Reconstruction of the atrophic maxilla with interpositional bone grafting/Le Fort I osteotomy and endosteal implants: a 11-16 year follow-up.
Identifieur interne : 005661 ( Main/Exploration ); précédent : 005660; suivant : 005662Reconstruction of the atrophic maxilla with interpositional bone grafting/Le Fort I osteotomy and endosteal implants: a 11-16 year follow-up.
Auteurs : E. Nyström [Suède] ; H. Nilson ; J. Gunne ; S. LundgrenSource :
- International journal of oral and maxillofacial surgery [ 0901-5027 ] ; 2009.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Femelle, Humains, Implants dentaires (effets indésirables), Maxillaire (), Mâchoire édentée (rééducation et réadaptation), Mâle, Ostéotomie de Le Fort, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Prothèse dentaire partielle provisoire, Prothèse partielle fixe, Radiographie, Reconstruction de crête alvéolaire (), Résorption alvéolaire (), Résorption alvéolaire (imagerie diagnostique), Résorption alvéolaire (étiologie), Sujet âgé, Tabagisme, Transplantation osseuse, Échec de restauration dentaire, Études de suivi, Études prospectives.
- MESH :
- effets indésirables : Implants dentaires.
- imagerie diagnostique : Résorption alvéolaire.
- rééducation et réadaptation : Mâchoire édentée.
- étiologie : Résorption alvéolaire.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Maxillaire, Mâle, Ostéotomie de Le Fort, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Prothèse dentaire partielle provisoire, Prothèse partielle fixe, Radiographie, Reconstruction de crête alvéolaire, Résorption alvéolaire, Sujet âgé, Tabagisme, Transplantation osseuse, Échec de restauration dentaire, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Adult, Aged, Alveolar Bone Loss (diagnostic imaging), Alveolar Bone Loss (etiology), Alveolar Bone Loss (surgery), Alveolar Ridge Augmentation (methods), Bone Transplantation, Dental Implantation, Endosseous, Dental Implants (adverse effects), Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Partial, Fixed, Denture, Partial, Temporary, Female, Follow-Up Studies, Humans, Jaw, Edentulous (rehabilitation), Male, Maxilla (surgery), Middle Aged, Osteotomy, Le Fort, Prospective Studies, Radiography, Smoking.
- MESH :
- chemical , adverse effects : Dental Implants.
- diagnostic imaging : Alveolar Bone Loss.
- etiology : Alveolar Bone Loss.
- methods : Alveolar Ridge Augmentation.
- rehabilitation : Jaw, Edentulous.
- surgery : Alveolar Bone Loss, Maxilla.
- Adult, Aged, Bone Transplantation, Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Partial, Fixed, Denture, Partial, Temporary, Female, Follow-Up Studies, Humans, Male, Middle Aged, Osteotomy, Le Fort, Prospective Studies, Radiography, Smoking.
Abstract
A Le Fort I osteotomy and interpositional bone graft in combination with implants was used in the reconstruction of patients with extreme atrophy in their maxillae. Surgery was performed in a two-stage procedure. The patients in this study had conditions with reversed intermaxillary relationships with or without increased vertical intermaxillary distance. The aim of the study was to investigate treatment outcome for patients in a prospective, long-term, follow-up with a mean of 13 years (range 11-16 years), concerning implant survival rate and marginal bone loss adjacent to the surfaces of the implant. The impact of gender and smoking was also investigated. Twenty-six patients were included in the study. Of 167 implants, 24 failed. The implant estimated survival rate was 85% at the end of the follow-up. There was no significant difference between smokers and non-smokers or genders concerning implant survival. Marginal bone loss was 2.5, 2.9, 3.0 and 3.1mm from the implant-abutment junction, after 1, 2, 5 and 10 years, respectively. The bone level stabilised after 2 years. This technique results in good facial morphology, good oral function and aesthetics. All patients are still wearing their original fixed bridges.
