Immediate functional loading of provisional implants in the reconstructed atrophic maxilla: preliminary results of a prospective study after 6 months of loading with a provisional bridge.
Identifieur interne : 004169 ( Main/Exploration ); précédent : 004168; suivant : 004170Immediate functional loading of provisional implants in the reconstructed atrophic maxilla: preliminary results of a prospective study after 6 months of loading with a provisional bridge.
Auteurs : O. Lenssen [Belgique] ; L. Barbier ; C. De ClercqSource :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Atrophie, Facteurs temps, Femelle, Humains, Implants dentaires, Indice de gravité médicale, Maxillaire (), Maxillaire (anatomopathologie), Maxillaire (imagerie diagnostique), Mâchoire édentée (), Mâchoire édentée (anatomopathologie), Mâchoire édentée (rééducation et réadaptation), Mâle, Pose d'implant dentaire endo-osseux (), Projets pilotes, Prothèse dentaire complète immédiate, Prothèse dentaire complète supérieure, Prothèse dentaire implanto-portée, Radiographie, Restaurations dentaires permanentes (), Restaurations dentaires temporaires (), Résorption alvéolaire (), Résorption alvéolaire (anatomopathologie), Résorption alvéolaire (rééducation et réadaptation), Résultat thérapeutique, Rétention d'appareil de prothèse dentaire, Transplantation osseuse (), Études prospectives.
- MESH :
- anatomopathologie : Maxillaire, Mâchoire édentée, Résorption alvéolaire.
- imagerie diagnostique : Maxillaire.
- rééducation et réadaptation : Mâchoire édentée, Résorption alvéolaire.
- Adulte, Adulte d'âge moyen, Atrophie, Facteurs temps, Femelle, Humains, Implants dentaires, Indice de gravité médicale, Maxillaire, Mâchoire édentée, Mâle, Pose d'implant dentaire endo-osseux, Projets pilotes, Prothèse dentaire complète immédiate, Prothèse dentaire complète supérieure, Prothèse dentaire implanto-portée, Radiographie, Restaurations dentaires permanentes, Restaurations dentaires temporaires, Résorption alvéolaire, Résultat thérapeutique, Rétention d'appareil de prothèse dentaire, Transplantation osseuse, Études prospectives.
English descriptors
- KwdEn :
- Adult, Alveolar Bone Loss (pathology), Alveolar Bone Loss (rehabilitation), Alveolar Bone Loss (surgery), Atrophy, Bone Transplantation (methods), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Dental Restoration, Permanent (methods), Dental Restoration, Temporary (methods), Denture Retention, Denture, Complete, Immediate, Denture, Complete, Upper, Female, Humans, Jaw, Edentulous (pathology), Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Male, Maxilla (diagnostic imaging), Maxilla (pathology), Maxilla (surgery), Middle Aged, Pilot Projects, Prospective Studies, Radiography, Severity of Illness Index, Time Factors, Treatment Outcome.
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Maxilla.
- methods : Bone Transplantation, Dental Implantation, Endosseous, Dental Restoration, Permanent, Dental Restoration, Temporary.
- pathology : Alveolar Bone Loss, Jaw, Edentulous, Maxilla.
- rehabilitation : Alveolar Bone Loss, Jaw, Edentulous.
- surgery : Alveolar Bone Loss, Jaw, Edentulous, Maxilla.
- Adult, Atrophy, Dental Prosthesis, Implant-Supported, Denture Retention, Denture, Complete, Immediate, Denture, Complete, Upper, Female, Humans, Male, Middle Aged, Pilot Projects, Prospective Studies, Radiography, Severity of Illness Index, Time Factors, Treatment Outcome.
