Aspects in post‐orthodontic removal of Orthosystem® implants
Identifieur interne : 000B49 ( Istex/Corpus ); précédent : 000B48; suivant : 000B50Aspects in post‐orthodontic removal of Orthosystem® implants
Auteurs : Grognard Nicolas ; Vande Vannet BartSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2008-12.
English descriptors
- KwdEn :
- Anchorage, Anterior maxilla, Anterior teeth, Bart, Bernhart, Blackwell munksgaard, Clin, Counterclockwise, Counterclockwise untightening, Cranial, Dentascan, Dentascan images, Diedrich, Explantation, Female patient, Grognard, Impl, Implant, Implants research, Inner part, Insertion, Journal compilation, Lateral, Lateral incisor, Length orthoimplant, Manual torque device, Maxilla, Maxillary, Munksgaard, Nasal, Nasal cavity, Neighbouring, Neighbouring teeth, Nicolas bart explantation, Oral impl, Orthodontic therapy, Orthodontic treatment, Orthoimplant, Orthoimplants, Orthosystem, Orthosystem implant, Orthosystem implants, Palatal, Perforation, Periotest, Periotest device, Periotest units, Periotest values, Restorative material, Transmucosal, Transmucosal part, Trephine, Untightening, Vande, Vannet, Wehrbein, Xture, Xtures.
- Teeft :
- Anchorage, Anterior maxilla, Anterior teeth, Bart, Bernhart, Blackwell munksgaard, Clin, Counterclockwise, Counterclockwise untightening, Cranial, Dentascan, Dentascan images, Diedrich, Explantation, Female patient, Grognard, Impl, Implant, Implants research, Inner part, Insertion, Journal compilation, Lateral, Lateral incisor, Length orthoimplant, Manual torque device, Maxilla, Maxillary, Munksgaard, Nasal, Nasal cavity, Neighbouring, Neighbouring teeth, Nicolas bart explantation, Oral impl, Orthodontic therapy, Orthodontic treatment, Orthoimplant, Orthoimplants, Orthosystem, Orthosystem implant, Orthosystem implants, Palatal, Perforation, Periotest, Periotest device, Periotest units, Periotest values, Restorative material, Transmucosal, Transmucosal part, Trephine, Untightening, Vande, Vannet, Wehrbein, Xture, Xtures.
Abstract
Objectives: Problems encountered in the removal of a temporary anchorage device, such as the Orthosystems implant, specially designed for orthodontic anchorage purposes after insertion at the palatal side of the maxilla, are presented and discussed.
Url:
DOI: 10.1111/j.1600-0501.2007.01300.x
Links to Exploration step
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<profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head>
<p><hi rend="bold">Objectives: </hi>
Problems encountered in the removal of a temporary anchorage device, such as the Orthosystems implant, specially designed for orthodontic anchorage purposes after insertion at the palatal side of the maxilla, are presented and discussed.</p>
<p><hi rend="bold">Material and methods: </hi>
The removal of these osseo‐integrated implants was originally described to be executed by means of bone cutting around the implant with a trephine explanation burr. However, situations can be encountered in which the orthodontic tooth movement resulted in close contact between the implant and neighbouring teeth or the nasal cavity.</p>
<p><hi rend="bold">Results: </hi>
Trephine burr bone cutting around the implant can thereby lead to damage of the adjacent tooth with subsequent endodontic problems or perforation of the nasal cavity. In these cases, simple untightening by counterclockwise torque or if unsuccessful, removal of the transmucosal part of the fixture allowing creeping mucosal covering of the implant, should be considered. Furthermore, generation of CT‐scan images performed after completion of active orthodontic therapy, with retraction of the upper anterior teeth, seems to be justified and indicated for planning the appropriate removal procedure.</p>
<p><hi rend="bold">Conclusion: </hi>
Retrospectively, the use of the longer version of the Orthosystems implant (6 mm in length) seems to be obsolete when para‐median locations are chosen. Three cases are presented to illustrate these problems.</p>
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<titleGroup><title type="main" sort="CLINICAL ORAL IMPLANTS RESEARCH">Clinical Oral Implants Research</title>
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<coverDate startDate="2008-12">December 2008</coverDate>
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<publicationMeta level="unit" type="article" position="11" status="forIssue"><doi origin="wiley">10.1111/j.1600-0501.2007.01300.x</doi>
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<titleGroup><title type="tocHeading1">Original Articles</title>
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<copyright>© 2008 The Authors. Journal compilation © 2008 Blackwell Munksgaard</copyright>
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<correspondenceTo><b>Correspondence to:</b>
<i>Grognard Nicolas, DDS, M. Sc. Period</i>
Koningstraat 41
8400 Oostende
Belgium
Tel.: +32 59 516021
Fax: +32 59 519278
e‐mail: <email normalForm="nicolas.grognard.kabinet@skynet.be">nicolas.grognard.kabinet@skynet.be</email>
