Alveolar distraction osteogenesis versus autogenous onlay bone graft for vertical augmentation of severely atrophied alveolar ridges after 12 years of long-term follow-up

Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Nov;116(5):540-9. doi: 10.1016/j.oooo.2013.06.037. Epub 2013 Sep 8.

Abstract

Objective: The aim of this study was to evaluate alveolar distraction osteogenesis (ADO) and autogenous onlay bone graft (AOBG) procedures by comparing their long-term results and their ability to correct severe vertical alveolar defects for further rehabilitation.

Study design: Fourteen patients treated with ADO and 28 patients treated with AOBG were included in this study. Radiographic measurements of alveolar bone heights over time and the implant survival and success were compared for the 2 groups.

Results: The vertical bone gain was 8.4 ± 2.6 mm for ADO and 6.5 ± 2.3 mm for AOBG. After a mean follow-up period of 7.1 years, there was no significant difference between the 2 groups regarding alveolar bone heights over time and implant survival and success (P > .05). The cumulative survival and success rates were 97.3%, 92.7% in the ADO group and 94.1%, 90.2% in the AOBG group, respectively.

Conclusion: Both ADO and AOBG may be reliable and effective for ridge augmentation procedures of severe vertical alveolar bone defects and subsequent dental rehabilitation using implants.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Alveolar Process / pathology
  • Alveolar Process / surgery
  • Alveolar Ridge Augmentation / methods*
  • Bone Resorption
  • Bone Transplantation / methods*
  • Dental Implantation, Endosseous / methods*
  • Dental Implants
  • Dental Restoration Failure
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Osteogenesis, Distraction / methods*
  • Radiography, Panoramic
  • Treatment Outcome
  • Vertical Dimension

Substances

  • Dental Implants