Skip to main content
SpringerLink
Log in

Rehabilitation von Patienten mit extrem atrophierten Kiefern mittels Implantatinsertion nach Augmentation von autologem Beckenkammknochen

Rehabilitation of patients with extreme alveolar atrophies using implants after augmentation with iliac bone. A retrospective clinical study with an observation period of up to 13 years

Eine bis zu dreizehnjährige retrospektive klinische Studie

  • Originalarbeit
  • Published:
Stomatologie

Zusammenfassung

Das Ziel der vorliegenden Untersuchung war die Erfolgskontrolle von Implantationen in mit Beckenkammknochen augmentierte Kieferregionen. Die retrospektive Untersuchung betraf 599 Implantationen, welche in den Jahren 1991 bis 2005 bei 110 Patienten (36 männliche und 74 weibliche Patienten mit einem Durchschnittsalter von 50,5 Jahren) in der Klinik für Mund-Kiefer-Gesichtschirurgie der Charité, Berlin vorgenommen wurden. Vor der Implantatinsertion wurden unterschiedliche Operationstechniken zur Erhöhung der Knochenquantität durchgeführt. Insgesamt wurden 435 Implantate (n = 80 Patienten) im Oberkiefer eingesetzt, 164 Implantate (n = 30 Patienten) wurden als Basis für implantatgetragenen Zahnersatz im Unterkiefer inseriert. 65 Patienten des Kollektivs wiesen keine Restbezahnung auf, 45 Patienten waren teilbezahnt. Verschiedene Untersuchungskriterien wie das Alter, das Geschlecht und der Zahnstatus der behandelten Patienten, die Lokalisation der Implantate sowie die Augmentationstechnik waren hinsichtlich des Implantaterfolges statistisch ohne signifikanten Einfluss. Eine implantatbezügliche 13-Jahres Überlebensrate von 85% für Implantate in mit Beckenkammknochen augmentierten Kiefern zeigt, dass eine langfristige Therapie erfolgsversprechend ist.

Summary

The aim of this retrospective study was to evaluate the survival rate of dental implants placed in iliac bone grafted jaws. In this study 559 implants were analyzed which were placed in 110 patients (36 males and 74 females with a mean age of 50.5 yrs.) from 1991–2005 in the Clinic of Oral- and Maxillofacial Surgery of the Charité, Berlin. Prior to implant placement different augmentation procedures were performed to enhance the bone quantity. In the maxilla 435 implants (n = 80 Patienten) were placed and in the mandibula 164 implants (n = 30 patients) were used for implant-retained prostheses. The parameters age, gender, dentition as well as the localization and augmentation technique showed no significant influence on the survival of the implants. A cumulative survival rate of 85% after 13 years for implants placed in iliac bone grafting jaws shows promising results for a long-term rehabilitation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Literatur

  • August M, Chung K, Chang Y, Glowaki J (2001) Influence of estrogen status on endosseous implant osseointegration. J Oral Maxillofac Surg 59: 1285–1289

    Article  PubMed  Google Scholar 

  • Bell RB, Blakey GH, White RP, Hillebrand DG, Molina A (2002) Staged reconstruction of the severely atrophic mandible with autogenous bone graft and endosteal implants. J Oral Maxillofac Surg 60: 1135–1141

    Article  PubMed  Google Scholar 

  • Bell WH, Buche WA, Kennedy JW, Ampril JP (1977) Surgical correction of the atrophic ridge. J Oral Surg 43: 485–498

    Article  Google Scholar 

  • Brånemark PI, Zarb GA, Albrektsson T (1985) Tissue-integrated prostheses. Osseointegration in clinical dentistry. Quintessenz

  • Buser D, Tonetti M (1997) Clinical trials on implants in regenerated bone. Ann Periodontol 2: 329–342

    PubMed  Google Scholar 

  • Clayman MA, Clayman SM, Seagle MB (2006) A review of the surgical and medical treatment of Frey syndrome. Ann Plast Surg 57: 581–584

    Article  PubMed  Google Scholar 

  • Esposito M, Worthington HV, Thomsen P, Coulthard P (2003) Interventions for replacing missing teeth: dental implants in zygomatic bone for the rehabilitation of the severely deficient edentulous maxilla. Cochrane Database Syst Rev, CD004151

  • Gonzalez-Garcia R, Naval-Gias L, Munoz-Guerra MF, Sastre-Perez J, Rodriguez-Campo FJ, Gil-Diez-Usandizaga JL (2005) Preprosthetic and implantological surgery in patients with severe maxillary atrophy. Med Oral Pathol Oral Cir Buccal 10: 343–354

    Google Scholar 

  • International Research Group on Reconstructive Preprosthetic Surgery, Consensus Report (2000) Int J Oral Maxillofac Surg 29: 159

    Google Scholar 

  • Kahnberg KE, Ekestubbe A, Gröndahl K, Nilsson P, Hirsch JM (2001) Sinuslifting procedure. I. One-stage surgery with bone transplant and implants. Clin Oral Impl Res 12: 479–487

    Article  Google Scholar 

  • Kahnberg KE, Vannas-Löfqvist L (2005) Maxillary osteotomy with an interpositional bone graft and implants for reconstruction of the severely resorbed maxilla: a clinical report. Int J Oral Maxillofac Implants 20: 938–945

    PubMed  Google Scholar 

  • Keller EE, van Roekel NB, Desjardins RP, Tolman DE (1987) Prosthetic–surgical reconstruction of the severely resorbed maxilla with iliac bone grafting and tissue-integrated prostheses. Int J Oral Maxillofac Surg 2: 155–165

    Google Scholar 

  • Lekholm U, Wannfors K, Isaksson S, Adielsson B (1999) Oral implants in combination with bone grafts. A 3-year retrospective multicenter study using the Brånemark implant system. Int J Oral Maxillofac Surg 28: 181–187

