Tentpole technique for bone regeneration in vertically deficient alveolar ridges: A prospective study
Purpose: The purpose of the study was to qualitatively and quantitatively assess bone regeneration potential of tentpole technique using beta tricalcium phosphate bone graft in vertically deficient alveolar ridges. Materials and Method: This prospective study comprised of 20 patients with vertically...
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Elsevier
2018-01-01
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| Series: | Journal of Oral Biology and Craniofacial Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S221242681730204X |
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| author | Dipti Daga Divya Mehrotra Shadab Mohammad Shaleen Chandra Geeta Singh Divya Mehrotra |
| author_facet | Dipti Daga Divya Mehrotra Shadab Mohammad Shaleen Chandra Geeta Singh Divya Mehrotra |
| author_sort | Dipti Daga |
| collection | DOAJ |
| description | Purpose: The purpose of the study was to qualitatively and quantitatively assess bone regeneration potential of tentpole technique using beta tricalcium phosphate bone graft in vertically deficient alveolar ridges. Materials and Method: This prospective study comprised of 20 patients with vertically deficient alveolar ridges, wherein thirty one implants were placed. Tenting of the soft tissue matrix was done using titanium screws and beta tricalcium phosphate synthetic bone graft was filled in the vertical defect. Clinical and radiographic assessment was done at 1, 3 and 6 months. Preoperative biochemical analysis of Osteopontin and RANKL was done and then reassesed at 3 months postoperative. Bone core collected at 6 postoperative months, while removal of screw, was analysed histologically. Results: A significant gain in bone height of 2.87 ± 0.79 mm was seen at 6 months postoperative. All implants osseointegrated. Loosening of screw was seen in two patients.There was no postoperative wound dehiscence. Histologic analysis revealed new bone formation .There was no significant change in the levels of RANKL and Osteopontin at 3 months postoperative. Conclusion: This is a safe and effective technique for bone regeneration in vertically deficient alveolar ridges and has minimal complications. The regenerated bone has new and viable bone content and supports implant material. More studies with long term follow up are needed to assess the stability of bone after long term loading. |
| format | Article |
| id | doaj-art-7ac95204e4db45de8b279842a2e71685 |
| institution | OA Journals |
| issn | 2212-4268 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-7ac95204e4db45de8b279842a2e716852025-08-20T02:01:56ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682018-01-0181202410.1016/j.jobcr.2017.11.002Tentpole technique for bone regeneration in vertically deficient alveolar ridges: A prospective studyDipti Daga0Divya Mehrotra1Shadab Mohammad2Shaleen Chandra3Geeta Singh4Divya Mehrotra5Department of Oral and maxillofacial Surgery, King George’s Medical University, Lucknow, IndiaDepartment of Oral and maxillofacial Surgery, King George’s Medical University, Lucknow, India; Corresponding author.Department of Oral and maxillofacial Surgery, King George’s Medical University, Lucknow, IndiaDepartment of Oral Pathology and Microbiology, King George’s Medical University, Lucknow, IndiaDepartment of Oral and maxillofacial Surgery, King George’s Medical University, Lucknow, IndiaDepartment of Oral and maxillofacial Surgery, King George’s Medical University, Lucknow, IndiaPurpose: The purpose of the study was to qualitatively and quantitatively assess bone regeneration potential of tentpole technique using beta tricalcium phosphate bone graft in vertically deficient alveolar ridges. Materials and Method: This prospective study comprised of 20 patients with vertically deficient alveolar ridges, wherein thirty one implants were placed. Tenting of the soft tissue matrix was done using titanium screws and beta tricalcium phosphate synthetic bone graft was filled in the vertical defect. Clinical and radiographic assessment was done at 1, 3 and 6 months. Preoperative biochemical analysis of Osteopontin and RANKL was done and then reassesed at 3 months postoperative. Bone core collected at 6 postoperative months, while removal of screw, was analysed histologically. Results: A significant gain in bone height of 2.87 ± 0.79 mm was seen at 6 months postoperative. All implants osseointegrated. Loosening of screw was seen in two patients.There was no postoperative wound dehiscence. Histologic analysis revealed new bone formation .There was no significant change in the levels of RANKL and Osteopontin at 3 months postoperative. Conclusion: This is a safe and effective technique for bone regeneration in vertically deficient alveolar ridges and has minimal complications. The regenerated bone has new and viable bone content and supports implant material. More studies with long term follow up are needed to assess the stability of bone after long term loading.http://www.sciencedirect.com/science/article/pii/S221242681730204XTent poleDental implantsAlveolar bone height |
| spellingShingle | Dipti Daga Divya Mehrotra Shadab Mohammad Shaleen Chandra Geeta Singh Divya Mehrotra Tentpole technique for bone regeneration in vertically deficient alveolar ridges: A prospective study Journal of Oral Biology and Craniofacial Research Tent pole Dental implants Alveolar bone height |
| title | Tentpole technique for bone regeneration in vertically deficient alveolar ridges: A prospective study |
| title_full | Tentpole technique for bone regeneration in vertically deficient alveolar ridges: A prospective study |
| title_fullStr | Tentpole technique for bone regeneration in vertically deficient alveolar ridges: A prospective study |
| title_full_unstemmed | Tentpole technique for bone regeneration in vertically deficient alveolar ridges: A prospective study |
| title_short | Tentpole technique for bone regeneration in vertically deficient alveolar ridges: A prospective study |
| title_sort | tentpole technique for bone regeneration in vertically deficient alveolar ridges a prospective study |
| topic | Tent pole Dental implants Alveolar bone height |
| url | http://www.sciencedirect.com/science/article/pii/S221242681730204X |
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