Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
BMC Oral Health
Published in: BMC Oral Health 1/2014

Open Access 01-12-2014 | Case report

Aesthetic recovery of alveolar atrophy following autogenous onlay bone grafting using interconnected porous hydroxyapatite ceramics (IP-CHA) and resorbable poly-L-lactic/polyglycolic acid screws: case report

Authors: Kazumi Kubozono, Masaaki Takechi, Kouji Ohta, Shigehiro Ono, Takayuki Nakagawa, Shinichi Fujimoto, Nobuyuki Kamata

Published in: BMC Oral Health | Issue 1/2014

Login to get access

Abstract

Background

Onlay bone grafting techniques have some problems related to the limited volume of autogenous grafted bone and need for surgery to remove bone fixing screws. Here, we report a case of horizontal alveolar ridge atrophy following resection of a maxillary bone cyst, in which autogenous onlay bone grafting with interconnected porous hydroxyapatite ceramics (IP-CHA) and bioresorbable poly-L-lactic/polyglycolic acid (PLLA-PGA) screws was utilized.

Case presentation

A 51-year-old man had aesthetic complications related to alveolar atrophy following maxillary bone cyst extraction. We performed onlay grafting for aesthetic alveolar bone recovery using IP-CHA to provide adequate horizontal bone volume and PLLA-PGA screws for bone fixing to avoid later damage to host bone during surgical removal. During the operation, an autogenous cortical bone block was collected from the ramus mandibular and fixed to the alveolar ridge with PLLA-PGA screws, then the gap between the bone block and recipient bone was filled with a granular type of IP-CHA. Post-surgery orthopantomograph and CT scan findings showed no abnormal resorption of the grafted bone, and increased radiopacity, which indicated new bone formation in the area implanted with IP-CHA.

