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Sáez-Alcaide LM, González Gallego B, Fernando Moreno J, Moreno Navarro M, Cobo-Vázquez C, Cortés-Bretón Brinkmann J, Meniz-García C. Complications associated with vertical bone augmentation techniques in implant dentistry: A systematic review of clinical studies published in the last ten years. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2023; 124:101574. [PMID: 37499904 DOI: 10.1016/j.jormas.2023.101574] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 07/14/2023] [Accepted: 07/24/2023] [Indexed: 07/29/2023]
Abstract
Vertical bone augmentation procedures are increasingly necessary in daily practice. However, it has been reported that vertical ridge augmentation is one of the least predictable techniques in terms of complications. The aim of this systematic review was to evaluate and compare complications in relation to the different procedures used for vertical bone augmentation prior to implant placement. This review was conducted according to PRISMA guidelines. An electronic search was carried out in four databases: The National Library of Medicine (MEDLINE/PubMed); Web of Science; SCOPUS; and Cochrane Central Register of Controlled Trials (CENTRAL). The Newcastle-Ottawa Quality Assessment Scale, the Cochrane Collaboration tool for assessing risk of bias, and The Joanna Briggs Institute Critical Appraisal tool were used to assess the quality of evidence in the studies reviewed. Twenty-five studies with a total of 749 vertically augmented sites were included in the review. Complication rates varied among the different procedures: 51.02% for distraction osteogenesis, 38.01% for bone blocks, and 16.80% for guided bone regeneration. Vertical bone augmentation procedures prior to implant placement are associated with frequent surgical complications and should be approached with caution due to their possible impact on clinical treatment success.
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Affiliation(s)
- Luis Miguel Sáez-Alcaide
- Department of Dental Clinical Specialties, Faculty of dentistry, Complutense University of Madrid, Pza Ramon y Cajal s/n, Madrid 28040, Spain
| | - Berta González Gallego
- Department of Dental Clinical Specialties, Faculty of dentistry, Complutense University of Madrid, Pza Ramon y Cajal s/n, Madrid 28040, Spain
| | - Javier Fernando Moreno
- Department of Dental Clinical Specialties, Faculty of dentistry, Complutense University of Madrid, Pza Ramon y Cajal s/n, Madrid 28040, Spain
| | - Miguel Moreno Navarro
- Department of Dental Clinical Specialties, Faculty of dentistry, Complutense University of Madrid, Pza Ramon y Cajal s/n, Madrid 28040, Spain
| | - Carlos Cobo-Vázquez
- Department of Dental Clinical Specialties, Faculty of dentistry, Complutense University of Madrid, Pza Ramon y Cajal s/n, Madrid 28040, Spain
| | - Jorge Cortés-Bretón Brinkmann
- Department of Dental Clinical Specialties, Faculty of dentistry, Complutense University of Madrid, Pza Ramon y Cajal s/n, Madrid 28040, Spain; Surgical and Implant Therapies in the Oral Cavity Research Group, University Complutense, Madrid, Spain.
