Multidimensional osteodistraction for correction of implant malposition in edentulous segments
Identifieur interne : 007E54 ( Istex/Corpus ); précédent : 007E53; suivant : 007E55Multidimensional osteodistraction for correction of implant malposition in edentulous segments
Auteurs : Werner Zechner ; Thomas Bernhart ; Konstantin Zauza ; Ales Celar ; Georg WatzekSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2001-10.
English descriptors
- KwdEn :
- Adjacent teeth, Alveolar ridge augmentation, Antagonistic tooth, Augmentation, Callus distraction, Cette etude, Chin toth, Clin, Clinical application, Craniolateral displacement, Dental school, Direction verticale, Discernible radiographically, Distraction, Distraction abutments, Distraction device, Distraction distances, Distraction osteogenesis, Distractor, Donor site morbidity, Edentulous, Edentulous segments, Endosseous systems, Esta tecnica, Experimental study, Female patient, Gradual distraction, Ilizarov, Impl, Implant, Implant host bone, Implant malposition, Implant placement, Implant position, Implant system, Internal devices, International journal, Malposition, Malposition implantaire, Maxillofacial, Maxillofacial implants, Maxillofacial surgery, Minimum distance, Mobility degree, Model analysis, Multidimensional, Multidimensional distraction, Multidimensional osteodistraction, Observation period, Oligodontia, Optimized, Oral impl, Oral surgery, Osseointegrated implants, Osteodistraction, Osteogenesis, Osteotomy, Palatocranial malposition, Plastic surgery, Primary wound healing, Prosthetic requirements, Prosthetically, Prosthetically optimized position, Prosthetically unfavourable implant positions, Reconstructive surgery, Retention phase, Soft tissue, Soft tissue augmentation, Spatial planes, Standard deviation, Surgery, Thread height, Toth, Unfavourable, Unfavourable implant positions, Vertical direction, Watzek, Werner zechner, Wound dehiscences, Young patients, Zechner.
- Teeft :
- Adjacent teeth, Alveolar ridge augmentation, Antagonistic tooth, Augmentation, Callus distraction, Cette etude, Chin toth, Clin, Clinical application, Craniolateral displacement, Dental school, Direction verticale, Discernible radiographically, Distraction, Distraction abutments, Distraction device, Distraction distances, Distraction osteogenesis, Distractor, Donor site morbidity, Edentulous, Edentulous segments, Endosseous systems, Esta tecnica, Experimental study, Female patient, Gradual distraction, Ilizarov, Impl, Implant, Implant host bone, Implant malposition, Implant placement, Implant position, Implant system, Internal devices, International journal, Malposition, Malposition implantaire, Maxillofacial, Maxillofacial implants, Maxillofacial surgery, Minimum distance, Mobility degree, Model analysis, Multidimensional, Multidimensional distraction, Multidimensional osteodistraction, Observation period, Oligodontia, Optimized, Oral impl, Oral surgery, Osseointegrated implants, Osteodistraction, Osteogenesis, Osteotomy, Palatocranial malposition, Plastic surgery, Primary wound healing, Prosthetic requirements, Prosthetically, Prosthetically optimized position, Prosthetically unfavourable implant positions, Reconstructive surgery, Retention phase, Soft tissue, Soft tissue augmentation, Spatial planes, Standard deviation, Surgery, Thread height, Toth, Unfavourable, Unfavourable implant positions, Vertical direction, Watzek, Werner zechner, Wound dehiscences, Young patients, Zechner.
Abstract
Abstract: This study examined multidimensional osteodistraction as a treatment method for correction of implant malposition and as an alternative to augmentation procedures. The prosthetically unfavourable implant positions were due to growth‐related implant malposition (in the context of treatment of young patients with oligodontia) or primary bone‐driven implant insertions. The radiographical and clinical findings obtained with this osteodistraction technique are presented and discussed. A tooth‐supported osteodistractor for multidimensional distraction with custom‐fabricated distraction abutments was used for treatment of 8 patients with a total of 9 maxillary and mandibular edentulous segments including single‐tooth gaps. All patients underwent an osteotomy at a minimum distance of 1 mm from the implant surface. Following primary wound healing, distraction was carried out by 1 mm in vertical direction and 0.5 mm in the demanded transverse direction daily until the prosthetically optimized position was achieved. During and after the 12‐week retention phase, the patients were evaluated clinically and radiographically. Multidimensional osteodistraction was carried out successfully in all 8 patients. The distraction distances were 3 to 11 mm in vertical direction and a maximum of 5 mm in buccolingual/buccopalatal direction. The malpositioned implants were brought into a prosthetically optimized position in all cases. The results of this study show that this multidimensional osteodistraction technique allows both augmentation of edentulous segments with a clearly compromised implant host site and correction of unfavourable implant positions.
