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2021 | OriginalPaper | Buchkapitel

4. Chirurgische Aspekte der Implantologie

verfasst von : Rainer Lutz, Marco Kesting

Erschienen in: Mund-, Kiefer- und Gesichtschirurgie

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Dentale Implantate sind das Mittel der Wahl zum chirurgischen Zahnersatz. Titan und Titanlegierungen haben sich über Jahrzehnte als Implantatmaterialen bewährt. Daneben werden Implantate aus Zirkonoxidkeramiken klinisch erfolgreich eingesetzt. Durch immunologisch gesteuerte Prozesse kommt es zu einer Osseointegration der Implantate. Präoperative Diagnostik erlaubt die Planung der prothetisch gewünschten Implantatposition, sodass die Implantatinsertion mit hoher Sicherheit durchgeführt werden kann. Bei unzureichenden Knochenverhältnissen aufgrund von Kieferatrophie, nach traumatischem Knochenverlust oder nach Tumorresektionen sind häufig Augmentationen der Hart- und Weichgewebe notwendig. Daneben können zusätzliche chirurgische Maßnahmen der periimplantären Weichgewebe notwendig werden, um ein Langzeitüberleben der Implantate zu gewährleisten. Die Beherrschung möglicher Komplikationen ist essentiell um eine sichere Therapie der Patienten für die elektiven Eingriffe zu gewährleisten.
Literatur
Zurück zum Zitat Albrektsson T, Dahlin C, Jemt T, Sennerby L, Turri A, Wennerberg A (2014) Is marginal bone loss around oral implants the result of a provoked foreign body reaction? Clin Implant Dent Relat Res 16(2):155–165CrossRef Albrektsson T, Dahlin C, Jemt T, Sennerby L, Turri A, Wennerberg A (2014) Is marginal bone loss around oral implants the result of a provoked foreign body reaction? Clin Implant Dent Relat Res 16(2):155–165CrossRef
Zurück zum Zitat Annibali S, Ripari M, La Monaca G, Tonoli F, Cristalli MP (2009) Local accidents in dental implant surgery: prevention and treatment. Int J Periodontics Restorative Dent 29(3):325–331 Annibali S, Ripari M, La Monaca G, Tonoli F, Cristalli MP (2009) Local accidents in dental implant surgery: prevention and treatment. Int J Periodontics Restorative Dent 29(3):325–331
Zurück zum Zitat Ata-Ali J, Ata-Ali F, Di-Benedetto N, Bagán L, Bagán JV (2015) Does HIV infection have an impact upon dental implant osseointegration? A systematic review. Med Oral Patol Oral Cir Bucal 20(3):e347–e356 Ata-Ali J, Ata-Ali F, Di-Benedetto N, Bagán L, Bagán JV (2015) Does HIV infection have an impact upon dental implant osseointegration? A systematic review. Med Oral Patol Oral Cir Bucal 20(3):e347–e356
Zurück zum Zitat Becker ST, Terheyden H, Steinriede A, Behrens E, Springer I, Wiltfang J (2008) Prospective observation of 41 perforations of the Schneiderian membrane during sinus floor elevation. Clin Oral Implants Res 19(12):1285–1289 Becker ST, Terheyden H, Steinriede A, Behrens E, Springer I, Wiltfang J (2008) Prospective observation of 41 perforations of the Schneiderian membrane during sinus floor elevation. Clin Oral Implants Res 19(12):1285–1289
Zurück zum Zitat Bover-Ramos F, Vina-Almunia J, Cervera-Ballester J, Penarrocha-Diago M, Garcia-Mira B (2018) Accuracy of implant placement with computer-guided surgery: a systematic review and meta-analysis comparing cadaver, clinical, and in vitro studies. Int J Oral Maxillofac Implants 33(1):101–115 Bover-Ramos F, Vina-Almunia J, Cervera-Ballester J, Penarrocha-Diago M, Garcia-Mira B (2018) Accuracy of implant placement with computer-guided surgery: a systematic review and meta-analysis comparing cadaver, clinical, and in vitro studies. Int J Oral Maxillofac Implants 33(1):101–115
Zurück zum Zitat Browaeys H, Bouvry P, De Bruyn H (2007) A literature review on biomaterials in sinus augmentation procedures. Clin Implant Dent Relat Res 9(3):166–177 Browaeys H, Bouvry P, De Bruyn H (2007) A literature review on biomaterials in sinus augmentation procedures. Clin Implant Dent Relat Res 9(3):166–177
Zurück zum Zitat Chavda S, Levin L (2018) Human studies of vertical and horizontal alveolar ridge augmentation comparing different types of bone graft materials: a systematic review. J Oral Implantol 44(1):74–84 Chavda S, Levin L (2018) Human studies of vertical and horizontal alveolar ridge augmentation comparing different types of bone graft materials: a systematic review. J Oral Implantol 44(1):74–84
Zurück zum Zitat Chen ST, Darby IB, Reynolds EC, Clement JG (2009) Immediate implant placement postextraction without flap elevation. J Periodontol 80(1):163–172 Chen ST, Darby IB, Reynolds EC, Clement JG (2009) Immediate implant placement postextraction without flap elevation. J Periodontol 80(1):163–172
