A survey of clinical members of the association of dental implantology in the United Kingdom. Part II. The use of augmentation materials in dental implant surgery.
The following were the objectives of Part II of the survey: (1) to determine which augmentation materials were used by respondents, (2) to elicit which factors influenced the choice of augmentation materials, (3) to establish the perceived levels of evidence that support augmentation materials, and (4) to ascertain the clinical applications of particulate augmentation materials (autografts, allografts, and alloplasts). Autogenous bone and demineralized freeze-dried bone are used most frequently. The majority of respondents involved in bone augmentation indicated that alloplasts and allografts should be used to correct small defects or as volume expanders in conjunction with autogenous bone. Research publications and personal clinical observation mainly determine the choice of an augmentation material. Of the clinicians who preferred to use autogenous bone, 26.3% thought that there was at least one randomized controlled trial with histological evidence supporting its use in oral implantology. In comparison, 30% of demineralized freeze-dried bone users thought that there was at least one randomized controlled trial with histological evidence supporting its use. Collected bone debris is currently used for the correction of bone dehiscences and fenestrations around endosseous dental implants in the simultaneous implant-placement augmentation technique. There is a pressing requirement for the two most commonly used augmentation materials (autogenous bone and demineralized freeze-dried bone) to be evaluated by accepted scientific protocols. Although regard for autogenous bone as an augmentation material is high, its use in the form of collected bone debris seems to be limited at present.
Young
M P
MP
Units of Oral Surgery and Oral Pathology, Turner Dental School and Hospital, University of Manchester, Manchester, UK. Howard.Carter@man.ac.uk
Sloan
P
P
Quayle
A A
AA
Carter
D H
DH
D000540:Alveolar Ridge Augmentation / Q000379:methods* / Q000706:statistics & numerical data*; D018786:Bone Substitutes; D016025:Bone Transplantation / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D005612:Freeze Drying; D006801:Humans; D019239:Practice Patterns, Dentists' / Q000706:statistics & numerical data*; D012953:Societies, Dental; D011795:Surveys and Questionnaires; D014182:Transplantation, Autologous; D006113:United Kingdom
D018786:Bone Substitutes