Is peripheral blood cell balanced altered by the use of fresh frozen bone block allografts in lateral maxillary ridge augmentation?

Clin Implant Dent Relat Res. 2013 Apr;15(2):262-70. doi: 10.1111/j.1708-8208.2011.00385.x. Epub 2011 Aug 11.

Abstract

Background: The relationship between the immune response and red and white blood cell homeostasis is cited in literature, but no studies regarding the balance of these cell populations following maxillary bone-graft surgeries can be found.

Aim: The aim of this study was to evaluate the possible impairments in the blood cell balance following fresh-frozen allogeneic bone-graft augmentation procedures in patients who needed maxillary reconstruction prior to implants.

Material and methods: From 33 patients elected to onlay bone grafting procedures, 20 were treated with fresh-frozen bone allografts and 13 with autologous bone grafts. Five blood samples were collected from each patient in a 6-month period (baseline: 14, 30, 90, and 180 days postsurgery), and the hematological parameters (erythrogram, leukogram, and platelets count) were accessed.

Results: All evaluated parameters were within the reference values accepted as normal, and significant differences were found for the eosinophils count when comparing the treatments (30 days, p = .035) and when comparing different periods of evaluation (allograft-treated group, baseline × 180 days, p ≤ .05 and 90 × 180 days, p ≤ .01; autograft-treated group, 30 × 90 days, p ≤ .05 and 30 × 180 days, p ≤ .05).

Conclusions: Both autologous and fresh-frozen allogeneic bone grafts did not cause any impairment in the red and white blood cell balance, based on quantitative hemogram analysis, in patients subjected to maxillary reconstruction.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Allografts / transplantation*
  • Alveolar Ridge Augmentation / methods*
  • Autografts / transplantation
  • Blood Cell Count / classification*
  • Blood Cells / classification*
  • Bone Transplantation / methods*
  • Cryopreservation / methods
  • Eosinophils / pathology
  • Erythrocyte Count
  • Erythrocyte Indices
  • Female
  • Follow-Up Studies
  • Hematocrit
  • Hemoglobins / analysis
  • Humans
  • Leukocyte Count
  • Male
  • Maxilla / surgery*
  • Middle Aged
  • Monocytes / pathology
  • Platelet Count

Substances

  • Hemoglobins