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Alveolar reconstruction with splitting osteotomy and microfixation of implants.

Identifieur interne : 011694 ( Main/Curation ); précédent : 011693; suivant : 011695

Alveolar reconstruction with splitting osteotomy and microfixation of implants.

Auteurs : W G Engelke [Allemagne] ; C G Diederichs ; H G Jacobs ; I. Deckwer

Source :

RBID : pubmed:9197095

Descripteurs français

English descriptors

Abstract

This report describes a surgical technique for reconstruction of the buccolingually reduced alveolar process. The technique involves the preparation of an artificial socket with immediate implant placement, which reduces total treatment time compared with two-stage procedures. Alveolar preparation comprises lamellar cortical splitting of the alveolus, interlamellar implant placement, and primary stabilization based on a microfixation technique. It was used for a wide range of indications involving single and multiple alveoli related to the partially dentate and the edentulous alveolar process. The results of 24 Branemark standard implants and 97 ITI implants with 44 consecutively treated patients have been reviewed with a mean observation time of 34.3 months (range 6 to 68 months). The main indicator for alveolar reconstruction was the narrow anterior maxillary arch. The 5-year cumulated success rate was 86.2%. Twelve implants failed during the observation period. The mean marginal bone loss was 1.7 mm (range 0 to 7.5 mm). There was a low infection rate compared with membrane-based GTR techniques. Treatment costs were low as a result of shorter treatment time.

PubMed: 9197095

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pubmed:9197095

Le document en format XML

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<title xml:lang="en">Alveolar reconstruction with splitting osteotomy and microfixation of implants.</title>
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<name sortKey="Engelke, W G" sort="Engelke, W G" uniqKey="Engelke W" first="W G" last="Engelke">W G Engelke</name>
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<nlm:affiliation>Department of Oral Surgery, Göttingen University Clinic, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Oral Surgery, Göttingen University Clinic</wicri:regionArea>
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<name sortKey="Diederichs, C G" sort="Diederichs, C G" uniqKey="Diederichs C" first="C G" last="Diederichs">C G Diederichs</name>
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<name sortKey="Jacobs, H G" sort="Jacobs, H G" uniqKey="Jacobs H" first="H G" last="Jacobs">H G Jacobs</name>
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<name sortKey="Deckwer, I" sort="Deckwer, I" uniqKey="Deckwer I" first="I" last="Deckwer">I. Deckwer</name>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Alveolar Bone Loss (etiology)</term>
<term>Alveolar Ridge Augmentation (adverse effects)</term>
<term>Alveolar Ridge Augmentation (economics)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Alveoloplasty (adverse effects)</term>
<term>Alveoloplasty (economics)</term>
<term>Alveoloplasty (methods)</term>
<term>Bone Screws (adverse effects)</term>
<term>Bone Screws (economics)</term>
<term>Dental Arch (surgery)</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Implants (economics)</term>
<term>Dental Prosthesis Design</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Guided Tissue Regeneration, Periodontal (adverse effects)</term>
<term>Health Care Costs</term>
<term>Humans</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Osteotomy (adverse effects)</term>
<term>Osteotomy (economics)</term>
<term>Osteotomy (methods)</term>
<term>Surgical Wound Infection (etiology)</term>
<term>Treatment Outcome</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Alvéoloplastie ()</term>
<term>Alvéoloplastie (effets indésirables)</term>
<term>Alvéoloplastie (économie)</term>
<term>Arcade dentaire ()</term>
<term>Conception de prothèse dentaire</term>
<term>Coûts des soins de santé</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Implants dentaires (économie)</term>
<term>Infection de plaie opératoire (étiologie)</term>
<term>Maxillaire ()</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire édentée ()</term>
<term>Mâle</term>
<term>Ostéotomie ()</term>
<term>Ostéotomie (effets indésirables)</term>
<term>Ostéotomie (économie)</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Reconstruction de crête alvéolaire (effets indésirables)</term>
<term>Reconstruction de crête alvéolaire (économie)</term>
<term>Régénération tissulaire guidée parodontale (effets indésirables)</term>
<term>Résorption alvéolaire (étiologie)</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Vis orthopédiques (effets indésirables)</term>
<term>Vis orthopédiques (économie)</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
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<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Alveoloplasty</term>
<term>Bone Screws</term>
<term>Guided Tissue Regeneration, Periodontal</term>
<term>Osteotomy</term>
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<keywords scheme="MESH" qualifier="economics" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Alveoloplasty</term>
<term>Bone Screws</term>
<term>Dental Implants</term>
<term>Osteotomy</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Alvéoloplastie</term>
<term>Implants dentaires</term>
<term>Ostéotomie</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Régénération tissulaire guidée parodontale</term>
<term>Vis orthopédiques</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Surgical Wound Infection</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Alveoloplasty</term>
<term>Osteotomy</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Dental Arch</term>
<term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
<term>Maxilla</term>
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<keywords scheme="MESH" qualifier="économie" xml:lang="fr">
<term>Alvéoloplastie</term>
<term>Implants dentaires</term>
<term>Ostéotomie</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Vis orthopédiques</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Infection de plaie opératoire</term>
<term>Résorption alvéolaire</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Dental Prosthesis Design</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Health Care Costs</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Alvéoloplastie</term>
<term>Arcade dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Coûts des soins de santé</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Ostéotomie</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
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<front>
<div type="abstract" xml:lang="en">This report describes a surgical technique for reconstruction of the buccolingually reduced alveolar process. The technique involves the preparation of an artificial socket with immediate implant placement, which reduces total treatment time compared with two-stage procedures. Alveolar preparation comprises lamellar cortical splitting of the alveolus, interlamellar implant placement, and primary stabilization based on a microfixation technique. It was used for a wide range of indications involving single and multiple alveoli related to the partially dentate and the edentulous alveolar process. The results of 24 Branemark standard implants and 97 ITI implants with 44 consecutively treated patients have been reviewed with a mean observation time of 34.3 months (range 6 to 68 months). The main indicator for alveolar reconstruction was the narrow anterior maxillary arch. The 5-year cumulated success rate was 86.2%. Twelve implants failed during the observation period. The mean marginal bone loss was 1.7 mm (range 0 to 7.5 mm). There was a low infection rate compared with membrane-based GTR techniques. Treatment costs were low as a result of shorter treatment time.</div>
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