Avoiding osseous grafting in the atrophic posterior mandible for implant-supported fixed partial dentures: a report of 2 cases.
Identifieur interne : 004290 ( Main/Exploration ); précédent : 004289; suivant : 004291Avoiding osseous grafting in the atrophic posterior mandible for implant-supported fixed partial dentures: a report of 2 cases.
Auteurs : Dennis Flanagan [Niger]Source :
- The Journal of oral implantology [ 0160-6972 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Conception de prothèse dentaire, Extraction dentaire (effets indésirables), Femelle, Humains, Implants dentaires, Lésions du nerf trijumeau (), Maladies mandibulaires (rééducation et réadaptation), Molaire, Mâchoire partiellement édentée (rééducation et réadaptation), Nerf mandibulaire, Pose d'implant dentaire endo-osseux (), Prothèse dentaire implanto-portée, Prothèse partielle fixe, Prémolaire, Résorption alvéolaire (rééducation et réadaptation), Résorption alvéolaire (étiologie), Sujet âgé.
- MESH :
- effets indésirables : Extraction dentaire.
- rééducation et réadaptation : Maladies mandibulaires, Mâchoire partiellement édentée, Résorption alvéolaire.
- étiologie : Résorption alvéolaire.
- Adulte d'âge moyen, Conception de prothèse dentaire, Femelle, Humains, Implants dentaires, Lésions du nerf trijumeau, Molaire, Nerf mandibulaire, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Prothèse partielle fixe, Prémolaire, Sujet âgé.
English descriptors
- KwdEn :
- Aged, Alveolar Bone Loss (etiology), Alveolar Bone Loss (rehabilitation), Bicuspid, Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Denture, Partial, Fixed, Female, Humans, Jaw, Edentulous, Partially (rehabilitation), Mandibular Diseases (rehabilitation), Mandibular Nerve, Middle Aged, Molar, Tooth Extraction (adverse effects), Trigeminal Nerve Injuries (prevention & control).
- MESH :
- chemical : Dental Implants.
- adverse effects : Tooth Extraction.
- etiology : Alveolar Bone Loss.
- methods : Dental Implantation, Endosseous.
- prevention & control : Trigeminal Nerve Injuries.
- rehabilitation : Alveolar Bone Loss, Jaw, Edentulous, Partially, Mandibular Diseases.
- Aged, Bicuspid, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Denture, Partial, Fixed, Female, Humans, Mandibular Nerve, Middle Aged, Molar.
Abstract
Bone atrophy occurs after tooth extraction in the posterior mandible, placing the mandibular canal and its neural, arterial, and venous contents closer to the osseous facial aspect and the coronal crest. This proximity places the structure in danger of damage when dental implants are surgically placed to support fixed or removable prostheses. Several options are available to treat these areas for implant-supported fixed and removable complete or partial dentures. Osseous grafting and ridge expansion are surgical options that enable acceptance of standard sized dental implants but have serious morbidities. Additionally, vertical osseous augmentation is not predictable at this time. Narrow diameter dental implants can be placed to avoid the mandibular canal, but some bone volume situations preclude this. Very wide and very short (6.5 × 5 mm) dental implants may be placed at an angle in atrophic sites to successfully support fixed partial dentures. An anterior guidance occlusal scheme may be used in maxillary dentate patients or group function in maxillary complete denture patients. A 100 micron occlusal relief in fixed partial dentures in dentate patients may be required to account for natural tooth intrusion and to prevent occlusal overload of the implant-supported partial denture.
DOI: 10.1563/AAID-JOI-D-10-00094
PubMed: 20925498
Affiliations:
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Le document en format XML
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wicri:level="1"><nlm:affiliation>dffdds@comcast.net</nlm:affiliation><country wicri:rule="url">Niger</country></affiliation></author></analytic><series><title level="j">The Journal of oral implantology</title><idno type="ISSN">0160-6972</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Alveolar Bone Loss (etiology)</term><term>Alveolar Bone Loss (rehabilitation)</term><term>Bicuspid</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture, Partial, Fixed</term><term>Female</term><term>Humans</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Mandibular Diseases (rehabilitation)</term><term>Mandibular Nerve</term><term>Middle Aged</term><term>Molar</term><term>Tooth Extraction (adverse effects)</term><term>Trigeminal Nerve Injuries (prevention & control)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Conception de prothèse dentaire</term><term>Extraction dentaire (effets indésirables)</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Lésions du nerf trijumeau ()</term><term>Maladies mandibulaires (rééducation et réadaptation)</term><term>Molaire</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Nerf mandibulaire</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse partielle fixe</term><term>Prémolaire</term><term>Résorption alvéolaire (rééducation et réadaptation)</term><term>Résorption alvéolaire (étiologie)</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Tooth Extraction</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Extraction dentaire</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Alveolar Bone Loss</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Trigeminal Nerve Injuries</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Alveolar Bone Loss</term><term>Jaw, Edentulous, Partially</term><term>Mandibular Diseases</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Maladies mandibulaires</term><term>Mâchoire partiellement édentée</term><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Bicuspid</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture, Partial, Fixed</term><term>Female</term><term>Humans</term><term>Mandibular Nerve</term><term>Middle Aged</term><term>Molar</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Conception de prothèse dentaire</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Lésions du nerf trijumeau</term><term>Molaire</term><term>Nerf mandibulaire</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse partielle fixe</term><term>Prémolaire</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Bone atrophy occurs after tooth extraction in the posterior mandible, placing the mandibular canal and its neural, arterial, and venous contents closer to the osseous facial aspect and the coronal crest. This proximity places the structure in danger of damage when dental implants are surgically placed to support fixed or removable prostheses. Several options are available to treat these areas for implant-supported fixed and removable complete or partial dentures. Osseous grafting and ridge expansion are surgical options that enable acceptance of standard sized dental implants but have serious morbidities. Additionally, vertical osseous augmentation is not predictable at this time. Narrow diameter dental implants can be placed to avoid the mandibular canal, but some bone volume situations preclude this. Very wide and very short (6.5 × 5 mm) dental implants may be placed at an angle in atrophic sites to successfully support fixed partial dentures. An anterior guidance occlusal scheme may be used in maxillary dentate patients or group function in maxillary complete denture patients. A 100 micron occlusal relief in fixed partial dentures in dentate patients may be required to account for natural tooth intrusion and to prevent occlusal overload of the implant-supported partial denture.</div></front></TEI><affiliations><list><country><li>Niger</li></country></list><tree><country name="Niger"><noRegion><name sortKey="Flanagan, Dennis" sort="Flanagan, Dennis" uniqKey="Flanagan D" first="Dennis" last="Flanagan">Dennis Flanagan</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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