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 : 006277Placement 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 :
- Journal of Prosthodontics [ 1059-941X ] ; 2008-01.
Descripteurs français
- KwdFr :
- Couronnes, Densité osseuse (physiologie), Humains, Implants dentaires unitaires, Maladie de Paget des os (), Maladie de Paget des os (physiopathologie), Mandibule, Maxillaire, Mâchoire partiellement édentée (), Mâchoire partiellement édentée (imagerie diagnostique), Mâle, Ostéo-intégration (physiologie), Pose d'implant dentaire endo-osseux (), Radiographie, Résultat thérapeutique, Sujet âgé.
- MESH :
- imagerie diagnostique : Mâchoire partiellement édentée.
- physiologie : Densité osseuse, Ostéo-intégration.
- physiopathologie : Maladie de Paget des os.
- Couronnes, Humains, Implants dentaires unitaires, Maladie de Paget des os, Mandibule, Maxillaire, Mâchoire partiellement édentée, Mâle, Pose d'implant dentaire endo-osseux, Radiographie, Résultat thérapeutique, Sujet âgé.
English descriptors
- KwdEn :
- Acta orthop scand, Aged, Albrektsson, American college, Appositional phase, Bone Density (physiology), Bone density, Bone miner, Bone quality, Bone turnover, Carolina school, Chapel hill, Clinical report, Contraindications, Crowns, Current literature, Dent clin, Dental Implantation, Endosseous (methods), Dental Implants, Single-Tooth, Dental implants, Drilling depth, Drilling sequence, Edentulous space, Endosseous implants, Full veneer gold crowns, Hopfensperger placement, Humans, Implant, Implant alignment, Implant failure, Implant placement, Implant sites, Jaw, Edentulous, Partially (diagnostic imaging), Jaw, Edentulous, Partially (surgery), Kennedy class, Male, Mandible, Mandibular, Mandibular arch, Mandibular right, Maxilla, Maxillary, Medline search, Molar, Molar implant, Molar site, Normal bone, Osseointegrated, Osseointegrated implants, Osseointegration, Osseointegration (physiology), Osteitis Deformans (complications), Osteitis Deformans (physiopathology), Osteitis Deformans (surgery), Osteitis deformans, Osteotomy, Pagetic bone, Panoramic radiograph, Periapical radiographs, Poor bone quality, Poor quality, Primary stability, Prosthet dent, Prosthodontics, Prosthodontists placement, Radiograph, Radiographic appearance, Radiography, Rasmussen, Relative contraindication, Remissive, Remissive disease, Remissive patient figure, Second molar implants, Second molars, Treatment Outcome, Treatment options, Treatment plan.
- MESH :
- complications : Osteitis Deformans.
- diagnostic imaging : Jaw, Edentulous, Partially.
- methods : Dental Implantation, Endosseous.
- physiology : Bone Density, Osseointegration.
- physiopathology : Osteitis Deformans.
- surgery : Jaw, Edentulous, Partially, Osteitis Deformans.
- Teeft :
- Acta orthop scand, Aged, Albrektsson, American college, Appositional phase, Bone density, Bone miner, Bone quality, Bone turnover, Carolina school, Chapel hill, Clinical report, Contraindications, Crowns, Current literature, Dent clin, Dental Implants, Single-Tooth, Dental implants, Drilling depth, Drilling sequence, Edentulous space, Endosseous implants, Full veneer gold crowns, Hopfensperger placement, Humans, Implant, Implant alignment, Implant failure, Implant placement, Implant sites, Kennedy class, Male, Mandible, Mandibular, Mandibular arch, Mandibular right, Maxilla, Maxillary, Medline search, Molar, Molar implant, Molar site, Normal bone, Osseointegrated, Osseointegrated implants, Osseointegration, Osteitis deformans, Osteotomy, Pagetic bone, Panoramic radiograph, Periapical radiographs, Poor bone quality, Poor quality, Primary stability, Prosthet dent, Prosthodontics, Prosthodontists placement, Radiograph, Radiographic appearance, Radiography, Rasmussen, Relative contraindication, Remissive, Remissive disease, Remissive patient figure, Second molar implants, Second molars, Treatment Outcome, Treatment options, Treatment plan.
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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<term>Appositional phase</term>
<term>Bone Density (physiology)</term>
<term>Bone density</term>
<term>Bone miner</term>
<term>Bone quality</term>
<term>Bone turnover</term>
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<term>Chapel hill</term>
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<term>Contraindications</term>
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<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Kennedy class</term>
<term>Male</term>
<term>Mandible</term>
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<term>Mandibular arch</term>
<term>Mandibular right</term>
<term>Maxilla</term>
<term>Maxillary</term>
<term>Medline search</term>
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<term>Maladie de Paget des os ()</term>
<term>Maladie de Paget des os (physiopathologie)</term>
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<term>Mâchoire partiellement édentée (imagerie diagnostique)</term>
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<term>Ostéo-intégration</term>
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<term>Osseointegration</term>
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<term>Osteitis Deformans</term>
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<term>Aged</term>
<term>Albrektsson</term>
<term>American college</term>
<term>Appositional phase</term>
<term>Bone density</term>
<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>
<term>Implant placement</term>
<term>Implant sites</term>
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<term>Mandible</term>
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<term>Mandibular arch</term>
<term>Mandibular right</term>
<term>Maxilla</term>
<term>Maxillary</term>
<term>Medline search</term>
<term>Molar</term>
<term>Molar implant</term>
<term>Molar site</term>
<term>Normal bone</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Osseointegration</term>
<term>Osteitis deformans</term>
<term>Osteotomy</term>
<term>Pagetic bone</term>
<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>
<term>Rasmussen</term>
<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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<keywords scheme="MESH" xml:lang="fr"><term>Couronnes</term>
<term>Humains</term>
<term>Implants dentaires unitaires</term>
<term>Maladie de Paget des os</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Radiographie</term>
<term>Résultat thérapeutique</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>
</front>
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<affiliations><list><country><li>États-Unis</li>
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<region><li>Caroline du Nord</li>
<li>Minnesota</li>
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<tree><country name="États-Unis"><region name="Minnesota"><name sortKey="Rasmussen, Jonathan M" sort="Rasmussen, Jonathan M" uniqKey="Rasmussen J" first="Jonathan M." last="Rasmussen">Jonathan M. Rasmussen</name>
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<name sortKey="Hopfensperger, Matthew L" sort="Hopfensperger, Matthew L" uniqKey="Hopfensperger M" first="Matthew L." last="Hopfensperger">Matthew L. Hopfensperger</name>
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