Zurück zum Zitat Cruz R, Lemos CAA, Oliveira HFF, Souza Batista VE, Pellizzer EP, Verri FR (2018) Comparison of the use of titanium-zirconium alloy and titanium alloy in dental implants: a systematic review and meta-analysis. J Oral Implantol 44(4):305–312 Cruz R, Lemos CAA, Oliveira HFF, Souza Batista VE, Pellizzer EP, Verri FR (2018) Comparison of the use of titanium-zirconium alloy and titanium alloy in dental implants: a systematic review and meta-analysis. J Oral Implantol 44(4):305–312
Zurück zum Zitat Davies JE (2003) Understanding peri-implant endosseous healing. J Dent Educ 67(8):932–949 Davies JE (2003) Understanding peri-implant endosseous healing. J Dent Educ 67(8):932–949
Zurück zum Zitat Derks J, Schaller D, Hakansson J, Wennstrom JL, Tomasi C, Berglundh T (2016) Effectiveness of implant therapy analyzed in a Swedish population: prevalence of peri-implantitis. J Dent Res 95(1):43–49 Derks J, Schaller D, Hakansson J, Wennstrom JL, Tomasi C, Berglundh T (2016) Effectiveness of implant therapy analyzed in a Swedish population: prevalence of peri-implantitis. J Dent Res 95(1):43–49
Zurück zum Zitat Duan DH, Fu JH, Qi W, Du Y, Pan J, Wang HL (2017) Graft-free maxillary sinus floor elevation: a systematic review and meta-analysis. J Periodontol 88(6):550–564 Duan DH, Fu JH, Qi W, Du Y, Pan J, Wang HL (2017) Graft-free maxillary sinus floor elevation: a systematic review and meta-analysis. J Periodontol 88(6):550–564
Zurück zum Zitat Duttenhoefer F, Nack C, Doll C et al (2015) Long-term peri-implant bone level changes of non-vascularized fibula bone grafted edentulous patients. J Craniomaxillofac Surg 43(5):611–615 Duttenhoefer F, Nack C, Doll C et al (2015) Long-term peri-implant bone level changes of non-vascularized fibula bone grafted edentulous patients. J Craniomaxillofac Surg 43(5):611–615
Zurück zum Zitat Elnayef B, Lazaro A, Suarez-Lopez Del Amo F et al (2017) Zirconia implants as an alternative to titanium: a systematic review and meta-analysis. Int J Oral Maxillofac Implants 32(3):e125–ee34 Elnayef B, Lazaro A, Suarez-Lopez Del Amo F et al (2017) Zirconia implants as an alternative to titanium: a systematic review and meta-analysis. Int J Oral Maxillofac Implants 32(3):e125–ee34
Zurück zum Zitat Fretwurst T, Nack C, Al-Ghrairi M et al (2015) Long-term retrospective evaluation of the peri-implant bone level in onlay grafted patients with iliac bone from the anterior superior iliac crest. J Craniomaxillofac Surg 43(6):956–960 Fretwurst T, Nack C, Al-Ghrairi M et al (2015) Long-term retrospective evaluation of the peri-implant bone level in onlay grafted patients with iliac bone from the anterior superior iliac crest. J Craniomaxillofac Surg 43(6):956–960
Zurück zum Zitat Gols Linthorst FAJ, Verhamme L, Maal T, Soehardi A, Meijer GJ (2017) Implant-supported 3D-printed bridge in the edentulous maxilla. Ned Tijdschr Tandheelkd 124(5):249–252 Gols Linthorst FAJ, Verhamme L, Maal T, Soehardi A, Meijer GJ (2017) Implant-supported 3D-printed bridge in the edentulous maxilla. Ned Tijdschr Tandheelkd 124(5):249–252
Zurück zum Zitat Goodacre BJ, Swamidass RS, Lozada J, Al-Ardah A, Sahl E (2017) A 3D-printed guide for lateral approach sinus grafting: a dental technique. J Prosthet Dent 119(6):897–901 Goodacre BJ, Swamidass RS, Lozada J, Al-Ardah A, Sahl E (2017) A 3D-printed guide for lateral approach sinus grafting: a dental technique. J Prosthet Dent 119(6):897–901
Zurück zum Zitat Hafezeqoran A, Koodaryan R (2017) Effect of zirconia dental implant surfaces on bone integration: a systematic review and meta-analysis. Biomed Res Int 2017:9246721 Hafezeqoran A, Koodaryan R (2017) Effect of zirconia dental implant surfaces on bone integration: a systematic review and meta-analysis. Biomed Res Int 2017:9246721
Zurück zum Zitat Hämmerle CHF, Chen ST, Wilson Jr TG (2004) Consensus statements and recommended clinical procedures regarding the placement of implants in extraction sockets. Int J Oral Maxillofac Implants 19(Suppl):26–28 Hämmerle CHF, Chen ST, Wilson Jr TG (2004) Consensus statements and recommended clinical procedures regarding the placement of implants in extraction sockets. Int J Oral Maxillofac Implants 19(Suppl):26–28
