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Transition from hopeless dentition to full-arch fixed-implant-supported rehabilitation by a staged extraction approach: rationale and technique.

Identifieur interne : 001613 ( Main/Exploration ); précédent : 001612; suivant : 001614

Transition from hopeless dentition to full-arch fixed-implant-supported rehabilitation by a staged extraction approach: rationale and technique.

Auteurs : Eitan Mijiritsky [Israël] ; Ziv Mazor ; Adi Lorean ; Carmen Mortellaro ; Ofer Mardinger ; Liran Levin

Source :

RBID : pubmed:24777024

Descripteurs français

English descriptors

Abstract

Transition from a hopeless dentition to a fixed-implant-supported full-arch reconstruction can be difficult for patients if wearing a transitional removable denture is involved. In addition, an increased risk for trauma to bone augmentation areas and to the implant-bone interface exists when using a removable transitional complete denture during the implant healing period; such risk can compromise implant success or increase crestal bone loss around implants before the final restoration. This article describes a treatment approach that allows replacement of the hopeless dentition with an osseointegrated fixed prosthesis, without rendering the patient totally edentulous before the delivery of the final implant-supported prosthesis. A staged approach using a few hopeless teeth to support a provisional fixed restoration during the healing process can help avoid discomfort and improve implants' outcome. A treatment plan for a maxillary arch reconstruction is used to illustrate the staged approach protocol. This protocol addresses patients' psychologic need to remain dentate during partial or full-mouth rehabilitation, while providing good esthetics and function during restoration of a dental arch.

DOI: 10.1097/SCS.0000000000000861
PubMed: 24777024


Affiliations:


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Le document en format XML

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<nlm:affiliation>From the *Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel; †Department of Medical Science, Faculty of Medicine, University of Eastern Piedmont, Novara, Italy; ‡Department of Maxillofacial Surgery, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel; §Department of Periodontology, School of Graduate Dentistry, Rambam Health Care Campus, Haifa, Israel; and ∥Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.</nlm:affiliation>
<country xml:lang="fr">Israël</country>
<wicri:regionArea>From the *Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel; †Department of Medical Science, Faculty of Medicine, University of Eastern Piedmont, Novara, Italy; ‡Department of Maxillofacial Surgery, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel; §Department of Periodontology, School of Graduate Dentistry, Rambam Health Care Campus, Haifa, Israel; and ∥Faculty of Medicine, Technion-Israel Institute of Technology, Haifa</wicri:regionArea>
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<term>Dental Arch (surgery)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Complete, Upper</term>
<term>Denture, Partial, Fixed</term>
<term>Denture, Partial, Temporary</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Osseointegration (physiology)</term>
<term>Patient Care Planning</term>
<term>Sinus Floor Augmentation (methods)</term>
<term>Tooth Extraction (methods)</term>
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<term>Adulte d'âge moyen</term>
<term>Arcade dentaire ()</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Extraction dentaire ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire ()</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Ostéo-intégration (physiologie)</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle provisoire</term>
<term>Prothèse partielle fixe</term>
<term>Rehaussement du plancher du sinus ()</term>
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<term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Sinus Floor Augmentation</term>
<term>Tooth Extraction</term>
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<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Ostéo-intégration</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Osseointegration</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire partiellement édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Dental Arch</term>
<term>Jaw, Edentulous, Partially</term>
<term>Maxilla</term>
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<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Complete, Upper</term>
<term>Denture, Partial, Fixed</term>
<term>Denture, Partial, Temporary</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Patient Care Planning</term>
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<term>Adulte d'âge moyen</term>
<term>Arcade dentaire</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Extraction dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle provisoire</term>
<term>Prothèse partielle fixe</term>
<term>Rehaussement du plancher du sinus</term>
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<front>
<div type="abstract" xml:lang="en">Transition from a hopeless dentition to a fixed-implant-supported full-arch reconstruction can be difficult for patients if wearing a transitional removable denture is involved. In addition, an increased risk for trauma to bone augmentation areas and to the implant-bone interface exists when using a removable transitional complete denture during the implant healing period; such risk can compromise implant success or increase crestal bone loss around implants before the final restoration. This article describes a treatment approach that allows replacement of the hopeless dentition with an osseointegrated fixed prosthesis, without rendering the patient totally edentulous before the delivery of the final implant-supported prosthesis. A staged approach using a few hopeless teeth to support a provisional fixed restoration during the healing process can help avoid discomfort and improve implants' outcome. A treatment plan for a maxillary arch reconstruction is used to illustrate the staged approach protocol. This protocol addresses patients' psychologic need to remain dentate during partial or full-mouth rehabilitation, while providing good esthetics and function during restoration of a dental arch.</div>
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<name sortKey="Mardinger, Ofer" sort="Mardinger, Ofer" uniqKey="Mardinger O" first="Ofer" last="Mardinger">Ofer Mardinger</name>
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