Postoperative Study of Bone Gain in Mandibular Alveolar Bone Reconstructed with Screw-Guided Bone Regeneration Technique and Porcine-Derived Xenograft in 42 Edentulous Patient Candidates for Implant-Prosthetic Therapy

This study aimed to test whether alveolar bone gain (width and osteodensity) in mandible implant sites, augmented by the screw-guided bone regeneration (S-GBR) technique and the porcine-derived xenograft, differ from that of the mandible sites reconstructed with S-GBR and the bovine-derived xenograf...

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Autores principales: Doriana Agop-Forna, Roland Törok, Bianca Törok, Raluca Dragomir, David M. Dohan Ehrenfest, Cristina Dascălu, Carmen Gabriela Stelea
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spelling oai:doaj.org-article:cc8fd6ad41f74ec7bbc2e46ab166658b2021-11-11T14:58:14ZPostoperative Study of Bone Gain in Mandibular Alveolar Bone Reconstructed with Screw-Guided Bone Regeneration Technique and Porcine-Derived Xenograft in 42 Edentulous Patient Candidates for Implant-Prosthetic Therapy10.3390/app112198262076-3417https://doaj.org/article/cc8fd6ad41f74ec7bbc2e46ab166658b2021-10-01T00:00:00Zhttps://www.mdpi.com/2076-3417/11/21/9826https://doaj.org/toc/2076-3417This study aimed to test whether alveolar bone gain (width and osteodensity) in mandible implant sites, augmented by the screw-guided bone regeneration (S-GBR) technique and the porcine-derived xenograft, differ from that of the mandible sites reconstructed with S-GBR and the bovine-derived xenograft. Materials and method. A total of 42 edentulous patients (mean age 54.60 ± 14.90) were randomly divided into a test group (S-GBR + porcine-derived xenograft) and a control group (S-GBR + bovine-derived xenograft). The immediate implants were placed simultaneously with grafting procedures. The implant site width was measured before teeth extractions and 6 months after the augmentation procedures. Osteodensity bone values were evaluated immediately after the implant placement and at 6 months follow-up. The CBCT sections and Sidexis XG/DVT (Densply/Sirona) software were used to evaluate the changes of the width in the augmented alveolar bone. The NNT Viewer/CT (NewTom) software was used to record the osteodensity changes. Statistical comparisons between the groups were performed by the Mann–Whitney and <i>t</i>-tests (significance level <i>p</i> < 0.05). Results. The mean values of the bone gain at 6 months follow-up (control group vs. test group) were as follows: width (4.107 mm vs. 4.1624 mm); osteodensity (276.83 HU vs. 254.24 HU). The statistical analysis found the absence of statistically significant differences between the two groups regarding the bone gain (width and osteodensity) at 6 months after the augmentation and the immediate implant placement. <b>Conclusions.</b> The horizontal bone and osteodensity gains in the porcine-derived group were similar and without significant statistical differences when compared with the implant sites reconstructed with the bovine-derived xenografts group at 6 months postoperatively. The reconstruction of the mandibular alveolar bone by the S-GBR technique and the porcine-derived xenografts is a valid bone regeneration strategy for edentulous patients with moderate/severe horizontal resorption of the mandibular alveolar bone.Doriana Agop-FornaRoland TörokBianca TörokRaluca DragomirDavid M. Dohan EhrenfestCristina DascăluCarmen Gabriela SteleaMDPI AGarticledental implantsbone resorptionS-GBRxenograftbone gainTechnologyTEngineering (General). Civil engineering (General)TA1-2040Biology (General)QH301-705.5PhysicsQC1-999ChemistryQD1-999ENApplied Sciences, Vol 11, Iss 9826, p 9826 (2021)
institution DOAJ
collection DOAJ
language EN
topic dental implants
bone resorption
S-GBR
xenograft
bone gain
Technology
T
Engineering (General). Civil engineering (General)
TA1-2040
Biology (General)
QH301-705.5
Physics
QC1-999
Chemistry
QD1-999
spellingShingle dental implants
bone resorption
S-GBR
xenograft
bone gain
Technology
T
Engineering (General). Civil engineering (General)
TA1-2040
Biology (General)
QH301-705.5
Physics
QC1-999
Chemistry
QD1-999
Doriana Agop-Forna
Roland Törok
Bianca Törok
Raluca Dragomir