Zurück zum Zitat Hämmerle CHF, Stone P, Jung RE, Kapos T, Brodala N (2009) Consensus statements and recommended clinical procedures regarding computer-assisted implant dentistry. Int J Oral Maxillofac Implants 24(Suppl):126–131 Hämmerle CHF, Stone P, Jung RE, Kapos T, Brodala N (2009) Consensus statements and recommended clinical procedures regarding computer-assisted implant dentistry. Int J Oral Maxillofac Implants 24(Suppl):126–131
Zurück zum Zitat Heberer S, Nelson K (2009) Clinical evaluation of a modified method of vestibuloplasty using an implant-retained splint. J Oral Maxillofac Surg 67(3):624–629 Heberer S, Nelson K (2009) Clinical evaluation of a modified method of vestibuloplasty using an implant-retained splint. J Oral Maxillofac Surg 67(3):624–629
Zurück zum Zitat Hentschel A, Herrmann J, Glauche I, Vollmer A, Schlegel KA, Lutz R (2016) Survival and patient satisfaction of short implants during the first 2 years of function: a retrospective cohort study with 694 implants in 416 patients. Clin Oral Implants Res 27(5):591–596 Hentschel A, Herrmann J, Glauche I, Vollmer A, Schlegel KA, Lutz R (2016) Survival and patient satisfaction of short implants during the first 2 years of function: a retrospective cohort study with 694 implants in 416 patients. Clin Oral Implants Res 27(5):591–596
Zurück zum Zitat Herrmann J, Hentschel A, Glauche I, Vollmer A, Schlegel KA, Lutz R (2016) Implant survival and patient satisfaction of reduced diameter implants made from a titanium-zirconium alloy: a retrospective cohort study with 550 implants in 311 patients. J Craniomaxillofac Surg 44(12):1940–1944 Herrmann J, Hentschel A, Glauche I, Vollmer A, Schlegel KA, Lutz R (2016) Implant survival and patient satisfaction of reduced diameter implants made from a titanium-zirconium alloy: a retrospective cohort study with 550 implants in 311 patients. J Craniomaxillofac Surg 44(12):1940–1944
Zurück zum Zitat Hölzle F, Watola A, Kesting MR, Nolte D, Wolff KD (2007) Atrophy of free fibular grafts after mandibular reconstruction. Plast Reconstr Surg 119(1):151–156 Hölzle F, Watola A, Kesting MR, Nolte D, Wolff KD (2007) Atrophy of free fibular grafts after mandibular reconstruction. Plast Reconstr Surg 119(1):151–156
Zurück zum Zitat Hölzle F, Wolff KD, Mohr C (2008) Reconstructive oral and maxillofacial surgery. Dtsch Arztebl Int 105(47):815–822 Hölzle F, Wolff KD, Mohr C (2008) Reconstructive oral and maxillofacial surgery. Dtsch Arztebl Int 105(47):815–822
Zurück zum Zitat Jung RE, Siegenthaler DW, Hämmerle CH (2004) Postextraction tissue management: a soft tissue punch technique. Int J Periodontics Restorative Dent 24(6):545–553 Jung RE, Siegenthaler DW, Hämmerle CH (2004) Postextraction tissue management: a soft tissue punch technique. Int J Periodontics Restorative Dent 24(6):545–553
Zurück zum Zitat Karaca C, Er N, Gulsahi A, Koseoglu OT (2015) Alveolar ridge preservation with a free gingival graft in the anterior maxilla: volumetric evaluation in a randomized clinical trial. Int J Oral Maxillofac Surg 44(6):774–780 Karaca C, Er N, Gulsahi A, Koseoglu OT (2015) Alveolar ridge preservation with a free gingival graft in the anterior maxilla: volumetric evaluation in a randomized clinical trial. Int J Oral Maxillofac Surg 44(6):774–780
Zurück zum Zitat Katsoulis J, Fierz J, Iizuka T, Mericske-Stern R (2013) Prosthetic rehabilitation, implant survival and quality of life 2 to 5 years after resection of oral tumors. Clin Implant Dent Relat Res 15(1):64–72 Katsoulis J, Fierz J, Iizuka T, Mericske-Stern R (2013) Prosthetic rehabilitation, implant survival and quality of life 2 to 5 years after resection of oral tumors. Clin Implant Dent Relat Res 15(1):64–72
Zurück zum Zitat Kuhl S, Zurcher S, Mahid T, Muller-Gerbl M, Filippi A, Cattin P (2013) Accuracy of full guided vs. half-guided implant surgery. Clin Oral Implants Res 24(7):763–769 Kuhl S, Zurcher S, Mahid T, Muller-Gerbl M, Filippi A, Cattin P (2013) Accuracy of full guided vs. half-guided implant surgery. Clin Oral Implants Res 24(7):763–769
Zurück zum Zitat Laviv A, Jensen OT, Tarazi E, Casap N (2014) Alveolar sandwich osteotomy in resorbed alveolar ridge for dental implants: a 4-year prospective study. J Oral Maxillofac Surg 72(2):292–303 Laviv A, Jensen OT, Tarazi E, Casap N (2014) Alveolar sandwich osteotomy in resorbed alveolar ridge for dental implants: a 4-year prospective study. J Oral Maxillofac Surg 72(2):292–303
