J Korean Assoc Oral Maxillofac Surg.  2023 Dec;49(6):324-331. 10.5125/jkaoms.2023.49.6.324.

Horizontal ridge augmentation with porcine bone-derived grafting material: a long-term retrospective clinical study with more than 5 years of follow-up

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam, Korea
  • 2Department of Dentistry and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea

Abstract


Objectives
The purpose of this study was to evaluate the outcomes of implants placed in horizontally augmented alveolar ridges using porcine bone grafts and to investigate the long-term stability of the porcine bone grafts.
Materials and Methods
A retrospective analysis was conducted on 49 sites that underwent horizontal ridge augmentation using porcine bone grafts and implant placement with a follow-up period longer than 5 years. Furthermore, additional analysis was conducted on 24 sites where porcine bone grafts were used exclusively for horizontal ridge augmentation and implant placement.
Results
The mean follow-up period after prosthesis loading was 67.5 months, with a mean marginal bone loss of 0.23 mm at 1 year and a cumulative mean marginal bone loss of 0.40 mm over the entire follow-up period. Of the 49 implants, 2 were lost and 3 did not meet the success criteria, resulting in a survival rate of 95.9% and a success rate of 89.8%. In 24 sites, the mean marginal bone loss was 0.23 mm at 1 year and 0.41 mm at 65.8 months, with 100% survival and success rates.
Conclusion
Porcine bone grafts can be successfully used in horizontal ridge augmentation for implant placement in cases of ridges with insufficient horizontal width.

Keyword

Bone transplantation; Alveolar bone augmentation; Dental implant

Figure

  • Fig. 1 Measurement of marginal bone level. a: Shoulder to mesial contact point (mm), b: Shoulder to distal contact point (mm). The mean of a and b was the marginal bone level.

  • Fig. 2 Radiographic results of implant placed in horizontally augmented ridge using porcine bone grafts. A. Immediately after the operation. B. Immediately after the prosthetic restoration. C. Final follow-up.


Reference

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