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 : 005745Management of biomechanical complication of implant-supported restoration of a patient with combination syndrome: a case report.
Auteurs : Len Tolstunov [États-Unis]Source :
- Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [ 1531-5053 ] ; 2009.
Descripteurs français
- KwdFr :
- Analyse du stress dentaire, Atrophie, Conception d'appareil de prothèse dentaire, Conception de prothèse dentaire, Femelle, Humains, Hypertrophie, Implants dentaires, Maladies du maxillaire supérieur (), Maladies du maxillaire supérieur (imagerie diagnostique), Maladies du maxillaire supérieur (étiologie), Maladies mandibulaires (), Maladies mandibulaires (imagerie diagnostique), Malocclusion de classe III (étiologie), Mâchoire partiellement édentée (), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Phénomènes biomécaniques, Piliers dentaires, Pose d'implant dentaire endo-osseux, Procédures de chirurgie préprothétique en odontologie, Prothèse dentaire implanto-portée, Radiographie, Reconstruction de crête alvéolaire (), Résorption alvéolaire (), Résorption alvéolaire (imagerie diagnostique), Résultat thérapeutique, Rétention d'appareil de prothèse dentaire (instrumentation), Sujet âgé, Syndrome, Échec de restauration dentaire.
- MESH :
- imagerie diagnostique : Maladies du maxillaire supérieur, Maladies mandibulaires, Résorption alvéolaire.
- rééducation et réadaptation : Mâchoire édentée.
- étiologie : Maladies du maxillaire supérieur, Malocclusion de classe III, Rétention d'appareil de prothèse dentaire.
- Analyse du stress dentaire, Atrophie, Conception d'appareil de prothèse dentaire, Conception de prothèse dentaire, Femelle, Humains, Hypertrophie, Implants dentaires, Maladies du maxillaire supérieur, Maladies mandibulaires, Mâchoire partiellement édentée, Mâchoire édentée, Phénomènes biomécaniques, Piliers dentaires, Pose d'implant dentaire endo-osseux, Procédures de chirurgie préprothétique en odontologie, Prothèse dentaire implanto-portée, Radiographie, Reconstruction de crête alvéolaire, Résorption alvéolaire, Résultat thérapeutique, Sujet âgé, Syndrome, Échec de restauration dentaire.
English descriptors
- KwdEn :
- Aged, Alveolar Bone Loss (diagnostic imaging), Alveolar Bone Loss (surgery), Alveolar Ridge Augmentation (methods), Atrophy, Biomechanical Phenomena, Dental Abutments, Dental Implantation, Endosseous, Dental Implants, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental Stress Analysis, Denture Design, Denture Retention (instrumentation), Female, Humans, Hypertrophy, Jaw, Edentulous (complications), Jaw, Edentulous (rehabilitation), Jaw, Edentulous, Partially (complications), Malocclusion, Angle Class III (etiology), Mandibular Diseases (complications), Mandibular Diseases (diagnostic imaging), Maxillary Diseases (diagnostic imaging), Maxillary Diseases (etiology), Maxillary Diseases (surgery), Oral Surgical Procedures, Preprosthetic, Radiography, Syndrome, Treatment Outcome.
- MESH :
- chemical : Dental Implants.
- complications : Jaw, Edentulous, Jaw, Edentulous, Partially, Mandibular Diseases.
- diagnostic imaging : Alveolar Bone Loss, Mandibular Diseases, Maxillary Diseases.
- etiology : Malocclusion, Angle Class III, Maxillary Diseases.
- instrumentation : Denture Retention.
- methods : Alveolar Ridge Augmentation.
- rehabilitation : Jaw, Edentulous.
- surgery : Alveolar Bone Loss, Maxillary Diseases.
- Aged, Atrophy, Biomechanical Phenomena, Dental Abutments, Dental Implantation, Endosseous, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental Stress Analysis, Denture Design, Female, Humans, Hypertrophy, Oral Surgical Procedures, Preprosthetic, Radiography, Syndrome, Treatment Outcome.
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>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>
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<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>
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<term>Treatment Outcome</term>
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<term>Atrophie</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
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<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>
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<term>Malocclusion de classe III (étiologie)</term>
<term>Mâchoire partiellement édentée ()</term>
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<term>Échec de restauration dentaire</term>
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<term>Mandibular Diseases</term>
<term>Maxillary Diseases</term>
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<term>Résorption alvéolaire</term>
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<term>Maxillary Diseases</term>
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<term>Rétention d'appareil de prothèse dentaire</term>
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<term>Atrophy</term>
<term>Biomechanical Phenomena</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
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<term>Dental Stress Analysis</term>
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<term>Female</term>
<term>Humans</term>
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<term>Oral Surgical Procedures, Preprosthetic</term>
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<term>Syndrome</term>
<term>Treatment Outcome</term>
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<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>
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<term>Piliers dentaires</term>
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<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption alvéolaire</term>
<term>Résultat thérapeutique</term>
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<front><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>
</front>
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