    Article  PubMed  Google Scholar 

  • Malchiodi L, Pompa G, Castiglione E (2001) Severe maxillary bone atrophy and autologous bone graft: Follow up on 45. J Dent Res 80: 352

    Google Scholar 

  • Malchiodi L, Quaranta A, D'Addona A, Scarano A, Quaranta M (2006) Jaw reconstruction with grafted autologous bone: early insertion of osseointegrated implants and early prosthetic loading. J Oral Maxillofac Surg 64: 1190–1198

    Article  PubMed  Google Scholar 

  • Marx RE, Garg AK (1998) Bone structure, metabolism, and physiology: its impact on dental implantology. Implant Dent 7: 267–276

    Article  PubMed  Google Scholar 

  • Marx RE, Kline SN (1983) Principles and methods of osseous reconstruction. Int Adv Surg Oncol 167

  • Nelson K, Glatzer C, Hildebrand D, Hell B, Klein M (2006a) Clinical evaluation of endosseous implants in nonvascularized fibula bone grafts for reconstruction of the severely atrophied mandibular bone. J Oral Maxillofac Surg 64: 1427–1431

    Article  Google Scholar 

  • Nelson K, Özyuvaci H, Bilgic B, Klein M, Hildebrand D (2006b) Histomorphometric evaluation and clinical assessment of endosseous implants in iliac bone grafts with shortened healing periods. J Oral Maxillofac Implant 21: 855–861

    Google Scholar 

  • Neukam FW, Hausamen JE, Scheller H (1989) Möglichkeiten und Grenzen der Implantologie bei älteren Patienten. Dtsch Zahnärztl Z 44: 490–492

    PubMed  Google Scholar 

  • Neukam FW, Schultze-Mosgau S (2004) Implantate bei ausgedehnten Knochendefiziten. Implantologie 2

  • Neyt LF, De Clercq CA, Abeloos JV, Mommaerts MY (1997) Reconstruction of serverely resorbed maxilla with a combination of sinus augmentation, onlay bone grafting, and implants. J Oral Maxillofac Surg 55: 1397–1401

    Article  PubMed  Google Scholar 

  • Nyström E, Ahlquist J, Gunne J, Kahnberg KE (2004) 10-year follow-up of onlay bone grafts and implants in severely resorbed maxillae. Int J Oral Maxillofac Surg 33: 258–262

    Article  PubMed  Google Scholar 

  • Sailer HF (1989) A new method of inserting endosseous implants in totally atrophic maxillae. J Craniomaxillofac Surg 17: 299–305

    PubMed  Google Scholar 

  • Schliephake H, Neukam FW, Wichmann M (1997) Survival analysis of endosseous implants in bone grafts used for the treatment of severe alveolar ridge atrophy. J Oral Maxillofac Surg 55: 1227–1233

    Article  PubMed  Google Scholar 

  • Schmelzeisen R, Schliephake H (1998) Interdisciplinary microvascular reconstruction of maxillary, midfacial and scull base defects. J Craniomaxillofac Surg 26: 1–10

    PubMed  Google Scholar 

  • Sullivan W, Szwajkun P (1991) Membranous versus endochondral bone (comment). Plast Reconstr Surg 87: 1145

    Article  PubMed  Google Scholar 

  • van der Meij EH, Blankestijn J, Berns RM, Bun RJ, Jovanovic A, Onland JM, Schoen J (2005) The combined use of two endosteal implants and iliac crest onlay grafts in the severely atrophic mandible by a modified surgical approach. Int J Oral Maxillofac Surg 34: 152–157

    Article  PubMed  Google Scholar 

  • Verhoeven JW, Cune MS, Terlou M, Zoon MAOW, de Putter C (1997) The combined use of endosteal implants and iliac crest onlay grafts in the severely atrophic mandible: a longitudinal study. Int J Oral Maxillofac Surg 26: 351–357

    Article  PubMed  Google Scholar 

  • Wheeler SL, Holmes RE, Calhoun CJ (1996) Six-year clinical and histologic study of sinus-lift-grafts. Int J Oral Maxillofac Implants 11: 26–34

    PubMed  Google Scholar 

  • Yerit KC, Posch M, Hainich S, Turhani D, Klug C, Wanschitz F, Wagner A, Watzinger F, Ewers R (2004) Long-term implant survival in the grafted maxilla: results of a 12-year retrospective study. Clin Oral Impl Res 15: 724–732

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik für MKG-Chirurgie, Charité Campus Virchow- Klinikum, Berlin, Germany

    Susanne Heberer, Wiebke Semper & Katja Nelson

  2. Zahnarztpraxis, Pulheim, Germany

    Michael Hohl

  3. Department für Interdisziplinäre Zahnmedizin und Technologie, Donau-Universität Krems, Krems, Austria

    Jürgen Willer

Authors
  1. Susanne Heberer
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Michael Hohl
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Wiebke Semper
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jürgen Willer
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Katja Nelson
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Katja Nelson.

Additional information

Korrespondenz: K. Nelson, Klinik für MKG-Chirurgie, Charité Campus Virchow- Klinikum, Augustenburger Platz 1, 13353 Berlin, Deutschland

Rights and permissions

Reprints and permissions

About this article

Cite this article

Heberer, S., Hohl, M., Semper, W. et al. Rehabilitation von Patienten mit extrem atrophierten Kiefern mittels Implantatinsertion nach Augmentation von autologem Beckenkammknochen. Stomatologie 105, 57–62 (2008). https://doi.org/10.1007/s00715-008-0060-y

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00715-008-0060-y

Schlüsselwörter

Keywords

Search

Navigation