Zurück zum Zitat Lentrodt J, Bull HG (1976) Animal experimental studies on bone regeneration following drilling of the bone. Dtsch Zahnarztl Z 31(2):115–124 Lentrodt J, Bull HG (1976) Animal experimental studies on bone regeneration following drilling of the bone. Dtsch Zahnarztl Z 31(2):115–124
Zurück zum Zitat Linkevicius T, Vaitelis J (2015) The effect of zirconia or titanium as abutment material on soft peri-implant tissues: a systematic review and meta-analysis. Clin Oral Implants Res 26(Suppl 11):139–147 Linkevicius T, Vaitelis J (2015) The effect of zirconia or titanium as abutment material on soft peri-implant tissues: a systematic review and meta-analysis. Clin Oral Implants Res 26(Suppl 11):139–147
Zurück zum Zitat Lorenz J, Kubesch A, Al-Maawi S et al (2018) Allogeneic bone block for challenging augmentation-a clinical, histological, and histomorphometrical investigation of tissue reaction and new bone formation. Clin Oral Investig 22(9):3159–3169 Lorenz J, Kubesch A, Al-Maawi S et al (2018) Allogeneic bone block for challenging augmentation-a clinical, histological, and histomorphometrical investigation of tissue reaction and new bone formation. Clin Oral Investig 22(9):3159–3169
Zurück zum Zitat Lutz R, Neukam FW, Simion M, Schmitt CM (2015a) Long-term outcomes of bone augmentation on soft and hard-tissue stability: a systematic review. Clin Oral Implants Res 26(Suppl 11):103–122 Lutz R, Neukam FW, Simion M, Schmitt CM (2015a) Long-term outcomes of bone augmentation on soft and hard-tissue stability: a systematic review. Clin Oral Implants Res 26(Suppl 11):103–122
Zurück zum Zitat Lutz R, Berger-Fink S, Stockmann P, Neukam FW, Schlegel KA (2015b) Sinus floor augmentation with autogenous bone vs. a bovine-derived xenograft − a 5-year retrospective study. Clin Oral Implants Res 26(6):644–648 Lutz R, Berger-Fink S, Stockmann P, Neukam FW, Schlegel KA (2015b) Sinus floor augmentation with autogenous bone vs. a bovine-derived xenograft − a 5-year retrospective study. Clin Oral Implants Res 26(6):644–648
Zurück zum Zitat Lutz R, Schmitt CM, Buchbender M, Neukam FW (2018) Diagnosis, avoidance and management of complications of implant-based treatments. Eur J Oral Implantol 11(Suppl1):1–6 Lutz R, Schmitt CM, Buchbender M, Neukam FW (2018) Diagnosis, avoidance and management of complications of implant-based treatments. Eur J Oral Implantol 11(Suppl1):1–6
Zurück zum Zitat Manzano G, Herrero LR, Montero J (2014) Comparison of clinical performance of zirconia implants and titanium implants in animal models: a systematic review. Int J Oral Maxillofac Implants 29(2):311–320 Manzano G, Herrero LR, Montero J (2014) Comparison of clinical performance of zirconia implants and titanium implants in animal models: a systematic review. Int J Oral Maxillofac Implants 29(2):311–320
Zurück zum Zitat Misch CM (2016) The Lazarus bone graft: revitalizing allogenic bone blocks. Dent Today 35(11):114. 6, 8–9 Misch CM (2016) The Lazarus bone graft: revitalizing allogenic bone blocks. Dent Today 35(11):114. 6, 8–9
Zurück zum Zitat Moin DA, Hassan B, Wismeijer D (2018) Immediate nonsubmerged custom root analog implants: a prospective pilot clinical study. Int J Oral Maxillofac Implants 33(2):e37–e44 Moin DA, Hassan B, Wismeijer D (2018) Immediate nonsubmerged custom root analog implants: a prospective pilot clinical study. Int J Oral Maxillofac Implants 33(2):e37–e44
Zurück zum Zitat Moraschini V, Uzeda MG, Sartoretto SC, Calasans-Maia MD (2017) Maxillary sinus floor elevation with simultaneous implant placement without grafting materials: a systematic review and meta-analysis. Int J Oral Maxillofac Surg 46(5):636–647 Moraschini V, Uzeda MG, Sartoretto SC, Calasans-Maia MD (2017) Maxillary sinus floor elevation with simultaneous implant placement without grafting materials: a systematic review and meta-analysis. Int J Oral Maxillofac Surg 46(5):636–647
Zurück zum Zitat Mücke T, Loeffelbein DJ, Kolk A et al (2013) Comparison of outcome of microvascular bony head and neck reconstructions using the fibular free flap and the iliac crest flap. Br J Oral Maxillofac Surg 51(6):514–519 Mücke T, Loeffelbein DJ, Kolk A et al (2013) Comparison of outcome of microvascular bony head and neck reconstructions using the fibular free flap and the iliac crest flap. Br J Oral Maxillofac Surg 51(6):514–519
Zurück zum Zitat Nasr S, Slot DE, Bahaa S, Dorfer CE, Fawzy El-Sayed KM (2016) Dental implants combined with sinus augmentation: what is the merit of bone grafting? A systematic review. J Cranio-Maxillo-Fac Surg Eur Assoc Cranio-Maxillo-Fac Sur 44(10):1607–1617 Nasr S, Slot DE, Bahaa S, Dorfer CE, Fawzy El-Sayed KM (2016) Dental implants combined with sinus augmentation: what is the merit of bone grafting? A systematic review. J Cranio-Maxillo-Fac Surg Eur Assoc Cranio-Maxillo-Fac Sur 44(10):1607–1617
