Serveur d'exploration sur le patient édenté

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[Alveolar ridge atrophy. The free vascularized fibular flap as alternative treatment in severe alveolar atrophy].

Identifieur interne : 006B74 ( Main/Exploration ); précédent : 006B73; suivant : 006B75

[Alveolar ridge atrophy. The free vascularized fibular flap as alternative treatment in severe alveolar atrophy].

Auteurs : Dennis Rohner [Suisse]

Source :

RBID : pubmed:16792056

Descripteurs français

English descriptors

Abstract

Implant-supported overdentures are the goal of treatment of the edentulous atrophic jaw. To gain adequate height there is in some instances need for additional bone augmentation. Ridge augmentation using a free vascularised fibular flap is one of the newer techniques. Prefabrication of fibular flaps, as described in this article, is a two-stage procedure to overcome the problems of osseointegration and missing attached gingiva. Accurate pre-operative 3-D-model planning, implant placement and vestibuloplasty in the first stage allow for occlusion driven reconstruction and immediate function in the second stage after a delay of six weeks. Based on our clinical experience the technique and the results are discussed.

PubMed: 16792056


Affiliations:


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Le document en format XML

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<title xml:lang="en">[Alveolar ridge atrophy. The free vascularized fibular flap as alternative treatment in severe alveolar atrophy].</title>
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<nlm:affiliation>Cfc hirslanden, Cranio Faciales Centrum, Hirslanden Klinik Aarau, Schanzweg 7, CH-5000 Aarau. dennis.rohner@hirslanden.ch</nlm:affiliation>
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<title level="j">Schweizer Monatsschrift fur Zahnmedizin = Revue mensuelle suisse d'odonto-stomatologie = Rivista mensile svizzera di odontologia e stomatologia</title>
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<term>Alveolar Bone Loss (surgery)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Bone Transplantation (methods)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Models</term>
<term>Fibula (transplantation)</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Models, Anatomic</term>
<term>Oral Surgical Procedures</term>
<term>Radiography</term>
<term>Reconstructive Surgical Procedures</term>
<term>Surgical Flaps (blood supply)</term>
<term>Vestibuloplasty</term>
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<term>Fibula (transplantation)</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Lambeaux chirurgicaux ()</term>
<term>Modèles anatomiques</term>
<term>Modèles dentaires</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Procédures de chirurgie maxillofaciale et buccodentaire</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résorption alvéolaire ()</term>
<term>Transplantation osseuse ()</term>
<term>Vestibuloplastie</term>
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<keywords scheme="MESH" qualifier="blood supply" xml:lang="en">
<term>Surgical Flaps</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Alveolar Bone Loss</term>
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<keywords scheme="MESH" qualifier="transplantation" xml:lang="en">
<term>Fibula</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Dental Models</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional</term>
<term>Models, Anatomic</term>
<term>Oral Surgical Procedures</term>
<term>Radiography</term>
<term>Reconstructive Surgical Procedures</term>
<term>Vestibuloplasty</term>
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<term>Fibula</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Lambeaux chirurgicaux</term>
<term>Modèles anatomiques</term>
<term>Modèles dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Procédures de chirurgie maxillofaciale et buccodentaire</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption alvéolaire</term>
<term>Transplantation osseuse</term>
<term>Vestibuloplastie</term>
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<div type="abstract" xml:lang="en">Implant-supported overdentures are the goal of treatment of the edentulous atrophic jaw. To gain adequate height there is in some instances need for additional bone augmentation. Ridge augmentation using a free vascularised fibular flap is one of the newer techniques. Prefabrication of fibular flaps, as described in this article, is a two-stage procedure to overcome the problems of osseointegration and missing attached gingiva. Accurate pre-operative 3-D-model planning, implant placement and vestibuloplasty in the first stage allow for occlusion driven reconstruction and immediate function in the second stage after a delay of six weeks. Based on our clinical experience the technique and the results are discussed.</div>
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