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Rehabilitation of severely resorbed edentulous mandible using the modified visor osteotomy technique.

Identifieur interne : 005657 ( Main/Exploration ); précédent : 005656; suivant : 005658

Rehabilitation of severely resorbed edentulous mandible using the modified visor osteotomy technique.

Auteurs : Cassio Edvard Sverzut [Brésil] ; Alexandre Elias Trivellato ; Alexander Tadeu Sverzut ; Aníbal Henrique Barbosa Luna ; Thiago Iafelice Dos Santos ; Cassio De Barros Pontes

Source :

RBID : pubmed:20126912

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English descriptors

Abstract

The prosthetic rehabilitation of an atrophic mandible is usually unsatisfactory due to the lack of support tissues, mainly bone and keratinized mucosa for treatment with osseointegrated implants or even conventional prosthesis. The prosthetic instability leads to social and functional limitations and chronic physical trauma decreasing the patient's quality of life. A 53-year-old female patient sought care at our surgical service complaining of impairment of her masticatory function associated with the instability of the lower total prosthetic denture. The clinical and complementary exams revealed edentulism in both arches, while the mandibular arch presented severe reabsorption resulting in denture instability and chronic trauma to the oral mucosa. The proposed treatment plan consisted in the mandibular rehabilitation with osseointegrated implants and fixed Brånemark's protocol prosthesis after mandibular reconstruction applying the modified visor osteotomy technique. The proposed technique offered predictable results for reconstruction of the severely resorbed edentulous mandible and posterior rehabilitation with osseointegrated implants.

PubMed: 20126912


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Le document en format XML

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<term>Alveolar Bone Loss (surgery)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Bone Transplantation (methods)</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Mandible (surgery)</term>
<term>Mandibular Diseases (rehabilitation)</term>
<term>Mandibular Diseases (surgery)</term>
<term>Middle Aged</term>
<term>Osteotomy (methods)</term>
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<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maladies mandibulaires ()</term>
<term>Maladies mandibulaires (rééducation et réadaptation)</term>
<term>Mandibule ()</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Ostéotomie ()</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résorption alvéolaire ()</term>
<term>Résorption alvéolaire (rééducation et réadaptation)</term>
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<term>Bone Transplantation</term>
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<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
<term>Mandibular Diseases</term>
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<term>Maladies mandibulaires</term>
<term>Mâchoire édentée</term>
<term>Résorption alvéolaire</term>
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<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Mandibular Diseases</term>
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<div type="abstract" xml:lang="en">The prosthetic rehabilitation of an atrophic mandible is usually unsatisfactory due to the lack of support tissues, mainly bone and keratinized mucosa for treatment with osseointegrated implants or even conventional prosthesis. The prosthetic instability leads to social and functional limitations and chronic physical trauma decreasing the patient's quality of life. A 53-year-old female patient sought care at our surgical service complaining of impairment of her masticatory function associated with the instability of the lower total prosthetic denture. The clinical and complementary exams revealed edentulism in both arches, while the mandibular arch presented severe reabsorption resulting in denture instability and chronic trauma to the oral mucosa. The proposed treatment plan consisted in the mandibular rehabilitation with osseointegrated implants and fixed Brånemark's protocol prosthesis after mandibular reconstruction applying the modified visor osteotomy technique. The proposed technique offered predictable results for reconstruction of the severely resorbed edentulous mandible and posterior rehabilitation with osseointegrated implants.</div>
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