Severely scarred oronasal cleft defects in edentulous adults: initial data on the long-term outcome of telescoped obturator prostheses supported by zygomatic implants.
Identifieur interne : 000F39 ( Main/Exploration ); précédent : 000F38; suivant : 000F40Severely scarred oronasal cleft defects in edentulous adults: initial data on the long-term outcome of telescoped obturator prostheses supported by zygomatic implants.
Auteurs : Constantin A. Landes ; Sharam Ghanaati ; Alexander Ballon ; Van Dung Thai ; René Reinhard ; Dieter Nolte ; Andree Piwowarczyk ; Mathias Wagner ; Robert SaderSource :
- The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [ 1545-1569 ] ; 2013.
Descripteurs français
- KwdFr :
- MESH :
- rééducation et réadaptation : Mâchoire édentée.
- Adulte, Humains, Implants dentaires, Maxillaire, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée.
English descriptors
- KwdEn :
- MESH :
- chemical : Dental Implants.
- rehabilitation : Jaw, Edentulous.
- surgery : Maxilla.
- Adult, Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Humans.
Abstract
Objective : Prosthetic rehabilitation of edentulous patients presenting with severely scarred oronasal cleft defects. To document the outcome of telescopic obturator prostheses attached to zygomatic implants in edentulous cleft lip and palate patients. Patients and Methods : Four edentulous patients suffering from the consequences of cleft lip and palate were selected from a cohort of 52 patients who had received zygomatic implants between 1998 and 2010. Oronasal communication had persisted and severe scars and chronic infection were noted in the cleft region. Bone grafting procedures were contraindicated due to high risk for dehiscence. For the functional support of telescopic prostheses, nine zygomatic implants and two standard dental implants had been placed. Results : The zygomatic implants and the telescopic prostheses survived an average of 62 months (37 to 99 months) and were successful. Patients' satisfaction and oral function improved (on visual analog scale and oral health impact profile). Conclusions : Telescopic obturator dentures supported by zygomatic implants represent a feasible option for the prosthetic rehabilitation of cleft lip and palate patients with severe impairments of the edentulous ridges including atrophy, scar tissue, ridge defects, oronasal communication, and chronic infection in the cleft region.
DOI: 10.1597/12-025
PubMed: 23611444
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Objective : Prosthetic rehabilitation of edentulous patients presenting with severely scarred oronasal cleft defects. To document the outcome of telescopic obturator prostheses attached to zygomatic implants in edentulous cleft lip and palate patients. Patients and Methods : Four edentulous patients suffering from the consequences of cleft lip and palate were selected from a cohort of 52 patients who had received zygomatic implants between 1998 and 2010. Oronasal communication had persisted and severe scars and chronic infection were noted in the cleft region. Bone grafting procedures were contraindicated due to high risk for dehiscence. For the functional support of telescopic prostheses, nine zygomatic implants and two standard dental implants had been placed. Results : The zygomatic implants and the telescopic prostheses survived an average of 62 months (37 to 99 months) and were successful. Patients' satisfaction and oral function improved (on visual analog scale and oral health impact profile). Conclusions : Telescopic obturator dentures supported by zygomatic implants represent a feasible option for the prosthetic rehabilitation of cleft lip and palate patients with severe impairments of the edentulous ridges including atrophy, scar tissue, ridge defects, oronasal communication, and chronic infection in the cleft region.</div>
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<name sortKey="Ghanaati, Sharam" sort="Ghanaati, Sharam" uniqKey="Ghanaati S" first="Sharam" last="Ghanaati">Sharam Ghanaati</name>
<name sortKey="Landes, Constantin A" sort="Landes, Constantin A" uniqKey="Landes C" first="Constantin A" last="Landes">Constantin A. Landes</name>
<name sortKey="Nolte, Dieter" sort="Nolte, Dieter" uniqKey="Nolte D" first="Dieter" last="Nolte">Dieter Nolte</name>
<name sortKey="Piwowarczyk, Andree" sort="Piwowarczyk, Andree" uniqKey="Piwowarczyk A" first="Andree" last="Piwowarczyk">Andree Piwowarczyk</name>
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<name sortKey="Sader, Robert" sort="Sader, Robert" uniqKey="Sader R" first="Robert" last="Sader">Robert Sader</name>
<name sortKey="Thai, Van Dung" sort="Thai, Van Dung" uniqKey="Thai V" first="Van Dung" last="Thai">Van Dung Thai</name>
<name sortKey="Wagner, Mathias" sort="Wagner, Mathias" uniqKey="Wagner M" first="Mathias" last="Wagner">Mathias Wagner</name>
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