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Advances in bone augmentation to enable dental implant placement: Consensus Report of the Sixth European Workshop on Periodontology

Background: Bone augmentation procedures to enable dental implant placement are frequently performed in practice. Methods: In this session the European Workshop on Periodontology discussed the evidence in support of the procedures and examined both adverse events and implant performance in the augme...

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Published in:Journal of clinical periodontology 2008-09, Vol.35 (s8), p.168-172
Main Authors: Tonetti, Maurizio S., Hämmerle, Christoph H. F.
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Hämmerle, Christoph H. F.
description Background: Bone augmentation procedures to enable dental implant placement are frequently performed in practice. Methods: In this session the European Workshop on Periodontology discussed the evidence in support of the procedures and examined both adverse events and implant performance in the augmented bone. While the available evidence improved both in quantity and quality since previous workshops the conclusions that could be drawn were limited by elements of design and/or reporting that are amenable to improvement. Results: With regards to lateral bone augmentation, a sizable body of evidence supports its use to enable dental implant placement. The group recognized the potential for vertical ridge augmentation procedures to allow implant placement in clinical practice but questioned the applicability of these data to a wider array of operators and clinical settings. With regards to sinus floor augmentation, perforation of the sinus membrane, graft infection and graft loss resulting in inability of implant placement were the major reported adverse events. In cases with
doi_str_mv 10.1111/j.1600-051X.2008.01268.x
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F.</creator><creatorcontrib>Tonetti, Maurizio S. ; Hämmerle, Christoph H. F. ; European Workshop on Periodontology Group C ; on behalf of the European Workshop on Periodontology Group C</creatorcontrib><description>Background: Bone augmentation procedures to enable dental implant placement are frequently performed in practice. Methods: In this session the European Workshop on Periodontology discussed the evidence in support of the procedures and examined both adverse events and implant performance in the augmented bone. While the available evidence improved both in quantity and quality since previous workshops the conclusions that could be drawn were limited by elements of design and/or reporting that are amenable to improvement. Results: With regards to lateral bone augmentation, a sizable body of evidence supports its use to enable dental implant placement. The group recognized the potential for vertical ridge augmentation procedures to allow implant placement in clinical practice but questioned the applicability of these data to a wider array of operators and clinical settings. With regards to sinus floor augmentation, perforation of the sinus membrane, graft infection and graft loss resulting in inability of implant placement were the major reported adverse events. In cases with &lt;6 mm of residual bone height, 17% of subjects experienced implant loss in the first 3 years following lateral window augmentation. After trans‐alveolar sinus floor augmentation 11% of subjects experienced implant loss over 3 years. Significant research activity (both pre‐clinical and clinical) was identified in the area of growth factors‐induced bone augmentation. Initial clinical trials support the potential of BMP‐2. Conclusions: Clinically, the consensus highlighted that bone augmentation procedures can fail and that implants placed in these areas do not necessarily enjoy the high long‐term survival rates of dental implants placed in pristine sites. The consensus emphasized the research need to answer questions on: (i) long‐term performance of dental implants placed in augmented bone; (ii) the clinical performance of dental implants placed in augmented or pristine sites; and (iii) the clinical benefits of bone augmentation with respect to alternative treatments.</description><identifier>ISSN: 0303-6979</identifier><identifier>EISSN: 1600-051X</identifier><identifier>DOI: 10.1111/j.1600-051X.2008.01268.x</identifier><identifier>PMID: 18724849</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Alveolar Ridge Augmentation - adverse effects ; Alveolar Ridge Augmentation - methods ; Biological and medical sciences ; bone augmentation ; complications/adverse events ; consensus statement ; Dental Implants ; Dental Restoration Failure ; Dentistry ; Facial bones, jaws, teeth, parodontium: diseases, semeiology ; Graft Survival ; Humans ; Intercellular Signaling Peptides and Proteins - therapeutic use ; Intraoperative Complications ; Maxilla - surgery ; Maxillary Sinus - surgery ; Medical sciences ; Mucous Membrane - injuries ; Non tumoral diseases ; Otorhinolaryngology. 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F.</creatorcontrib><creatorcontrib>European Workshop on Periodontology Group C</creatorcontrib><creatorcontrib>on behalf of the European Workshop on Periodontology Group C</creatorcontrib><title>Advances in bone augmentation to enable dental implant placement: Consensus Report of the Sixth European Workshop on Periodontology</title><title>Journal of clinical periodontology</title><addtitle>J Clin Periodontol</addtitle><description>Background: Bone augmentation procedures to enable dental implant placement are frequently performed in practice. Methods: In this session the European Workshop on Periodontology discussed the evidence in support of the procedures and examined both adverse events and implant performance in the augmented bone. While the available evidence improved both in quantity and quality since previous workshops the conclusions that could be drawn were limited by elements of design and/or reporting that are amenable to improvement. Results: With regards to lateral bone augmentation, a sizable body of evidence supports its use to enable dental implant placement. The group recognized the potential for vertical ridge augmentation procedures to allow implant placement in clinical practice but questioned the applicability of these data to a wider array of operators and clinical settings. With regards to sinus floor augmentation, perforation of the sinus membrane, graft infection and graft loss resulting in inability of implant placement were the major reported adverse events. In cases with &lt;6 mm of residual bone height, 17% of subjects experienced implant loss in the first 3 years following lateral window augmentation. After trans‐alveolar sinus floor augmentation 11% of subjects experienced implant loss over 3 years. Significant research activity (both pre‐clinical and clinical) was identified in the area of growth factors‐induced bone augmentation. Initial clinical trials support the potential of BMP‐2. Conclusions: Clinically, the consensus highlighted that bone augmentation procedures can fail and that implants placed in these areas do not necessarily enjoy the high long‐term survival rates of dental implants placed in pristine sites. The consensus emphasized the research need to answer questions on: (i) long‐term performance of dental implants placed in augmented bone; (ii) the clinical performance of dental implants placed in augmented or pristine sites; and (iii) the clinical benefits of bone augmentation with respect to alternative treatments.