Url:
DOI: 10.1034/j.1600-0501.2001.120515.x
Links to Exploration step
ISTEX:FFE647A2BC960962913FC4FE65DF693145C4EC80Le document en format XML
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Vienna.</mods:affiliation></affiliation></author><author><name sortKey="Zauza, Konstantin" sort="Zauza, Konstantin" uniqKey="Zauza K" first="Konstantin" last="Zauza">Konstantin Zauza</name><affiliation><mods:affiliation>Department of Prosthetic Dentistry, Dental School of the University of Vienna.</mods:affiliation></affiliation></author><author><name sortKey="Celar, Ales" sort="Celar, Ales" uniqKey="Celar A" first="Ales" last="Celar">Ales Celar</name><affiliation><mods:affiliation>Department of Prosthetic Dentistry, Dental School of the University of Vienna.</mods:affiliation></affiliation></author><author><name sortKey="Watzek, Georg" sort="Watzek, Georg" uniqKey="Watzek G" first="Georg" last="Watzek">Georg Watzek</name><affiliation><mods:affiliation>Head of Department of Oral Surgery, Dental School of the University of Vienna, Austria</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:FFE647A2BC960962913FC4FE65DF693145C4EC80</idno><date when="2001" year="2001">2001</date><idno type="doi">10.1034/j.1600-0501.2001.120515.x</idno><idno type="url">https://api.istex.fr/document/FFE647A2BC960962913FC4FE65DF693145C4EC80/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">007E54</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">007E54</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Multidimensional osteodistraction for correction of implant malposition in edentulous segments</title><author><name sortKey="Zechner, Werner" sort="Zechner, Werner" uniqKey="Zechner W" first="Werner" last="Zechner">Werner Zechner</name><affiliation><mods:affiliation>Department of Oral Surgery, Dental School of the University of Vienna.</mods:affiliation></affiliation><affiliation><mods:affiliation>Correspondence address: *,Department of Oral SurgeryDental School of the University of ViennaWaehringerstr. 25 aA‐1090 ViennaAustriaTel: +43 1 4277 67011Fax: +43 1 4277 67019</mods:affiliation></affiliation></author><author><name sortKey="Bernhart, Thomas" sort="Bernhart, Thomas" uniqKey="Bernhart T" first="Thomas" last="Bernhart">Thomas Bernhart</name><affiliation><mods:affiliation>Department of Oral Surgery, Dental School of the University of Vienna.</mods:affiliation></affiliation></author><author><name sortKey="Zauza, Konstantin" sort="Zauza, Konstantin" uniqKey="Zauza K" first="Konstantin" last="Zauza">Konstantin Zauza</name><affiliation><mods:affiliation>Department of Prosthetic Dentistry, Dental School of the University of Vienna.</mods:affiliation></affiliation></author><author><name sortKey="Celar, Ales" sort="Celar, Ales" uniqKey="Celar A" first="Ales" last="Celar">Ales Celar</name><affiliation><mods:affiliation>Department of Prosthetic Dentistry, Dental School of the University of Vienna.</mods:affiliation></affiliation></author><author><name sortKey="Watzek, Georg" sort="Watzek, Georg" uniqKey="Watzek G" first="Georg" last="Watzek">Georg Watzek</name><affiliation><mods:affiliation>Head of Department of Oral Surgery, Dental School of the University of Vienna, Austria</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="ISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><imprint><biblScope unit="vol">12</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="531">531</biblScope><biblScope unit="page" to="538">538</biblScope><biblScope unit="page-count">8</biblScope><publisher>Munksgaard International Publishers</publisher><pubPlace>Copenhagen</pubPlace><date type="published" when="2001-10">2001-10</date></imprint><idno type="ISSN">0905-7161</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0905-7161</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adjacent teeth</term><term>Alveolar ridge augmentation</term><term>Antagonistic tooth</term><term>Augmentation</term><term>Callus distraction</term><term>Cette etude</term><term>Chin toth</term><term>Clin</term><term>Clinical application</term><term>Craniolateral displacement</term><term>Dental school</term><term>Direction verticale</term><term>Discernible radiographically</term><term>Distraction</term><term>Distraction abutments</term><term>Distraction device</term><term>Distraction distances</term><term>Distraction osteogenesis</term><term>Distractor</term><term>Donor site morbidity</term><term>Edentulous</term><term>Edentulous segments</term><term>Endosseous systems</term><term>Esta tecnica</term><term>Experimental study</term><term>Female patient</term><term>Gradual distraction</term><term>Ilizarov</term><term>Impl</term><term>Implant</term><term>Implant host bone</term><term>Implant malposition</term><term>Implant placement</term><term>Implant position</term><term>Implant system</term><term>Internal devices</term><term>International journal</term><term>Malposition</term><term>Malposition implantaire</term><term>Maxillofacial</term><term>Maxillofacial implants</term><term>Maxillofacial surgery</term><term>Minimum distance</term><term>Mobility degree</term><term>Model analysis</term><term>Multidimensional</term><term>Multidimensional distraction</term><term>Multidimensional osteodistraction</term><term>Observation period</term><term>Oligodontia</term><term>Optimized</term><term>Oral impl</term><term>Oral surgery</term><term>Osseointegrated implants</term><term>Osteodistraction</term><term>Osteogenesis</term><term>Osteotomy</term><term>Palatocranial malposition</term><term>Plastic surgery</term><term>Primary wound healing</term><term>Prosthetic requirements</term><term>Prosthetically</term><term>Prosthetically optimized position</term><term>Prosthetically unfavourable implant positions</term><term>Reconstructive surgery</term><term>Retention phase</term><term>Soft tissue</term><term>Soft tissue augmentation</term><term>Spatial planes</term><term>Standard deviation</term><term>Surgery</term><term>Thread height</term><term>Toth</term><term>Unfavourable</term><term>Unfavourable implant positions</term><term>Vertical direction</term><term>Watzek</term><term>Werner zechner</term><term>Wound dehiscences</term><term>Young patients</term><term>Zechner</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Adjacent teeth</term><term>Alveolar ridge augmentation</term><term>Antagonistic tooth</term><term>Augmentation</term><term>Callus distraction</term><term>Cette etude</term><term>Chin toth</term><term>Clin</term><term>Clinical application</term><term>Craniolateral displacement</term><term>Dental school</term><term>Direction verticale</term><term>Discernible radiographically</term><term>Distraction</term><term>Distraction abutments</term><term>Distraction device</term><term>Distraction distances</term><term>Distraction osteogenesis</term><term>Distractor</term><term>Donor site morbidity</term><term>Edentulous</term><term>Edentulous segments</term><term>Endosseous systems</term><term>Esta tecnica</term><term>Experimental study</term><term>Female patient</term><term>Gradual distraction</term><term>Ilizarov</term><term>Impl</term><term>Implant</term><term>Implant host bone</term><term>Implant malposition</term><term>Implant placement</term><term>Implant position</term><term>Implant system</term><term>Internal devices</term><term>International journal</term><term>Malposition</term><term>Malposition implantaire</term><term>Maxillofacial</term><term>Maxillofacial implants</term><term>Maxillofacial surgery</term><term>Minimum distance</term><term>Mobility degree</term><term>Model analysis</term><term>Multidimensional</term><term>Multidimensional distraction</term><term>Multidimensional osteodistraction</term><term>Observation