Zurück zum Zitat Neumeister A, Schulz L, Glodecki C (2017) Investigations on the accuracy of 3D-printed drill guides for dental implantology. Int J Comput Dent 20(1):35–51 Neumeister A, Schulz L, Glodecki C (2017) Investigations on the accuracy of 3D-printed drill guides for dental implantology. Int J Comput Dent 20(1):35–51
Zurück zum Zitat Nkenke E, Neukam FW (2014) Autogenous bone harvesting and grafting in advanced jaw resorption: morbidity, resorption and implant survival. Eur J Oral Implantol 7(Suppl 2):203–217 Nkenke E, Neukam FW (2014) Autogenous bone harvesting and grafting in advanced jaw resorption: morbidity, resorption and implant survival. Eur J Oral Implantol 7(Suppl 2):203–217
Zurück zum Zitat Nkenke E, Schultze-Mosgau S, Radespiel-Tröger M, Kloss F, Neukam FW (2001) Morbidity of harvesting of chin grafts: a prospective study. Clin Oral Implants Res 12(5):495–502 Nkenke E, Schultze-Mosgau S, Radespiel-Tröger M, Kloss F, Neukam FW (2001) Morbidity of harvesting of chin grafts: a prospective study. Clin Oral Implants Res 12(5):495–502
Zurück zum Zitat Nkenke E, Radespiel-Tröger M, Wiltfang J, Schultze-Mosgau S, Winkler G, Neukam FW (2002a) Morbidity of harvesting of retromolar bone grafts: a prospective study. Clin Oral Implants Res 13(5):514–521 Nkenke E, Radespiel-Tröger M, Wiltfang J, Schultze-Mosgau S, Winkler G, Neukam FW (2002a) Morbidity of harvesting of retromolar bone grafts: a prospective study. Clin Oral Implants Res 13(5):514–521
Zurück zum Zitat Nkenke E, Schlegel A, Schultze-Mosgau S, Neukam FW, Wiltfang J (2002b) The endoscopically controlled osteotome sinus floor elevation: a preliminary prospective study. Int J Oral Maxillofac Implants 17(4):557–566 Nkenke E, Schlegel A, Schultze-Mosgau S, Neukam FW, Wiltfang J (2002b) The endoscopically controlled osteotome sinus floor elevation: a preliminary prospective study. Int J Oral Maxillofac Implants 17(4):557–566
Zurück zum Zitat Nkenke E, Wesibach V, Winckler E et al (2004) Morbidity of harvesting of bone grafts from the iliac crest for preprosthetic augmentation procedures: a prospective study. Int J Oral Maxillofac Surg 33(2):157–163 Nkenke E, Wesibach V, Winckler E et al (2004) Morbidity of harvesting of bone grafts from the iliac crest for preprosthetic augmentation procedures: a prospective study. Int J Oral Maxillofac Surg 33(2):157–163
Zurück zum Zitat Nkenke E, Viaraktaris E, Stelzle F, Neukam FW, Stockmann P, Linke R (2009) Osteocutaneous free flap including medial and lateral scapular crests: technical aspects, viability, and donor site morbidity. J Reconstr Microsurg 25(9):545–545 Nkenke E, Viaraktaris E, Stelzle F, Neukam FW, Stockmann P, Linke R (2009) Osteocutaneous free flap including medial and lateral scapular crests: technical aspects, viability, and donor site morbidity. J Reconstr Microsurg 25(9):545–545
Zurück zum Zitat Parlar ABosshardt DD, Cetiner D et al (2009) Effects of decontamination and implant surface characteristics on re-osseointegration following treatment of peri-implantitis. Clin Oral Implants Res 20(4):391–399 Parlar ABosshardt DD, Cetiner D et al (2009) Effects of decontamination and implant surface characteristics on re-osseointegration following treatment of peri-implantitis. Clin Oral Implants Res 20(4):391–399
Zurück zum Zitat Pieralli S, Kohal RJ, Jung RE, Vach K, Spies BC (2017) Clinical outcomes of zirconia dental implants: a systematic review. J Dent Res 96(1):38–46 Pieralli S, Kohal RJ, Jung RE, Vach K, Spies BC (2017) Clinical outcomes of zirconia dental implants: a systematic review. J Dent Res 96(1):38–46
Zurück zum Zitat Pieralli S, Kohal RJ, Lopez Hernandez E, Doerken S, Spies BC (2018) Osseointegration of zirconia dental implants in animal investigations: a systematic review and meta-analysis. Dent Mater 34(2):171–182 Pieralli S, Kohal RJ, Lopez Hernandez E, Doerken S, Spies BC (2018) Osseointegration of zirconia dental implants in animal investigations: a systematic review and meta-analysis. Dent Mater 34(2):171–182
Zurück zum Zitat Pinchasov G, Juodzbalys G (2014) Graft-free sinus augmentation procedure: a literature review. J Oral Maxillofac Res 5(1):e1 Pinchasov G, Juodzbalys G (2014) Graft-free sinus augmentation procedure: a literature review. J Oral Maxillofac Res 5(1):e1
