EdenteV2, Main, Exploration, bibRecord, 004A65

Horizontal Alveolar Ridge Distraction in an Edentulous Patient

Identifieur interne : 004A65 ( Main/Exploration ); précédent : 004A64; suivant : 004A66

Horizontal Alveolar Ridge Distraction in an Edentulous Patient

Auteurs : Zvi Laster [Israël] ; Younis Reem [Israël] ; Rafael Nagler [Israël]

Source :

Journal of oral and maxillofacial surgery [ 0278-2391 ] ; 2011.

RBID : Pascal:11-0104509

Descripteurs français

Pascal (Inist)
- Edentation, Chirurgie, Horizontal, Alvéole dentaire, Distraction, Homme, Stomatologie, Traitement.
Wicri :
- topic : Chirurgie, Homme.

English descriptors

KwdEn :
- Distraction, Edentulousness, Horizontal, Human, Stomatology, Surgery, Tooth alveolus, Treatment.

Abstract

Purpose: Full fixed dental rehabilitation, including attachment based over denture (to dental implants) is the optimal solution for edentulous patients, although the insertion of implants will be impossible when the alveolar ridge has been horizontally and severely absorbed. A full arch narrow ("knife-edge") alveolar crest creates a "borderline" condition. Dental implants cannot be inserted into a narrow ridge, which is also at risk of rapid absorption, especially under the pressure of a full denture. Current clinical solutions have been limited. In bone augmentation, the bone absorption rate has been approximately 50%, requiring 6-month therapy prolongation for the grafted bone to consolidate. Materials and Methods: We have described an edentulous patient whose "knife-edge" maxillary alveolar crest was widened with crest expanders (horizontal distractors). Results: Only 6 weeks after initiation of the distraction, a wide enough ridge had been created, allowing bilateral insertion of implants, followed by attachment-based full dental rehabilitation. Bone augmentation was avoided, and the implants were placed in the correct lateral position, with sufficient attached gingiva obtained. Conclusions: Horizontal crest expanding in narrow-alveolar edentulous patients can significantly reduce both morbidity and the therapeutic period and substantially increase the therapeutic success rate, based on both soft tissue and bone distraction. With this technique, our patient was without the denture for only 6 weeks.

Affiliations:

Israël

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

to stream PascalFrancis, to step Corpus: 000160
to stream PascalFrancis, to step Curation: 000540
to stream PascalFrancis, to step Checkpoint: 000135
to stream Main, to step Merge: 004B02
to stream Main, to step Curation: 004A65

Le document en format XML

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<front><div type="abstract" xml:lang="en">Purpose: Full fixed dental rehabilitation, including attachment based over denture (to dental implants) is the optimal solution for edentulous patients, although the insertion of implants will be impossible when the alveolar ridge has been horizontally and severely absorbed. A full arch narrow ("knife-edge") alveolar crest creates a "borderline" condition. Dental implants cannot be inserted into a narrow ridge, which is also at risk of rapid absorption, especially under the pressure of a full denture. Current clinical solutions have been limited. In bone augmentation, the bone absorption rate has been approximately 50%, requiring 6-month therapy prolongation for the grafted bone to consolidate. Materials and Methods: We have described an edentulous patient whose "knife-edge" maxillary alveolar crest was widened with crest expanders (horizontal distractors). Results: Only 6 weeks after initiation of the distraction, a wide enough ridge had been created, allowing bilateral insertion of implants, followed by attachment-based full dental rehabilitation. Bone augmentation was avoided, and the implants were placed in the correct lateral position, with sufficient attached gingiva obtained. Conclusions: Horizontal crest expanding in narrow-alveolar edentulous patients can significantly reduce both morbidity and the therapeutic period and substantially increase the therapeutic success rate, based on both soft tissue and bone distraction. With this technique, our patient was without the denture for only 6 weeks.</div>
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Horizontal Alveolar Ridge Distraction in an Edentulous Patient

Horizontal Alveolar Ridge Distraction in an Edentulous Patient

Source :

Descripteurs français

English descriptors

Abstract

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

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri