Surgical and prosthodontic consequences of inadequate treatment planning for fixed implant-supported prosthesis in the edentulous mandible.
Identifieur interne : 004B49 ( Main/Exploration ); précédent : 004B48; suivant : 004B50Surgical and prosthodontic consequences of inadequate treatment planning for fixed implant-supported prosthesis in the edentulous mandible.
Auteurs : Avinash S. Bidra [États-Unis]Source :
- Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [ 1531-5053 ] ; 2010.
Descripteurs français
- KwdFr :
- Ablation de dispositif, Adulte d'âge moyen, Algie faciale (étiologie), Alvéoloplastie, Conception de prothèse dentaire, Humains, Implants dentaires (effets indésirables), Mandibule (), Mâchoire édentée (), Mâle, Piliers dentaires (effets indésirables), Planification des soins du patient, Pose d'implant dentaire endo-osseux (effets indésirables), Programme clinique, Prothèse dentaire complète supérieure, Prothèse dentaire implanto-portée (effets indésirables), Prothèse partielle fixe, Équipe soignante.
- MESH :
- effets indésirables : Implants dentaires, Piliers dentaires, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée.
- étiologie : Algie faciale.
- Ablation de dispositif, Adulte d'âge moyen, Alvéoloplastie, Conception de prothèse dentaire, Humains, Mandibule, Mâchoire édentée, Mâle, Planification des soins du patient, Programme clinique, Prothèse dentaire complète supérieure, Prothèse partielle fixe, Équipe soignante.
English descriptors
- KwdEn :
- Alveoloplasty, Critical Pathways, Dental Abutments (adverse effects), Dental Implantation, Endosseous (adverse effects), Dental Implants (adverse effects), Dental Prosthesis Design, Dental Prosthesis, Implant-Supported (adverse effects), Denture, Complete, Upper, Denture, Partial, Fixed, Device Removal, Facial Pain (etiology), Humans, Jaw, Edentulous (surgery), Male, Mandible (surgery), Middle Aged, Patient Care Planning, Patient Care Team.
- MESH :
- chemical , adverse effects : Dental Implants.
- adverse effects : Dental Abutments, Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported.
- etiology : Facial Pain.
- surgery : Jaw, Edentulous, Mandible.
- Alveoloplasty, Critical Pathways, Dental Prosthesis Design, Denture, Complete, Upper, Denture, Partial, Fixed, Device Removal, Humans, Male, Middle Aged, Patient Care Planning, Patient Care Team.
Abstract
Treatment planning for mandibular fixed implant-supported prostheses requires close communication between surgeons and restorative dentists. Improper implant positioning can result in significant difficulty for patient comfort and fabrication of a functional prosthesis. This case report describes the consequences of placing implants with no preoperative planning with regard to the implant position based on the final restorative plan. A 46-year-old male had all of his remaining maxillary and mandibular teeth extracted, and had 5 implants placed immediately in the interforaminal region of the mandible with the intent of providing a fixed prosthesis. Six weeks later, the patient was referred for prosthodontic care. The patient had no prostheses at that time and was in severe pain due to impingement of the lower lip by one of the implants. The implants were deemed to be in unfavorable positions and angulations. Thereafter, the case was treatment-planned systematically, requiring 2 additional surgical procedures---removal of one of the implants and alveoloplasty of posterior mandible for creation of space for prosthetic components. The remaining 4 implants with unfavorable angulations posed a prosthodontic challenge for fabrication of a prosthesis. The situation was eventually managed by fabrication of a screw-retained metal-resin fixed prosthesis over the remaining 4 implants. Although the situation was managed successfully, it resulted in increased time and treatment expenses, additional appointments, and elaborative steps for correction. Prosthodontics-driven treatment planning concepts and guidelines for prevention of such situations are described in this article.
