Harvesting anterior iliac crest or calvarial bone grafts to augment severely resorbed edentulous jaws: a systematic review and meta-analysis of patient-reported outcomes

Wortmann, Dagmar E.; Minnen, Baucke van; Delli, K.; Schortinghuis, Jurjen; Raghoebar, Gerry M.; Vissink, Arjan

doi:10.1016/j.ijom.2022.09.002

Cited by 8 publications

(5 citation statements)

References 87 publications

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“…In conclusion, almost 80%–100% of patients reported that they would undergo the same treatment again if necessary 173 . A recent systematic review pointed out that long‐term implant survival in sites augmented with iliac crest bone is consistently lower than augmentations with intra‐oral grafts 72 .…”

Section: Autologous Donor Sites and Graft Principlesmentioning

confidence: 96%

“…83 This may also result from the high resorption rates of the iliac crest bone, especially during the initial postoperative healing phase, indicating the need for early implant placement after 3 months of healing. 86,174 Even so, iliac crest bone is mainly used in advanced cases needing more bone and, therefore, with potentially higher complications (Figure 8).…”

Section: Extraoral Bone Blocksmentioning

confidence: 99%

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Bone reconstruction of extensive maxillomandibular defects in adults

Kämmerer,

Al‐Nawas

2023

Periodontology 2000

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Reconstruction of significant maxillomandibular defects is a challenge that has been much discussed over the last few decades. Fundamental principles were developed decades ago (bone bed viability, graft immobilization). Clinical decision‐making criteria are highly relevant, including local/systemic factors and incision designs, the choice of material, grafting technique, and donor site morbidity. Stabilizing particulated grafts for defined defects—that is, via meshes or shells—might allow significant horizontal and vertical augmentation; the alternatives are onlay and inlay techniques. More significant defects might require extra orally harvested autologous bone blocks. The anterior iliac crest is often used for nonvascularized augmentation, whereas more extensive defects often require microvascular reconstruction. In those cases, the free fibula flap has become the standard of care. The development of alternatives is still ongoing (i.e., alloplastic reconstruction, zygomatic implants, obturators, distraction osteogenesis). Especially for these complex procedures, three‐dimensional planning tools enable facilitated planning and a surgical workflow.

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Section: Autologous Donor Sites and Graft Principlesmentioning

confidence: 96%

Section: Extraoral Bone Blocksmentioning

confidence: 99%

Bone reconstruction of extensive maxillomandibular defects in adults

Kämmerer,

Al‐Nawas

2023

Periodontology 2000

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“…[ 26 ] To reconstruct the ideal bony contour after trauma, maxillofacial bone augmentation surgery can be carried out using bone substitutes. [ 27 ] The most commonly used bone defect regeneration scaffold materials are xenogenic bone substitutes such as Bio‐Oss. [ 28 ] However, due to their poor cohesiveness, continuous hemorrhaging during surgery and postoperative physiological activities often leads to leakage and displacement of the bone substitutes at the bone defect site and ultimately impacts the outcome of the surgery.…”

Section: Resultsmentioning

confidence: 99%

A Mechanically Reinforced Super Bone Glue Makes a Leap in Hard Tissue Strong Adhesion and Augmented Bone Regeneration

Wang

et al. 2023

Advanced Science

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Existing bone tissue engineering strategies aim to achieve minimize surgical trauma, stabilize the injured area, and establish a dynamic osteogenic microenvironment. The cutting-edge bone glue developed in this study satisfies these criteria. Inspired by the excellent adhesive properties of mussels, herein, a super osteogenic glue (L-DPZ) that integrates poly(vinyl alcohol), L-dopa amino acid, and zeolitic imidazolate framework-8 characterized by catechol-metal coordination is used to successfully adhere to hard tissue with a maximum adhesive strength of 10 MPa, which is much higher than those of commercial and previously reported bone glues. The stable hard tissue adhesion also enables it to adhere strongly to luxated or broken teeth, Bio-Oss (a typical bone graft material), and splice fragments from comminuted fractures of the rabbit femur. Then, it is testified that the L-DPZ hydrogels exhibit satisfactory biocompatibility, stable degradability, and osteogenic ability in vitro. Moreover, the ability to anchor Bio-Oss and sustained osteogenesis of L-DPZ result in satisfactory healing in calvarial bone defect models in rabbits, as observed by increased bone thickness and the ingrowth of new bone tissue. These results are expected to demonstrate solutions to clinical dilemmas such as comminuted bone fracture fixation, bone defect reconstruction, and teeth dislocation replantation.

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“…The calvarial bone serves as a valuable alternative to iliac crest bone. Wortmann et al (2022) conducted a meta-analysis and compared patient-reported outcomes following autogenous iliac bone or calvarial bone harvesting in orally compromised patients [ 17 ]. They obtained patient-reported satisfaction with a median VAS score ranging from 8.8–10 in 206 patients following calvarial bone augmentation.…”

Section: Discussionmentioning

confidence: 99%

Patient Satisfaction and Impact on Oral Health after Maxillary Rehabilitation Using a Personalized Additively Manufactured Subperiosteal Jaw Implant (AMSJI)

Borre

Neef

Loomans

et al. 2023

JPM

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Subperiosteal implants (SIs) were first developed by Dahl in 1941 for oral rehabilitation in case of severe jaw atrophy. Over time, this technique was abandoned due to the high success rate of endosseous implants. The emergence of patient-specific implants and modern dentistry allowed a revisitation of this 80-year-old concept resulting in a novel “high-tech” SI implant. This study evaluates the clinical outcomes in forty patients after maxillary rehabilitation with an additively manufactured subperiosteal jaw implant (AMSJI®). The oral health impact profile-14 (OHIP-14) and numerical rating (NRS) scale were used to assess patient satisfaction and evaluate oral health. In total, fifteen men (mean age: 64.62 years, SD ± 6.75 years) and twenty-five women (mean age: 65.24 years, SD ± 6.77 years) were included, with a mean follow-up time of 917 days (SD ± 306.89 days) after AMSJI installation. Patients reported a mean OHIP-14 of 4.20 (SD ± 7.10) and a mean overall satisfaction based on the NRS of 52.25 (SD ± 4.00). Prosthetic rehabilitation was achieved in all patients. AMSJI is a valuable treatment option for patients with extreme jaw atrophy. Patients enjoy treatment benefits resulting in high patient satisfaction rates and impact on oral health.

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Harvesting anterior iliac crest or calvarial bone grafts to augment severely resorbed edentulous jaws: a systematic review and meta-analysis of patient-reported outcomes

Cited by 8 publications

References 87 publications

Bone reconstruction of extensive maxillomandibular defects in adults

Bone reconstruction of extensive maxillomandibular defects in adults

A Mechanically Reinforced Super Bone Glue Makes a Leap in Hard Tissue Strong Adhesion and Augmented Bone Regeneration

Patient Satisfaction and Impact on Oral Health after Maxillary Rehabilitation Using a Personalized Additively Manufactured Subperiosteal Jaw Implant (AMSJI)

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