International Journal of Oral Implantology & Clinical Research

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VOLUME 9 , ISSUE 1-3 ( January-December, 2018 ) > List of Articles

CASE REPORT

Onlay Grafting with FDBA Block Bone for Reconstruction of Localized Maxillary Ridge Defect

Rajashri A Kolte

Keywords : Onlay graft, Reconstruction, Ridge defect

Citation Information : Kolte RA. Onlay Grafting with FDBA Block Bone for Reconstruction of Localized Maxillary Ridge Defect. Int J Oral Implantol Clin Res 2018; 9 (1-3):30-34.

DOI: 10.5005/jp-journals-10012-1175

License: CC BY-NC 4.0

Published Online: 01-12-2019

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Aim: The aim of the present case was to evaluate the efficacy of freeze-dried bone allograft (FDBA) bone block in the augmentation of atrophied maxillary esthetic zone. Background: The placement of endosseous dental implants is often hampered by unfavorable anatomy of the alveolar bone thereby making it difficult for the placement of implant in an optimal prosthetic position. The loss of width of the residual alveolar ridge necessitated measures which could refurbish the lost dimensions for adequate bone availability for the implant placement. Case description: Here we report the successful management of atrophic ridge condition in the maxillary anterior esthetic zone wherein the placement of implant was made possible by the placement of FDBA bone block allograft obtained from the tissue bank. The predictable osseointegration was achieved after placement of a regular platform implant and restoration of the complete esthetics, and the patient satisfaction was attained. Conclusion: Allogenic bone blocks can serve as a good alternative for autogenous bone owing to its unlimited availablility, reduced donor site morbidity, increased patient compliance, and decreased treatment time. Clinical significance: Allogenic bone block confers an excellent alternative to autogenous bone blocks for the augmentation of atrophic maxillary ridges for the placement of endosseous implant.