| | - Cristina Meniz-García
- Department of Dental Clinical Specialties, Faculty of dentistry, Complutense University of Madrid, Pza Ramon y Cajal s/n, Madrid 28040, Spain; Surgical and Implant Therapies in the Oral Cavity Research Group, University Complutense, Madrid, Spain
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Multidisciplinary oral rehabilitation of an adolescent suffering from juvenile Gorlin-Goltz syndrome - a case report. Head Face Med 2019; 15:5. [PMID: 30736811 PMCID: PMC6367745 DOI: 10.1186/s13005-019-0189-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Accepted: 01/30/2019] [Indexed: 11/10/2022] Open
Abstract
Background The Gorlin-Goltz syndrome is an autosomal dominant disorder characterized by keratocystic odontogenic tumors in the jaws, multiple basal cell carcinomas and skeletal abnormities. Frequently, the manifestation of the syndrome occurs in the adolescent years. Case presentation An 11-year-old boy was referred to our clinic due to the persistence of the lower deciduous molars. The further diagnosis revealed bilateral keratocystic odontogenic tumors in the region of teeth 33 and 45 representing a symptom of a Gorlin-Goltz syndrome. This case of the oral rehabilitation of an adolescent with bilateral keratocystic odontogenic tumors shows the approach of a multidisciplinary treatment concept including the following elements: Enucleation and bone defect augmentation using a prefabricated bone graft; distraction osteogenesis to extend the graft-block vertically after cessation of growth; accompanying orthodontic treatment, guided implant placement and prosthetic rehabilitation. Six months after implant insertion, a new keratocystic odontogenic tumor in the basal part of the left sinus maxillaris had to be removed combined with the closure of the oroantral fistula. During the follow-up period of 18 months in semi-annual intervals, the patient showed no sign of pathology. Conclusion In the presented case could be shown that distraction osteogenesis of prefabricated bone blocks is possible. With a multidisciplinary approach in a long-term treatment a sufficient oral rehabilitation of the patient suffering from extended keratocystic odontogenic tumors was possible.
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Pérez-Sayáns M, Martínez-Martín JM, Chamorro-Petronacci C, Gallas-Torreira M, Marichalar-Mendía X, García-García A. 20 years of alveolar distraction: A systematic review of the literature. Med Oral Patol Oral Cir Bucal 2018; 23:e742-e751. [PMID: 30341270 PMCID: PMC6261008 DOI: 10.4317/medoral.22645] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2018] [Accepted: 10/01/2018] [Indexed: 11/28/2022] Open
Abstract
Background The Vertical Alveolar Distraction Osteogenesis (VADO) technique is an excellent solution for bone and soft tissue neoformation in areas in which there has been significant bone atrophy that hinders normal rehabilitation using dental implants. The goal of this systematic review is to analyze the most relevant articles published on VADO in the literature over the past 20 years. Material and Methods The review was performed by using the keywords: “alveolar ridge”, “distraction ostegenesis” and “dental implant”. This search produced a total result of 240 articles. The clinical studies and cases reported in humans amounted to 113 articles, 18 articles referred to studies developed on animals and 33 review articles. The presentation of this systematic analysis follows the criteria described in the PRISMA declaration. Results 22 articles complied with the inclusion criteria and 7 articles more were added manually, reaching a total sample of 29 studies. Following the analysis of the studies, they were classified into 18 high-quality, 10 mediumquality and 1 low-quality study. Only 4 studies achieved a maximum score of 9 (according to NewCastle Ottawa Scale, NOS). Conclusions VADO is a technique with greater potential in vertical gain. The performance of dental implants has a success and survival rate similar to dental implants placed on bones that are not subject to increase techniques. Key words:Vertical distraction osteogenesis, alveolar ridge, distraction osteogenesis, dental implant.
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Affiliation(s)
- M Pérez-Sayáns
- Facultad de Odontología, Santiago de Compostela, Entrerríos s/n, Santiago de Compostela, C.P. 15782, Spain,
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Rachmiel A, Emodi O, Rachmiel D, Israel Y, Shilo D. Sandwich osteotomy for the reconstruction of deficient alveolar bone. Int J Oral Maxillofac Surg 2018; 47:1350-1357. [DOI: 10.1016/j.ijom.2018.05.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2017] [Revised: 03/20/2018] [Accepted: 05/04/2018] [Indexed: 12/17/2022]
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Zhao K, Wang F, Huang W, Wang X, Wu Y. Comparison of Dental Implant Performance Following Vertical Alveolar Bone Augmentation With Alveolar Distraction Osteogenesis or Autogenous Onlay Bone Grafts: A Retrospective Cohort Study. J Oral Maxillofac Surg 2017; 75:2099-2114. [DOI: 10.1016/j.joms.2017.06.038] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2017] [Revised: 06/27/2017] [Accepted: 06/27/2017] [Indexed: 10/19/2022]
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Keestra JAJ, Barry O, Jong LD, Wahl G. Long-term effects of vertical bone augmentation: a systematic review. J Appl Oral Sci 2016; 24:3-17. [PMID: 27008252 PMCID: PMC4775004 DOI: 10.1590/1678-775720150357] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2015] [Accepted: 10/22/2015] [Indexed: 11/21/2022] Open
Abstract
Extraction, periodontitis, or trauma can cause a reduction on the alveolar ridge. This could result in an insufficient alveolar bone width and height. Different techniques of vertical bone augmentation are described in literature. However, nowadays there is not enough evidence against lateral augmentation procedures to verify if these techniques are stable over a long period of time.