</description><subject>Alveolar Ridge Augmentation - adverse effects</subject><subject>Alveolar Ridge Augmentation - methods</subject><subject>Biological and medical sciences</subject><subject>bone augmentation</subject><subject>complications/adverse events</subject><subject>consensus statement</subject><subject>Dental Implants</subject><subject>Dental Restoration Failure</subject><subject>Dentistry</subject><subject>Facial bones, jaws, teeth, parodontium: diseases, semeiology</subject><subject>Graft Survival</subject><subject>Humans</subject><subject>Intercellular Signaling Peptides and Proteins - therapeutic use</subject><subject>Intraoperative Complications</subject><subject>Maxilla - surgery</subject><subject>Maxillary Sinus - surgery</subject><subject>Medical sciences</subject><subject>Mucous Membrane - injuries</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology. 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F.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200809</creationdate><title>Advances in bone augmentation to enable dental implant placement: Consensus Report of the Sixth European Workshop on Periodontology</title><author>Tonetti, Maurizio S. ; Hämmerle, Christoph H. F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5528-ec499ee192c02076f94759ca315c21f3071c0d16004ab740d9dad8be02109d363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Alveolar Ridge Augmentation - adverse effects</topic><topic>Alveolar Ridge Augmentation - methods</topic><topic>Biological and medical sciences</topic><topic>bone augmentation</topic><topic>complications/adverse events</topic><topic>consensus statement</topic><topic>Dental Implants</topic><topic>Dental Restoration Failure</topic><topic>Dentistry</topic><topic>Facial bones, jaws, teeth, parodontium: diseases, semeiology</topic><topic>Graft Survival</topic><topic>Humans</topic><topic>Intercellular Signaling Peptides and Proteins - therapeutic use</topic><topic>Intraoperative Complications</topic><topic>Maxilla - surgery</topic><topic>Maxillary Sinus - surgery</topic><topic>Medical sciences</topic><topic>Mucous Membrane - injuries</topic><topic>Non tumoral diseases</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>ridge augmentation</topic><topic>sinus graft</topic><topic>Surgical Wound Infection - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tonetti, Maurizio S.</creatorcontrib><creatorcontrib>Hämmerle, Christoph H. F.</creatorcontrib><creatorcontrib>European Workshop on Periodontology Group C</creatorcontrib><creatorcontrib>on behalf of the European Workshop on Periodontology Group C</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical periodontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tonetti, Maurizio S.</au><au>Hämmerle, Christoph H. F.</au><aucorp>European Workshop on Periodontology Group C</aucorp><aucorp>on behalf of the European Workshop on Periodontology Group C</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Advances in bone augmentation to enable dental implant placement: Consensus Report of the Sixth European Workshop on Periodontology</atitle><jtitle>Journal of clinical periodontology</jtitle><addtitle>J Clin Periodontol</addtitle><date>2008-09</date><risdate>2008</risdate><volume>35</volume><issue>s8</issue><spage>168</spage><epage>172</epage><pages>168-172</pages><issn>0303-6979</issn><eissn>1600-051X</eissn><abstract>Background: Bone augmentation procedures to enable dental implant placement are frequently performed in practice. Methods: In this session the European Workshop on Periodontology discussed the evidence in support of the procedures and examined both adverse events and implant performance in the augmented bone. While the available evidence improved both in quantity and quality since previous workshops the conclusions that could be drawn were limited by elements of design and/or reporting that are amenable to improvement. Results: With regards to lateral bone augmentation, a sizable body of evidence supports its use to enable dental implant placement. The group recognized the potential for vertical ridge augmentation procedures to allow implant placement in clinical practice but questioned the applicability of these data to a wider array of operators and clinical settings. With regards to sinus floor augmentation, perforation of the sinus membrane, graft infection and graft loss resulting in inability of implant placement were the major reported adverse events. In cases with &lt;6 mm of residual bone height, 17% of subjects experienced implant loss in the first 3 years following lateral window augmentation. After trans‐alveolar sinus floor augmentation 11% of subjects experienced implant loss over 3 years. Significant research activity (both pre‐clinical and clinical) was identified in the area of growth factors‐induced bone augmentation. Initial clinical trials support the potential of BMP‐2. Conclusions: Clinically, the consensus highlighted that bone augmentation procedures can fail and that implants placed in these areas do not necessarily enjoy the high long‐term survival rates of dental implants placed in pristine sites. The consensus emphasized the research need to answer questions on: (i) long‐term performance of dental implants placed in augmented bone; (ii) the clinical performance of dental implants placed in augmented or pristine sites; and (iii) the clinical benefits of bone augmentation with respect to alternative treatments.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>18724849</pmid><doi>10.1111/j.1600-051X.2008.01268.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Alveolar Ridge Augmentation - adverse effects
Alveolar Ridge Augmentation - methods
Biological and medical sciences
bone augmentation
complications/adverse events
consensus statement
Dental Implants
Dental Restoration Failure
Dentistry
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Graft Survival
Humans
Intercellular Signaling Peptides and Proteins - therapeutic use
Intraoperative Complications
Maxilla - surgery
Maxillary Sinus - surgery
Medical sciences
Mucous Membrane - injuries
Non tumoral diseases
Otorhinolaryngology. Stomatology
ridge augmentation
sinus graft
Surgical Wound Infection - etiology
title Advances in bone augmentation to enable dental implant placement: Consensus Report of the Sixth European Workshop on Periodontology
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