Listrom R D, Symington J M
Division of Oral and Maxillofacial Surgery, Toronto General Hospital, Canada.
Int J Oral Maxillofac Surg. 1988 Apr;17(2):116-8. doi: 10.1016/s0901-5027(88)80163-2.
This paper relates to the experience with 12 patients who received osseointegrated dental implants of the Branemark design associated with bone grafts. 4 patients had iliac crest grafts, 2, of which were inserted together with the implants. Two had metatarsal reconstruction of the anterior mandible with the implants installed at a later date. 2 patients had particulate marrow grafts with immediate installation of the implants. Of the remainder, 1 had a late implantation of a myo-osseous flap utilizing the clavicle and the other delayed implantation of a split rib graft. The mean age of the patients in this series is 49.5 years. The mean loading time for completed cases is 18 months. 7 patients have had their dentition successfully restored, 3 lost the initial implants, 2 of which have been re-operated. One patient died prior to loading and one awaits the final surgical procedure. The results of the particulate marrow and split rib grafts were disappointing. The remainder suggest that osseointegrated dental implants may be utilized with appropriate bone grafting techniques to restore the dentition in patients with severe bone loss or following the surgical ablation of malignant disease.
本文涉及12例接受与骨移植相关的Branemark设计的骨整合牙种植体的患者的经验。4例患者采用髂嵴移植，其中2例与种植体一起植入。2例患者进行了下颌前部的跖骨重建，种植体在稍后日期安装。2例患者采用颗粒状骨髓移植并立即植入种植体。其余患者中，1例后期植入了利用锁骨的肌骨瓣，另1例延迟植入了劈开的肋骨移植骨。该系列患者的平均年龄为49.5岁。完成病例的平均加载时间为18个月。7例患者的牙列已成功修复，3例失去了最初的种植体，其中2例已再次手术。1例患者在加载前死亡，1例等待最后的外科手术。颗粒状骨髓和劈开肋骨移植的结果令人失望。其余结果表明，骨整合牙种植体可与适当的骨移植技术一起用于恢复严重骨丢失患者或恶性疾病手术切除后的牙列。