Zurück zum Zitat Pjetursson BE, Lang NP (2014) Sinus floor elevation utilizing the transalveolar approach. Periodontol 66(1):59–71 Pjetursson BE, Lang NP (2014) Sinus floor elevation utilizing the transalveolar approach. Periodontol 66(1):59–71
Zurück zum Zitat Raikar S, Talukdar P, Kumari S, Panda SK, Oommen VM, Prasad A (2017) Factors affecting the survival rate of dental implants: a retrospective study. J Int Soc Prev Community Dent 7(6):351–355 Raikar S, Talukdar P, Kumari S, Panda SK, Oommen VM, Prasad A (2017) Factors affecting the survival rate of dental implants: a retrospective study. J Int Soc Prev Community Dent 7(6):351–355
Zurück zum Zitat Rocchietta I, Simion M, Hoffmann M, Trisciuoglio D, Benigni M, Dahlin C (2016) Vertical bone augmentation with an autogenous block or particles in combination with guided bone regeneration: a clinical and histological preliminary study in humans. Clin Implant Dent Relat Res 18(1):19–29 Rocchietta I, Simion M, Hoffmann M, Trisciuoglio D, Benigni M, Dahlin C (2016) Vertical bone augmentation with an autogenous block or particles in combination with guided bone regeneration: a clinical and histological preliminary study in humans. Clin Implant Dent Relat Res 18(1):19–29
Zurück zum Zitat Rotundo R, Pagliaro U, Bendinelli E, Esposito M, Buti J (2015) Long-term outcomes of soft tissue augmentation around dental implants on soft and hard tissue stability: a systematic review. Clin Oral Implants Res 26(Suppl 11):123–138 Rotundo R, Pagliaro U, Bendinelli E, Esposito M, Buti J (2015) Long-term outcomes of soft tissue augmentation around dental implants on soft and hard tissue stability: a systematic review. Clin Oral Implants Res 26(Suppl 11):123–138
Zurück zum Zitat Sanz M, Lindhe J, Alcaraz J, Sanz-Sanchez I, Cecchinato D (2017) The effect of placing a bone replacement graft in the gap at immediately placed implants: a randomized clinical trial. Clin Oral Implants Res 28(8):902–910 Sanz M, Lindhe J, Alcaraz J, Sanz-Sanchez I, Cecchinato D (2017) The effect of placing a bone replacement graft in the gap at immediately placed implants: a randomized clinical trial. Clin Oral Implants Res 28(8):902–910
Zurück zum Zitat Sawada K, Nakahara K, Haga-Tsujimura M et al (2018) Comparison of three block bone substitutes for bone regeneration: long-term observation in the beagle dog. Odontology 106(4):398–407 Sawada K, Nakahara K, Haga-Tsujimura M et al (2018) Comparison of three block bone substitutes for bone regeneration: long-term observation in the beagle dog. Odontology 106(4):398–407
Zurück zum Zitat Sbordone C, Toti P, Guidetti F, Califano L, Santoro A, Sbordone L (2012) Volume changes of iliac crest autogenous bone grafts after vertical and horizontal alveolar ridge augmentation of atrophic maxillas and mandibles: a 6-year computerized tomographic follow-up. J Oral Maxillofac Surg 70(11):2559–2565 Sbordone C, Toti P, Guidetti F, Califano L, Santoro A, Sbordone L (2012) Volume changes of iliac crest autogenous bone grafts after vertical and horizontal alveolar ridge augmentation of atrophic maxillas and mandibles: a 6-year computerized tomographic follow-up. J Oral Maxillofac Surg 70(11):2559–2565
Zurück zum Zitat Schlee M, Rothamel D (2013) Ridge augmentation using customized allogenic bone blocks: proof of concept and histological findings. Implant Dent 22(3):212–218 Schlee M, Rothamel D (2013) Ridge augmentation using customized allogenic bone blocks: proof of concept and histological findings. Implant Dent 22(3):212–218
Zurück zum Zitat Schlegel A, Hamel J, Wichmann M, Eitner S (2008) Comparative clinical results after implant placement in the posterior maxilla with and without sinus augmentation. Int J Oral Maxillofac Implants 23(2):289–298 Schlegel A, Hamel J, Wichmann M, Eitner S (2008) Comparative clinical results after implant placement in the posterior maxilla with and without sinus augmentation. Int J Oral Maxillofac Implants 23(2):289–298
Zurück zum Zitat Schlegel KA, Zimmermann R, Thorwarth M et al (2007) Sinus floor elevation using autogenous bone or bone substitute combined with platelet-rich plasma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104(3):e15–e25 Schlegel KA, Zimmermann R, Thorwarth M et al (2007) Sinus floor elevation using autogenous bone or bone substitute combined with platelet-rich plasma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104(3):e15–e25
