Organ Transplantation Research Today is a free monthly online journal that collates and summarizes the latest research about Organ Transplantation, including details on risks, prognosis, procedure, surgery.

Early implant loading in severely resorbed maxilla using xenograft, autograft, and platelet-rich plasma in 97 patients.

Mannai C

Bayonne, France. c.mannai@surgical.net

PURPOSE: We studied the reconstruction of the maxilla with the simultaneous placement of International Team for Implantology (ITI) implants with the combined use of a small amount of intraoral autogenous bone providing the necessary viable stem cells, and a larger amount of xenogenic bone used as a scaffold and a purely autologous platelet concentrate providing the growth factors for optimal bone formation. PATIENTS AND METHODS: Ninety-seven consecutive patients, 57 females and 40 males, with severe maxillary atrophy necessitating bone grafting for implant and fixed bridge reconstruction were treated between 2001 and 2003. A total of 314 implants ITI sand-blasted large-grit acid-etched type were placed simultaneously in the anterior, posterior or both parts of the maxilla. RESULTS: Of all the cases, 97.8% healed uneventfully with excellent hard and soft tissues healing. Bone maturation was excellent at 3 months as seen on x-rays and CAT scans. CONCLUSIONS: The use of autologous platelet concentrate combined with autogenous and xenogenous grafts allowed fast soft and hard tissue healing.

Published 18 August 2006 in J Oral Maxillofac Surg, 64(9): 1420-6.
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