Читать книгу Vertical 2: The Next Level of Hard and Soft Tissue Augmentation - Istvan Urban - Страница 26

Bone gain analysis

Оглавление

Table 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
Vertical 2: The Next Level of Hard and Soft Tissue Augmentation

Подняться наверх