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Multidimensional osteodistraction for correction of implant malposition in edentulous segments

Identifieur interne : 007E54 ( Istex/Curation ); précédent : 007E53; suivant : 007E55

Multidimensional osteodistraction for correction of implant malposition in edentulous segments

Auteurs : Werner Zechner ; Thomas Bernhart ; Konstantin Zauza ; Ales Celar ; Georg Watzek [Autriche]

Source :

Clinical Oral Implants Research [ 0905-7161 ] ; 2001-10.

RBID : ISTEX:FFE647A2BC960962913FC4FE65DF693145C4EC80

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Wicri :
- topic : Chirurgie.

English descriptors

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:

https://api.istex.fr/document/FFE647A2BC960962913FC4FE65DF693145C4EC80/fulltext/pdf

DOI: 10.1034/j.1600-0501.2001.120515.x

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Werner Zechner

<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>
<wicri:noCountry code="subField">+43 1 4277 67019</wicri:noCountry>
</affiliation>

Thomas Bernhart

<affiliation><mods:affiliation>Department of Oral Surgery, Dental School of the University of Vienna.</mods:affiliation>
<wicri:noCountry code="subField">Vienna.</wicri:noCountry>
</affiliation>

Konstantin Zauza

<affiliation><mods:affiliation>Department of Prosthetic Dentistry, Dental School of the University of Vienna.</mods:affiliation>
<wicri:noCountry code="subField">Vienna.</wicri:noCountry>
</affiliation>

Ales Celar

<affiliation><mods:affiliation>Department of Prosthetic Dentistry, Dental School of the University of Vienna.</mods:affiliation>
<wicri:noCountry code="subField">Vienna.</wicri:noCountry>
</affiliation>

Le document en format XML

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<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>
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<term>Craniolateral displacement</term>
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<term>Distraction distances</term>
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<term>Donor site morbidity</term>
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<term>Edentulous segments</term>
<term>Endosseous systems</term>
<term>Esta tecnica</term>
<term>Experimental study</term>
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<term>Gradual distraction</term>
<term>Ilizarov</term>
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<term>Implant malposition</term>
<term>Implant placement</term>
<term>Implant position</term>
<term>Implant system</term>
<term>Internal devices</term>
<term>International journal</term>
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<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>
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<term>Multidimensional distraction</term>
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<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>
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<term>Retention phase</term>
<term>Soft tissue</term>
<term>Soft tissue augmentation</term>
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<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>
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<term>Implant placement</term>
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<term>International journal</term>
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<term>Malposition implantaire</term>
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<term>Maxillofacial implants</term>
<term>Maxillofacial surgery</term>
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<term>Mobility degree</term>
<term>Model analysis</term>
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<term>Multidimensional distraction</term>
<term>Multidimensional osteodistraction</term>
<term>Observation period</term>
<term>Oligodontia</term>
<term>Optimized</term>
<term>Oral impl</term>
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<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>
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Multidimensional osteodistraction for correction of implant malposition in edentulous segments

Multidimensional osteodistraction for correction of implant malposition in edentulous segments

Source :

Descripteurs français

English descriptors

Abstract

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