Oral rehabilitation of an edentulous patient using two-segment le fort I repositioning and implant-supported fixed prostheses.
Identifieur interne : 000213 ( Ncbi/Curation ); précédent : 000212; suivant : 000214Oral rehabilitation of an edentulous patient using two-segment le fort I repositioning and implant-supported fixed prostheses.
Auteurs : Tamer Abdel-Azim [États-Unis] ; Joseph Fantuzzo ; Guido Batalocco ; Stephen Cho ; Carlo Ercoli ; Dean MortonSource :
- The International journal of oral & maxillofacial implants [ 1942-4434 ]
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Bouche édentée (rééducation et réadaptation), Femelle, Fosse nasale (anatomie et histologie), Humains, Ilium (transplantation), Implants dentaires, Malocclusion de classe III (rééducation et réadaptation), Maxillaire (), Ostéotomie de Le Fort (), Pose d'implant dentaire endo-osseux (), Processus alvéolaire (innervation), Prothèse dentaire implanto-portée, Résorption alvéolaire (rééducation et réadaptation), Sinus maxillaire (), Technique d'expansion palatine.
- MESH :
- anatomie et histologie : Fosse nasale.
- rééducation et réadaptation : Bouche édentée, Malocclusion de classe III, Résorption alvéolaire.
- Adulte d'âge moyen, Femelle, Humains, Ilium, Implants dentaires, Maxillaire, Ostéotomie de Le Fort, Pose d'implant dentaire endo-osseux, Processus alvéolaire, Prothèse dentaire implanto-portée, Sinus maxillaire, Technique d'expansion palatine.
English descriptors
- KwdEn :
- Alveolar Bone Loss (rehabilitation), Alveolar Process (innervation), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Female, Humans, Ilium (transplantation), Malocclusion, Angle Class III (rehabilitation), Maxilla (surgery), Maxillary Sinus (surgery), Middle Aged, Mouth, Edentulous (rehabilitation), Nasal Cavity (anatomy & histology), Osteotomy, Le Fort (methods), Palatal Expansion Technique.
- MESH :
- chemical : Dental Implants.
- anatomy & histology : Nasal Cavity.
- innervation : Alveolar Process.
- methods : Dental Implantation, Endosseous, Osteotomy, Le Fort.
- rehabilitation : Alveolar Bone Loss, Malocclusion, Angle Class III, Mouth, Edentulous.
- surgery : Maxilla, Maxillary Sinus.
- transplantation : Ilium.
- Dental Prosthesis, Implant-Supported, Female, Humans, Middle Aged, Palatal Expansion Technique.
Abstract
Anteroposterior (AP) deficiencies present a restorative treatment challenge. Complex, multidisciplinary planning is necessary for the success of the treatment. This clinical report describes an approach to managing a complex complete oral rehabilitation of an edentulous patient with skeletal transverse and AP deficiencies with a history of facial trauma to the left zygomaticomaxillary complex. This was further complicated by a hopeless remaining dentition and pneumatization of the maxillary sinuses. Treatment included initial bony augmentation of the vertically and horizontally deficient maxilla, dental implant placement, provisional restoration in a Class III malocclusion with bilateral posterior crossbite, and Le Fort I osteotomy with transverse widening and advancement to correct the skeletal deficiency. Definitive restoration was accomplished with implant-supported fixed prostheses that provided ideal facial balance and occlusion.
PubMed: 23527367
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pubmed:23527367Le document en format XML
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<affiliation wicri:level="1"><nlm:affiliation>Department of Oral Health and Rehabilitation, University of Louisville, School of Dentistry, Louisville, Kentucky 40202, USA. tamer.abdelazim@louisville.edu</nlm:affiliation>
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<wicri:regionArea>Department of Oral Health and Rehabilitation, University of Louisville, School of Dentistry, Louisville, Kentucky 40202</wicri:regionArea>
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<author><name sortKey="Abdel Azim, Tamer" sort="Abdel Azim, Tamer" uniqKey="Abdel Azim T" first="Tamer" last="Abdel-Azim">Tamer Abdel-Azim</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Oral Health and Rehabilitation, University of Louisville, School of Dentistry, Louisville, Kentucky 40202, USA. tamer.abdelazim@louisville.edu</nlm:affiliation>
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<author><name sortKey="Ercoli, Carlo" sort="Ercoli, Carlo" uniqKey="Ercoli C" first="Carlo" last="Ercoli">Carlo Ercoli</name>
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<term>Alveolar Process (innervation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Humans</term>
<term>Ilium (transplantation)</term>
<term>Malocclusion, Angle Class III (rehabilitation)</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Sinus (surgery)</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (rehabilitation)</term>
<term>Nasal Cavity (anatomy & histology)</term>
<term>Osteotomy, Le Fort (methods)</term>
<term>Palatal Expansion Technique</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Bouche édentée (rééducation et réadaptation)</term>
<term>Femelle</term>
<term>Fosse nasale (anatomie et histologie)</term>
<term>Humains</term>
<term>Ilium (transplantation)</term>
<term>Implants dentaires</term>
<term>Malocclusion de classe III (rééducation et réadaptation)</term>
<term>Maxillaire ()</term>
<term>Ostéotomie de Le Fort ()</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Processus alvéolaire (innervation)</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résorption alvéolaire (rééducation et réadaptation)</term>
<term>Sinus maxillaire ()</term>
<term>Technique d'expansion palatine</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr"><term>Fosse nasale</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Nasal Cavity</term>
</keywords>
<keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Alveolar Process</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term>
<term>Osteotomy, Le Fort</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Alveolar Bone Loss</term>
<term>Malocclusion, Angle Class III</term>
<term>Mouth, Edentulous</term>
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<term>Malocclusion de classe III</term>
<term>Résorption alvéolaire</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Maxilla</term>
<term>Maxillary Sinus</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Ilium</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Palatal Expansion Technique</term>
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<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>Maxillaire</term>
<term>Ostéotomie de Le Fort</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Processus alvéolaire</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Sinus maxillaire</term>
<term>Technique d'expansion palatine</term>
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<front><div type="abstract" xml:lang="en">Anteroposterior (AP) deficiencies present a restorative treatment challenge. Complex, multidisciplinary planning is necessary for the success of the treatment. This clinical report describes an approach to managing a complex complete oral rehabilitation of an edentulous patient with skeletal transverse and AP deficiencies with a history of facial trauma to the left zygomaticomaxillary complex. This was further complicated by a hopeless remaining dentition and pneumatization of the maxillary sinuses. Treatment included initial bony augmentation of the vertically and horizontally deficient maxilla, dental implant placement, provisional restoration in a Class III malocclusion with bilateral posterior crossbite, and Le Fort I osteotomy with transverse widening and advancement to correct the skeletal deficiency. Definitive restoration was accomplished with implant-supported fixed prostheses that provided ideal facial balance and occlusion.</div>
</front>
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