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Management of biomechanical complication of implant-supported restoration of a patient with combination syndrome: a case report.

Identifieur interne : 005744 ( Main/Exploration ); précédent : 005743; suivant : 005745

Management of biomechanical complication of implant-supported restoration of a patient with combination syndrome: a case report.

Auteurs : Len Tolstunov [États-Unis]

Source :

RBID : pubmed:19070766

Descripteurs français

English descriptors

Abstract

Combination syndrome (CS) is a pathologic condition of the stomatognathic system characterized by an edentulous maxilla with an atrophic anterior ridge, maxillary papillary hyperplasia, hypertrophic maxillary tuberosities, super-erupted mandibular anterior teeth, as well as atrophic mandibular posterior ridges. This condition can present a challenging situation to the clinician who needs to assemble evidence from all aspects of dentistry to formulate an appropriate treatment plan. One of the possible treatment choices for the fully edentulous patient with a CS is a full-arch implant-supported reconstruction for both maxilla and mandible. The purpose of this study is to illustrate and discuss a biomechanical complication-fractured maxillary meso bar in a patient with CS, and to present a description of how this complex case was corrected and successfully completed. The analysis of implant-supported and implant-retained full arch restorations in edentulous patients with CS is presented and treatment recommendations are given. A necessity of individualized approach for every implant reconstruction case, especially complicated with a CS, is suggested.

DOI: 10.1016/j.joms.2008.09.013
PubMed: 19070766


Affiliations:


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Le document en format XML

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<term>Alveolar Ridge Augmentation (methods)</term>
<term>Atrophy</term>
<term>Biomechanical Phenomena</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental Stress Analysis</term>
<term>Denture Design</term>
<term>Denture Retention (instrumentation)</term>
<term>Female</term>
<term>Humans</term>
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<term>Jaw, Edentulous (complications)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (complications)</term>
<term>Malocclusion, Angle Class III (etiology)</term>
<term>Mandibular Diseases (complications)</term>
<term>Mandibular Diseases (diagnostic imaging)</term>
<term>Maxillary Diseases (diagnostic imaging)</term>
<term>Maxillary Diseases (etiology)</term>
<term>Maxillary Diseases (surgery)</term>
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<term>Analyse du stress dentaire</term>
<term>Atrophie</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hypertrophie</term>
<term>Implants dentaires</term>
<term>Maladies du maxillaire supérieur ()</term>
<term>Maladies du maxillaire supérieur (imagerie diagnostique)</term>
<term>Maladies du maxillaire supérieur (étiologie)</term>
<term>Maladies mandibulaires ()</term>
<term>Maladies mandibulaires (imagerie diagnostique)</term>
<term>Malocclusion de classe III (étiologie)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Phénomènes biomécaniques</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Procédures de chirurgie préprothétique en odontologie</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résorption alvéolaire ()</term>
<term>Résorption alvéolaire (imagerie diagnostique)</term>
<term>Résultat thérapeutique</term>
<term>Rétention d'appareil de prothèse dentaire (instrumentation)</term>
<term>Sujet âgé</term>
<term>Syndrome</term>
<term>Échec de restauration dentaire</term>
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<term>Dental Prosthesis, Implant-Supported</term>
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<term>Dental Stress Analysis</term>
<term>Denture Design</term>
<term>Female</term>
<term>Humans</term>
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<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
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<term>Hypertrophie</term>
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<term>Phénomènes biomécaniques</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
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<term>Radiographie</term>
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<term>Résorption alvéolaire</term>
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<div type="abstract" xml:lang="en">Combination syndrome (CS) is a pathologic condition of the stomatognathic system characterized by an edentulous maxilla with an atrophic anterior ridge, maxillary papillary hyperplasia, hypertrophic maxillary tuberosities, super-erupted mandibular anterior teeth, as well as atrophic mandibular posterior ridges. This condition can present a challenging situation to the clinician who needs to assemble evidence from all aspects of dentistry to formulate an appropriate treatment plan. One of the possible treatment choices for the fully edentulous patient with a CS is a full-arch implant-supported reconstruction for both maxilla and mandible. The purpose of this study is to illustrate and discuss a biomechanical complication-fractured maxillary meso bar in a patient with CS, and to present a description of how this complex case was corrected and successfully completed. The analysis of implant-supported and implant-retained full arch restorations in edentulous patients with CS is presented and treatment recommendations are given. A necessity of individualized approach for every implant reconstruction case, especially complicated with a CS, is suggested.</div>
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