period</term><term>Oligodontia</term><term>Optimized</term><term>Oral impl</term><term>Oral surgery</term><term>Osseointegrated implants</term><term>Osteodistraction</term><term>Osteogenesis</term><term>Osteotomy</term><term>Palatocranial malposition</term><term>Plastic surgery</term><term>Primary wound healing</term><term>Prosthetic requirements</term><term>Prosthetically</term><term>Prosthetically optimized position</term><term>Prosthetically unfavourable implant positions</term><term>Reconstructive surgery</term><term>Retention phase</term><term>Soft tissue</term><term>Soft tissue augmentation</term><term>Spatial planes</term><term>Standard deviation</term><term>Surgery</term><term>Thread height</term><term>Toth</term><term>Unfavourable</term><term>Unfavourable implant positions</term><term>Vertical direction</term><term>Watzek</term><term>Werner zechner</term><term>Wound dehiscences</term><term>Young patients</term><term>Zechner</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Abstract: This study examined multidimensional osteodistraction as a treatment method for correction of implant malposition and as an alternative to augmentation procedures. The prosthetically unfavourable implant positions were due to growth‐related implant malposition (in the context of treatment of young patients with oligodontia) or primary bone‐driven implant insertions. The radiographical and clinical findings obtained with this osteodistraction technique are presented and discussed. A tooth‐supported osteodistractor for multidimensional distraction with custom‐fabricated distraction abutments was used for treatment of 8 patients with a total of 9 maxillary and mandibular edentulous segments including single‐tooth gaps. All patients underwent an osteotomy at a minimum distance of 1 mm from the implant surface. Following primary wound healing, distraction was carried out by 1 mm in vertical direction and 0.5 mm in the demanded transverse direction daily until the prosthetically optimized position was achieved. During and after the 12‐week retention phase, the patients were evaluated clinically and radiographically. Multidimensional osteodistraction was carried out successfully in all 8 patients. The distraction distances were 3 to 11 mm in vertical direction and a maximum of 5 mm in buccolingual/buccopalatal direction. The malpositioned implants were brought into a prosthetically optimized position in all cases. The results of this study show that this multidimensional osteodistraction technique allows both augmentation of edentulous segments with a clearly compromised implant host site and correction of unfavourable implant positions.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>implant</json:string><json:string>osteodistraction</json:string><json:string>distractor</json:string><json:string>augmentation</json:string><json:string>multidimensional osteodistraction</json:string><json:string>prosthetically</json:string><json:string>malposition</json:string><json:string>osteogenesis</json:string><json:string>maxillofacial</json:string><json:string>zechner</json:string><json:string>multidimensional</json:string><json:string>osteotomy</json:string><json:string>distraction</json:string><json:string>ilizarov</json:string><json:string>unfavourable</json:string><json:string>maxillofacial surgery</json:string><json:string>distraction osteogenesis</json:string><json:string>edentulous segments</json:string><json:string>clin</json:string><json:string>oral impl</json:string><json:string>optimized</json:string><json:string>toth</json:string><json:string>impl</json:string><json:string>watzek</json:string><json:string>oligodontia</json:string><json:string>chin toth</json:string><json:string>implant malposition</json:string><json:string>edentulous</json:string><json:string>prosthetically optimized position</json:string><json:string>soft tissue</json:string><json:string>implant placement</json:string><json:string>oral surgery</json:string><json:string>vertical direction</json:string><json:string>adjacent teeth</json:string><json:string>retention phase</json:string><json:string>young patients</json:string><json:string>distraction distances</json:string><json:string>gradual distraction</json:string><json:string>mobility degree</json:string><json:string>soft tissue augmentation</json:string><json:string>international journal</json:string><json:string>distraction abutments</json:string><json:string>spatial planes</json:string><json:string>dental school</json:string><json:string>reconstructive surgery</json:string><json:string>implant position</json:string><json:string>primary wound healing</json:string><json:string>plastic surgery</json:string><json:string>alveolar ridge augmentation</json:string><json:string>prosthetically unfavourable implant positions</json:string><json:string>wound dehiscences</json:string><json:string>standard deviation</json:string><json:string>craniolateral displacement</json:string><json:string>osseointegrated implants</json:string><json:string>model analysis</json:string><json:string>prosthetic requirements</json:string><json:string>endosseous systems</json:string><json:string>donor site morbidity</json:string><json:string>maxillofacial implants</json:string><json:string>thread height</json:string><json:string>distraction device</json:string><json:string>callus distraction</json:string><json:string>antagonistic tooth</json:string><json:string>discernible radiographically</json:string><json:string>observation period</json:string><json:string>werner zechner</json:string><json:string>clinical application</json:string><json:string>implant host bone</json:string><json:string>palatocranial malposition</json:string><json:string>implant system</json:string><json:string>experimental study</json:string><json:string>cette etude</json:string><json:string>malposition implantaire</json:string><json:string>direction verticale</json:string><json:string>esta tecnica</json:string><json:string>internal devices</json:string><json:string>unfavourable implant positions</json:string><json:string>minimum distance</json:string><json:string>multidimensional distraction</json:string><json:string>female patient</json:string><json:string>surgery</json:string></teeft></keywords><author><json:item><name>Werner Zechner</name><affiliations><json:string>Department of Oral Surgery, Dental School of the University of Vienna.</json:string><json:string>Correspondence address: *,Department of Oral SurgeryDental School of the University of ViennaWaehringerstr. 25 aA‐1090 ViennaAustriaTel: +43 1 4277 67011Fax: +43 1 4277 67019</json:string></affiliations></json:item><json:item><name>Thomas Bernhart</name><affiliations><json:string>Department of Oral Surgery, Dental School of the University of Vienna.</json:string></affiliations></json:item><json:item><name>Konstantin Zauza</name><affiliations><json:string>Department of Prosthetic Dentistry, Dental School of the University of Vienna.</json:string></affiliations></json:item><json:item><name>Ales Celar</name><affiliations><json:string>Department of Prosthetic Dentistry, Dental School of the University of Vienna.