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Affiliation(s)
| | - Obada Barry
- Mund- und Kieferheilkunde, Poliklinik für Chirurgische Zahn-, Universität Bonn, Bonn, Germany
| | | | - Gerhard Wahl
- Mund- und Kieferheilkunde, Poliklinik für Chirurgische Zahn-, Universität Bonn, Bonn, Germany
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Camps-Font O, Burgueño-Barris G, Figueiredo R, Jung RE, Gay-Escoda C, Valmaseda-Castellón E. Interventions for Dental Implant Placement in Atrophic Edentulous Mandibles: Vertical Bone Augmentation and Alternative Treatments. A Meta-Analysis of Randomized Clinical Trials. J Periodontol 2016; 87:1444-1457. [PMID: 27468794 DOI: 10.1902/jop.2016.160226] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
BACKGROUND The purpose of the current study is to assess which vertical bone augmentation techniques are most effective for restoring atrophic posterior areas of the mandible with dental implants and compare these procedures with alternative treatments. METHODS Electronic literature searches in PubMed (MEDLINE), Ovid, and the Cochrane Library were conducted to identify all relevant articles published up to July 1, 2015. Eligibility was based on inclusion criteria, and quality assessments were conducted. The primary outcome variables were implant and prosthetic failure. After data extraction, meta-analyses were performed. RESULTS Out of 527 potentially eligible papers, 14 randomized clinical trials were included. Out of these 14 studies, four trials assessed short implants (5 to 8 mm) as an alternative to vertical bone augmentation in sites with a residual ridge height of 5 to 8 mm. No statistically significant differences were found in implant (odds ratio [OR]: 1.02; 95% confidence interval [CI]: 0.31 to 3.31; P = 0.98; I2: 0%) or prosthetic failure (OR: 0.64; 95% CI: 0.21 to 1.96; P = 0.43; I2: 0%) after 12 months of loading. However, complications at treated sites increased with the augmentation procedures (OR: 8.33; 95% CI: 3.85 to 20.0; P <0.001; I2: 0%). There was no evidence of any vertical augmentation procedure being of greater benefit than any other for the primary outcomes (implant and prosthetic failure). CONCLUSIONS Short implants in the posterior area of the mandible seem to be preferable to vertical augmentation procedures, which present similar implant and prosthetic failure rates but greater morbidity. All the vertical augmentation technique comparisons showed similar intergroup results.
