Rehabilitation with 4 zygomatic implants with a new surgical protocol using ultrasonic technique.
Identifieur interne : 000D54 ( Main/Exploration ); précédent : 000D53; suivant : 000D55Rehabilitation with 4 zygomatic implants with a new surgical protocol using ultrasonic technique.
Auteurs : Marco Mozzati [Italie] ; Carmen Mortellaro ; Valentina Arata ; Giorgia Gallesio ; Valter PreviglianoSource :
- The Journal of craniofacial surgery [ 1536-3732 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Femelle, Humains, Mâchoire édentée (), Mâchoire édentée (imagerie diagnostique), Mâle, Os zygomatique (), Os zygomatique (imagerie diagnostique), Pose d'implant dentaire endo-osseux (), Prothèse dentaire implanto-portée, Résultat thérapeutique, Sujet âgé, Échographie, Études de suivi.
- MESH :
English descriptors
- KwdEn :
- MESH :
- diagnostic imaging : Jaw, Edentulous, Zygoma.
- methods : Dental Implantation, Endosseous.
- surgery : Jaw, Edentulous, Zygoma.
- Adult, Aged, Dental Prosthesis, Implant-Supported, Female, Follow-Up Studies, Humans, Male, Middle Aged, Treatment Outcome, Ultrasonography.
Abstract
When the residual bone crest cannot allow the placement of standard implants, the treatment for complete arch rehabilitation of severely atrophic maxillae can be performed with 4 zygomatic implants (ZIs) and immediate function with predictable results in terms of aesthetics, function, and comfort for the patient. However, even if ZIs' rehabilitations showed a good success rate, this surgery is difficult and need a skillful operator. Complications in this kind of rehabilitation are not uncommon; the main difficulties can be related to the reduced surgical visibility and instrument control in a critical anatomic area. All the surgical protocols described in the literature used drilling techniques. Furthermore, the use of ultrasonic instruments in implant surgery compared with drilling instruments have shown advantages in many aspects of surgical procedures, tissues management, enhancement of control, surgical visualization, and healing. The aim of this study was to report on the preliminary experience using ultrasound technique for ZIs surgery in terms of safety and technical improvement. Ten consecutive patients with severely atrophic maxilla have been treated with 4 ZIs and immediate complete arch acrylic resin provisional prostheses. The patients were followed up from 30 to 32 months evaluating implant success, prosthetic success, and patient satisfaction with a questionnaire. No implants were lost during the study period, with a 100% implant and prosthetic success rate. Within the limitations of this preliminary study, these data indicate that ultrasonic implant site preparation for ZIs can be a good alternative to the drilling technique and an improvement for the surgeon.
DOI: 10.1097/SCS.0000000000001536
PubMed: 25974779
Affiliations:
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Le document en format XML
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Avogadro," University of Eastern Piedmont, Novara ‡Oral Surgery Unit, Dentistry Section, Department of Surgical Sciences, University of Turin, Turin, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>*SIOM Oral Surgery and Implantology Center, Turin †Department of Health Sciences "A. Avogadro," University of Eastern Piedmont, Novara ‡Oral Surgery Unit, Dentistry Section, Department of Surgical Sciences, University of Turin, Turin</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Mortellaro, Carmen" sort="Mortellaro, Carmen" uniqKey="Mortellaro C" first="Carmen" last="Mortellaro">Carmen Mortellaro</name></author><author><name sortKey="Arata, Valentina" sort="Arata, Valentina" uniqKey="Arata V" first="Valentina" last="Arata">Valentina Arata</name></author><author><name sortKey="Gallesio, Giorgia" sort="Gallesio, Giorgia" uniqKey="Gallesio G" first="Giorgia" last="Gallesio">Giorgia Gallesio</name></author><author><name sortKey="Previgliano, Valter" sort="Previgliano, Valter" uniqKey="Previgliano V" first="Valter" last="Previgliano">Valter Previgliano</name></author></analytic><series><title level="j">The Journal of craniofacial surgery</title><idno type="eISSN">1536-3732</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Prosthesis, Implant-Supported</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Jaw, Edentulous (diagnostic imaging)</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Middle Aged</term><term>Treatment Outcome</term><term>Ultrasonography</term><term>Zygoma (diagnostic imaging)</term><term>Zygoma (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâchoire édentée ()</term><term>Mâchoire édentée (imagerie diagnostique)</term><term>Mâle</term><term>Os zygomatique ()</term><term>Os zygomatique (imagerie diagnostique)</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Prothèse dentaire implanto-portée</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Échographie</term><term>Études de suivi</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Jaw, Edentulous</term><term>Zygoma</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Mâchoire édentée</term><term>Os zygomatique</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term><term>Zygoma</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Dental Prosthesis, Implant-Supported</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Treatment Outcome</term><term>Ultrasonography</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâchoire édentée</term><term>Mâle</term><term>Os zygomatique</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire implanto-portée</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Échographie</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">When the residual bone crest cannot allow the placement of standard implants, the treatment for complete arch rehabilitation of severely atrophic maxillae can be performed with 4 zygomatic implants (ZIs) and immediate function with predictable results in terms of aesthetics, function, and comfort for the patient. However, even if ZIs' rehabilitations showed a good success rate, this surgery is difficult and need a skillful operator. Complications in this kind of rehabilitation are not uncommon; the main difficulties can be related to the reduced surgical visibility and instrument control in a critical anatomic area. All the surgical protocols described in the literature used drilling techniques. Furthermore, the use of ultrasonic instruments in implant surgery compared with drilling instruments have shown advantages in many aspects of surgical procedures, tissues management, enhancement of control, surgical visualization, and healing. The aim of this study was to report on the preliminary experience using ultrasound technique for ZIs surgery in terms of safety and technical improvement. Ten consecutive patients with severely atrophic maxilla have been treated with 4 ZIs and immediate complete arch acrylic resin provisional prostheses. The patients were followed up from 30 to 32 months evaluating implant success, prosthetic success, and patient satisfaction with a questionnaire. No implants were lost during the study period, with a 100% implant and prosthetic success rate. Within the limitations of this preliminary study, these data indicate that ultrasonic implant site preparation for ZIs can be a good alternative to the drilling technique and an improvement for the surgeon.</div></front></TEI><affiliations><list><country><li>Italie</li></country><region><li>Piémont</li></region><settlement><li>Turin</li></settlement></list><tree><noCountry><name sortKey="Arata, Valentina" sort="Arata, Valentina" uniqKey="Arata V" first="Valentina" last="Arata">Valentina Arata</name><name sortKey="Gallesio, Giorgia" sort="Gallesio, Giorgia" uniqKey="Gallesio G" first="Giorgia" last="Gallesio">Giorgia Gallesio</name><name sortKey="Mortellaro, Carmen" sort="Mortellaro, Carmen" uniqKey="Mortellaro C" first="Carmen" last="Mortellaro">Carmen Mortellaro</name><name sortKey="Previgliano, Valter" sort="Previgliano, Valter" uniqKey="Previgliano V" first="Valter" last="Previgliano">Valter Previgliano</name></noCountry><country name="Italie"><region name="Piémont"><name sortKey="Mozzati, Marco" sort="Mozzati, Marco" uniqKey="Mozzati M" first="Marco" last="Mozzati">Marco Mozzati</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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