</json:string></affiliations></json:item><json:item><name>Georg Watzek</name><affiliations><json:string>Head of Department of Oral Surgery, Dental School of the University of Vienna, Austria</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>distraction osteogenesis, alveolar ridge augmentation, oligodontia, dental implants</value></json:item></subject><articleId><json:string>CLR120515</json:string></articleId><arkIstex>ark:/67375/WNG-ZPNRV2K3-2</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>caseStudy</json:string></originalGenre><abstract>Abstract: This study examined multidimensional osteodistraction as a treatment method for correction of implant malposition and as an alternative to augmentation procedures. The prosthetically unfavourable implant positions were due to growth‐related implant malposition (in the context of treatment of young patients with oligodontia) or primary bone‐driven implant insertions. The radiographical and clinical findings obtained with this osteodistraction technique are presented and discussed. A tooth‐supported osteodistractor for multidimensional distraction with custom‐fabricated distraction abutments was used for treatment of 8 patients with a total of 9 maxillary and mandibular edentulous segments including single‐tooth gaps. All patients underwent an osteotomy at a minimum distance of 1 mm from the implant surface. Following primary wound healing, distraction was carried out by 1 mm in vertical direction and 0.5 mm in the demanded transverse direction daily until the prosthetically optimized position was achieved. During and after the 12‐week retention phase, the patients were evaluated clinically and radiographically. Multidimensional osteodistraction was carried out successfully in all 8 patients. The distraction distances were 3 to 11 mm in vertical direction and a maximum of 5 mm in buccolingual/buccopalatal direction. The malpositioned implants were brought into a prosthetically optimized position in all cases. The results of this study show that this multidimensional osteodistraction technique allows both augmentation of edentulous segments with a clearly compromised implant host site and correction of unfavourable implant positions.</abstract><qualityIndicators><score>8.602</score><pdfWordCount>3902</pdfWordCount><pdfCharCount>27125</pdfCharCount><pdfVersion>1.2</pdfVersion><pdfPageCount>8</pdfPageCount><pdfPageSize>595 x 794 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>225</abstractWordCount><abstractCharCount>1668</abstractCharCount><keywordCount>1</keywordCount></qualityIndicators><title>Multidimensional osteodistraction for correction of implant malposition in edentulous segments</title><pmid><json:string>11564115</json:string></pmid><genre><json:string>case-report</json:string></genre><host><title>Clinical Oral Implants Research</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1600-0501</json:string></doi><issn><json:string>0905-7161</json:string></issn><eissn><json:string>1600-0501</json:string></eissn><publisherId><json:string>CLR</json:string></publisherId><volume>12</volume><issue>5</issue><pages><first>531</first><last>538</last><total>8</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>1990s</json:string><json:string>2001</json:string></date><geogName></geogName><orgName><json:string>University of Vienna, Austria</json:string><json:string>Department of Oral Surgery Dental School of the University of Vienna Waehringerstr</json:string><json:string>Department of Prosthetic Dentistry, Dental School of the University of Vienna</json:string><json:string>Vienna Austria Tel</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Age</json:string><json:string>G. Multidimensional</json:string><json:string>Werner Zechner</json:string><json:string>Dental School</json:string><json:string>Konstantin Zauza</json:string><json:string>Thomas Bernhart</json:string><json:string>Case</json:string><json:string>Ales Celar</json:string><json:string>Georg Watzek</json:string></persName><placeName><json:string>Germany</json:string><json:string>Austria</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Oda et al.</json:string><json:string>Durstberger et al. 1999</json:string><json:string>Bell et al. 1997</json:string><json:string>Karp et al. 1990</json:string><json:string>Lazar et al. 1999</json:string><json:string>McCarthy et al. (1995)</json:string><json:string>Martini & Castaman 1987</json:string><json:string>McCarthy et al. 1992</json:string><json:string>Gaggl et al. (1999)</json:string><json:string>Gaggl et al. 1999</json:string><json:string>Zechner et al</json:string><json:string>Haug et al. 1998</json:string><json:string>Oda et al. 1999</json:string><json:string>Ilizarov 1990</json:string><json:string>Diner (1997)</json:string><json:string>Dal Monte & Donzelli 1987</json:string><json:string>McCarthy et al. 1995</json:string><json:string>Block et al. 1996</json:string><json:string>Karp et al. 1992</json:string><json:string>Diner 1997</json:string><json:string>Chin & Toth 1996</json:string><json:string>Watzek et al. (2000)</json:string><json:string>Yamamoto et al. 1997</json:string><json:string>Ilizarov 1988</json:string><json:string>Block et al. 1995</json:string><json:string>Yasui et al. 1991</json:string><json:string>Korkala et al. 1988</json:string><json:string>Hidding et al. 1998</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-ZPNRV2K3-2</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - engineering, biomedical</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - Oral Surgery</json:string></scopus></categories><publicationDate>2001</publicationDate><copyrightDate>2001</copyrightDate><doi><json:string>10.1034/j.1600-0501.2001.120515.x</json:string></doi><id>FFE647A2BC960962913FC4FE65DF693145C4EC80</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/FFE647A2BC960962913FC4FE65DF693145C4EC80/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/FFE647A2BC960962913FC4FE65DF693145C4EC80/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/FFE647A2BC960962913FC4FE65DF693145C4EC80/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Multidimensional osteodistraction for correction of implant malposition in edentulous segments</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Munksgaard International Publishers</publisher><pubPlace>Copenhagen</pubPlace><date type="published" when="2001-10"></date></publicationStmt><notesStmt><note type="content-type" subtype="case-report" source="caseStudy" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-29919SZJ-6">case-report</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="case-report"><analytic><title level="a" type="main">Multidimensional osteodistraction for correction of implant malposition in edentulous segments</title><title level="a" type="short">Multidimensional osteodistraction</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Werner</forename><surname>Zechner</surname></persName><affiliation>Department of Oral Surgery, Dental School of the University of Vienna.</affiliation><affiliation>
*Werner Zechner, M.D., D.D.S.,
Department of Oral Surgery
Dental School of the University of Vienna
Waehringerstr. 25 a
A‐1090 Vienna
Austria
Tel: +43 1 4277 67011
