Multidimensional osteodistraction for correction of implant malposition in edentulous segments
Identifieur interne : 008943 ( Main/Curation ); précédent : 008942; suivant : 008944Multidimensional 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.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Cicatrisation de plaie, Développement maxillofacial (physiologie), Facteurs temps, Femelle, Humains, Implants dentaires, Mandibule (), Mandibule (imagerie diagnostique), Maxillaire (), Maxillaire (imagerie diagnostique), Mâchoire partiellement édentée (), Mâchoire partiellement édentée (imagerie diagnostique), Mâchoire partiellement édentée (physiopathologie), Mâle, Ostéogenèse par distraction (), Ostéogenèse par distraction (instrumentation), Ostéotomie (), Perte dentaire (physiopathologie), Perte dentaire (rééducation et réadaptation), Piliers dentaires, Radiographie panoramique, Reconstruction de crête alvéolaire (), Résultat thérapeutique, Tomodensitométrie, Études de suivi.
- MESH :
- imagerie diagnostique : Mandibule, Maxillaire, Mâchoire partiellement édentée.
- physiologie : Développement maxillofacial.
- physiopathologie : Mâchoire partiellement édentée, Perte dentaire.
- rééducation et réadaptation : Perte dentaire.
- Wicri :
- topic : Adolescent, Adulte, Adulte d'âge moyen, Chirurgie, Cicatrisation de plaie, Facteurs temps, Femelle, Humains, Implants dentaires, Mandibule, Maxillaire, Mâchoire partiellement édentée, Mâle, Ostéogenèse par distraction, Ostéotomie, Piliers dentaires, Radiographie panoramique, Reconstruction de crête alvéolaire, Résultat thérapeutique, Tomodensitométrie, Études de suivi.
English descriptors
- KwdEn :
- Adjacent teeth, Adolescent, Adult, Alveolar Ridge Augmentation (methods), Alveolar ridge augmentation, Antagonistic tooth, Augmentation, Callus distraction, Cette etude, Chin toth, Clin, Clinical application, Craniolateral displacement, Dental Abutments, Dental Implants, 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, Female patient, Follow-Up Studies, Gradual distraction, Humans, Ilizarov, Impl, Implant, Implant host bone, Implant malposition, Implant placement, Implant position, Implant system, Internal devices, International journal, Jaw, Edentulous, Partially (diagnostic imaging), Jaw, Edentulous, Partially (physiopathology), Jaw, Edentulous, Partially (surgery), Male, Malposition, Malposition implantaire, Mandible (diagnostic imaging), Mandible (surgery), Maxilla (diagnostic imaging), Maxilla (surgery), Maxillofacial, Maxillofacial Development (physiology), Maxillofacial implants, Maxillofacial surgery, Middle Aged, Minimum distance, Mobility degree, Model analysis, Multidimensional, Multidimensional distraction, Multidimensional osteodistraction, Observation period, Oligodontia, Optimized, Oral impl, Oral surgery, Osseointegrated implants, Osteodistraction, Osteogenesis, Osteogenesis, Distraction (instrumentation), Osteogenesis, Distraction (methods), Osteotomy, Osteotomy (methods), Palatocranial malposition, Plastic surgery, Primary wound healing, Prosthetic requirements, Prosthetically, Prosthetically optimized position, Prosthetically unfavourable implant positions, Radiography, Panoramic, Reconstructive surgery, Retention phase, Soft tissue, Soft tissue augmentation, Spatial planes, Standard deviation, Surgery, Thread height, Time Factors, Tomography, X-Ray Computed, Tooth Loss (physiopathology), Tooth Loss (rehabilitation), Toth, Treatment Outcome, Unfavourable, Unfavourable implant positions, Vertical direction, Watzek, Werner zechner, Wound Healing, Wound dehiscences, Young patients, Zechner.
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Jaw, Edentulous, Partially, Mandible, Maxilla.
- instrumentation : Osteogenesis, Distraction.
- methods : Alveolar Ridge Augmentation, Osteogenesis, Distraction, Osteotomy.
- physiology : Maxillofacial Development.
- physiopathology : Jaw, Edentulous, Partially, Tooth Loss.
- rehabilitation : Tooth Loss.
- surgery : Jaw, Edentulous, Partially, Mandible, Maxilla.
