Post-operative hemimaxillectomy rehabilitation using prostheses supported by zygoma implants and remaining natural teeth
Identifieur interne : 000604 ( Main/Exploration ); précédent : 000603; suivant : 000605Post-operative hemimaxillectomy rehabilitation using prostheses supported by zygoma implants and remaining natural teeth
Auteurs : Xing Zhou Qu [République populaire de Chine] ; Ming Yi Wang [République populaire de Chine] ; Hui Shan Ong [République populaire de Chine] ; Chen Ping Zhang [République populaire de Chine]Source :
- Clinics [ 1807-5932 ] ; 2016.
Abstract
This study aimed to evaluate the stability of prostheses supported by zygoma implants and remaining teeth for subjects who had undergone hemi-maxillectomy.
Ten patients were included in the study. Oral rehabilitation was performed using a temporary prosthesis that was supported by remaining teeth for the first three months. Then, a zygoma implant was placed to provide support for a final prosthesis in addition to the remaining teeth. Each prosthesis was tailor-made according to biomechanical three-dimensional finite element analysis results. The patients were assessed using the prosthesis functioning scale of the Memorial Sloan-Kettering Cancer Center. In addition, retention and bite force were recorded for both the temporary prosthesis and the final prosthesis.
The mean bite force of the prosthetic first molar was increased to 69.2 N. The mean retentive force increased to 13.5 N after zygoma implant insertion. The bite force on the prosthetic first molar was improved to 229.3 N.
Bite force increased significantly with the support of a zygoma implant. The use of zygoma implants in the restoration of maxillary defects improved functional outcome and patient satisfaction.
Url:
DOI: 10.6061/clinics/2016(10)04
PubMed: 27759845
PubMed Central: 5054771
Affiliations:
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Le document en format XML
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<author><name sortKey="Qu, Xing Zhou" sort="Qu, Xing Zhou" uniqKey="Qu X" first="Xing Zhou" last="Qu">Xing Zhou Qu</name>
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<country xml:lang="fr">République populaire de Chine</country>
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<author><name sortKey="Wang, Ming Yi" sort="Wang, Ming Yi" uniqKey="Wang M" first="Ming Yi" last="Wang">Ming Yi Wang</name>
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<author><name sortKey="Qu, Xing Zhou" sort="Qu, Xing Zhou" uniqKey="Qu X" first="Xing Zhou" last="Qu">Xing Zhou Qu</name>
<affiliation wicri:level="1"><nlm:aff id="af1-cln_71p575">Shanghai Ninth People’s Hospital, Affiliated to Shanghai Jiao Tong University, Department of Oral Maxillofacial-Head & Neck Oncology, Shanghai, China</nlm:aff>
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<author><name sortKey="Wang, Ming Yi" sort="Wang, Ming Yi" uniqKey="Wang M" first="Ming Yi" last="Wang">Ming Yi Wang</name>
<affiliation wicri:level="1"><nlm:aff id="af1-cln_71p575">Shanghai Ninth People’s Hospital, Affiliated to Shanghai Jiao Tong University, Department of Oral Maxillofacial-Head & Neck Oncology, Shanghai, China</nlm:aff>
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<author><name sortKey="Zhang, Chen Ping" sort="Zhang, Chen Ping" uniqKey="Zhang C" first="Chen Ping" last="Zhang">Chen Ping Zhang</name>
<affiliation wicri:level="1"><nlm:aff id="af1-cln_71p575">Shanghai Ninth People’s Hospital, Affiliated to Shanghai Jiao Tong University, Department of Oral Maxillofacial-Head & Neck Oncology, Shanghai, China</nlm:aff>
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<series><title level="j">Clinics</title>
<idno type="ISSN">1807-5932</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>OBJECTIVES:</title>
<p>This study aimed to evaluate the stability of prostheses supported by zygoma implants and remaining teeth for subjects who had undergone hemi-maxillectomy.</p>
</sec>
<sec><title>METHODS:</title>
<p>Ten patients were included in the study. Oral rehabilitation was performed using a temporary prosthesis that was supported by remaining teeth for the first three months. Then, a zygoma implant was placed to provide support for a final prosthesis in addition to the remaining teeth. Each prosthesis was tailor-made according to biomechanical three-dimensional finite element analysis results. The patients were assessed using the prosthesis functioning scale of the Memorial Sloan-Kettering Cancer Center. In addition, retention and bite force were recorded for both the temporary prosthesis and the final prosthesis.</p>
</sec>
<sec><title>RESULTS:</title>
<p>The mean bite force of the prosthetic first molar was increased to 69.2 N. The mean retentive force increased to 13.5 N after zygoma implant insertion. The bite force on the prosthetic first molar was improved to 229.3 N.</p>
</sec>
<sec><title>CONCLUSION:</title>
<p>Bite force increased significantly with the support of a zygoma implant. The use of zygoma implants in the restoration of maxillary defects improved functional outcome and patient satisfaction.</p>
</sec>
</div>
</front>
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