Zurück zum Zitat Schlegel KA, Rupprecht S, Kessler P et al (2009) Preclinical animal model for de novo bone formation in human maxillary sinus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 108(3):e37–e44 Schlegel KA, Rupprecht S, Kessler P et al (2009) Preclinical animal model for de novo bone formation in human maxillary sinus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 108(3):e37–e44
Zurück zum Zitat Schmitt C, Lutz R, Doering H, Lell M, Ratky J, Schlegel KA (2013) Bio-Oss® blocks combined with BMP-2 and VEGF for the regeneration of bony defects and vertical augmentation. Clin Oral Implants Res 24(4):450–460 Schmitt C, Lutz R, Doering H, Lell M, Ratky J, Schlegel KA (2013) Bio-Oss® blocks combined with BMP-2 and VEGF for the regeneration of bony defects and vertical augmentation. Clin Oral Implants Res 24(4):450–460
Zurück zum Zitat Schmitt CM, Moest T, Lutz R, Wehrhan F, Neukam FW, Schlegel KA (2016) Long-term outcomes after vestibuloplasty with a porcine collagen matrix (Mucograft®) versus the free gingival graft: a comparative prospective clinical trial. Clin Oral Implants Res 27(11):e125–ee33 Schmitt CM, Moest T, Lutz R, Wehrhan F, Neukam FW, Schlegel KA (2016) Long-term outcomes after vestibuloplasty with a porcine collagen matrix (Mucograft®) versus the free gingival graft: a comparative prospective clinical trial. Clin Oral Implants Res 27(11):e125–ee33
Zurück zum Zitat Schwarz L, Schiebel V, Hof M, Ulm C, Watzek G, Pommer B (2015) Risk factors of membrane perforation and postoperative complications in sinus floor elevation surgery: review of 407 augmentation procedures. J Oral Maxillofac Surg 73(7):1275–1282 Schwarz L, Schiebel V, Hof M, Ulm C, Watzek G, Pommer B (2015) Risk factors of membrane perforation and postoperative complications in sinus floor elevation surgery: review of 407 augmentation procedures. J Oral Maxillofac Surg 73(7):1275–1282
Zurück zum Zitat Sekine J, Sano K, Ikeda H, Inokuchi T (2006) Rehabilitation by means of osseointegrated implants in oral cancer patients with about four to six years follow-up. J Oral Rehabil 33(3):170. -17–11S Sekine J, Sano K, Ikeda H, Inokuchi T (2006) Rehabilitation by means of osseointegrated implants in oral cancer patients with about four to six years follow-up. J Oral Rehabil 33(3):170. -17–11S
Zurück zum Zitat Sicilia A, Quirynen M, Fontolliet A et al (2015) Long-term stability of peri-implant tissues after bone or soft tissue augmentation. Effect of zirconia or titanium abutments on peri-implant soft tissues. Summary and consensus statements. The 4th EAO Consensus Conference 2015. Clin Oral Implants Res 26(Suppl 11):148–152 Sicilia A, Quirynen M, Fontolliet A et al (2015) Long-term stability of peri-implant tissues after bone or soft tissue augmentation. Effect of zirconia or titanium abutments on peri-implant soft tissues. Summary and consensus statements. The 4th EAO Consensus Conference 2015. Clin Oral Implants Res 26(Suppl 11):148–152
Zurück zum Zitat Starch-Jensen T, Schou S (2017) Maxillary sinus membrane elevation with simultaneous installation of implants without the use of a graft material: a systematic review. Implant Dent 26(4):621–633 Starch-Jensen T, Schou S (2017) Maxillary sinus membrane elevation with simultaneous installation of implants without the use of a graft material: a systematic review. Implant Dent 26(4):621–633
Zurück zum Zitat Tallarico M, Esposito M, Xhanari E, Caneva M, Meloni SM (2018) Computer-guided vs freehand placement of immediately loaded dental implants: 5-year postloading results of a randomised controlled trial. Eur J Oral Implantol 11(2):203–213 Tallarico M, Esposito M, Xhanari E, Caneva M, Meloni SM (2018) Computer-guided vs freehand placement of immediately loaded dental implants: 5-year postloading results of a randomised controlled trial. Eur J Oral Implantol 11(2):203–213
Zurück zum Zitat Tan WC, Lang NP, Zwahlen M, Pjetursson BE (2008) A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. Part II: transalveolar technique. J Clin Periodontol 35(8 Suppl):241–254 Tan WC, Lang NP, Zwahlen M, Pjetursson BE (2008) A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. Part II: transalveolar technique. J Clin Periodontol 35(8 Suppl):241–254
Zurück zum Zitat Terheyden H (2006) Rekonstruktion und verzögerte Sofortrekonstruktion der Extraktionsalveole. Implant Dent 14(4):365–375 Terheyden H (2006) Rekonstruktion und verzögerte Sofortrekonstruktion der Extraktionsalveole. Implant Dent 14(4):365–375
