Reconstruction of the extremely atrophied mandible with iliac crest onlay grafts followed by two endosteal implants: a retrospective study with long-term follow-up.
Identifieur interne : 000453 ( Main/Exploration ); précédent : 000452; suivant : 000454Reconstruction of the extremely atrophied mandible with iliac crest onlay grafts followed by two endosteal implants: a retrospective study with long-term follow-up.
Auteurs : G C Boven [Pays-Bas] ; H J A. Meijer [Pays-Bas] ; A. Vissink [Pays-Bas] ; G M Raghoebar [Pays-Bas]Source :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Femelle, Humains, Ilium (transplantation), Implants dentaires, Mandibule (), Mandibule (anatomopathologie), Mandibule (imagerie diagnostique), Mâle, Overdenture, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Radiographie panoramique, Reconstruction de crête alvéolaire (), Résultat thérapeutique, Satisfaction du patient, Sujet âgé, Études de suivi, Études rétrospectives.
- MESH :
- anatomopathologie : Mandibule.
- imagerie diagnostique : Mandibule.
- Adulte d'âge moyen, Femelle, Humains, Ilium, Implants dentaires, Mandibule, Mâle, Overdenture, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Radiographie panoramique, Reconstruction de crête alvéolaire, Résultat thérapeutique, Satisfaction du patient, Sujet âgé, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Aged, Alveolar Ridge Augmentation (methods), Dental Implantation, Endosseous, Dental Implants, Dental Prosthesis, Implant-Supported, Denture, Overlay, Female, Follow-Up Studies, Humans, Ilium (transplantation), Male, Mandible (diagnostic imaging), Mandible (pathology), Mandible (surgery), Middle Aged, Patient Satisfaction, Radiography, Panoramic, Retrospective Studies, Treatment Outcome.
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Mandible.
- methods : Alveolar Ridge Augmentation.
- pathology : Mandible.
- surgery : Mandible.
- transplantation : Ilium.
- Aged, Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Denture, Overlay, Female, Follow-Up Studies, Humans, Male, Middle Aged, Patient Satisfaction, Radiography, Panoramic, Retrospective Studies, Treatment Outcome.
Abstract
Treatment outcomes of implant-retained lower dentures on two endosseous implants placed in severely atrophied mandibles after reconstruction with iliac crest onlay grafts were assessed in a retrospective observational study. All consecutive patients treated between 2000 and 2007 were recalled in 2012 (n=40). Survival of the implants, the condition of hard and soft peri-implant tissues, and patient satisfaction were scored. One implant was lost after 5.5 years. The mean mandibular symphysis height was 8.9±2.2, 16.4±2.7, 15.7±2.7, and 15.4±2.5mm at intake, after augmentation, after implantation, and at the last recall visit, respectively. Mean radiographic peri-implant bone loss was 0.6±0.7mm. Mean clinical index scores were very low. Patient satisfaction was high. Surgical complications related to the donor site were seroma (n=1), haematoma (n=2), and sensory disturbance of the lateral femoral cutaneous nerve (n=1); all had resolved before placement of the implants. Eleven patients reported postsurgical sensory disturbances of the mental nerve, of whom five still experienced some sensory disturbance at the last recall visit. Augmentation of the extremely resorbed mandible with an iliac crest onlay graft followed by placement of two implants 4 months later provides a solid basis for a bar-retained overdenture with favourable clinical and radiographic results.
DOI: 10.1016/j.ijom.2013.11.003
PubMed: 24411276
Affiliations:
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Electronic address: g.m.raghoebar@umcg.nl.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Centre Groningen, Groningen</wicri:regionArea><placeName><settlement type="city">Groningue</settlement><region nuts="2" type="province">Groningue (province)</region><settlement type="city">Groningue (ville)</settlement></placeName><orgName type="university">Université de Groningue</orgName></affiliation></author></analytic><series><title level="j">International journal of oral and maxillofacial surgery</title><idno type="eISSN">1399-0020</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Alveolar Ridge Augmentation (methods)</term><term>Dental Implantation, Endosseous</term><term>Dental Implants</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture, Overlay</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Ilium (transplantation)</term><term>Male</term><term>Mandible (diagnostic imaging)</term><term>Mandible (pathology)</term><term>Mandible (surgery)</term><term>Middle Aged</term><term>Patient Satisfaction</term><term>Radiography, Panoramic</term><term>Retrospective Studies</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Ilium (transplantation)</term><term>Implants dentaires</term><term>Mandibule ()</term><term>Mandibule (anatomopathologie)</term><term>Mandibule (imagerie diagnostique)</term><term>Mâle</term><term>Overdenture</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire implanto-portée</term><term>Radiographie panoramique</term><term>Reconstruction de crête alvéolaire ()</term><term>Résultat thérapeutique</term><term>Satisfaction du patient</term><term>Sujet âgé</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Mandibule</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Mandible</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Mandibule</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Mandible</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Mandible</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Ilium</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Dental Implantation, Endosseous</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture, Overlay</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Satisfaction</term><term>Radiography, Panoramic</term><term>Retrospective Studies</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Ilium</term><term>Implants dentaires</term><term>Mandibule</term><term>Mâle</term><term>Overdenture</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire implanto-portée</term><term>Radiographie panoramique</term><term>Reconstruction de crête alvéolaire</term><term>Résultat thérapeutique</term><term>Satisfaction du patient</term><term>Sujet âgé</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Treatment outcomes of implant-retained lower dentures on two endosseous implants placed in severely atrophied mandibles after reconstruction with iliac crest onlay grafts were assessed in a retrospective observational study. All consecutive patients treated between 2000 and 2007 were recalled in 2012 (n=40). Survival of the implants, the condition of hard and soft peri-implant tissues, and patient satisfaction were scored. One implant was lost after 5.5 years. The mean mandibular symphysis height was 8.9±2.2, 16.4±2.7, 15.7±2.7, and 15.4±2.5mm at intake, after augmentation, after implantation, and at the last recall visit, respectively. Mean radiographic peri-implant bone loss was 0.6±0.7mm. Mean clinical index scores were very low. Patient satisfaction was high. Surgical complications related to the donor site were seroma (n=1), haematoma (n=2), and sensory disturbance of the lateral femoral cutaneous nerve (n=1); all had resolved before placement of the implants. Eleven patients reported postsurgical sensory disturbances of the mental nerve, of whom five still experienced some sensory disturbance at the last recall visit. Augmentation of the extremely resorbed mandible with an iliac crest onlay graft followed by placement of two implants 4 months later provides a solid basis for a bar-retained overdenture with favourable clinical and radiographic results.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country><region><li>Groningue (province)</li></region><settlement><li>Groningue</li><li>Groningue (ville)</li></settlement><orgName><li>Université de Groningue</li></orgName></list><tree><country name="Pays-Bas"><region name="Groningue (province)"><name sortKey="Boven, G C" sort="Boven, G C" uniqKey="Boven G" first="G C" last="Boven">G C Boven</name></region><name sortKey="Meijer, H J A" sort="Meijer, H J A" uniqKey="Meijer H" first="H J A" last="Meijer">H J A. Meijer</name><name sortKey="Raghoebar, G M" sort="Raghoebar, G M" uniqKey="Raghoebar G" first="G M" last="Raghoebar">G M Raghoebar</name><name sortKey="Vissink, A" sort="Vissink, A" uniqKey="Vissink A" first="A" last="Vissink">A. Vissink</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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