David M. Dohan Ehrenfest
Cristina Dascălu
Carmen Gabriela Stelea
Postoperative Study of Bone Gain in Mandibular Alveolar Bone Reconstructed with Screw-Guided Bone Regeneration Technique and Porcine-Derived Xenograft in 42 Edentulous Patient Candidates for Implant-Prosthetic Therapy
description This study aimed to test whether alveolar bone gain (width and osteodensity) in mandible implant sites, augmented by the screw-guided bone regeneration (S-GBR) technique and the porcine-derived xenograft, differ from that of the mandible sites reconstructed with S-GBR and the bovine-derived xenograft. Materials and method. A total of 42 edentulous patients (mean age 54.60 ± 14.90) were randomly divided into a test group (S-GBR + porcine-derived xenograft) and a control group (S-GBR + bovine-derived xenograft). The immediate implants were placed simultaneously with grafting procedures. The implant site width was measured before teeth extractions and 6 months after the augmentation procedures. Osteodensity bone values were evaluated immediately after the implant placement and at 6 months follow-up. The CBCT sections and Sidexis XG/DVT (Densply/Sirona) software were used to evaluate the changes of the width in the augmented alveolar bone. The NNT Viewer/CT (NewTom) software was used to record the osteodensity changes. Statistical comparisons between the groups were performed by the Mann–Whitney and <i>t</i>-tests (significance level <i>p</i> < 0.05). Results. The mean values of the bone gain at 6 months follow-up (control group vs. test group) were as follows: width (4.107 mm vs. 4.1624 mm); osteodensity (276.83 HU vs. 254.24 HU). The statistical analysis found the absence of statistically significant differences between the two groups regarding the bone gain (width and osteodensity) at 6 months after the augmentation and the immediate implant placement. <b>Conclusions.</b> The horizontal bone and osteodensity gains in the porcine-derived group were similar and without significant statistical differences when compared with the implant sites reconstructed with the bovine-derived xenografts group at 6 months postoperatively. The reconstruction of the mandibular alveolar bone by the S-GBR technique and the porcine-derived xenografts is a valid bone regeneration strategy for edentulous patients with moderate/severe horizontal resorption of the mandibular alveolar bone.
format article
author Doriana Agop-Forna
Roland Törok
Bianca Törok
Raluca Dragomir
David M. Dohan Ehrenfest
Cristina Dascălu
Carmen Gabriela Stelea
author_facet Doriana Agop-Forna
Roland Törok
Bianca Törok
Raluca Dragomir
David M. Dohan Ehrenfest
Cristina Dascălu
Carmen Gabriela Stelea
author_sort Doriana Agop-Forna
title Postoperative Study of Bone Gain in Mandibular Alveolar Bone Reconstructed with Screw-Guided Bone Regeneration Technique and Porcine-Derived Xenograft in 42 Edentulous Patient Candidates for Implant-Prosthetic Therapy
title_short Postoperative Study of Bone Gain in Mandibular Alveolar Bone Reconstructed with Screw-Guided Bone Regeneration Technique and Porcine-Derived Xenograft in 42 Edentulous Patient Candidates for Implant-Prosthetic Therapy
title_full Postoperative Study of Bone Gain in Mandibular Alveolar Bone Reconstructed with Screw-Guided Bone Regeneration Technique and Porcine-Derived Xenograft in 42 Edentulous Patient Candidates for Implant-Prosthetic Therapy
title_fullStr Postoperative Study of Bone Gain in Mandibular Alveolar Bone Reconstructed with Screw-Guided Bone Regeneration Technique and Porcine-Derived Xenograft in 42 Edentulous Patient Candidates for Implant-Prosthetic Therapy
title_full_unstemmed Postoperative Study of Bone Gain in Mandibular Alveolar Bone Reconstructed with Screw-Guided Bone Regeneration Technique and Porcine-Derived Xenograft in 42 Edentulous Patient Candidates for Implant-Prosthetic Therapy
title_sort postoperative study of bone gain in mandibular alveolar bone reconstructed with screw-guided bone regeneration technique and porcine-derived xenograft in 42 edentulous patient candidates for implant-prosthetic therapy
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/cc8fd6ad41f74ec7bbc2e46ab166658b
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