title: Containment and contouring (CoCoon) technique: a biologically adequate approach to less invasive autogenous preimplant augmentation of bone.
abstract: We have analysed retrospectively whether the less invasive zygomatic buttress graft is able to meet the dimensional and biological requirements of preimplant augmentation of bone. A total of 273 patients were treated by zygomatic buttress graft, of whom 42 (12 men and 30 women) met the criteria for inclusion. Intensity of pain was judged by a visual analogue score (VAS). Complications of grafting were evaluated, and dental implants were studied on clinical and radiographic examinations. The Schneiderian membrane was perforated in 13 cases (28%). The mean (SD) postoperative VAS was 3.1 (0.9) at the donor site. The mean (SD) follow-up after implant was 17(8) months. Two grafts were lost, one from initial dehiscence and later infection, and the other from infection. The mean (SD) marginal resorption of bone graft was 0.5 (0.7) mm. No implant was lost during the observation period. The zygomatic buttress graft meets the biological and dimensional requirements of augmentation of bone before implant that allows the dental implants to survive with satisfactory prosthetic rehabilitation.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Hannover Medical School, Germany. Electronic address: Gellrich.Nils-Claudius@mh-hannover.de.
authors.forename: Nils-Claudius
authors.initials: NC
authors.lastname: Gellrich
authors.forename: Kai-Hendrik
authors.initials: KH
authors.lastname: Bormann
authors.forename: Shahram
authors.initials: S
authors.lastname: Tehranchian
authors.forename: Horst
authors.initials: H
authors.lastname: Kokemüller
authors.forename: Maria Mercedes
authors.initials: MM
authors.lastname: Suarez-Cunqueiro
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D064592:Autografts / Q000637:transplantation*; D001862:Bone Resorption / Q000209:etiology; D016025:Bone Transplantation / Q000379:methods*; D015921:Dental Implants; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008443:Maxillary Sinus / Q000293:injuries; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D009297:Nasal Mucosa / Q000293:injuries; D010147:Pain Measurement / Q000379:methods; D010149:Postoperative Pain / Q000209:etiology; D012189:Retrospective Studies; D013529:Surgical Wound Dehiscence / Q000209:etiology; D013530:Surgical Wound Infection / Q000209:etiology; D060053:Transplant Donor Site / Q000601:surgery*; D055815:Young Adult; D015050:Zygoma / Q000601:surgery*
chemical_list: D015921:Dental Implants