Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.1062
Revista de Odontologia da UNESP
Original Article

Enxerto ósseo mandibular, complicações associadas às áreas doadoras e receptoras, e sobrevivência de implantes dentários: um estudo retrospectivo

Mandibular bone graft, complications associated the donor and recipient areas and survival dental implants: a retrospective study

Rocha, Julierme Ferreira; Oliveira, Júlio César Silva de; Ramos, José Wilson Noleto; Araújo Filho, José Cadmo Wanderley Peregrino de; Gonçales, Eduardo Sanches; Hochuli-vieira, Eduardo; Carvalho, Paulo Sérgio Perri de

Downloads: 4
Views: 1207

Resumo

Introdução: Enxertos ósseos retirados da sínfise ou do ramo mandibular podem ser empregados para reconstrução de defeitos localizados dos maxilares, para permitir a instalação adequada de implantes dentários. Objetivo: Este estudo tem por objetivo avaliar a ocorrência de complicações associadas com as áreas doadoras e receptoras de enxerto ósseo mandibular, e a sobrevivência de implantes dentários instalados nesses sítios reconstruídos. Material e método: Avaliaram-se 730 prontuários de pacientes submetidos a tratamento com implantes dentários. Desse universo, 72 pacientes, de ambos os gêneros, foram submetidos à reconstrução óssea com enxerto retirado da sínfise ou do ramo mandibular. Resultado: Foram observadas 13 complicações e não houve diferença estatística significante quanto à ocorrência de complicações das áreas doadoras e receptoras, e da sobrevivência de implantes dentários instalados nos sítios reconstruídos com enxerto ósseo mandibular. Conclusão: Os enxertos ósseos mandibulares permitem a reconstrução de defeitos localizados dos maxilares e não são fatores de risco para a falha de implantes dentários.

Palavras-chave

Implantes dentários, aumento do rebordo alveolar, mandíbula.

Abstract

Introduction: Grafts bone removed of the symphysis or mandibular ramus can be used for reconstruction located defect jaws to allow adequate installation of dental implants. Objective: This study aims evaluate the occurrence of complications associated with donor and receptor sites of mandibular bone graft and survival of dental implants these reconstructed sites. Material and method: Evaluated seven hundred thirty records of patients submitted treatment with dental implants. This universe, seventy-two patients of both genders, was submitted bone reconstruction with graft removed from the symphysis or the mandibular ramus. Result: Thirteen complications were observed and there was no statistically significant difference in the occurrence of complications of donor and recipient areas and survival of dental implants installed in sites reconstruction with mandibular bone graft. Conclusion: The mandibular bone grafts allow the reconstruction of defects located in jaws and don’t risk factors for failure of dental implants.

Keywords

Dental implants, alveolar ridge augmentation, mandible.

References

1. Blackburn TK, Cawood JI, Stoelinga PJ, Lowe D. What is the quality of the evidence base for pre-implant surgery of the atrophic jaw? Int J Oral Maxillofac Surg. 2008 Dez;37(12):1073-9. http://dx.doi.org/10.1016/j.ijom.2008.10.002. PMid:19046623.

2. Sittitavornwong S, Gutta R. Bone graft harvesting from regional sites. Oral Maxillofac Surg Clin North Am. 2010 Ago;22(3):317-30. http://dx.doi.org/10.1016/j.coms.2010.04.006. PMid:20713265.

3. Schliephake H, Neukam FW, Wichmann M. Survival analysis of endosseous implants in bone grafts used for the treatment of severe alveolar ridge atrophy. J Oral Maxillofac Surg. 1997 Nov;55(11):1227-33, discussion 1233-4. http://dx.doi.org/10.1016/S0278-2391(97)90173-7. PMid:9371112.

4. Sbordone L, Toti P, Menchini-Fabris GB, Sbordone C, Piombino P, Guidetti F. Volume changes of autogenous bone grafts after alveolar ridge augmentation of atrophic maxillae and mandibles. Int J Oral Maxillofac Surg. 2009 Out;38(10):1059-65. http://dx.doi.org/10.1016/j.ijom.2009.06.024. PMid:19632815.

5. Pikos MA. Mandibular block autografts for alveolar ridge augmentation. Atlas Oral Maxillofac Surg Clin North Am. 2005 Set;13(2):91-107. http://dx.doi.org/10.1016/j.cxom.2005.05.003. PMid:16139756.

6. Jensen J, Sindet-Pedersen S. Autogenous mandibular bone grafts and osseointegrated implants for reconstruction of the severely atrophied maxilla: a preliminary report. J Oral Maxillofac Surg. 1991 Dez;49(12):1277-87. http://dx.doi.org/10.1016/0278-2391(91)90303-4. PMid:1955919.

7. Misch CM. Comparison of intraoral donor sites for onlay grafting prior to implant placement. Int J Oral Maxillofac Implants. 1997 Nov-Dez;12(6):767-76. PMid:9425757.

