Complications in alveolar distraction osteogenesis of the atrophic mandible
Identifieur interne : 006B34 ( Main/Exploration ); précédent : 006B33; suivant : 006B35Complications in alveolar distraction osteogenesis of the atrophic mandible
Auteurs : F. B. T. Perdijk [Pays-Bas] ; G. J. Meijer [Pays-Bas] ; P. J. Van Strijen [Pays-Bas] ; R. Koole [Pays-Bas]Source :
- International journal of oral and maxillofacial surgery [ 0901-5027 ] ; 2007.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
Abstract
To improve the starting point for placement of dental implants, 45 patients suffering from atrophied edentulous mandibles, with a vertical height varying between 7.3 and 15.8 mm, were treated by alveolar vertical distraction osteogenesis (VDO). The mean follow-up period was 3 years, ranging from 1 to 7 years. Associated complications, as occurred during instalment of the distractor device, VDO period and consolidation phase, and also after dental implant placement, were evaluated. Observed complications were: early fractures (2%), late fractures (17%), bleeding or haematoma (4%), infections (6%), skin perforation (2%), mucosal dehiscence (8%), sensory disturbances (28%), sagging chin (13%) and failure of dental implants (13%). In 10 patients 2 complications and in 1 patient 3 complications were monitored. All complications occurred in the first year. It is concluded that VDO to restore vertical bone height in patients with mandibular atrophy is a surgically delicate technique with a high risk of various complications. The likelihood of the most striking complication, namely fracture occurrence, increases with decreasing residual bone height.
Affiliations:
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Le document en format XML
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B. T." last="Perdijk">F. B. T. Perdijk</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral and Maxillofacial Surgery, Hospital Gelderse Vallei</s1><s2>Ede</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Ede</wicri:noRegion></affiliation></author><author><name sortKey="Meijer, G J" sort="Meijer, G J" uniqKey="Meijer G" first="G. J." last="Meijer">G. J. Meijer</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Oral and Maxillofacial Surgery, University Medical Centre</s1><s2>Utrecht</s2><s3>NLD</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Van Strijen, P J" sort="Van Strijen, P J" uniqKey="Van Strijen P" first="P. J." last="Van Strijen">P. J. Van Strijen</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral and Maxillofacial Surgery, Hospital Gelderse Vallei</s1><s2>Ede</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Ede</wicri:noRegion></affiliation></author><author><name sortKey="Koole, R" sort="Koole, R" uniqKey="Koole R" first="R." last="Koole">R. Koole</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Oral and Maxillofacial Surgery, University Medical Centre</s1><s2>Utrecht</s2><s3>NLD</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author></analytic><series><title level="j" type="main">International journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">Int. j. oral maxillofac. surg.</title><idno type="ISSN">0901-5027</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">International journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">Int. j. oral maxillofac. surg.</title><idno type="ISSN">0901-5027</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Atrophy</term><term>Complication</term><term>Distraction</term><term>Distraction osteogenesis</term><term>Implant</term><term>Mandible</term><term>Stomatology</term><term>Surgery</term><term>Tooth alveolus</term><term>Treatment</term><term>Vertical</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Atrophie</term><term>Chirurgie</term><term>Complication</term><term>Alvéole dentaire</term><term>Mandibule</term><term>Vertical</term><term>Distraction</term><term>Implant</term><term>Stomatologie</term><term>Traitement</term><term>Ostéogenèse par distraction</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To improve the starting point for placement of dental implants, 45 patients suffering from atrophied edentulous mandibles, with a vertical height varying between 7.3 and 15.8 mm, were treated by alveolar vertical distraction osteogenesis (VDO). The mean follow-up period was 3 years, ranging from 1 to 7 years. Associated complications, as occurred during instalment of the distractor device, VDO period and consolidation phase, and also after dental implant placement, were evaluated. Observed complications were: early fractures (2%), late fractures (17%), bleeding or haematoma (4%), infections (6%), skin perforation (2%), mucosal dehiscence (8%), sensory disturbances (28%), sagging chin (13%) and failure of dental implants (13%). In 10 patients 2 complications and in 1 patient 3 complications were monitored. All complications occurred in the first year. It is concluded that VDO to restore vertical bone height in patients with mandibular atrophy is a surgically delicate technique with a high risk of various complications. The likelihood of the most striking complication, namely fracture occurrence, increases with decreasing residual bone height.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country><region><li>Utrecht (province)</li></region><settlement><li>Utrecht</li></settlement></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Perdijk, F B T" sort="Perdijk, F B T" uniqKey="Perdijk F" first="F. B. T." last="Perdijk">F. B. T. Perdijk</name></noRegion><name sortKey="Koole, R" sort="Koole, R" uniqKey="Koole R" first="R." last="Koole">R. Koole</name><name sortKey="Meijer, G J" sort="Meijer, G J" uniqKey="Meijer G" first="G. J." last="Meijer">G. J. Meijer</name><name sortKey="Van Strijen, P J" sort="Van Strijen, P J" uniqKey="Van Strijen P" first="P. J." last="Van Strijen">P. J. Van Strijen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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