EVALUATION OF ALVEOLAR OSTEOTOMY FOR CORRECTION OF VERTICAL BONE RESORPTION IN ANTERIOR MANDIBULAR RIDGE USING A MIXTURE OF TWO GRAFTED MATERIALS

Younis, Passent A.; Elsabbagh, Ahmed M.; Eldibany, Riham M.

doi:10.21608/adjalexu.2018.57598

EVALUATION OF ALVEOLAR OSTEOTOMY FOR CORRECTION OF VERTICAL BONE RESORPTION IN ANTERIOR MANDIBULAR RIDGE USING A MIXTURE OF TWO GRAFTED MATERIALS

Document Type : Original Article

Authors

¹ Instructor at Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University.

² Professor at Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University.

10.21608/adjalexu.2018.57598

Abstract

INTRODUCTION: Extensive loss of alveolar bone and teeth in the anterior mandible presents a complex problem for reconstruction. Alveolar osteotomy technique with the use of mixture of hydroxy apatite and beta-tricalcium phosphate together with injectable PRF is one of the reliable methods to restore vertical ridge deficiencies. OBJECTIVES: : Evaluate vertical ridge augmentation using sandwich osteotomy technique in anterior atrophic mandible and the use of hydroxy apatite, beta-tri-calcium phosphate mixed with injectable PRF as a grafting material. MATERIALS AND METHODS: This study was conducted clinically on 8 patients indicated for vertical ridge augmentation by sandwich technique osteotomy and fixation of the osteomatized segment by micro-plates and screws, and the placement of Ha- BTCP mixed with I-PRF as interpositional graft material. Patients were evaluated clinically and radiographically by using panoramic radiograph and cone beam computed tomography (CBCT). RESULTS: In this study no severe pain was recorded postoperatively. No signs of inflammation or swelling were observed in almost all of the patients along the follow up period. Vertical bone height gain of the residual ridge was satisfactory and prepared the ridge to receive final prosthesis successfully. CONCLUSIONS Sandwich osteotomy technique with Ha- BTCP mixed with I-prf is a reliable method to restore vertical ridge deficiencies in anterior mandible.

Keywords

References

1.Mercier P, Lafontant R. Residual alveolar ridge atrophy: classification and influence of facial morphology. J Prosthet Dent. 1979; 41: 90–100.

2.Esposito M, Grusovin MG, Felice P, Karatzopoulos G, Worthington HV, Coulthard P. Interventions for replacing missing teeth: horizontal and vertical bone augmentation techniques for dental implant treatment. Cochrane Database Syst Rev. 2009; 7:CD003607.

3.Bormann KH, Suarez-Cunqueiro MM, von See C, Kokemuller H, Schumann P, Gellrich NC. Sandwich osteotomy for vertical and transversal augmentation of the posterior mandible. Int J Oral Maxillofac Surg. 2010; 39: 554–60.

4. Schettler D, Holtermann W. Clinical and experimental results of a sandwich-technique for mandibular alveolar ridge augmentation. J Maxillofac Surg. 1977; 5: 199–202.

5.Luigi L, Giovanna I, Adriano P, Lorenzo, and Marco C. Vertical ridge augmentation of the atrophic posterior mandible with sandwich technique: Bone block from the chin area versus corticocancellous bone block allograft— clinical and histological prospective randomized controlled study. Biomed Res Int. 2014; 2014: 982104.

6. Strietzel FP, Reichart PA, Graf HL. Lateral alveolar ridge augmentation using a synthetic nano-crystalline hydroxyapatite bone substitution material (Ostim): preliminary clinical and histological results. Clin Oral Implants Res. 2007; 18: 743–51.

7. Saikia KC, Bhattacharya TD, Bhuyan SK, Talukdar DJ, Saikia SP, P Jitesh. Calcium phosphate ceramics as bone graft substitutes in filling bone tumor defects. Indian J Orthop. 2008; 42: 169-72.

8. Nilüfer B, Sinem Y, Merva S T, Kemal A. The use of platelet-rich fibrin in combination with biphasic calcium phosphate in the treatment of bone defects: a histologic and histomorphometric study. Curr Ther Res Clin Exp. 2013; 75: 15–21.

9.Choukran J, Diss A, Simonpieri A, Girard MO, Schoeffler C, Dohan SL, et al. Platelet Rich Fibrin (PRF): A second generation platelet concentrate. Part IV: Clinical effects on tissue healing. Oral Surg Oral Med Pathol Oral Radiol Endod. 2006; 101: 56-60.

