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A new method of inserting endosseous implants in totally atrophic maxillae.

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A new method of inserting endosseous implants in totally atrophic maxillae.

Auteurs : H F Sailer [Suisse]

Source :

RBID : pubmed:2808708

Descripteurs français

English descriptors

Abstract

A new method is described (Sailer, 1988) whereby endosseous implants are inserted in the totally atrophic maxilla, the intermaxillary relationship and vertical dimension corrected and a vestibuloplasty performed during one surgical procedure. The method can also be used to treat minor degrees of maxillary alveolar atrophy. The procedure enables 20 mm-long Titanium screws to be used in totally atrophic maxillae. The following surgical procedures are carried out during one operation: A Le Fort I osteotomy, removal of the mucous membrane of the sinus floor, obturation of the denuded maxillary sinus floor by autologous bone grafts from the iliac crest, simultaneous insertion of Titanium screws, fixation of the down-fractured maxilla by miniplates, and a modified submucous vestibuloplasty. Intermaxillary relationship and vertical dimension can be normalized, and the aesthetic results are excellent. To date 35 implants of which none has been lost, have been placed in 5 patients.

PubMed: 2808708

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Le document en format XML

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<nlm:affiliation>Dept. of Maxillo-Facial Surgery, University Hospital, Zürich, Switzerland.</nlm:affiliation>
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<term>Alveolar Ridge Augmentation (methods)</term>
<term>Atrophy</term>
<term>Bone Plates</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Humans</term>
<term>Jaw, Edentulous (pathology)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Maxilla (pathology)</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Sinus (surgery)</term>
<term>Oral Surgical Procedures, Preprosthetic (methods)</term>
<term>Osteotomy (methods)</term>
<term>Titanium</term>
<term>Vestibuloplasty</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Atrophie</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire ()</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (anatomopathologie)</term>
<term>Ostéotomie ()</term>
<term>Plaques orthopédiques</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Procédures de chirurgie préprothétique en odontologie ()</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Sinus maxillaire ()</term>
<term>Titane</term>
<term>Transplantation osseuse</term>
<term>Vestibuloplastie</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
<term>Titanium</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Dental Implantation, Endosseous</term>
<term>Oral Surgical Procedures, Preprosthetic</term>
<term>Osteotomy</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
<term>Maxillary Sinus</term>
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<term>Atrophy</term>
<term>Bone Plates</term>
<term>Bone Transplantation</term>
<term>Humans</term>
<term>Vestibuloplasty</term>
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<term>Humains</term>
<term>Implants dentaires</term>
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<term>Mâchoire édentée</term>
<term>Ostéotomie</term>
<term>Plaques orthopédiques</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Procédures de chirurgie préprothétique en odontologie</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Sinus maxillaire</term>
<term>Titane</term>
<term>Transplantation osseuse</term>
<term>Vestibuloplastie</term>
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<front>
<div type="abstract" xml:lang="en">A new method is described (Sailer, 1988) whereby endosseous implants are inserted in the totally atrophic maxilla, the intermaxillary relationship and vertical dimension corrected and a vestibuloplasty performed during one surgical procedure. The method can also be used to treat minor degrees of maxillary alveolar atrophy. The procedure enables 20 mm-long Titanium screws to be used in totally atrophic maxillae. The following surgical procedures are carried out during one operation: A Le Fort I osteotomy, removal of the mucous membrane of the sinus floor, obturation of the denuded maxillary sinus floor by autologous bone grafts from the iliac crest, simultaneous insertion of Titanium screws, fixation of the down-fractured maxilla by miniplates, and a modified submucous vestibuloplasty. Intermaxillary relationship and vertical dimension can be normalized, and the aesthetic results are excellent. To date 35 implants of which none has been lost, have been placed in 5 patients.</div>
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