sites reconstructed with FFBAs. There were 22 posterior grafted sites, 19 anterior, and 17 full-arch sites. After a 4- to 6-month integration period, all patients received an implant-supported fixed prostheses. Complications occurring during treatment and the 12-month follow-up period were recorded and evaluated. Results: Thirteen of 58 (22.41%) patients experienced some kind of complication in the receptor site. Infection occurred in six (10.34%) individuals, dehiscence in five (8.62%), and mucosal perforation in seven (12.07%). Adverse outcomes categorized as partial and total graft loss occurred in four (6.90%) and three (5.17%) patients, respectively. Implant failure rate was 16 (5.97%) of the 268 fixtures placed in 12 (20.70%) of 58 patients. Conclusions: Infection and suture dehiscence are significantly correlated with graft loss in a maxillary FFBA augmentation. Patients with full-arch grafting reconstructions ost significantly more implants. Early diagnosis and prompt management of adverse events seem to be of great importance in prevention of total graft loss. |
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Deluiz, DanielOliveira, LucianoFletcher, PaulPires, Fábio R.Nunes, Marcus A.Tinoco, Eduardo M.B.2023-01-20T18:08:48Z2023-01-20T18:08:48Z2016-11DELUIZ, Daniel et al . Fresh-frozen bone allografts in maxillary alveolar augmentation: analysis of complications, adverse outcomes, and implant survival. Journal of Periodontology, v. 7, p. 1-13, 2016. Disponível em: http://www.joponline.org/doi/pdf/10.1902/jop.2016.160155. Acesso em: 07 dez. 2017https://repositorio.ufrn.br/handle/123456789/5100010.1902/jop.2016.160155Journal of PeriodontologyAllografts;Alveolar ridge augmentationBone transplantationGraft survivalPostoperative complicationsWound healingFresh-frozen bone allografts in maxillary alveolar augmentation: analysis of complications, adverse outcomes, and implant survivalinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleBackground: Success of any bone augmentation procedure is dependent on several factors. Because complications occur in some cases, the aims of this study are to analyze adverse events associated with placement of fresh-frozen bone allografts (FFBAs) during alveolar ridge augmentation and to assess 1-year survival of dental implants placed in reconstructed sites. Methods: Fifty-eight consecutive patients (15 males and 43 females, aged 38 to 76 years; mean age: 58 – 9.2 years) requiring maxillary bone reconstruction prior to implant placement were enrolled in this study. A total of 268 implants was subsequently placed in sites reconstructed with FFBAs. There were 22 posterior grafted sites, 19 anterior, and 17 full-arch sites. After a 4- to 6-month integration period, all patients received an implant-supported fixed prostheses. Complications occurring during treatment and the 12-month follow-up period were recorded and evaluated. Results: Thirteen of 58 (22.41%) patients experienced some kind of complication in the receptor site. Infection occurred in six (10.34%) individuals, dehiscence in five (8.62%), and mucosal perforation in seven (12.07%). Adverse outcomes categorized as partial and total graft loss occurred in four (6.90%) and three (5.17%) patients, respectively. Implant failure rate was 16 (5.97%) of the 268 fixtures placed in 12 (20.70%) of 58 patients. Conclusions: Infection and suture dehiscence are significantly correlated with graft loss in a maxillary FFBA augmentation. Patients with full-arch grafting reconstructions ost significantly more implants. Early diagnosis and prompt management of adverse events seem to be of great importance in prevention of total graft loss.info:eu-repo/semantics/openAccessengreponame:Repositório Institucional da UFRNinstname:Universidade Federal do Rio Grande do Norte (UFRN)instacron:UFRNLICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://repositorio.ufrn.br/bitstream/123456789/51000/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD52123456789/510002023-01-20 15:09:19.282oai:https://repositorio.ufrn.br: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Repositório de PublicaçõesPUBhttp://repositorio.ufrn.br/oai/opendoar:2023-01-20T18:09:19Repositório Institucional da UFRN - Universidade Federal do Rio Grande do Norte (UFRN)false |
dc.title.pt_BR.fl_str_mv |
Fresh-frozen bone allografts in maxillary alveolar augmentation: analysis of complications, adverse outcomes, and implant survival |
title |
Fresh-frozen bone allografts in maxillary alveolar augmentation: analysis of complications, adverse outcomes, and implant survival |
spellingShingle |