Fax: +43 1 4277 67019</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Thomas</forename><surname>Bernhart</surname></persName><affiliation>Department of Oral Surgery, Dental School of the University of Vienna.</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Konstantin</forename><surname>Zauza</surname></persName><affiliation>Department of Prosthetic Dentistry, Dental School of the University of Vienna.</affiliation></author><author xml:id="author-0003"><persName><forename type="first">Ales</forename><surname>Celar</surname></persName><affiliation>Department of Prosthetic Dentistry, Dental School of the University of Vienna.</affiliation></author><author xml:id="author-0004"><persName><forename type="first">Georg</forename><surname>Watzek</surname></persName><affiliation>Head of Department of Oral Surgery, Dental School of the University of Vienna, Austria<address><country key="AT"></country></address></affiliation></author><idno type="istex">FFE647A2BC960962913FC4FE65DF693145C4EC80</idno><idno type="ark">ark:/67375/WNG-ZPNRV2K3-2</idno><idno type="DOI">10.1034/j.1600-0501.2001.120515.x</idno><idno type="unit">CLR120515</idno><idno type="supplier">clr10c653</idno><idno type="toTypesetVersion">file:CLR.CLR120515.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="pISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><idno type="book-DOI">10.1111/(ISSN)1600-0501</idno><idno type="book-part-DOI">10.1111/clr.2001.12.issue-5</idno><idno type="product">CLR</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">12</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="531">531</biblScope><biblScope unit="page" to="538">538</biblScope><biblScope unit="page-count">8</biblScope><publisher>Munksgaard International Publishers</publisher><pubPlace>Copenhagen</pubPlace><date type="published" when="2001-10"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p><hi rend="bold">Abstract:</hi> This study examined multidimensional osteodistraction as a treatment method for correction of implant malposition and as an alternative to augmentation procedures. The prosthetically unfavourable implant positions were due to growth‐related implant malposition (in the context of treatment of young patients with oligodontia) or primary bone‐driven implant insertions. The radiographical and clinical findings obtained with this osteodistraction technique are presented and discussed. A tooth‐supported osteodistractor for multidimensional distraction with custom‐fabricated distraction abutments was used for treatment of 8 patients with a total of 9 maxillary and mandibular edentulous segments including single‐tooth gaps. All patients underwent an osteotomy at a minimum distance of 1 mm from the implant surface. Following primary wound healing, distraction was carried out by 1 mm in vertical direction and 0.5 mm in the demanded transverse direction daily until the prosthetically optimized position was achieved. During and after the 12‐week retention phase, the patients were evaluated clinically and radiographically. Multidimensional osteodistraction was carried out successfully in all 8 patients. The distraction distances were 3 to 11 mm in vertical direction and a maximum of 5 mm in buccolingual/buccopalatal direction. The malpositioned implants were brought into a prosthetically optimized position in all cases. The results of this study show that this multidimensional osteodistraction technique allows both augmentation of edentulous segments with a clearly compromised implant host site and correction of unfavourable implant positions.</p></abstract><abstract xml:lang="fr" style="main"><head>Résumé</head><p>Cette étude a examiné l’ostéodistraction multidimensionnelle comme méthode de traitement pour la correction de la malposition implantaire et comme alternative au processus d’épaississement. Les positions implantaires non‐favorables à la prothèse étaient dûes à la malposition implantaire en relation avec la croissance (dans le contexte du traitement de jeunes patients avec oligodontie) ou des insertions implantaires essentiellement dictées par l’os. Les découvertes radiologiques et cliniques obtenues avec cette technique d’ostéodistraction sont présentées et discutées. Un ostéodistracteur sur dent pour la distraction multidimensionnelle avec des piliers de distraction a été utilisé pour le traitement de huit patients avec en tout neuf segments édentés mandibulaires et maxillaires comprenant des espaces dentaires uniques. Tous les patients ont subi une ostéotomie à une distance minimale de 1 mm de la surface de l’implant. Suite à la guérison primaire la distraction a été effectuée à 1 mm dans une direction verticale et 0.5 mm dans la direction transverse chaque jour jusqu’à ce que la position optimale soit atteinte pour la reconstruction prothétique. Durant et après la phase de rétention de douze semaines les patients ont été suivis cliniquement et radiologiquement. L’ostéodistraction multidimensionnelle a été effectuée avec succès chez huit patients. Les distances de distraction étaient de 3 à 11 mm dans la direction verticale et un maximum de 5 mm dans la direction vestibulo‐linguale. Les implants malpositionnés ont été placés dans une position optimale pour la prothèse dans tous les cas. Les résultats de cette étude ont montré que la technique de l’ostéodistraction multidimensionnelle permettait tant l’augmentation de segments édentés au niveau d’un site receveur fortement compromis qu’une correction des positions implantaires non‐favorables.</p></abstract><abstract xml:lang="de" style="main"><head>Zusammenfassung</head><p>Diese Studie untersuchte die multidimensionale Osteodistraktion als Behandlungsmethode zur Korrektur von Implantatfehlstellungen und als Alternative zu Augmentationsverfahren. Die Gründe für die aus prothetischer Sicht ungünstigen Implantatpositionen waren wachstumsbedingte Implantatfehlstellungen (im Zusammenhang mit der Behandlung von jungen Patienten mit Oligodontie) oder primär durch das Knochenangebot bestimmte Implantatinsertionen. Die mit dieser Osteodistraktionstechnik erreichten klinischen und radiologischen Ergebnisse werden vorgestellt und diskutiert. Ein zahngetragener Osteodistraktor zur multidimensionalen Distraktion mit individuell angefertigen Distraktionsschienen wurde zur Behandlung von 8 Patienten mit insgesamt 9 zahnlosen Segmenten im Ober‐ und Unterkiefer inklusive Einzelzahnlücken verwendet. Bei allen Patienten wurde eine Osteotomie in einem minimalen Abstand von 1 mm von der Implantatoberfläche durchgeführt. Nach der primären Wundheilung wurde die Distraktion pro Tag um 1 mm in vertikaler und 0.5 mm in der benötigten transversalen Richtung durchgeführt, bis die aus prothetischer Sicht optimale Position des Implantats erreicht wurde. Während und nach der 12 Wochen dauernden Retentionsphase wurden die Patienten klinisch und radiologisch nachuntersucht. Die multidimensionale Osteodistraktion konnte bei allen 8 Patienten erfolgreich durchgeführt werden. Die Distraktionsdistanzen betrugen zwischen 3 und 11 mm in vertikaler Richtung und bis zu 5 mm in bukkolingualer/bukkopalatinaler Richtung. In allen Fällen konnten die fehlplazierten Implantate in eine aus prothetischer Sicht optimierte Position gebracht werden. Die Resultate dieser Studie zeigen, dass die multidimensionale Osteodistraktionstechnik sowohl eine Augmentation von zahnlosen Segmenten mit deutlich reduziertem Implantatlagerknochen als auch eine Korrektur von ungünstigen Implantatpositionen erlaubt.</p></abstract><abstract xml:lang="es" style="main"><head>Resumen</head><p>Este estudio examina la osteodistracción multidimensional como método de tratamiento para la corrección de malposición implantaria y como una alternativa a los procedimientos de aumento. Las posiciones de implantes prosteticamente desfavorables se debieron a malposición de implantes relacionados con el crecimiento (en el contexto del tratamiento de pacientes jóvenes con oligodoncia) o inserciones de implantes osteoconducidas primariamente. Los hallazgos radiográficos y clínicos obtenidos con esta técnica de osteodistracción se presentan y discuten. Se usó un osteodistractor dentosoportado para distracción multidimensional con pilares de distracción fabricados a medida para el tratamiento de 8 pacientes con un total de 9 segmentos maxilares y mandibulares edéntulos incluyendo espacios de un solo diente. Todos los pacientes se sometieron a una osteotomía a una distancia mínima de 1 mm de la superficie del implante. Tras la cicatrización primaria de la herida se llevó a cabo la distracción 1 mm en dirección vertical y 0.5 mm en la dirección transversal demandada diariamente hasta que la posición prosteticamente optimizada se alcanzó. Los pacientes fueron evaluados clínicamente y radiograficamente durante y tras la fase de retención de 12 semanas. Se llevó a cabo una osteodistracción multidimensional con éxito en todos los 8 pacientes. Las distancias de distracción fueron de 3 a 11 mm en dirección vertical y un máximo de 5 mm en direccion bucolingual/bucopalatina. Los implantes malposicionados se trajeron a una posición prosteticamente optimizada en todos los casos. Los resultados de este estudio muestran que esta técnica de distracción multidimensional permite el aumento de segmentos edéntulos con lugar de hospedaje implantario claramente comprometido y corrección de posiciones implantarias desfavorables.