DOI: 10.1016/j.ijom.2008.10.009
PubMed: 19046853
Affiliations:
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Le document en format XML
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Nyström</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral Maxillofacial Surgery, Umeå, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Oral Maxillofacial Surgery, Umeå</wicri:regionArea><wicri:noRegion>Umeå</wicri:noRegion></affiliation></author><author><name sortKey="Nilson, H" sort="Nilson, H" uniqKey="Nilson H" first="H" last="Nilson">H. Nilson</name></author><author><name sortKey="Gunne, J" sort="Gunne, J" uniqKey="Gunne J" first="J" last="Gunne">J. Gunne</name></author><author><name sortKey="Lundgren, S" sort="Lundgren, S" uniqKey="Lundgren S" first="S" last="Lundgren">S. Lundgren</name></author></analytic><series><title level="j">International journal of oral and maxillofacial surgery</title><idno type="ISSN">0901-5027</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Alveolar Bone Loss (diagnostic imaging)</term><term>Alveolar Bone Loss (etiology)</term><term>Alveolar Bone Loss (surgery)</term><term>Alveolar Ridge Augmentation (methods)</term><term>Bone Transplantation</term><term>Dental Implantation, Endosseous</term><term>Dental Implants (adverse effects)</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Denture, Partial, Fixed</term><term>Denture, Partial, Temporary</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Jaw, Edentulous (rehabilitation)</term><term>Male</term><term>Maxilla (surgery)</term><term>Middle Aged</term><term>Osteotomy, Le Fort</term><term>Prospective Studies</term><term>Radiography</term><term>Smoking</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Implants dentaires (effets indésirables)</term><term>Maxillaire ()</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Ostéotomie de Le Fort</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse dentaire partielle provisoire</term><term>Prothèse partielle fixe</term><term>Radiographie</term><term>Reconstruction de crête alvéolaire ()</term><term>Résorption alvéolaire ()</term><term>Résorption alvéolaire (imagerie diagnostique)</term><term>Résorption alvéolaire (étiologie)</term><term>Sujet âgé</term><term>Tabagisme</term><term>Transplantation osseuse</term><term>Échec de restauration dentaire</term><term>Études de suivi</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Alveolar Bone Loss</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Implants dentaires</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Alveolar Bone Loss</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Alveolar Bone Loss</term><term>Maxilla</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Bone Transplantation</term><term>Dental Implantation, Endosseous</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Denture, Partial, Fixed</term><term>Denture, Partial, Temporary</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Osteotomy, Le Fort</term><term>Prospective Studies</term><term>Radiography</term><term>Smoking</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Maxillaire</term><term>Mâle</term><term>Ostéotomie de Le Fort</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire implanto-portée</term><term>Prothèse dentaire partielle provisoire</term><term>Prothèse partielle fixe</term><term>Radiographie</term><term>Reconstruction de crête alvéolaire</term><term>Résorption alvéolaire</term><term>Sujet âgé</term><term>Tabagisme</term><term>Transplantation osseuse</term><term>Échec de restauration dentaire</term><term>Études de suivi</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A Le Fort I osteotomy and interpositional bone graft in combination with implants was used in the reconstruction of patients with extreme atrophy in their maxillae. Surgery was performed in a two-stage procedure. The patients in this study had conditions with reversed intermaxillary relationships with or without increased vertical intermaxillary distance. The aim of the study was to investigate treatment outcome for patients in a prospective, long-term, follow-up with a mean of 13 years (range 11-16 years), concerning implant survival rate and marginal bone loss adjacent to the surfaces of the implant. The impact of gender and smoking was also investigated. Twenty-six patients were included in the study. Of 167 implants, 24 failed. The implant estimated survival rate was 85% at the end of the follow-up. There was no significant difference between smokers and non-smokers or genders concerning implant survival. Marginal bone loss was 2.5, 2.9, 3.0 and 3.1mm from the implant-abutment junction, after 1, 2, 5 and 10 years, respectively. The bone level stabilised after 2 years. This technique results in good facial morphology, good oral function and aesthetics. All patients are still wearing their original fixed bridges.</div></front></TEI><affiliations><list><country><li>Suède</li></country></list><tree><noCountry><name sortKey="Gunne, J" sort="Gunne, J" uniqKey="Gunne J" first="J" last="Gunne">J. Gunne</name><name sortKey="Lundgren, S" sort="Lundgren, S" uniqKey="Lundgren S" first="S" last="Lundgren">S. Lundgren</name><name sortKey="Nilson, H" sort="Nilson, H" uniqKey="Nilson H" first="H" last="Nilson">H. Nilson</name></noCountry><country name="Suède"><noRegion><name sortKey="Nystrom, E" sort="Nystrom, E" uniqKey="Nystrom E" first="E" last="Nyström">E. Nyström</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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