Ridge augmentation in an organ transplant patient.
Identifieur interne : 000532 ( Main/Exploration ); précédent : 000531; suivant : 000533Ridge augmentation in an organ transplant patient.
Auteurs : D. Dalla Torre [Italie] ; D. Burtscher [Autriche]Source :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Humains, Maxillaire (), Mâchoire édentée (rééducation et réadaptation), Mâle, Pose d'implant dentaire endo-osseux (), Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire (), Réintervention, Sujet immunodéprimé, Transplantation hépatique, Échec de restauration dentaire.
- MESH :
English descriptors
- KwdEn :
- MESH :
- methods : Alveolar Ridge Augmentation, Dental Implantation, Endosseous.
- rehabilitation : Jaw, Edentulous.
- surgery : Maxilla.
- Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Humans, Immunocompromised Host, Liver Transplantation, Male, Middle Aged, Reoperation.
Abstract
With the continuing progress in medicine, the number of successful organ transplantations has continued to increase, a fact that also concerns dentists and implantologists. Implantology after organ transplantation remains controversial due to the patient's immunocompromised situation and the corresponding risk of infection. Only a few studies on this topic have been reported, with all of them showing the dental implant success rates in transplant patients to be similar to those in healthy subjects. However, immunosuppression has been identified as a contraindication to bone augmentation. Consequently, there is still a lack of knowledge regarding pre-implantology bone grafting procedures. The following case report describes the use of ridge augmentation and extended bilateral sinus lift procedures in a liver transplant patient. The patient was treated with an implant-supported fixed prosthesis in the upper jaw and was followed up for a total of 28 months after implant insertion. According to the findings presented, pre-implantology augmentation procedures may be performed successfully in immunosuppressed organ transplant patients. Stable peri-implant conditions were shown over a period of more than 2 years. Nevertheless, further investigations are needed to define a safe treatment protocol for these high-risk patients.
DOI: 10.1016/j.ijom.2015.11.002
PubMed: 26711250
Affiliations:
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Dalla Torre</name><affiliation wicri:level="1"><nlm:affiliation>University Clinic of Craniomaxillofacial Surgery, Medical University Innsbruck, Innsbruck, Austria; Dental Clinic Dalla Torre, Vipiteno, Italy. Electronic address: dr.dalla-torre@gmx.at.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>University Clinic of Craniomaxillofacial Surgery, Medical University Innsbruck, Innsbruck, Austria; Dental Clinic Dalla Torre, Vipiteno</wicri:regionArea><wicri:noRegion>Vipiteno</wicri:noRegion></affiliation></author><author><name sortKey="Burtscher, D" sort="Burtscher, D" uniqKey="Burtscher D" first="D" last="Burtscher">D. Burtscher</name><affiliation wicri:level="1"><nlm:affiliation>University Clinic of Prosthodontics, Medical University Innsbruck, Innsbruck, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>University Clinic of Prosthodontics, Medical University Innsbruck, Innsbruck</wicri:regionArea><wicri:noRegion>Innsbruck</wicri:noRegion></affiliation></author></analytic><series><title level="j">International journal of oral and maxillofacial surgery</title><idno type="eISSN">1399-0020</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alveolar Ridge Augmentation (methods)</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Humans</term><term>Immunocompromised Host</term><term>Jaw, Edentulous (rehabilitation)</term><term>Liver Transplantation</term><term>Male</term><term>Maxilla (surgery)</term><term>Middle Aged</term><term>Reoperation</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Humains</term><term>Maxillaire ()</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Prothèse dentaire implanto-portée</term><term>Reconstruction de crête alvéolaire ()</term><term>Réintervention</term><term>Sujet immunodéprimé</term><term>Transplantation hépatique</term><term>Échec de restauration dentaire</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Maxilla</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Humans</term><term>Immunocompromised Host</term><term>Liver Transplantation</term><term>Male</term><term>Middle Aged</term><term>Reoperation</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Humains</term><term>Maxillaire</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire implanto-portée</term><term>Reconstruction de crête alvéolaire</term><term>Réintervention</term><term>Sujet immunodéprimé</term><term>Transplantation hépatique</term><term>Échec de restauration dentaire</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">With the continuing progress in medicine, the number of successful organ transplantations has continued to increase, a fact that also concerns dentists and implantologists. Implantology after organ transplantation remains controversial due to the patient's immunocompromised situation and the corresponding risk of infection. Only a few studies on this topic have been reported, with all of them showing the dental implant success rates in transplant patients to be similar to those in healthy subjects. However, immunosuppression has been identified as a contraindication to bone augmentation. Consequently, there is still a lack of knowledge regarding pre-implantology bone grafting procedures. The following case report describes the use of ridge augmentation and extended bilateral sinus lift procedures in a liver transplant patient. The patient was treated with an implant-supported fixed prosthesis in the upper jaw and was followed up for a total of 28 months after implant insertion. According to the findings presented, pre-implantology augmentation procedures may be performed successfully in immunosuppressed organ transplant patients. Stable peri-implant conditions were shown over a period of more than 2 years. Nevertheless, further investigations are needed to define a safe treatment protocol for these high-risk patients.</div></front></TEI><affiliations><list><country><li>Autriche</li><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Dalla Torre, D" sort="Dalla Torre, D" uniqKey="Dalla Torre D" first="D" last="Dalla Torre">D. Dalla Torre</name></noRegion></country><country name="Autriche"><noRegion><name sortKey="Burtscher, D" sort="Burtscher, D" uniqKey="Burtscher D" first="D" last="Burtscher">D. Burtscher</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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