The outcome of reconstructive surgery for
dental implant
Authors :
- Wipawan Chatrattanarak
- Sirikarn Thongmeearkom
- Sutthinee Teesanguan
- Pornchai Jansisyanont D.D.S., M.S.
- Phonkit Sinpitaksakul D.D.S.
Abstract :
Objective To study the treatment outcome and complication that related to failure of reconstructive
surgery for dental implant.
Materials and methods The medical records and radiographic images of patients who received a
dental implant insertion following a reconstructive surgery in Department of Oral and Maxillofacial
Surgery, Chulalongkorn University since 2003-2012 were retrospectively studied.
Result The survival rate of reconstructive surgery was 97.58% (The survival rates of onlay bone graft
and maxillary sinus lift were 96.55% and 98.48% respectively) whereas the survival rate of dental
implant insertion in the reconstructed area was 97.52%. Complications were found in 4 sites (3.23% of
all sites of operation) which were wound dehiscence in 2 onlay bone graft patients whose grafts were
failed. Other 2 complications caused by infection after the sinus lift lead to failure in 1 patient.†
Conclusion Reconstructive surgery with onlay bone graft, maxillary sinus lift, and soft tissue graft
has a high survival rate with low occurrence rate of complication.
(CU Dent J. 2015;38:51-66)
Keywords :
complications; dental implant; maxillary sinus lift; onlay bone graft; reconstructive
surgery; survival rate
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