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Affiliation(s)
- Octavi Camps-Font
- Department of Oral Surgery and Implantology, Faculty of Dentistry, University of Barcelona, Barcelona, Spain
| | - Genís Burgueño-Barris
- Department of Oral Surgery and Implantology, Faculty of Dentistry, University of Barcelona, Barcelona, Spain
| | - Rui Figueiredo
- Department of Oral Surgery and Implantology, Faculty of Dentistry, University of Barcelona, Barcelona, Spain.,Bellvitge Biomedical Research Institute, Barcelona, Spain
| | - Ronald E Jung
- Division of Implantology, Center of Dental Medicine, University of Zürich, Zürich, Switzerland.,Clinic for Fixed and Removable Prosthodontics and Dental Material Science, Zürich, Switzerland
| | - Cosme Gay-Escoda
- Bellvitge Biomedical Research Institute, Barcelona, Spain.,Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Barcelona.,Department of Oral Surgery and Implantology, European Foundation for Health Research and Education, Belize City, Belize.,Department of Oral Surgery and Implantology, Private Catalan Foundation for Oral Health, Barcelona, Spain.,Department of Oral Surgery, Implantology, and Maxillofacial Surgery, Teknon Medical Center, Barcelona, Spain
| | - Eduard Valmaseda-Castellón
- Department of Oral Surgery and Implantology, Faculty of Dentistry, University of Barcelona, Barcelona, Spain.,Bellvitge Biomedical Research Institute, Barcelona, Spain
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Complications of mandibular distraction osteogenesis for acquired deformities: a systematic review of the literature. Int J Oral Maxillofac Surg 2015; 44:956-64. [DOI: 10.1016/j.ijom.2014.12.008] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2014] [Revised: 12/01/2014] [Accepted: 12/04/2014] [Indexed: 11/23/2022]
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Rodriguez-Grandjean A, Reininger D, López-Quiles J. Complications in the treatment with alveolar extraosseous distractors. Literature review. Med Oral Patol Oral Cir Bucal 2015; 20:e518-24. [PMID: 25858083 PMCID: PMC4523266 DOI: 10.4317/medoral.20512] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2014] [Accepted: 02/26/2015] [Indexed: 12/03/2022] Open
Abstract
Background To review the literature that analyses the types and frequency of complications associated with the use of extraosseous alveolar distraction from 2007 to 2013. Material and Methods Review of the literature in PubMed, using these keywords; alveolar ridge, alveolar distraction osteogenesis, complication, literature review. Inclusion criteria were: articles published between 2007 and 2013 that included the distraction protocol, the complications encountered and the time when they occurred. Results According to the above criteria, 12 articles were included in this review, where 334 extraosseous distractors were placed and 395 complications were encountered, of which 19 (4.81%) were intraoperative, 261 (66.07%) postoperative and 115 (29.11 %) were postdistraction. The most common complication was the incorrect distraction vector found in 105 cases (26.58%), in 23 cases (5.82%) there were severe complications, of which 14 (3.54%) were mandibular fracture and 9 (2.27%) were fractures of the distractor elements. Conclusions According to this review, although alveolar distraction is a safe and predictable technique, it can cause complications; however, they are usually minor and easily resolved without affecting the treatment outcome. Key words:
Alveolar ridge, alveolar distraction osteogenesis, complication, literature review.
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Affiliation(s)
- Alfredo Rodriguez-Grandjean
- Department of Oral Surgery and Maxillofacial Surgery, Complutense University of Madrid, Spain, Plaza de Ramón y Cajal, 3, 28040 Madrid, Spain,
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Krasny M, Krasny K, Kamiński A, Fiedor P. Global maxillary ridge augmentation with frozen radiation-sterilised bone blocks followed by implant placement: a case report. Cell Tissue Bank 2015; 16:35-41. [PMID: 24820864 PMCID: PMC4334076 DOI: 10.1007/s10561-014-9452-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2013] [Accepted: 04/26/2014] [Indexed: 11/29/2022]
Abstract
Due to atrophy of the tissue within the alveolar ridge, implantation must sometimes be preceded by bone regeneration. The use of allogeneic material allows the surgeon to prepare grafts of any shape and amount; therefore it is a good alternative to autograft reconstruction in patients with extensive atrophy of the alveolar ridge. The patient with maxillary anodontia showed insufficient width of the ridge along its entire length, which prevented implantation. Therefore, alveolar ridge reconstruction was planned. Four frozen, radiation-sterilised bone blocks processed in the Tissue Bank in Warsaw were used for reconstruction of the alveolar ridge. The blocks were grafted to the area of molars, premolars and lateral incisors bilaterally. Three months after surgery a normal union of transplants with the recipient site was achieved. Six implants were embedded and following the 6-month integration period a permanent prosthetic restoration was successfully performed. During a 38-month follow-up none of the implants were lost and the aesthetic or functional condition of the prosthetic restoration did not deteriorate. Frozen allogeneic radiation-sterilised bone blocks constitute good, efficient and safe material used in reconstruction of the alveolar ridge in extensive bone atrophy. This is only one of possible grafting materials for reconstruction of extremely atrophic alveolar ridge.