- Teeft :
- Adjacent teeth, Adolescent, Adult, Alveolar ridge augmentation, Antagonistic tooth, Augmentation, Callus distraction, Cette etude, Chin toth, Clin, Clinical application, Craniolateral displacement, Dental Abutments, 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, Female patient, Follow-Up Studies, Gradual distraction, Humans, Ilizarov, Impl, Implant, Implant host bone, Implant malposition, Implant placement, Implant position, Implant system, Internal devices, International journal, Male, Malposition, Malposition implantaire, Maxillofacial, Maxillofacial implants, Maxillofacial surgery, Middle Aged, 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, Radiography, Panoramic, Reconstructive surgery, Retention phase, Soft tissue, Soft tissue augmentation, Spatial planes, Standard deviation, Surgery, Thread height, Time Factors, Tomography, X-Ray Computed, Toth, Treatment Outcome, Unfavourable, Unfavourable implant positions, Vertical direction, Watzek, Werner zechner, Wound Healing, 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
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Werner Zechner<affiliation><wicri:noCountry code="subField">+43 1 4277 67019</wicri:noCountry>
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<affiliation><wicri:noCountry code="subField">Vienna.</wicri:noCountry>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adjacent teeth</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Alveolar Ridge Augmentation (methods)</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 Abutments</term>
<term>Dental Implants</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</term>
<term>Female patient</term>
<term>Follow-Up Studies</term>
<term>Gradual distraction</term>
<term>Humans</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>Jaw, Edentulous, Partially (diagnostic imaging)</term>
<term>Jaw, Edentulous, Partially (physiopathology)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Malposition</term>
<term>Malposition implantaire</term>
<term>Mandible (diagnostic imaging)</term>
<term>Mandible (surgery)</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (surgery)</term>
<term>Maxillofacial</term>
<term>Maxillofacial Development (physiology)</term>
<term>Maxillofacial implants</term>
<term>Maxillofacial surgery</term>
<term>Middle Aged</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>Osteogenesis, Distraction (instrumentation)</term>
<term>Osteogenesis, Distraction (methods)</term>
<term>Osteotomy</term>
<term>Osteotomy (methods)</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>Radiography, Panoramic</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>Time Factors</term>
<term>Tomography, X-Ray Computed</term>
<term>Tooth Loss (physiopathology)</term>
<term>Tooth Loss (rehabilitation)</term>
<term>Toth</term>
<term>Treatment Outcome</term>
<term>Unfavourable</term>
<term>Unfavourable implant positions</term>
<term>Vertical direction</term>
<term>Watzek</term>
<term>Werner zechner</term>
<term>Wound Healing</term>
<term>Wound dehiscences</term>
<term>Young patients</term>
<term>Zechner</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Cicatrisation de plaie</term>
<term>Développement maxillofacial (physiologie)</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule ()</term>
<term>Mandibule (imagerie diagnostique)</term>
<term>Maxillaire ()</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée (physiopathologie)</term>
<term>Mâle</term>
<term>Ostéogenèse par distraction ()</term>
<term>Ostéogenèse par distraction (instrumentation)</term>
<term>Ostéotomie ()</term>
<term>Perte dentaire (physiopathologie)</term>
<term>Perte dentaire (rééducation et réadaptation)</term>
<term>Piliers dentaires</term>
<term>Radiographie panoramique</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résultat thérapeutique</term>
<term>Tomodensitométrie</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
<term>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Osteogenesis, Distraction</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term>
<term>Osteogenesis, Distraction</term>
<term>Osteotomy</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Développement maxillofacial</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Maxillofacial Development</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
<term>Perte dentaire</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
<term>Tooth Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Tooth Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Perte dentaire</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
<term>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Adjacent teeth</term>
<term>Adolescent</term>
<term>Adult</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 Abutments</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</term>
<term>Female patient</term>
<term>Follow-Up Studies</term>
<term>Gradual distraction</term>
<term>Humans</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>Male</term>
<term>Malposition</term>
<term>Malposition implantaire</term>
<term>Maxillofacial</term>
<term>Maxillofacial implants</term>
<term>Maxillofacial surgery</term>
<term>Middle Aged</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>Radiography, Panoramic</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>Time Factors</term>
<term>Tomography, X-Ray Computed</term>
<term>Toth</term>
<term>Treatment Outcome</term>
<term>Unfavourable</term>
<term>Unfavourable implant positions</term>
<term>Vertical direction</term>
<term>Watzek</term>
<term>Werner zechner</term>
<term>Wound Healing</term>
<term>Wound dehiscences</term>
<term>Young patients</term>
<term>Zechner</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Chirurgie</term>
<term>Cicatrisation de plaie</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</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>
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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>
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<front><div type="abstract" xml:lang="en">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>
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