8. Cordaro L, Amadé DS, Cordaro M. Clinical results of alveolar ridge augmentation with mandibular block bone grafts in partially edentulous patients prior to implant placement. Clin Oral Implants Res. 2002 Fev;13(1):103-11. http://dx.doi.org/10.1034/j.1600-0501.2002.130113.x. PMid:12005140.

9. Kuabara MR, Vasconcelos LW, Carvalho PSP. Técnicas cirúrgicas para obtenção de enxerto ósseo autógeno. Rev Fac Odontol Lins. 2000 Jan;12(1-2):44-51.

10. Güngörmüş M, Yavuz MS. The ascending ramus of the mandible as a donor site in maxillofacial bone grafting. J Oral Maxillofac Surg. 2002 Nov;60(11):1316-8. http://dx.doi.org/10.1053/joms.2002.35731. PMid:12420267.

11. Balaji SM. Management of deficient anterior maxillary alveolus with mandibular parasymphyseal bone graft for implants. Implant Dent. 2002;11(4):363-9. http://dx.doi.org/10.1097/00008505-200211040-00016. PMid:12518704.

12. Montazem A, Valauri DV, St-Hilaire H, Buchbinder D. The mandibular symphysis as a donor site in maxillofacial bone grafting: a quantitative anatomic study. J Oral Maxillofac Surg. 2000 Dez;58(12):1368-71. http://dx.doi.org/10.1053/joms.2000.18268. PMid:11117684.

13. Schwartz-Arad D, Levin L, Sigal L. Surgical success of intraoral autogenous block onlay bone grafting for alveolar ridge augmentation. Implant Dent. 2005 Jun;14(2):131-8. http://dx.doi.org/10.1097/01.id.0000165031.33190.0d. PMid:15968184.

14. Weibull L, Widmark G, Ivanoff CJ, Borg E, Rasmusson L. Morbidity after chin bone harvesting: a retrospective long-term follow-up study. Clin Implant Dent Relat Res. 2009 Jun;11(2):149-57. http://dx.doi.org/10.1111/j.1708-8208.2008.00102.x. PMid:18657152.

15. Nóia CF, Chaves HDM No, Lopes RO, Rodríguez-Chessa J, Mazzonetto R. Uso de enxerto ósseo autógeno nas reconstruções da cavidade bucal. Análise retrospectiva de 07 anos. Rev Port Estomatol Cir Maxilofac. 2009 Out-Dez;50(4):221-5. http://dx.doi.org/10.1016/S1646-2890(09)70022-6.

16. Joshi A. An investigation of post-operative morbidity following chin graft surgery. Br Dent J. 2004 Fev;196(4):215-8. http://dx.doi.org/10.1038/sj.bdj.4810987. PMid:15039731.

17. Clavero J, Lundgren S. Ramus or chin grafts for maxillary sinus inlay and local onlay augmentation: comparison of donor site morbidity and complications. Clin Implant Dent Relat Res. 2003;5(3):154-60. http://dx.doi.org/10.1111/j.1708-8208.2003.tb00197.x. PMid:14575631.

18. Silva FM, Cortez AL, Moreira RW, Mazzonetto R. Complications of intraoral donor site for bone grafting prior to implant placement. Implant Dent. 2006 Dez;15(4):420-6. http://dx.doi.org/10.1097/01.id.0000246225.51298.67. PMid:17172961.

19. Chuang SK, Wei LJ, Douglass CW, Dodson TB. Risk factors for dental implant failure: a strategy for the analysis of clustered failure-time observations. J Dent Res. 2002 Ago;81(8):572-7. http://dx.doi.org/10.1177/154405910208100814. PMid:12147750.

20. Naert I, Koutsikakis G, Duyck J, Quirynen M, Jacobs R, van Steenberghe D. Biologic outcome of implant-supported restorations in the treatment of partial edentulism. part I: a longitudinal clinical evaluation. Clin Oral Implants Res. 2002 Ago;13(4):381-9. http://dx.doi.org/10.1034/j.1600-0501.2002.130406.x. PMid:12175375.

21. Rabelo GD, Paula PM, Rocha FS, Jordão Silva C, Zanetta-Barbosa D. Retrospective study of bone grafting procedures before implant placement. Implant Dent. 2010 Ago;19(4):342-50. http://dx.doi.org/10.1097/ID.0b013e3181e416f9. PMid:20683291.

22. Soehardi A, Meijer GJ, Strooband VF, Koning M, Stoelinga PJ. The potential of the horizontal ramus of the mandible as a donor site for block and particular grafts in pre-implant surgery. Int J Oral Maxillofac Surg. 2009 Nov;38(11):1173-8. http://dx.doi.org/10.1016/j.ijom.2009.07.006. PMid:19699058.

23. Levin L, Nitzan D, Schwartz-Arad D. Success of dental implants placed in intraoral block bone grafts. J Periodontol. 2007 Jan;78(1):18-21. http://dx.doi.org/10.1902/jop.2007.060238. PMid:17199534.

588019dc7f8c9d0a098b538c rou Articles
Links & Downloads

Rev. odontol. UNESP

Share this page
Page Sections