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Cited by 18Dental Implant Techniques and Outcomesdental development and anomaliesOrthodontics and Dentofacial Orthopedics

Implant Treatment in Grafted and Native Bone in Patients Affected by Ectodermal Dysplasia

Grecchi, Francesco, Pagliani, Luca, Mancini, Giovanni Evangelista, Zollino, Ilaria, Carinci, Francesco·2010·Journal of Craniofacial Surgery
DOI 10.1097/scs.0b013e3181f40378
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Abstract

Ectodermal dysplasia (ED) is a congenital syndrome characterized chiefly by abnormalities of tissues of ectodermal origin, namely skin, nails, hair, and teeth. Dental treatment of patients with ED is necessary because it affords the opportunity to develop normal forms of speech, chewing, swallowing, and normal facial support. Because there are few reports focusing on implants inserted in bone grafted in patients with ED, we therefore performed a retrospective study on 44 implants inserted in 4 patients to detect those variables acting on survival and crestal bone remodeling around implant neck in such subjects. Forty-four fixtures were analyzed. Several patient-related (age and sex), anatomic (maxilla and mandible and tooth site), implant (type, length, and diameter), surgical (sites and types of grafts), and prosthetic (type of loading) variables were investigated. Implant failure and peri-implant bone resorption were considered as predictors of clinical outcome. Kaplan-Meier algorithm and Cox regression were then performed to detect those variables statistically associated with the clinical outcome. Implant length and diameter ranged from 11.5 to 15 mm and from 3.5 to 4.0 mm, respectively. Implants were inserted to replace 12 incisors, 12 cuspids, 11 premolars, and 9 molars. No implant was lost. On the contrary, implant's length, grafted sites, and type of loading affected univariate analysis, but these data were not confirmed by multivariate algorithm. Dental implants and bone grafts to orally rehabilitate patients with ED are valuable devices with no difference if compared with unaffected patients, at least in adults.

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  • In ED patients, limited local blood supply, reduced bone remodeling capacity, and rapid graft resorption often hinder long-term implant stability.

    “However, limited local blood supply, reduced bone remodeling capacity, and rapid graft resorption often hinder long-term implant stability in ED patients.”

    From Implant-supported fixed prosthodontic treatment for ectodermal dysplasia: a case report (2026) · cites this paper as [23]

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Authors
Grecchi, F., Pagliani, L., Mancini, G. E., Zollino, I., & Carinci, F.
Affiliations
  • IRCCS Ospedale Galeazzi - Sant'Ambrogio (IT)
  • ANDI (BR)
  • University of Ferrara (IT)
Corresponding author
Grecchi, Francesco
ORCID
Venue
Journal of Craniofacial Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2010-11
Volume
21
Issue
6
Pages
1776-1780
ISSN
1049-2275 (ISSN-L)
DOI
10.1097/scs.0b013e3181f40378
OpenAlex
W2333129170
Cited by
18
References
25
Citations by year
2026: 1 · 2023: 2 · 2022: 1 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 3 · 2015: 4 · 2014: 1 · 2012: 1
FWCI
0.33
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Craniofacial Surgery (publishedVersion)
  • PubMed (publishedVersion)
  • Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion)
Topics
  • Health Sciences › Dentistry › Oral Surgery › Dental Implant Techniques and Outcomes
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › dental development and anomalies
  • Health Sciences › Dentistry › Orthodontics › Orthodontics and Dentofacial Orthopedics
Keywords
ectodermal dysplasia, dental implants, bone grafting, implant survival, peri-implant bone loss, implant failure, implant length and diameter, implant loading, maxilla and mandible, tooth replacement
MeSH terms
Dental Abutments, Adult, Dental Implantation, Endosseous, Ectodermal Dysplasia, Female, Follow-Up Studies, Humans, Male, Middle Aged, Radiography, Retrospective Studies, Transplantation, Autologous, Dental Implants, Survival Analysis, Bone Transplantation, Alveolar Bone Loss, Bone Remodeling, Treatment Outcome, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Young Adult, Orthognathic Surgical Procedures

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