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">distraction osteogenesis, alveolar ridge augmentation, oligodontia, dental implants</term></keywords><keywords rend="tocHeading1"><term>Case Reports</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/FFE647A2BC960962913FC4FE65DF693145C4EC80/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Munksgaard International Publishers</publisherName><publisherLoc>Copenhagen</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0501</doi><issn type="print">0905-7161</issn><issn type="electronic">1600-0501</issn><idGroup><id type="product" value="CLR"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CLINICAL ORAL IMPLANTS RESEARCH">Clinical Oral Implants Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="10005"><doi origin="wiley">10.1111/clr.2001.12.issue-5</doi><numberingGroup><numbering type="journalVolume" number="12">12</numbering><numbering type="journalIssue" number="5">5</numbering></numberingGroup><coverDate startDate="2001-10">October 2001</coverDate></publicationMeta><publicationMeta level="unit" type="caseStudy" position="0053100" status="forIssue"><doi origin="wiley">10.1034/j.1600-0501.2001.120515.x</doi><idGroup><id type="unit" value="CLR120515"></id><id type="supplier" value="clr10c653"></id></idGroup><countGroup><count type="pageTotal" number="8"></count></countGroup><titleGroup><title type="tocHeading1">Case Reports</title></titleGroup><eventGroup><event type="firstOnline" date="2008-07-07"></event><event type="publishedOnlineFinalForm" date="2008-07-07"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-15"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-12"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-16"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="531">531</numbering><numbering type="pageLast" number="538">538</numbering></numberingGroup><correspondenceTo>
*<i>Werner Zechner, M.D., D.D.S.</i>,
Department of Oral Surgery
Dental School of the University of Vienna
Waehringerstr. 25 a
A‐1090 Vienna
Austria
Tel: +43 1 4277 67011
Fax: +43 1 4277 67019</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CLR.CLR120515.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory><b>Date: </b> Accepted 16 October 2000</unparsedEditorialHistory><countGroup><count type="figureTotal" number="8"></count><count type="tableTotal" number="2"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="25"></count><count type="wordTotal" number="4304"></count><count type="linksPubMed" number="15"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Multidimensional osteodistraction for correction of implant malposition in edentulous segments</title><title type="shortAuthors">Zechner et al</title><title type="short">Multidimensional osteodistraction</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Werner</givenNames><familyName>Zechner</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>Thomas</givenNames><familyName>Bernhart</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a2"><personName><givenNames>Konstantin</givenNames><familyName>Zauza</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a2"><personName><givenNames>Ales</givenNames><familyName>Celar</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a3"><personName><givenNames>Georg</givenNames><familyName>Watzek</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>Department of Oral Surgery, Dental School of the University of Vienna.</unparsedAffiliation></affiliation><affiliation xml:id="a2"><unparsedAffiliation>Department of Prosthetic Dentistry, Dental School of the University of Vienna.</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="AT"><unparsedAffiliation>Head of Department of Oral Surgery, Dental School of the University of Vienna, Austria</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">distraction osteogenesis, alveolar ridge augmentation, oligodontia, dental implants</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b>Abstract:</b> This study examined multidimensional osteodistraction as a treatment method for correction of implant malposition and as an alternative to augmentation procedures. The prosthetically unfavourable implant positions were due to growth‐related implant malposition (in the context of treatment of young patients with oligodontia) or primary bone‐driven implant insertions. The radiographical and clinical findings obtained with this osteodistraction technique are presented and discussed. A tooth‐supported osteodistractor for multidimensional distraction with custom‐fabricated distraction abutments was used for treatment of 8 patients with a total of 9 maxillary and mandibular edentulous segments including single‐tooth gaps. All patients underwent an osteotomy at a minimum distance of 1 mm from the implant surface. Following primary wound healing, distraction was carried out by 1 mm in vertical direction and 0.5 mm in the demanded transverse direction daily until the prosthetically optimized position was achieved. During and after the 12‐week retention phase, the patients were evaluated clinically and radiographically. Multidimensional osteodistraction was carried out successfully in all 8 patients. The distraction distances were 3 to 11 mm in vertical direction and a maximum of 5 mm in buccolingual/buccopalatal direction. The malpositioned implants were brought into a prosthetically optimized position in all cases. The results of this study show that this multidimensional osteodistraction technique allows both augmentation of edentulous segments with a clearly compromised implant host site and correction of unfavourable implant positions.</p></abstract><abstract type="main" xml:lang="fr"><title type="main">Résumé</title><p>Cette étude a examiné l’ostéodistraction multidimensionnelle comme méthode de traitement pour la correction de la malposition implantaire et comme alternative au processus d’épaississement. Les positions implantaires non‐favorables à la prothèse étaient dûes à la malposition implantaire en relation avec la croissance (dans le contexte du traitement de jeunes patients avec oligodontie) ou des insertions implantaires essentiellement dictées par l’os. Les découvertes radiologiques et cliniques obtenues avec cette technique d’ostéodistraction sont présentées et discutées. Un ostéodistracteur sur dent pour la distraction multidimensionnelle avec des piliers de distraction a été utilisé pour le traitement de huit patients avec en tout neuf segments édentés mandibulaires et maxillaires comprenant des espaces dentaires uniques. Tous les patients ont subi une ostéotomie à une distance minimale de 1 mm de la surface de l’implant. Suite à la guérison primaire la distraction a été effectuée à 1 mm dans une direction verticale et 0.5 mm dans la direction transverse chaque jour jusqu’à ce que la position optimale soit atteinte pour la reconstruction prothétique. Durant et après la phase de rétention de douze semaines les patients ont été suivis cliniquement et radiologiquement. L’ostéodistraction multidimensionnelle a été effectuée avec succès chez huit patients. Les distances de distraction étaient de 3 à 11 mm dans la direction verticale et un maximum de 5 mm dans la direction vestibulo‐linguale. Les implants malpositionnés ont été placés dans une position optimale pour la prothèse dans tous les cas. Les résultats de cette étude ont montré que la technique de l’ostéodistraction multidimensionnelle permettait tant l’augmentation de segments édentés au niveau d’un site receveur fortement compromis qu’une correction des positions implantaires non‐favorables.