Serveur d'exploration sur le patient édenté

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Placement and Restoration of Dental Implants in a Patient with Paget's Disease in Remission: Literature Review and Clinical Report

Identifieur interne : 006276 ( Main/Exploration ); précédent : 006275; suivant : 006277

Placement and Restoration of Dental Implants in a Patient with Paget's Disease in Remission: Literature Review and Clinical Report

Auteurs : Jonathan M. Rasmussen [États-Unis] ; Matthew L. Hopfensperger [États-Unis]

Source :

RBID : ISTEX:58B39141D3438C3E9C3145932E8E182C8986D074

Descripteurs français

English descriptors

Abstract

Paget's disease is a disorder of bone that results in the replacement of normal bone with highly vascularized, low density bone. The diminished bone quality associated with Paget's disease is a relative contraindication to the use of dental implants, as it interferes with achievement of osseointegration. There is no current literature on the success of dental implants in patients with Paget's disease. Furthermore, there is no current literature on dental implant success in patients with remissive Paget's disease or in bone that appears to be unaffected by the disease in patients with Paget's. This case report follows the treatment of a patient with a partially edentulous maxilla and mandible (ACP PDI Classification III) who presented with remissive Paget's disease. Definitive treatment included the placement of four endosseous implants used to retain full veneer crowns. Despite the radiographic appearance of adequate bone quality, upon surgical placement it was discovered that the quality of bone was poor, yet implant survival was achieved through careful surgical management and rigid splinting of some of the endosseous implants.

Url:
DOI: 10.1111/j.1532-849X.2007.00240.x


Affiliations:


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Le document en format XML

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<term>Albrektsson</term>
<term>American college</term>
<term>Appositional phase</term>
<term>Bone Density (physiology)</term>
<term>Bone density</term>
<term>Bone miner</term>
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<term>Jaw, Edentulous, Partially (diagnostic imaging)</term>
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<term>Male</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular arch</term>
<term>Mandibular right</term>
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<term>Maxillary</term>
<term>Medline search</term>
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<term>Relative contraindication</term>
<term>Remissive</term>
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<term>Remissive patient figure</term>
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<term>Treatment Outcome</term>
<term>Treatment options</term>
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<term>Couronnes</term>
<term>Densité osseuse (physiologie)</term>
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<term>Mâchoire partiellement édentée</term>
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<term>Dental Implantation, Endosseous</term>
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<term>Osteitis Deformans</term>
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<term>Osteitis Deformans</term>
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<term>Albrektsson</term>
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<term>Bone miner</term>
<term>Bone quality</term>
<term>Bone turnover</term>
<term>Carolina school</term>
<term>Chapel hill</term>
<term>Clinical report</term>
<term>Contraindications</term>
<term>Crowns</term>
<term>Current literature</term>
<term>Dent clin</term>
<term>Dental Implants, Single-Tooth</term>
<term>Dental implants</term>
<term>Drilling depth</term>
<term>Drilling sequence</term>
<term>Edentulous space</term>
<term>Endosseous implants</term>
<term>Full veneer gold crowns</term>
<term>Hopfensperger placement</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant alignment</term>
<term>Implant failure</term>
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<term>Medline search</term>
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<term>Osseointegrated implants</term>
<term>Osseointegration</term>
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<term>Osteotomy</term>
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<term>Panoramic radiograph</term>
<term>Periapical radiographs</term>
<term>Poor bone quality</term>
<term>Poor quality</term>
<term>Primary stability</term>
<term>Prosthet dent</term>
<term>Prosthodontics</term>
<term>Prosthodontists placement</term>
<term>Radiograph</term>
<term>Radiographic appearance</term>
<term>Radiography</term>
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<term>Relative contraindication</term>
<term>Remissive</term>
<term>Remissive disease</term>
<term>Remissive patient figure</term>
<term>Second molar implants</term>
<term>Second molars</term>
<term>Treatment Outcome</term>
<term>Treatment options</term>
<term>Treatment plan</term>
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<term>Implants dentaires unitaires</term>
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<front>
<div type="abstract" xml:lang="en">Paget's disease is a disorder of bone that results in the replacement of normal bone with highly vascularized, low density bone. The diminished bone quality associated with Paget's disease is a relative contraindication to the use of dental implants, as it interferes with achievement of osseointegration. There is no current literature on the success of dental implants in patients with Paget's disease. Furthermore, there is no current literature on dental implant success in patients with remissive Paget's disease or in bone that appears to be unaffected by the disease in patients with Paget's. This case report follows the treatment of a patient with a partially edentulous maxilla and mandible (ACP PDI Classification III) who presented with remissive Paget's disease. Definitive treatment included the placement of four endosseous implants used to retain full veneer crowns. Despite the radiographic appearance of adequate bone quality, upon surgical placement it was discovered that the quality of bone was poor, yet implant survival was achieved through careful surgical management and rigid splinting of some of the endosseous implants.</div>
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