Fresh-frozen bone allografts in maxillary alveolar augmentation: analysis of complications, adverse outcomes, and implant survival Deluiz, Daniel Allografts; Alveolar ridge augmentation Bone transplantation Graft survival Postoperative complications Wound healing |
title_short |
Fresh-frozen bone allografts in maxillary alveolar augmentation: analysis of complications, adverse outcomes, and implant survival |
title_full |
Fresh-frozen bone allografts in maxillary alveolar augmentation: analysis of complications, adverse outcomes, and implant survival |
title_fullStr |
Fresh-frozen bone allografts in maxillary alveolar augmentation: analysis of complications, adverse outcomes, and implant survival |
title_full_unstemmed |
Fresh-frozen bone allografts in maxillary alveolar augmentation: analysis of complications, adverse outcomes, and implant survival |
title_sort |
Fresh-frozen bone allografts in maxillary alveolar augmentation: analysis of complications, adverse outcomes, and implant survival |
author |
Deluiz, Daniel |
author_facet |
Deluiz, Daniel Oliveira, Luciano Fletcher, Paul Pires, Fábio R. Nunes, Marcus A. Tinoco, Eduardo M.B. |
author_role |
author |
author2 |
Oliveira, Luciano Fletcher, Paul Pires, Fábio R. Nunes, Marcus A. Tinoco, Eduardo M.B. |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Deluiz, Daniel Oliveira, Luciano Fletcher, Paul Pires, Fábio R. Nunes, Marcus A. Tinoco, Eduardo M.B. |
dc.subject.por.fl_str_mv |
Allografts; Alveolar ridge augmentation Bone transplantation Graft survival Postoperative complications Wound healing |
topic |
Allografts; Alveolar ridge augmentation Bone transplantation Graft survival Postoperative complications Wound healing |
description |
Background: Success of any bone augmentation procedure is dependent on several factors. Because complications occur in some cases, the aims of this study are to analyze adverse events associated with placement of fresh-frozen bone allografts (FFBAs) during alveolar ridge augmentation and to assess 1-year survival of dental implants placed in reconstructed sites. Methods: Fifty-eight consecutive patients (15 males and 43 females, aged 38 to 76 years; mean age: 58 – 9.2 years) requiring maxillary bone reconstruction prior to implant placement were enrolled in this study. A total of 268 implants was subsequently placed in sites reconstructed with FFBAs. There were 22 posterior grafted sites, 19 anterior, and 17 full-arch sites. After a 4- to 6-month integration period, all patients received an implant-supported fixed prostheses. Complications occurring during treatment and the 12-month follow-up period were recorded and evaluated. Results: Thirteen of 58 (22.41%) patients experienced some kind of complication in the receptor site. Infection occurred in six (10.34%) individuals, dehiscence in five (8.62%), and mucosal perforation in seven (12.07%). Adverse outcomes categorized as partial and total graft loss occurred in four (6.90%) and three (5.17%) patients, respectively. Implant failure rate was 16 (5.97%) of the 268 fixtures placed in 12 (20.70%) of 58 patients. Conclusions: Infection and suture dehiscence are significantly correlated with graft loss in a maxillary FFBA augmentation. Patients with full-arch grafting reconstructions ost significantly more implants. Early diagnosis and prompt management of adverse events seem to be of great importance in prevention of total graft loss. |
publishDate |
2016 |
dc.date.issued.fl_str_mv |
2016-11 |
dc.date.accessioned.fl_str_mv |
2023-01-20T18:08:48Z |
dc.date.available.fl_str_mv |
2023-01-20T18:08:48Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
DELUIZ, Daniel et al . Fresh-frozen bone allografts in maxillary alveolar augmentation: analysis of complications, adverse outcomes, and implant survival. Journal of Periodontology, v. 7, p. 1-13, 2016. Disponível em: http://www.joponline.org/doi/pdf/10.1902/jop.2016.160155. Acesso em: 07 dez. 2017 |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufrn.br/handle/123456789/51000 |
dc.identifier.doi.none.fl_str_mv |
10.1902/jop.2016.160155 |
identifier_str_mv |
DELUIZ, Daniel et al . Fresh-frozen bone allografts in maxillary alveolar augmentation: analysis of complications, adverse outcomes, and implant survival. Journal of Periodontology, v. 7, p. 1-13, 2016. Disponível em: http://www.joponline.org/doi/pdf/10.1902/jop.2016.160155. Acesso em: 07 dez. 2017 10.1902/jop.2016.160155 |
url |
https://repositorio.ufrn.br/handle/123456789/51000 |
dc.language.iso.fl_str_mv |
eng |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Journal of Periodontology |
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Journal of Periodontology |
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