</p></abstract><abstract type="main" xml:lang="de"><title type="main">Zusammenfassung</title><p>Diese Studie untersuchte die multidimensionale Osteodistraktion als Behandlungsmethode zur Korrektur von Implantatfehlstellungen und als Alternative zu Augmentationsverfahren. Die Gründe für die aus prothetischer Sicht ungünstigen Implantatpositionen waren wachstumsbedingte Implantatfehlstellungen (im Zusammenhang mit der Behandlung von jungen Patienten mit Oligodontie) oder primär durch das Knochenangebot bestimmte Implantatinsertionen. Die mit dieser Osteodistraktionstechnik erreichten klinischen und radiologischen Ergebnisse werden vorgestellt und diskutiert. Ein zahngetragener Osteodistraktor zur multidimensionalen Distraktion mit individuell angefertigen Distraktionsschienen wurde zur Behandlung von 8 Patienten mit insgesamt 9 zahnlosen Segmenten im Ober‐ und Unterkiefer inklusive Einzelzahnlücken verwendet. Bei allen Patienten wurde eine Osteotomie in einem minimalen Abstand von 1 mm von der Implantatoberfläche durchgeführt. Nach der primären Wundheilung wurde die Distraktion pro Tag um 1 mm in vertikaler und 0.5 mm in der benötigten transversalen Richtung durchgeführt, bis die aus prothetischer Sicht optimale Position des Implantats erreicht wurde. Während und nach der 12 Wochen dauernden Retentionsphase wurden die Patienten klinisch und radiologisch nachuntersucht. Die multidimensionale Osteodistraktion konnte bei allen 8 Patienten erfolgreich durchgeführt werden. Die Distraktionsdistanzen betrugen zwischen 3 und 11 mm in vertikaler Richtung und bis zu 5 mm in bukkolingualer/bukkopalatinaler Richtung. In allen Fällen konnten die fehlplazierten Implantate in eine aus prothetischer Sicht optimierte Position gebracht werden. Die Resultate dieser Studie zeigen, dass die multidimensionale Osteodistraktionstechnik sowohl eine Augmentation von zahnlosen Segmenten mit deutlich reduziertem Implantatlagerknochen als auch eine Korrektur von ungünstigen Implantatpositionen erlaubt.</p></abstract><abstract type="main" xml:lang="es"><title type="main">Resumen</title><p>Este estudio examina la osteodistracción multidimensional como método de tratamiento para la corrección de malposición implantaria y como una alternativa a los procedimientos de aumento. Las posiciones de implantes prosteticamente desfavorables se debieron a malposición de implantes relacionados con el crecimiento (en el contexto del tratamiento de pacientes jóvenes con oligodoncia) o inserciones de implantes osteoconducidas primariamente. Los hallazgos radiográficos y clínicos obtenidos con esta técnica de osteodistracción se presentan y discuten. Se usó un osteodistractor dentosoportado para distracción multidimensional con pilares de distracción fabricados a medida para el tratamiento de 8 pacientes con un total de 9 segmentos maxilares y mandibulares edéntulos incluyendo espacios de un solo diente. Todos los pacientes se sometieron a una osteotomía a una distancia mínima de 1 mm de la superficie del implante. Tras la cicatrización primaria de la herida se llevó a cabo la distracción 1 mm en dirección vertical y 0.5 mm en la dirección transversal demandada diariamente hasta que la posición prosteticamente optimizada se alcanzó. Los pacientes fueron evaluados clínicamente y radiograficamente durante y tras la fase de retención de 12 semanas. Se llevó a cabo una osteodistracción multidimensional con éxito en todos los 8 pacientes. Las distancias de distracción fueron de 3 a 11 mm en dirección vertical y un máximo de 5 mm en direccion bucolingual/bucopalatina. Los implantes malposicionados se trajeron a una posición prosteticamente optimizada en todos los casos. Los resultados de este estudio muestran que esta técnica de distracción multidimensional permite el aumento de segmentos edéntulos con lugar de hospedaje implantario claramente comprometido y corrección de posiciones implantarias desfavorables.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Multidimensional osteodistraction for correction of implant malposition in edentulous segments</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Multidimensional osteodistraction</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Multidimensional osteodistraction for correction of implant malposition in edentulous segments</title></titleInfo><name type="personal"><namePart type="given">Werner</namePart><namePart type="family">Zechner</namePart><affiliation>Department of Oral Surgery, Dental School of the University of Vienna.</affiliation><affiliation>Correspondence address: *,Department of Oral SurgeryDental School of the University of ViennaWaehringerstr. 25 aA‐1090 ViennaAustriaTel: +43 1 4277 67011Fax: +43 1 4277 67019</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Thomas</namePart><namePart type="family">Bernhart</namePart><affiliation>Department of Oral Surgery, Dental School of the University of Vienna.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Konstantin</namePart><namePart type="family">Zauza</namePart><affiliation>Department of Prosthetic Dentistry, Dental School of the University of Vienna.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ales</namePart><namePart type="family">Celar</namePart><affiliation>Department of Prosthetic Dentistry, Dental School of the University of Vienna.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Georg</namePart><namePart type="family">Watzek</namePart><affiliation>Head of Department of Oral Surgery, Dental School of the University of Vienna, Austria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="case-report" displayLabel="caseStudy" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-29919SZJ-6">case-report</genre><originInfo><publisher>Munksgaard International Publishers</publisher><place><placeTerm type="text">Copenhagen</placeTerm></place><dateIssued encoding="w3cdtf">2001-10</dateIssued><edition>Date: Accepted 16 October 2000</edition><copyrightDate encoding="w3cdtf">2001</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">8</extent><extent unit="tables">2</extent><extent unit="formulas">0</extent><extent unit="references">25</extent><extent unit="linksCrossRef">0</extent><extent unit="words">4304</extent></physicalDescription><abstract>Abstract: This study examined multidimensional osteodistraction as a treatment method for correction of implant malposition and as an alternative to augmentation procedures. The prosthetically unfavourable implant positions were due to growth‐related implant malposition (in the context of treatment of young patients with oligodontia) or primary bone‐driven implant insertions. The radiographical and clinical findings obtained with this osteodistraction technique are presented and discussed. A tooth‐supported osteodistractor for multidimensional distraction with custom‐fabricated distraction abutments was used for treatment of 8 patients with a total of 9 maxillary and mandibular edentulous segments including single‐tooth gaps. All patients underwent an osteotomy at a minimum distance of 1 mm from the implant surface. Following primary wound healing, distraction was carried out by 1 mm in vertical direction and 0.5 mm in the demanded transverse direction daily until the prosthetically optimized position was achieved. During and after the 12‐week retention phase, the patients were evaluated clinically and radiographically. Multidimensional osteodistraction was carried out successfully in all 8 patients. The distraction distances were 3 to 11 mm in vertical direction and a maximum of 5 mm in buccolingual/buccopalatal direction. The malpositioned implants were brought into a prosthetically optimized position in all cases. The results of this study show that this multidimensional osteodistraction technique allows both augmentation of edentulous segments with a clearly compromised implant host site and correction of unfavourable implant positions.