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<contentMeta><unparsedEditorialHistory><b>Date:</b>
Accepted 28 February 2006</unparsedEditorialHistory>
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<titleGroup><title type="main">Aspects in post‐orthodontic removal of Orthosystem<sup>®</sup>
implants</title>
<title type="shortAuthors">Nicolas & Bart.</title>
<title type="short">Explantation of Orthosystem<sup>®</sup>
implants</title>
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<creator creatorRole="author" xml:id="cr2" affiliationRef="#a2 #a3"><personName><givenNames>Vande Vannet</givenNames>
<familyName>Bart</familyName>
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<affiliationGroup><affiliation xml:id="a1" countryCode="BE"><unparsedAffiliation>Private practice for periodontology and oral implantology, Oostende, Belgium</unparsedAffiliation>
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<affiliation xml:id="a2" countryCode="BE"><unparsedAffiliation>Private practice for orthodontics, oostende, Belgium</unparsedAffiliation>
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<affiliation xml:id="a3" countryCode="BE"><unparsedAffiliation>Vrije Universiteit Brussel, Brussels, Belgium</unparsedAffiliation>
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<keywordGroup xml:lang="en"><keyword xml:id="k1">explantation</keyword>
<keyword xml:id="k2">implant</keyword>
<keyword xml:id="k3">mucosa</keyword>
<keyword xml:id="k4">orthodontics</keyword>
<keyword xml:id="k5">periotest</keyword>
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<abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title>
<p><b>Objectives: </b>
Problems encountered in the removal of a temporary anchorage device, such as the Orthosystems implant, specially designed for orthodontic anchorage purposes after insertion at the palatal side of the maxilla, are presented and discussed.</p>
<p><b>Material and methods: </b>
The removal of these osseo‐integrated implants was originally described to be executed by means of bone cutting around the implant with a trephine explanation burr. However, situations can be encountered in which the orthodontic tooth movement resulted in close contact between the implant and neighbouring teeth or the nasal cavity.</p>
<p><b>Results: </b>
Trephine burr bone cutting around the implant can thereby lead to damage of the adjacent tooth with subsequent endodontic problems or perforation of the nasal cavity. In these cases, simple untightening by counterclockwise torque or if unsuccessful, removal of the transmucosal part of the fixture allowing creeping mucosal covering of the implant, should be considered. Furthermore, generation of CT‐scan images performed after completion of active orthodontic therapy, with retraction of the upper anterior teeth, seems to be justified and indicated for planning the appropriate removal procedure.</p>
<p><b>Conclusion: </b>
Retrospectively, the use of the longer version of the Orthosystems implant (6 mm in length) seems to be obsolete when para‐median locations are chosen. Three cases are presented to illustrate these problems.</p>
<!--
To cite this article:
Grognard N, Vande Vannet B. Aspects in post-orthodontic removal of Orthosystem® implants. Clin. Oral Impl. Res. 19, 2008; 1290–1294
doi: 10.1111/j.1600-0501.2008.01300.x
--></abstract>
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<abstract>Objectives: Problems encountered in the removal of a temporary anchorage device, such as the Orthosystems implant, specially designed for orthodontic anchorage purposes after insertion at the palatal side of the maxilla, are presented and discussed.</abstract>
<abstract>Material and methods: The removal of these osseo‐integrated implants was originally described to be executed by means of bone cutting around the implant with a trephine explanation burr. However, situations can be encountered in which the orthodontic tooth movement resulted in close contact between the implant and neighbouring teeth or the nasal cavity.</abstract>
<abstract>Results: Trephine burr bone cutting around the implant can thereby lead to damage of the adjacent tooth with subsequent endodontic problems or perforation of the nasal cavity. In these cases, simple untightening by counterclockwise torque or if unsuccessful, removal of the transmucosal part of the fixture allowing creeping mucosal covering of the implant, should be considered. Furthermore, generation of CT‐scan images performed after completion of active orthodontic therapy, with retraction of the upper anterior teeth, seems to be justified and indicated for planning the appropriate removal procedure.</abstract>
<abstract>Conclusion: Retrospectively, the use of the longer version of the Orthosystems implant (6 mm in length) seems to be obsolete when para‐median locations are chosen. Three cases are presented to illustrate these problems.</abstract>
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