Analise de pacientes submetidos a reconstrução dos maxilares com enxertos autogenos de crista iliaca para reabilitação com implantes na area de cirurgia buco-maxilo-facial / The analysis of patients treated with maxillary reconstruction using iliac crest autogenous bone grafts for implant rehabilitation in the Oral and Maxillofacial surgery Division, Piracicaba Dental School, Unicamp

AUTOR(ES)
DATA DE PUBLICAÇÃO

2007

RESUMO

The aim of the present study is to evaluate treatment outcomes for reconstructive surgery of the jaws with iliac crest as donnor site performed at Piracicaba Dental School, UNICAMP, between the begin of january 2004 and the end of june 2005. Sixteen cases were selected and data obtained from the clinical records were analysed. This data included medical history, physical examination, treatment indications and planning as well as follow up observations for the donnor site and dental implants installed in the grafted area. A questionnaire was applied to evaluate data relative to postoperative pain, healing pattern, motor and neurosensorial disturbances, treatment outcomes and overall satisfaction. Data analysis related to the graft procedure revealed postoperative pain in 100% of the patients, gait disturbances in 93.5%, visible scar in 25% and graft loss in 12.5%. Related to implant surgery, it was observed early loss in 2.0% of the 98 implants installed. The results also suggest a relationship between postoperative higher scores of pain in the donor site in elevated body mass indexes patients. Therefore, maxillary reconstruction is safe procedure with elevated success rates

ASSUNTO(S)

dental implants epidemiology bone grafting ossos - enxerto implantes dentarios epidemiolgia

ACESSO AO ARTIGO

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