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Application of the "All-on-Four" concept and guided surgery in a mandible treated with a free vascularized fibula flap.

Identifieur interne : 003454 ( Main/Exploration ); précédent : 003453; suivant : 003455

Application of the "All-on-Four" concept and guided surgery in a mandible treated with a free vascularized fibula flap.

Auteurs : Pier Francesco Nocini [Italie] ; Massimo Albanese ; Roberto Castellani ; Guglielmo Zanotti ; Luciano Canton ; Guido Bissolotti ; Daniele De Santis

Source :

The Journal of craniofacial surgery [ 1536-3732 ] ; 2012.

RBID : pubmed:23172503

Descripteurs français

KwdFr :
- Atrophie, Bouche édentée (rééducation et réadaptation), Chirurgie assistée par ordinateur, Femelle, Fibula (), Fibula (transplantation), Humains, Lambeaux tissulaires libres (), Mandibule (), Mandibule (anatomopathologie), Pose immédiate d'implant dentaire, Reconstruction de crête alvéolaire (), Sujet âgé.
MESH :
- anatomopathologie : Mandibule.
- rééducation et réadaptation : Bouche édentée.
- Atrophie, Chirurgie assistée par ordinateur, Femelle, Fibula, Humains, Lambeaux tissulaires libres, Mandibule, Pose immédiate d'implant dentaire, Reconstruction de crête alvéolaire, Sujet âgé.

English descriptors

KwdEn :
- Aged, Alveolar Ridge Augmentation (methods), Atrophy, Female, Fibula (blood supply), Fibula (transplantation), Free Tissue Flaps (blood supply), Humans, Immediate Dental Implant Loading, Mandible (pathology), Mandible (surgery), Mouth, Edentulous (rehabilitation), Surgery, Computer-Assisted.
MESH :
- blood supply : Fibula, Free Tissue Flaps.
- methods : Alveolar Ridge Augmentation.
- pathology : Mandible.
- rehabilitation : Mouth, Edentulous.
- surgery : Mandible.
- transplantation : Fibula.
- Aged, Atrophy, Female, Humans, Immediate Dental Implant Loading, Surgery, Computer-Assisted.

Abstract

In this article, we describe the first case in the literature in which 3D computer-assisted treatment planning and guided surgery enabled a patient affected by extreme paraphysiologic mandibular bone atrophy to be treated with a free vascularized fibula flap and, after a period of healing, the flapless installation of 4 immediately loaded dental implants. The computer-fabricated surgical guide allowed placement of the implants according to the "All-on-Four" concept in a proper spatial preplanned position and by tilting 1 implant, avoiding an area of bone discontinuity. Additionally, this technique allowed the production of a prefabricated temporary prosthesis, delivered after implant insertion, which could be immediately loaded. The use of a fibula flap makes it possible to create greater bone thickness while computer-assisted treatment planning and guided surgery provide several advantages over the traditional technique.

DOI: 10.1097/SCS.0b013e318270fdcf
PubMed: 23172503

Affiliations:

Italie

Le document en format XML

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<front><div type="abstract" xml:lang="en">In this article, we describe the first case in the literature in which 3D computer-assisted treatment planning and guided surgery enabled a patient affected by extreme paraphysiologic mandibular bone atrophy to be treated with a free vascularized fibula flap and, after a period of healing, the flapless installation of 4 immediately loaded dental implants. The computer-fabricated surgical guide allowed placement of the implants according to the "All-on-Four" concept in a proper spatial preplanned position and by tilting 1 implant, avoiding an area of bone discontinuity. Additionally, this technique allowed the production of a prefabricated temporary prosthesis, delivered after implant insertion, which could be immediately loaded. The use of a fibula flap makes it possible to create greater bone thickness while computer-assisted treatment planning and guided surgery provide several advantages over the traditional technique.</div>
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Serveur d'exploration sur le patient édenté

Application of the "All-on-Four" concept and guided surgery in a mandible treated with a free vascularized fibula flap.

Application of the "All-on-Four" concept and guided surgery in a mandible treated with a free vascularized fibula flap.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

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Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

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