A lower border augmentation technique to allow implant placement after a bilateral mandibular fracture as a complication of vertical distraction osteogenesis: a case report.
Identifieur interne : 000200 ( Ncbi/Curation ); précédent : 000199; suivant : 000201A lower border augmentation technique to allow implant placement after a bilateral mandibular fracture as a complication of vertical distraction osteogenesis: a case report.
Auteurs : F B T. Perdijk [Pays-Bas] ; G J Meijer ; A. Soehardi ; R. KooleSource :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2013.
Descripteurs français
- KwdFr :
- MESH :
- effets indésirables : Ostéogenèse par distraction.
- étiologie : Fractures mandibulaires.
- Fractures mandibulaires, Humains, Mandibule, Mâchoire partiellement édentée, Mâle, Pose d'implant dentaire endo-osseux, Résorption alvéolaire, Sujet âgé, Transplantation osseuse.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Osteogenesis, Distraction.
- etiology : Mandibular Fractures.
- methods : Bone Transplantation, Dental Implantation, Endosseous.
- surgery : Alveolar Bone Loss, Jaw, Edentulous, Partially, Mandible, Mandibular Fractures.
- Aged, Humans, Male.
Abstract
As with other techniques, vertical distraction osteogenesis (VDO) can also induce complications. The case of a patient with a residual alveolar ridge in the symphyseal area of 8 mm is presented. After performing VDO, the patient returned at 1-day postoperatively complaining of pain and dislocation of the distractor device, due to a fracture of the lower mandibular segment on the right side. After removal of the distractor device and application of osteosynthesis plates, the patient returned 2 weeks later due to a second fracture of the lower segment, yet on the left side. After removing the osteosynthesis material, stabilization of the mandible was achieved with an acrylic splint, which was fixated with peri-mandibular wiring. Finally, reconstruction was accomplished by lower border onlay grafting, limited to the symphyseal area, in preparation for implant insertion. Ultimately, after a healing period of 5 months, two endosseous implants were installed. The patient's function has remained satisfactory for 3 years. Reinforcement of the extreme resorbed edentulous mandible after fracture healing by lower border bone augmentation can be a reliable method to allow implant installation in a second stage.
DOI: 10.1016/j.ijom.2013.01.024
PubMed: 23523623
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pubmed:23523623Le document en format XML
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<term>Dental Implantation, Endosseous (methods)</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
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<term>Mandibular Fractures (surgery)</term>
<term>Osteogenesis, Distraction (adverse effects)</term>
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<term>Fractures mandibulaires (étiologie)</term>
<term>Humains</term>
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<term>Mâchoire partiellement édentée ()</term>
<term>Mâle</term>
<term>Ostéogenèse par distraction (effets indésirables)</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Résorption alvéolaire ()</term>
<term>Sujet âgé</term>
<term>Transplantation osseuse ()</term>
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<term>Jaw, Edentulous, Partially</term>
<term>Mandible</term>
<term>Mandibular Fractures</term>
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<term>Mandibule</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Résorption alvéolaire</term>
<term>Sujet âgé</term>
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<front><div type="abstract" xml:lang="en">As with other techniques, vertical distraction osteogenesis (VDO) can also induce complications. The case of a patient with a residual alveolar ridge in the symphyseal area of 8 mm is presented. After performing VDO, the patient returned at 1-day postoperatively complaining of pain and dislocation of the distractor device, due to a fracture of the lower mandibular segment on the right side. After removal of the distractor device and application of osteosynthesis plates, the patient returned 2 weeks later due to a second fracture of the lower segment, yet on the left side. After removing the osteosynthesis material, stabilization of the mandible was achieved with an acrylic splint, which was fixated with peri-mandibular wiring. Finally, reconstruction was accomplished by lower border onlay grafting, limited to the symphyseal area, in preparation for implant insertion. Ultimately, after a healing period of 5 months, two endosseous implants were installed. The patient's function has remained satisfactory for 3 years. Reinforcement of the extreme resorbed edentulous mandible after fracture healing by lower border bone augmentation can be a reliable method to allow implant installation in a second stage.</div>
</front>
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