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