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Affiliation(s)
- Marta Krasny
- Department of Orthodontics, Medical University of Warsaw, Warsaw, Poland
- ul. Cicha 43, 05-074 Halinów, Poland
| | | | - Artur Kamiński
- Department of Transplantology and Central Tissue Bank, Medical University of Warsaw, Warsaw, Poland
| | - Piotr Fiedor
- Department of General and Transplantation Surgery, Transplantation Institute, Medical University of Warsaw, Warsaw, Poland
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Dias RR, Sehn FP, de Santana Santos T, Silva ER, Chaushu G, Xavier SP. Corticocancellous fresh-frozen allograft bone blocks for augmenting atrophied posterior mandibles in humans. Clin Oral Implants Res 2014; 27:39-46. [DOI: 10.1111/clr.12509] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/16/2014] [Indexed: 02/06/2023]
Affiliation(s)
- Rafael R. Dias
- Department of Oral and Maxillofacial Surgery and Periodontology; Ribeirão Preto Dental School; University of São Paulo; São Paulo Brazil
| | - Felipe P. Sehn
- Department of Oral and Maxillofacial Surgery and Periodontology; Ribeirão Preto Dental School; University of São Paulo; São Paulo Brazil
| | - Thiago de Santana Santos
- Department of Oral and Maxillofacial Surgery and Periodontology; Ribeirão Preto Dental School; University of São Paulo; São Paulo Brazil
| | - Erick R. Silva
- Department of Oral and Maxillofacial Surgery and Periodontology; Ribeirão Preto Dental School; University of São Paulo; São Paulo Brazil
| | - Gavriel Chaushu
- Department of Oral and Maxillofacial Surgery; School of Dentistry; Tel Aviv University; Tel Aviv Israel
- Department of Oral and Maxillofacial Surgery; Rabin Medical Center; Petah Tikva Israel
| | - Samuel P. Xavier
- Department of Oral and Maxillofacial Surgery and Periodontology; Ribeirão Preto Dental School; University of São Paulo; São Paulo Brazil
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Zwetyenga N, Fricain JC, De Mones E, Gindraux F. [Induced membrane technique in oral & maxillofacial reconstruction]. ACTA ACUST UNITED AC 2012; 113:231-8. [PMID: 22840565 DOI: 10.1016/j.stomax.2012.05.008] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2012] [Accepted: 05/25/2012] [Indexed: 11/30/2022]
Abstract
Maxillofacial defects reconstruction represents a formidable challenge to achieve both functional and aesthetic goals. To succeed, numerous parameters must be taken into account: patient's general conditions, defect's location, width and type of the defect and eventual donor sites which can provide the tissues. Routine reconstructions include bone transplantation (autologous, homologous or heterologous), implantation of biomaterials and osteogenic distraction. The advantages of these techniques are evident, but they are usually limited by their complexity in patients with bad general health. The technique of induced membranes needs to be more known in maxillofacial surgery.
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Affiliation(s)
- N Zwetyenga
- Service de chirurgie maxillo-faciale, chirurgie plastique, reconstructrice et esthétique, chirurgie de la main, faculté de médecine, université de Bourgogne, centre hospitalier universitaire de Dijon, boulevard de Lattre-de-Tassigny, 21000 Dijon, France.
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