10.Jensen MP, Karoly P, Braver S. The measurement of clinical pain intensity: a comparison of six methods. Pain. 1986; 27: 117-26.

11.Moy PK, Medina D, Shetty V, Aghaloo TL. Dental implant failure rates and associated risk factors.Int J Oral Maxillofac Implants. 2005; 20: 569-77.

12.Keller EE, Tolman DE, Eckert SE. Maxillary antral-nasal inlay autogenous bone graft reconstruction of compromised maxilla: a 12-year retrospective study. Int J Oral Maxillofac Implants. 1999; 14: 707-21.

13.Blomqvist JE, Alberius P, Isaksson S, Linde A, Hansson BG. Factors in implant integration failure after bone grafting: an osteometric and endocrinologic matched analysis. Int J Oral Maxillofac Surg. 1996; 25: 63-8.

14.Levin L, Schwartz-Arad D. The effect of cigarette smoking on dental implants and related surgery. Implant Dent. 2005; 14: 357-61.

15.Herzberg R, Dolev E, Schwartz-Arad D. Implant marginal bone loss in maxillary sinus graft. Int J Oral Maxillofac Implants.2005; 21: 103-10.

16.Sohn DS, Shin HI, Ahn MR, Lee JS. Piezoelectric vertical bone augmentation using the sandwich technique in an atrophic mandible and histomorphometric analysis of mineral allografts: a case report series. Int J Periodontics Restorative Dent. 2010; 30: 383-91.

17.Jee-Won M, Byung-J, Won-Hyuk L, Kyung M, Sohn DS. Reconstruction of Atrophic Anterior Mandible Using Piezoelectric Sandwich Osteotomy: A Case Report. Implant Dent 2009; 18: 195-202.

18.Carini F, Saggese V, Porcaro G, Baldoni M. Piezoelectric surgery in dentistry: a review. Minerva Stomatol 2014; 63: 7-34.

19.Peker Tekdal G, Bostanci N, Belibasakis GN, Gurkan A. The effect of piezoelectric surgery implant osteotomyon radiological and molecular parameters of peri-implant crestal bone loss: a randomized, controlled, split-mouth trial. Clin Oral Implants Res 2015; 16: 1-10.

20.Gupta V, Dina VL, Barragan M, Berkland CJ, Detamore MS. Microsphere-based scaffolds encapsulating tricalcium phosphate and hydroxyapatite for bone regeneration. J Mater Sci Mater Med 2016; 27: 121.

21.Mourão CF, Valiense H, Melo ER, Mourão NB, Maia MD. Obtention of injectable platelets rich-fibrin (i-PRF) and its polymerization with bone graft: technical note. Rev Col Bras Cir. 2015; 42: 421-3.

22.Miron RJ, Hernandez M, Kandalam U, Zhang Y, Ghanaati S, Choukroun J et al. Injectable platelet rich fibrin (i-PRF): opportunities in regenerative dentistry? Clin Oral Investig. 2017.

23.Toffler M, Toscano N, Holtzclaw D, Corso MD, Dohan Ehrenfest DM. Introducing Choukroun’s platelet rich fibrin (PRF) to the reconstructive surgery milieu. J Implant Clin Adv Dent. 2009; 1: 21-30.

24.Del Corso M, Toffler M, Dohan Ehrenfest DM. Use of an autologous leukocyte and platelet-rich fibrin (L-PRF) membrane in post-avulsion sites: an overview of Choukroun’s PRF. J Implant Adv Clin Dent. 2010; 1: 27- 35.

25.Kawase T, Kamiya M, Kobayashi M, Tanaka T, Okuda K, Wolff, LF, et al. The heat-compressiontechnique for the conversion of platelet-rich fibrin preparation to a barrier membrane with a reduced rate ofbiodegradation. J Biomed Mater Res B Appl Biomater. 2015; 103: 825- 31.

26. Jensen OT, Kuhlke L, Bedard JF. Alveolar segmental sandwich osteotomy for anterior maxillary vertical augmentation prior to implant placement. J Oral Maxillofac Surg. 2006; 64: 290-6.

27.Amir L, Ole TJ, Eyal T, Nardy C. Alveolar Sandwich Osteotomy in resorbed alveolar ridge for dental implants: A 4 years prospective study. J Oral and Maxillofac Surg. 2014; 72: 292-303.

28.Choi BH, Lee SH, Young JH, Gyun Han S. Use of the sandwich osteotomy plus an interpositional allograft for vertical augmentation of the alveolar ridge. J CranioMaxillofac Surg 2004; 32: 51-4