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Bone gain analysis
ОглавлениеTable 2-2 and Figure 2-2a and b document ridge height changes post-VBA.
The mean baseline vertical deficiency was 5.5 ± 2.6 mm. The absolute gain in vertical dimension from VBA was 5.2 ± 2.4 mm, corresponding to a mean relative height gain of 96.5 ± 13.9%; 89.2% of the sites presented complete regeneration, i.e. elimination of vertical deficiency. Each 1-month addition to the healing time increased the relative gain by 1.34%.
Table 2-1 Demographic and clinical characteristics of the studied cohort
N (%) / mean ± SD | ||
Patient Level | N patients | 57 |
Age (years) | 51.9 ± 11.8 | |
Gender | ||
Male | 21 (36.8) | |
Female | 36 (63.2) | |
Smoker | ||
No | 55 (96.5) | |
Yes | 2 (3.5) | |
N sites on surgery | ||
1 | 49 (86.0) | |
2 | 8 (14.0) | |
Site level | N sites | 65 |
Site | ||
Maxillary anterior | 12 (18.5) | |
Maxillary right posterior | 11 (16.9) | |
Maxillary left posterior | 6 (9.2) | |
Mandibular anterior | 4 (6.2) | |
Mandibular right posterior | 15 (23.1) | |
Mandibular left posterior | 17 (26.2) | |
N implants | ||
0 | 3 (4.6) | |
1 | 7 (10.8) | |
2 | 34 (52.3) | |
3 | 20 (30.8) | |
4 | 1 (1.5) | |
Healing time (months) | 9.7 ± 3.3 | |
Complications | ||
None | 63 (97) | |
Exposure | 1 (1.5) | |
Infection | 1 (1.5) | |
Defect type | ||
Vertical | 65 (100) | |
Defect size (mm) | 5.5 ± 2.6 | |
N missing teeth | 3.2 ± 1.2 | |
Maxilla | 3.1 ± 1.5 | |
Mandible | 3.2 ± 0.9 | |
N: number (of patients or sites as a percentage); SD: standard deviation |
Table 2-2 Changes in the dimensional parameters of the defects after bone augmentation
Vertical | 5.5 ± 2.6 | 5.2 ± 2.4 | 96.5 ± 13.9 | 89.2 |
Table 2-3 Multiple linear regression analysis on the relative vertical gain (%) controlling for defect size, arch, healing time, and age
Regression coefficient | 95% CI | P value | |
Defect size | < 0.001*** | ||
< 5 mm (reference) | 0.00 | ||
5–8 mm | –5.97 | -11.8 to 0.13 | 0.045* |
> 8 mm | –11.9 | -17.8 to 5.89 | < 0.001*** |
Arch | |||
Maxilla (reference) | 0.00 | ||
Mandible | –2.98 | -8.01 to 2.05 | 0.246 |
Healing time | 1.34 | 0.08 to 2.60 | 0.037* |
Age | 0.08 | -0.05 to 0.21 | 0.207 |
CI: confidence interval *P < 0.5 ***P < 0.001 |