</abstract><abstract lang="fr">Cette étude a examiné l’ostéodistraction multidimensionnelle comme méthode de traitement pour la correction de la malposition implantaire et comme alternative au processus d’épaississement. Les positions implantaires non‐favorables à la prothèse étaient dûes à la malposition implantaire en relation avec la croissance (dans le contexte du traitement de jeunes patients avec oligodontie) ou des insertions implantaires essentiellement dictées par l’os. Les découvertes radiologiques et cliniques obtenues avec cette technique d’ostéodistraction sont présentées et discutées. Un ostéodistracteur sur dent pour la distraction multidimensionnelle avec des piliers de distraction a été utilisé pour le traitement de huit patients avec en tout neuf segments édentés mandibulaires et maxillaires comprenant des espaces dentaires uniques. Tous les patients ont subi une ostéotomie à une distance minimale de 1 mm de la surface de l’implant. Suite à la guérison primaire la distraction a été effectuée à 1 mm dans une direction verticale et 0.5 mm dans la direction transverse chaque jour jusqu’à ce que la position optimale soit atteinte pour la reconstruction prothétique. Durant et après la phase de rétention de douze semaines les patients ont été suivis cliniquement et radiologiquement. L’ostéodistraction multidimensionnelle a été effectuée avec succès chez huit patients. Les distances de distraction étaient de 3 à 11 mm dans la direction verticale et un maximum de 5 mm dans la direction vestibulo‐linguale. Les implants malpositionnés ont été placés dans une position optimale pour la prothèse dans tous les cas. Les résultats de cette étude ont montré que la technique de l’ostéodistraction multidimensionnelle permettait tant l’augmentation de segments édentés au niveau d’un site receveur fortement compromis qu’une correction des positions implantaires non‐favorables.</abstract><abstract lang="de">Diese Studie untersuchte die multidimensionale Osteodistraktion als Behandlungsmethode zur Korrektur von Implantatfehlstellungen und als Alternative zu Augmentationsverfahren. Die Gründe für die aus prothetischer Sicht ungünstigen Implantatpositionen waren wachstumsbedingte Implantatfehlstellungen (im Zusammenhang mit der Behandlung von jungen Patienten mit Oligodontie) oder primär durch das Knochenangebot bestimmte Implantatinsertionen. Die mit dieser Osteodistraktionstechnik erreichten klinischen und radiologischen Ergebnisse werden vorgestellt und diskutiert. Ein zahngetragener Osteodistraktor zur multidimensionalen Distraktion mit individuell angefertigen Distraktionsschienen wurde zur Behandlung von 8 Patienten mit insgesamt 9 zahnlosen Segmenten im Ober‐ und Unterkiefer inklusive Einzelzahnlücken verwendet. Bei allen Patienten wurde eine Osteotomie in einem minimalen Abstand von 1 mm von der Implantatoberfläche durchgeführt. Nach der primären Wundheilung wurde die Distraktion pro Tag um 1 mm in vertikaler und 0.5 mm in der benötigten transversalen Richtung durchgeführt, bis die aus prothetischer Sicht optimale Position des Implantats erreicht wurde. Während und nach der 12 Wochen dauernden Retentionsphase wurden die Patienten klinisch und radiologisch nachuntersucht. Die multidimensionale Osteodistraktion konnte bei allen 8 Patienten erfolgreich durchgeführt werden. Die Distraktionsdistanzen betrugen zwischen 3 und 11 mm in vertikaler Richtung und bis zu 5 mm in bukkolingualer/bukkopalatinaler Richtung. In allen Fällen konnten die fehlplazierten Implantate in eine aus prothetischer Sicht optimierte Position gebracht werden. Die Resultate dieser Studie zeigen, dass die multidimensionale Osteodistraktionstechnik sowohl eine Augmentation von zahnlosen Segmenten mit deutlich reduziertem Implantatlagerknochen als auch eine Korrektur von ungünstigen Implantatpositionen erlaubt.</abstract><abstract lang="es">Este estudio examina la osteodistracción multidimensional como método de tratamiento para la corrección de malposición implantaria y como una alternativa a los procedimientos de aumento. Las posiciones de implantes prosteticamente desfavorables se debieron a malposición de implantes relacionados con el crecimiento (en el contexto del tratamiento de pacientes jóvenes con oligodoncia) o inserciones de implantes osteoconducidas primariamente. Los hallazgos radiográficos y clínicos obtenidos con esta técnica de osteodistracción se presentan y discuten. Se usó un osteodistractor dentosoportado para distracción multidimensional con pilares de distracción fabricados a medida para el tratamiento de 8 pacientes con un total de 9 segmentos maxilares y mandibulares edéntulos incluyendo espacios de un solo diente. Todos los pacientes se sometieron a una osteotomía a una distancia mínima de 1 mm de la superficie del implante. Tras la cicatrización primaria de la herida se llevó a cabo la distracción 1 mm en dirección vertical y 0.5 mm en la dirección transversal demandada diariamente hasta que la posición prosteticamente optimizada se alcanzó. Los pacientes fueron evaluados clínicamente y radiograficamente durante y tras la fase de retención de 12 semanas. Se llevó a cabo una osteodistracción multidimensional con éxito en todos los 8 pacientes. Las distancias de distracción fueron de 3 a 11 mm en dirección vertical y un máximo de 5 mm en direccion bucolingual/bucopalatina. Los implantes malposicionados se trajeron a una posición prosteticamente optimizada en todos los casos. Los resultados de este estudio muestran que esta técnica de distracción multidimensional permite el aumento de segmentos edéntulos con lugar de hospedaje implantario claramente comprometido y corrección de posiciones implantarias desfavorables.</abstract><subject lang="en"><genre>keywords</genre><topic>distraction osteogenesis, alveolar ridge augmentation, oligodontia, dental implants</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Oral Implants Research</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0905-7161</identifier><identifier type="eISSN">1600-0501</identifier><identifier type="DOI">10.1111/(ISSN)1600-0501</identifier><identifier type="PublisherID">CLR</identifier><part><date>2001</date><detail type="volume"><caption>vol.</caption><number>12</number></detail><detail type="issue"><caption>no.</caption><number>5</number></detail><extent unit="pages"><start>531</start><end>538</end><total>8</total></extent></part></relatedItem><identifier type="istex">FFE647A2BC960962913FC4FE65DF693145C4EC80</identifier><identifier type="ark">ark:/67375/WNG-ZPNRV2K3-2</identifier><identifier type="DOI">10.1034/j.1600-0501.2001.120515.x</identifier><identifier type="ArticleID">CLR120515</identifier><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Munksgaard International Publishers</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/FFE647A2BC960962913FC4FE65DF693145C4EC80/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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