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  1. Durrani F. Bone augmentation using autogenous block grafts and particulate bovine bone in the severe atrophic ridges: case reviews. Int J Contemp Dent Med Rev 2016;020316:1–4.
  2. Leonetti JA, Koup R. Localized maxillary ridge augmentation with a block allograft for dental implant placement: case reports. Implant Dent 2003;12:217–226. DOI: 10.1097/01.ID.0000078233.89631.F8.
  3. Aghaloo TL, Moy PK. Which hard tissue augmentation techniques are the most successful in furnishing bony support for implant placement? Int J Oral Maxillofac Implants 2007;22:49–70.
  4. Margonar R, dos Santos PL, et al. Rehabilitation of atrophic maxilla using the combination of autogenous and allogeneic bone grafts followed by protocol-type prosthesis. J Craniofac Surg 2010;21: 1894–1896. DOI: 10.1097/SCS.0b013e3181f4af65.
  5. Maestre-Ferrín L, Boronat-López A, et al. Augmentation procedures for deficient edentulous ridges, using onlay autologous grafts: an update. Med Oral Patol Oral Cir Bucal 2009;14:e402–e407.
  6. Quattlebaum SB, Mellonig JT, et al. Antigenicity of freeze dried cortical bone allograft in human periodontal osseous defects. J Periodontol 1988;59:394–397. DOI: 10.1902/jop.1988.59.6.394.
  7. Keith Jr JD, Petrungaro P, et al. Clinical and histologic evaluation of a mineralized block allograft: results from the developmental period (2001–2004). Int J Periodontics Restorative Dent 2006;26: 321–327.
  8. Singh A, Gupta A, et al. Reconstruction of localized maxillary ridge defect with autogenous mandibular ramus block bone graft for dental implant placement. J Dent Implant 2013;3:81–84. DOI: 10.4103/0974-6781.111722.
  9. Stevenson S, Li XQ, et al. Critical biological determinants of incorporation on non-vascularized cortical bone grafts. Quantification of a complex process and structure. J Bone Joint Surg Am 1997;79:1–16. DOI: 10.2106/00004623-199701000-00001.
  10. Prabhakara Rao KV, Pagadala S. Localized ridge augmentation using autogenous block bone graft followed by dental implant placement. J Orofac Sci 2012;4:148–152. DOI: 10.4103/0975-8844.106219.
  11. Whitecloud III TS. Complications of anterior cervical fusion. Instr Course Lect 1976;27:223–227.
  12. Al Nawas B, Schiegnitz E. Augmentation procedures using bone substitute materials or autogenous bone. Eur J Oral Implantol 2014;7(Suppl):1–16.
  13. Araujo PPT, Olivera KP, et al. Block allografts for reconstruction of alveolar bone rigde in implantology: asystemat ic review. Implant Dent 2013;22:304–308. DOI: 10.1097/ID.0b013e318289e311.
  14. Esser E, Hümmeke S, et al. The use of allogeneic bone grafts for pre-implant alveolar ridge augmentation. Z Zahnärztl Implantol 2016;32:284–296.
  15. Monje A, Pikos MA, et al. On the Feasibility of Utilizing Allogeneic Bone Blocks for Atrophic Maxillary Augmentation. Biomed Res Int 2014;2014:1–12. DOI: 10.1155/2014/814578.
  16. Dallari D, Fini M, et al. In vivo study on the healing of bone defects treated with bone marrow stromal cells, platelet rich plasma, and freeze-dried bone allografts, alone and in combination. J Orthop Res 2006;24:877–888. DOI: 10.1002/jor.20112.
  17. Myerson MS, Neufeld SK, et al. Fresh-frozen structural allografts in the foot and ankle. J Bone Joint Surg Am 2005;87:113–120. DOI: 10.2106/JBJS.C.01735.
  18. Lumetti S, Consolo U, et al. Fresh-frozen bone blocks for horizontal ridge augmentation in the upper maxilla: 6-month outcomes of a randomized controlled trial. Clin Implant Dent Relat Res 2014;16: 116–123. DOI: 10.1111/j.1708-8208.2012.00458.x.
  19. Spin-Neto R, Landazuri Del Barrio RA, et al. Clinical similarities and histological diversity comparing fresh frozen onlay bone blocks allografts and autografts in human maxillary reconstruction. Clin Implant Dent Relat Res 2013;15:490–497. DOI: 10.1111/j.1708-8208.2011.00382.x.
  20. Peleg M, Sawatary Y, et al. Use of corticocancellous allogeneic bone blocks for augmentation of alveolar bone defects. Int J Oral Maxillofac Implants 2010;25:153–162.
  21. Barone A, Varanini P, et al. Deep-frozen allogeneic onlay bone grafts for reconstruction of atrophic maxillary alveolar ridges: a preliminary study. J Oral Maxillofac Surg 2009;67:1300–1306. DOI: 10.1016/j.joms.2008.12.043.
  22. Perrott DH, Smith RA, et al. The use of fresh frozen allogeneic bone for maxillary and mandibular reconstruction. Int J Oral Maxillofac Surg 1992;21:260–265. DOI: 10.1016/S0901-5027(05) 80732-5.
  23. Buck BE, Malinin TI. Human bone and tissue allografts. Preparation and safety. Clin Orthop Relat Res 1994;303:8–17.
  24. Longoni S, Dusi L, et al. Preoperative adaptation of allogeneic bone graft using a stereolithographic model: case report of a fixed complete denture. J Osseointegr 2013;5:31–36.
  25. Hürzeler MB, Quiñones CR, et al. Treatment of periimplantitis using guided bone regeneration and bone grafts, alone or in combination, in beagle dogs. Part 1: clinical findings and histologic observations. Int J Oral Maxillofac Implants 1995;10:474–484.
  26. Rothamel D, Schwarz F, et al. Biocompatibility of various collagen membranes in cultures of human PDL fibroblasts and human osteoblast-like cells. Clin Oral Implants Res 2004;15:443–449. DOI: 10.1111/j.1600-0501.2004.01039.x.
  27. Mish CM. Implant site development using ridge splitting techniques. Oral Maxillofac Surg Clin North Am 2004;16:65–74. DOI: 10.1016/j.coms.2003.10.001.
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