Linear and volumetric gain after vertical bone augmentation in the posterior mandible using an autologous cortical tenting method

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This study was performed to evaluate the linear and volumetric effects of a technique for reconstruction of the posterior atrophic mandible, including the final bone gain of the graft, by three-dimensional assessment. Thirteen individuals were recruited into the study and submitted to a total of 15 mandibular autogenous bone block surgeries. Cone beam computed tomography images were obtained at three different times. Bone graft length and thickness, and the volume, height, and width of the graft were measured. Data were compared statistically among the time points using the Friedman test, and cluster analysis was performed to identify the association between the study variables and the resorption rate (α = 0.05). Linear analysis of the width and height of the recipient area at the different time points revealed a statistically significant difference. The final average increase in height was 1.6 mm; all subjects showed an average volume gain of 3.412mm3, and 77% of the subjects showed an average graft resorption of 0.688mm3 construction of three-dimensional vertical defects of the posterior mandible resulted in good healing with minimal complications and minimal bone graft resorption, favouring vertical bone gain

Abstract

Assunto

Bone Transplantation, Bone regeneration, Cone beam computed tomography, Mandible, General surgery

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bone transplantation International Journal of Oral and Maxillofacial Surgery, bone regeneration bone regeneration; bone transplantation; cone beam computed tomography; mandible., fao clínica, odonto restauradora assunto transplante osso busca dia 16 do 08 agosto ano 2023 acesso restrito

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https://www.ijoms.com/article/S0901-5027(19)31108-7/fulltext

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