Zurück zum Zitat Thomas TJ, Bidra AS (2018) Internal sinus membrane elevation in patients with less than 5 mm residual bone height. Compend Contin Educ Dent 39(5):e13–ee6 Thomas TJ, Bidra AS (2018) Internal sinus membrane elevation in patients with less than 5 mm residual bone height. Compend Contin Educ Dent 39(5):e13–ee6
Zurück zum Zitat Thorwarth M, Srour S, Felszeghy E, Kessler P, Schultze-Mosgau S, Schlegel KA (2005) Stability of autogenous bone grafts after sinus lift procedures: a comparative study between anterior and posterior aspects of the iliac crest and an intraoral donor site. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 100(3):278–284 Thorwarth M, Srour S, Felszeghy E, Kessler P, Schultze-Mosgau S, Schlegel KA (2005) Stability of autogenous bone grafts after sinus lift procedures: a comparative study between anterior and posterior aspects of the iliac crest and an intraoral donor site. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 100(3):278–284
Zurück zum Zitat Thorwarth M, Eulzer C, Bader R, Wolf C, Schmidt M, Schultze-Mosgau S (2008) Free flap transfer in cranio-maxillofacial surgery: a review of the current data. Oral Maxillofac Surg 12(3):113–124 Thorwarth M, Eulzer C, Bader R, Wolf C, Schmidt M, Schultze-Mosgau S (2008) Free flap transfer in cranio-maxillofacial surgery: a review of the current data. Oral Maxillofac Surg 12(3):113–124
Zurück zum Zitat Trindade R, Albrektsson T, Wennerberg A (2015) Current concepts for the biological basis of dental implants: foreign body equilibrium and osseointegration dynamics. Oral Maxillofac Surg Clin N Am 27(2):175–183 Trindade R, Albrektsson T, Wennerberg A (2015) Current concepts for the biological basis of dental implants: foreign body equilibrium and osseointegration dynamics. Oral Maxillofac Surg Clin N Am 27(2):175–183
Zurück zum Zitat Trindade R, Albrektsson T, Galli S, Prgomet Z, Tengvall P, Wennerberg A (2018) Osseointegration and foreign body reaction: titanium implants activate the immune system and suppress bone resorption during the first 4 weeks after implantation. Clin Implant Dent Relat Res 20(1):82–91 Trindade R, Albrektsson T, Galli S, Prgomet Z, Tengvall P, Wennerberg A (2018) Osseointegration and foreign body reaction: titanium implants activate the immune system and suppress bone resorption during the first 4 weeks after implantation. Clin Implant Dent Relat Res 20(1):82–91
Zurück zum Zitat Verdugo F, Simonian K, Raffaelli L, D’Addona A (2014) Computer-aided design evaluation of harvestable mandibular bone volume: a clinical and tomographic human study. Clin Implant Dent Relat Res 16(3):348–355 Verdugo F, Simonian K, Raffaelli L, D’Addona A (2014) Computer-aided design evaluation of harvestable mandibular bone volume: a clinical and tomographic human study. Clin Implant Dent Relat Res 16(3):348–355
Zurück zum Zitat Verdugo F, Uribarri A, Laksmana T, D’Addona A (2017) Long-term stable vertical bone regeneration after sinus floor elevation and simultaneous implant placement with and without grafting. Clin Implant Dent Relat Res 19(6):1054–1060 Verdugo F, Uribarri A, Laksmana T, D’Addona A (2017) Long-term stable vertical bone regeneration after sinus floor elevation and simultaneous implant placement with and without grafting. Clin Implant Dent Relat Res 19(6):1054–1060
Zurück zum Zitat Wehrhan F, Amann K, Molenberg A, Lutz R, Neukam FW, Schlegel KA (2013) Critical size defect regeneration using PEG-mediated BMP-2 gene delivery and the use of cell occlusive barrier membranes − the osteopromotive principle revisited. Clin Oral Implants Res 24(8):910–920 Wehrhan F, Amann K, Molenberg A, Lutz R, Neukam FW, Schlegel KA (2013) Critical size defect regeneration using PEG-mediated BMP-2 gene delivery and the use of cell occlusive barrier membranes − the osteopromotive principle revisited. Clin Oral Implants Res 24(8):910–920
Zurück zum Zitat Yates DM, Brockhoff HC 2nd, Finn R, Phillips C (2013) Comparison of intraoral harvest sites for corticocancellous bone grafts. J Oral Maxillofac Surg 71(3):497–504 Yates DM, Brockhoff HC 2nd, Finn R, Phillips C (2013) Comparison of intraoral harvest sites for corticocancellous bone grafts. J Oral Maxillofac Surg 71(3):497–504
Metadaten
Titel
Chirurgische Aspekte der Implantologie
verfasst von
Rainer Lutz
Marco Kesting
Copyright-Jahr
2021
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-58984-7_4

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