Use of rhBMP-2 to reconstruct a severely atrophic mandible: a modified approach
Identifieur interne : 000039 ( PascalFrancis/Checkpoint ); précédent : 000038; suivant : 000040Use of rhBMP-2 to reconstruct a severely atrophic mandible: a modified approach
Auteurs : N. M. A. Lopes [Brésil] ; A. Vajgel [Brésil] ; D. M. De Oliveira [Brésil] ; T. De Santana Santos [Brésil] ; T. Wassall [Brésil]Source :
- International journal of oral and maxillofacial surgery [ 0901-5027 ] ; 2012.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
Abstract
This study reports the case of a patient with a severely resorbed mandible who was treated without a bone graft, using short implants, internal rigid fixation, rhBMP-2 and β-tricalcium phosphate. A 76-year-old woman, with a severely resorbed mandible (less than 3 mm), reported a history of nearly 25 years of complete edentulism and consecutive treatment failures, with total bilateral exposed inferior alveolar nerves and complete bone resorption of the inferior border in some areas. The treatment of choice was the placement of a 2.0 mm thick unilock bone plate (MatrixMandible, Synthes Maxillofacial, Paoli, PA, USA), to reinforce the mandible. Eight short implants with a regular platform (Nobel Biocare, Goteborg, Sweden) were placed: three on the external oblique line on both sides and two on the symphysis. In order to augment mandible height and coat the exposed thread of the anterior implants, rhBMP-2 (Infuse Bone, Meditronic Sofamor Danek, Memphis, TN, USA) and β-tricalcium phosphate (Cerasorb; Curasan, Kleinostheim, Germany) were used. Four 1.3 mm L miniplates were placed to support the graft. 14 months after surgery, the patient was satisfied and had excellent function without complications.
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M. A." last="Lopes">N. M. A. Lopes</name></region><name sortKey="De Oliveira, D M" sort="De Oliveira, D M" uniqKey="De Oliveira D" first="D. M." last="De Oliveira">D. M. De Oliveira</name><name sortKey="De Santana Santos, T" sort="De Santana Santos, T" uniqKey="De Santana Santos T" first="T." last="De Santana Santos">T. De Santana Santos</name><name sortKey="Vajgel, A" sort="Vajgel, A" uniqKey="Vajgel A" first="A." last="Vajgel">A. Vajgel</name><name sortKey="Wassall, T" sort="Wassall, T" uniqKey="Wassall T" first="T." last="Wassall">T. Wassall</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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