DOI: 10.1016/j.joms.2010.05.054
PubMed: 20674123
Affiliations:
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Bidra</name><affiliation wicri:level="1"><nlm:affiliation>Department of Prosthodontics, University of Texas Health Science Center, San Antonio, TX 78229-3900, USA. avinashbidra@yahoo.com</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Prosthodontics, University of Texas Health Science Center, San Antonio, TX 78229-3900</wicri:regionArea><wicri:noRegion>TX 78229-3900</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</title><idno type="eISSN">1531-5053</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alveoloplasty</term><term>Critical Pathways</term><term>Dental Abutments (adverse effects)</term><term>Dental Implantation, Endosseous (adverse effects)</term><term>Dental Implants (adverse effects)</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported (adverse effects)</term><term>Denture, Complete, Upper</term><term>Denture, Partial, Fixed</term><term>Device Removal</term><term>Facial Pain (etiology)</term><term>Humans</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Mandible (surgery)</term><term>Middle Aged</term><term>Patient Care Planning</term><term>Patient Care Team</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Ablation de dispositif</term><term>Adulte d'âge moyen</term><term>Algie faciale (étiologie)</term><term>Alvéoloplastie</term><term>Conception de prothèse dentaire</term><term>Humains</term><term>Implants dentaires (effets indésirables)</term><term>Mandibule ()</term><term>Mâchoire édentée ()</term><term>Mâle</term><term>Piliers dentaires (effets indésirables)</term><term>Planification des soins du patient</term><term>Pose d'implant dentaire endo-osseux (effets indésirables)</term><term>Programme clinique</term><term>Prothèse dentaire complète supérieure</term><term>Prothèse dentaire implanto-portée (effets indésirables)</term><term>Prothèse partielle fixe</term><term>Équipe soignante</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Dental Abutments</term><term>Dental Implantation, Endosseous</term><term>Dental Prosthesis, Implant-Supported</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Implants dentaires</term><term>Piliers dentaires</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire implanto-portée</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Facial Pain</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term><term>Mandible</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Algie faciale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Alveoloplasty</term><term>Critical Pathways</term><term>Dental Prosthesis Design</term><term>Denture, Complete, Upper</term><term>Denture, Partial, Fixed</term><term>Device Removal</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Care Planning</term><term>Patient Care Team</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Ablation de dispositif</term><term>Adulte d'âge moyen</term><term>Alvéoloplastie</term><term>Conception de prothèse dentaire</term><term>Humains</term><term>Mandibule</term><term>Mâchoire édentée</term><term>Mâle</term><term>Planification des soins du patient</term><term>Programme clinique</term><term>Prothèse dentaire complète supérieure</term><term>Prothèse partielle fixe</term><term>Équipe soignante</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Treatment planning for mandibular fixed implant-supported prostheses requires close communication between surgeons and restorative dentists. Improper implant positioning can result in significant difficulty for patient comfort and fabrication of a functional prosthesis. This case report describes the consequences of placing implants with no preoperative planning with regard to the implant position based on the final restorative plan. A 46-year-old male had all of his remaining maxillary and mandibular teeth extracted, and had 5 implants placed immediately in the interforaminal region of the mandible with the intent of providing a fixed prosthesis. Six weeks later, the patient was referred for prosthodontic care. The patient had no prostheses at that time and was in severe pain due to impingement of the lower lip by one of the implants. The implants were deemed to be in unfavorable positions and angulations. Thereafter, the case was treatment-planned systematically, requiring 2 additional surgical procedures---removal of one of the implants and alveoloplasty of posterior mandible for creation of space for prosthetic components. The remaining 4 implants with unfavorable angulations posed a prosthodontic challenge for fabrication of a prosthesis. The situation was eventually managed by fabrication of a screw-retained metal-resin fixed prosthesis over the remaining 4 implants. Although the situation was managed successfully, it resulted in increased time and treatment expenses, additional appointments, and elaborative steps for correction. Prosthodontics-driven treatment planning concepts and guidelines for prevention of such situations are described in this article.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Bidra, Avinash S" sort="Bidra, Avinash S" uniqKey="Bidra A" first="Avinash S" last="Bidra">Avinash S. Bidra</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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