Abstract
Implant-prosthetic rehabilitation of atrophic maxillae remains a challenging problem. The aim of this paper is to describe a novel treatment for functional rehabilitation of the atrophic maxilla and to discuss preliminary results of this treatment protocol. A prospective pilot study was carried out in 10 patients who underwent bony reconstruction of atrophic maxillae under general anaesthesia, with autologous calvarial bone grafts and simultaneous placement of six provisional implants. The provisional implants were loaded with a provisional acrylic bridge 1 day after surgery. After 6 months, the provisional implants were removed and final implants were placed under local anaesthesia, again in an immediate loading concept with a provisional bridge, followed by a final bridge after another 6 months of healing. The bone grafts integrated well in all 10 patients without infectious complications. The prosthetic survival of the provisional bridge at the time of placing the implants was 100%. All final implants could be placed and immediately loaded with a second provisional bridge. Patient satisfaction was high due to limited postoperative inconvenience and immediate fixed prosthetic rehabilitation. The preliminary results of this pilot study demonstrate that this treatment protocol is a well tolerated treatment for patients with maxillary atrophy desiring dental rehabilitation.
DOI: 10.1016/j.ijom.2011.05.001
PubMed: 21658910
Affiliations:
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Le document en format XML
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Lenssen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Division of Maxillofacial Surgery, General Hospital St. John Bruges, Ruddershove 10, 8000 Bruges, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Surgery, Division of Maxillofacial Surgery, General Hospital St. John Bruges, Ruddershove 10, 8000 Bruges</wicri:regionArea><wicri:noRegion>8000 Bruges</wicri:noRegion></affiliation></author><author><name sortKey="Barbier, L" sort="Barbier, L" uniqKey="Barbier L" first="L" last="Barbier">L. Barbier</name></author><author><name sortKey="De Clercq, C" sort="De Clercq, C" uniqKey="De Clercq C" first="C" last="De Clercq">C. 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pilotes</term><term>Prothèse dentaire complète immédiate</term><term>Prothèse dentaire complète supérieure</term><term>Prothèse dentaire implanto-portée</term><term>Radiographie</term><term>Restaurations dentaires permanentes ()</term><term>Restaurations dentaires temporaires ()</term><term>Résorption alvéolaire ()</term><term>Résorption alvéolaire (anatomopathologie)</term><term>Résorption alvéolaire (rééducation et réadaptation)</term><term>Résultat thérapeutique</term><term>Rétention d'appareil de prothèse dentaire</term><term>Transplantation osseuse ()</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Maxillaire</term><term>Mâchoire édentée</term><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Maxilla</term></keywords><keywords scheme="MESH" 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permanentes</term><term>Restaurations dentaires temporaires</term><term>Résorption alvéolaire</term><term>Résultat thérapeutique</term><term>Rétention d'appareil de prothèse dentaire</term><term>Transplantation osseuse</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Implant-prosthetic rehabilitation of atrophic maxillae remains a challenging problem. The aim of this paper is to describe a novel treatment for functional rehabilitation of the atrophic maxilla and to discuss preliminary results of this treatment protocol. A prospective pilot study was carried out in 10 patients who underwent bony reconstruction of atrophic maxillae under general anaesthesia, with autologous calvarial bone grafts and simultaneous placement of six provisional implants. The provisional implants were loaded with a provisional acrylic bridge 1 day after surgery. After 6 months, the provisional implants were removed and final implants were placed under local anaesthesia, again in an immediate loading concept with a provisional bridge, followed by a final bridge after another 6 months of healing. The bone grafts integrated well in all 10 patients without infectious complications. The prosthetic survival of the provisional bridge at the time of placing the implants was 100%. All final implants could be placed and immediately loaded with a second provisional bridge. Patient satisfaction was high due to limited postoperative inconvenience and immediate fixed prosthetic rehabilitation. The preliminary results of this pilot study demonstrate that this treatment protocol is a well tolerated treatment for patients with maxillary atrophy desiring dental rehabilitation.</div></front></TEI><affiliations><list><country><li>Belgique</li></country></list><tree><noCountry><name sortKey="Barbier, L" sort="Barbier, L" uniqKey="Barbier L" first="L" last="Barbier">L. Barbier</name><name sortKey="De Clercq, C" sort="De Clercq, C" uniqKey="De Clercq C" first="C" last="De Clercq">C. De Clercq</name></noCountry><country name="Belgique"><noRegion><name sortKey="Lenssen, O" sort="Lenssen, O" uniqKey="Lenssen O" first="O" last="Lenssen">O. Lenssen</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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