Conclusion

Our results show that IP-CHA and resorbable PLLA-PGA screws are useful materials for autogenous onlay bone grafting.
Appendix
Available only for authorised users
Literature
1.
Pikos MA: Block autografts for localized ridge augmentation: part I. The posterior maxilla. Implant Dent. 1999, 8: 279-285. 10.1097/00008505-199903000-00009.CrossRefPubMed
2.
Mohammadi S, Rasmusson L, Göransson L, Sennerby L, Thomsen P, Kahnberg KE: Healing of titanium implants in onlay bone grafts: an experimental rabbit model. J Mater Sci Mater Med. 2000, 11: 83-89. 10.1023/A:1008936832689.CrossRefPubMed
3.
Deie M, Ochi M, Adachi N, Nishimori M, Yokota K: Artificial bone grafting [calcium hydroxyapatite ceramic with an interconnected porous structure (IP-CHA)] and core decompression for spontaneous osteonecrosis of the femoral condyle in the knee. Knee Surg Sport Traumatol Arthrosc. 2008, 16: 753-758. 10.1007/s00167-008-0558-2.CrossRef
4.
Matsuo T, Sugita T, Shimose S, Kubo T, Sunagawa T, Yasunaga Y, Ochi M: Rigid bridging of massive femur defect using double vascularized fibula graft with hydroxyapatite. Arch Orthop Trauma Surg. 2008, 128: 941-944. 10.1007/s00402-008-0615-9.CrossRefPubMed
5.
Tamai N, Myoui A, Tomita T, Nakase T, Tanaka J, Ochi T, Yoshikawa H: Novel hydroxyapatite ceramics with an interconnective porous structure exhibit superior osteoconduction in vivo. J Biomed Mater Res. 2002, 59: 110-117. 10.1002/jbm.1222.CrossRefPubMed
6.
Yoshikawa H, Myoui A: Bone tissue engineering with porous hydroxyapatite ceramics. J Artif Organs. 2005, 8: 131-136. 10.1007/s10047-005-0292-1.CrossRefPubMed
7.
Quereshy FA, Dhaliwal HS, El SA, Horan MP, Dhaliwal SS: Resorbable screw fixation for cortical onlay bone grafting: a pilot study with preliminary results. J Oral Maxillofac Surg. 2010, 68: 2497-2502. 10.1016/j.joms.2010.05.060.CrossRefPubMed
8.
Raghoebar GM, Liem RSB, Bos RRM, Van Der Wal JE, Vissink A: Resorbable screws for fixation of autologous bone grafts. Clin Oral Implants Res. 2006, 17: 288-293. 10.1111/j.1600-0501.2005.01200.x.CrossRefPubMed
9.
Chacon GE, Ellis JP, Kalmar JR, Mcglumphy EA: Using resorbable screws for fixation of cortical onlay bone grafts: an in vivo study in rabbits. J Oral Maxillofac Surg. 2004, 62: 1396-1402. 10.1016/j.joms.2004.06.046.CrossRefPubMed
10.
Shigeishi H, Takechi M, Nishimura M, Takamoto M, Minami M, Ohta K, Kamata N: Clinical evaluation of novel interconnected porous hydroxyapatite ceramics (IP-CHA) in a maxillary sinus floor augmentation procedure. Dent Mater J. 2012, 21: 54-60.CrossRef
11.
Cutright DE, Hunsuck EE: The repair of fractures of the orbital floor using biodegradable polylactic acid. Oral Surg Oral Med Oral Pathol. 1972, 33: 28-34. 10.1016/0030-4220(72)90204-6.CrossRefPubMed
12.
Iizuka T, Mikkonen P, Paukku P, Lindqvist C: Reconstruction of orbital floor with polydioxanone plate. Int J Oral Maxillofac Surg. 1991, 20: 83-87. 10.1016/S0901-5027(05)80712-X.CrossRefPubMed
13.
Bergsma EJ, Rozema FR, Bos RRM, de Bruijn WC: Foreign body reactions to resorbable poly (L-lactide) bone plates and screws used for fixation of unstable zygomatic fractures. J Oral Maxillofac Surg. 1993, 51: 666-670. 10.1016/S0278-2391(10)80267-8.CrossRefPubMed
14.
Bos RR, Boering G, Rozema FR, Leenslag JW: Resorbable poly (L-lactide) plates and screws for the fixation of zygomatic fractures. J Oral Maxillofac Surg. 1987, 45: 751-10.1016/0278-2391(87)90194-7.CrossRefPubMed
15.
Feretti C: A prospective trial of poly-L-lactic/polyglycolic acid co-polymer plates and screws for internal fixation of mandibular fractures. Int J Oral Maxillofac Surg. 2008, 37: 242-248. 10.1016/j.ijom.2007.11.015.CrossRef
16.
Eppley BL, Reilly M: Degradation characteristics of PLLA-PGA bone fixation devices. J Craniofac Surg. 1997, 2: 116-120.CrossRef
17.
Edwards RC, Kiely KD, Eppley BL: The fate of resorbable poly-L-lactic/polyglycolic acid (LactoSorb) bone fixation devices in orthognathic surgery. J Oral Maxillofac Surg. 2001, 59: 19-25. 10.1053/joms.2001.19267.CrossRefPubMed
18.
Eckelt U, Nitsche M, Müller A, Pilling E, Pinzer T, Roesner D: Ultrasound aided pin fixation of biodegradable osteosynthetic materials in cranioplasty for infants with craniosynostosis. J Craniomaxillofac Surg. 2007, 35: 218-221. 10.1016/j.jcms.2007.04.005.CrossRefPubMed
19.
Brkaric M, Baker KC, Israel R, Harding T, Montgomery DM, Herkowitz HN: Early failure of bioabsorbable anterior cervical fusion plates: case report and failure analysis. J Spinal Disord Tech. 2007, 20: 248-254. 10.1097/BSD.0b013e318030d2f3.CrossRefPubMed
20.
Uchida A, Araki N, Shinto Y, Yoshikawa H, Kurisaki E, Ono K: The use of calcium hydroxyapatite ceramic in bone tumour surgery. J Bone Joint Surg Br. 1990, 72: 298-302.PubMed
21.
Matsumine A, Myoui A, Kusuzaki K, Araki N, Seto M, Yoshikawa H, Uchida A: Calcium hydroxyapatite ceramic implants in bone tumor surgery. A long-term follow-up study. J Bone Joint Surg Br. 2004, 86: 719-725. 10.1302/0301-620X.86B5.14242.CrossRefPubMed
22.
Ayers RA, Simske SJ, Nunes CR, Wolford LM: Long-term bone ingrowth and residual micro hardness of porous block hydroxyapatite implants in humans. J Oral Maxillofac Surg. 1998, 56: 1297-1301. 10.1016/S0278-2391(98)90613-9.CrossRefPubMed
23.
Proussaefs P, Lozada J, Valencia G, Rohrer MD: Histologic evaluation of a hydroxyapatite onlay bone graft retrieved after 9 years: a clinical report. J Prosthet Dent. 2002, 87: 481-484. 10.1067/mpr.2002.122961.CrossRefPubMed
Metadata
Title
Aesthetic recovery of alveolar atrophy following autogenous onlay bone grafting using interconnected porous hydroxyapatite ceramics (IP-CHA) and resorbable poly-L-lactic/polyglycolic acid screws: case report
Authors
Kazumi Kubozono
Masaaki Takechi
Kouji Ohta
Shigehiro Ono
Takayuki Nakagawa
Shinichi Fujimoto
Nobuyuki Kamata
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2014
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/1472-6831-14-60

Other articles of this Issue 1/2014

BMC Oral Health 1/2014 Go to the issue

Research article

Barriers to adopting and implementing an oral health programme for managing early childhood caries through primary health care providers in Lima, Peru

Research article

Pyrosequencing of supra- and subgingival biofilms from inflamed peri-implant and periodontal sites

Research article

Socioeconomic differences in self-rated oral health and dental care utilisation after the dental care reform in 2008 in Sweden

Research article

One year survival of ART and conventional restorations in patients with disability

Research article

Measuring oral health literacy: a scoping review of existing tools

Research article

Methodological quality and implications for practice of systematic Cochrane reviews in pediatric oral health: a critical assessment