Jaw reconstruction with grafted autologous bone: early insertion of osseointegrated implants and early prosthetic loading.
OBJECTIVE
The aim of the present pilot study was to evaluate the behavior of grafted iliac bone placed in atrophic alveolar ridges, when osseointegrated implants were inserted early (2 months after grafting) and when prosthetic loading was anticipated (2 months after fixture insertion).


METHODS
Dental panoramic x-rays and computed tomography (CT) scans were carried out before the grafting procedure, after implant placement, and after prosthetic loading (after 30 months).


RESULTS
Grafted bone tissue showed a resorption of about 21.8%. Clinical evaluation of implant therapy following Melloning and Triplett criteria showed 91% success considering the total number of implants inserted.


CONCLUSIONS
The follow-up at 6, 12, and 30 months after fixed prostheses placement showed that early implant insertion and early prosthetic loading can lead to better results than those obtained from standard protocols.
Malchiodi
Luciano
L
Department of Oral Surgery, University of Verona, Verona, Italy.
Quaranta
Alessandro
A
D'Addona
Antonio
A
Scarano
Antonio
A
Quaranta
Manlio
M
D000328:Adult; D000368:Aged; D016301:Alveolar Bone Loss / Q000000981:diagnostic imaging / Q000534:rehabilitation; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods*; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D003799:Dental Stress Analysis; D005260:Female; D006801:Humans; D007085:Ilium / Q000637:transplantation; D007575:Jaw, Edentulous / Q000000981:diagnostic imaging / Q000534:rehabilitation; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011862:Radiography, Panoramic; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D015921:Dental Implants