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Anterior tooth replacement with implants in grafted alveolar cleft sites: a case series

Identifieur interne : 007A99 ( Main/Exploration ); précédent : 007A98; suivant : 007B00

Anterior tooth replacement with implants in grafted alveolar cleft sites: a case series

Auteurs : M. S. Cune [Pays-Bas] ; G. J. Meijer [Pays-Bas] ; R. Koole [Pays-Bas]

Source :

RBID : ISTEX:E26F8D5B005508659509A5BC06BFEEFC44B0C91D

Descripteurs français

English descriptors

Abstract

Abstract: When a residual edentulous space in the anterior region remains after surgical and orthodontic treatment of alveolar cleft patients, implant placement with or without additional grafting is a treatment option. We placed a total of 10 implants in nine consecutive alveolar cleft patients (five females, four males) with residual anterior edentulous spaces and non‐restored neighbouring teeth. Patient age generally varied from 18 to 22 years. Additional (tertiary) bone grafting, implant placement after 3 months of graft consolidation and implant uncover after no less than 6 months was the favoured surgical protocol in the five most recent cases. Ample time was allowed to evaluate and guide the development of soft tissues, following second‐stage surgery. For this purpose, temporary crowns were fabricated, adjusted and left in place for over 3–4 months in seven out of nine cases. No implants were lost after a mean observation period of 3.4 years and all implants function without objective (radiographic) or subjective problems. Aesthetics were considered acceptable in seven out of nine cases. Unsatisfactory aesthetic results originated from poor implant positioning or alignment in two patients who did not undergo tertiary bone grafting. We conclude that implant placement in alveolar cleft sites is a comprehensive but viable treatment option. Tertiary grafting of the site is recommended to achieve better ridge contour and bone height. This allows optimal implant placement and alignment.

Url:
DOI: 10.1111/j.1600-0501.2004.01052.x


Affiliations:


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<term>Case series</term>
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<term>Dental reconstruction</term>
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<term>International journal</term>
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<term>Nobel biocare</term>
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<term>Treatment option</term>
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<term>Restaurations dentaires temporaires</term>
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<term>Alveolar</term>
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<term>Alveolar clefts</term>
<term>Alveoloplasty</term>
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<term>Ample time</term>
<term>Anterior</term>
<term>Anterior region</term>
<term>Anterior teeth</term>
<term>Anterior tooth replacement</term>
<term>Better ridge contour</term>
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<term>Bone bridge</term>
<term>Bone height</term>
<term>Bone volume</term>
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<term>Crowns</term>
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<term>Dental implants</term>
<term>Dental reconstruction</term>
<term>Edentulous spaces</term>
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<term>Endosseous implants</term>
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<term>Final prosthetic result</term>
<term>Follow-Up Studies</term>
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<term>Grafted alveolar clefts</term>
<term>Humans</term>
<term>Impl</term>
<term>Implant</term>
<term>Implant analogue</term>
<term>Implant placement</term>
<term>Implante tras</term>
<term>Implants months takahashi</term>
<term>Impression post</term>
<term>Incisor</term>
<term>International journal</term>
<term>Long crown</term>
<term>Male</term>
<term>Maxillofacial</term>
<term>Maxillofacial surgery</term>
<term>Mucosal tissues</term>
<term>Natural teeth</term>
<term>Neighbouring teeth</term>
<term>Nobel biocare</term>
<term>Observation period</term>
<term>Oral impl</term>
<term>Oral maxillofacial implants</term>
<term>Oral maxillofacial surgery</term>
<term>Original graft</term>
<term>Orthodontic treatment</term>
<term>Orthognathic surgery</term>
<term>Osseointegrated implant</term>
<term>Palate</term>
<term>Position index</term>
<term>Prospective Studies</term>
<term>Prospective study</term>
<term>Prosthetic</term>
<term>Residual</term>
<term>Retrospective study</term>
<term>Same patient</term>
<term>Secondary bone</term>
<term>Secondary osteoplasty</term>
<term>Secondstage surgery</term>
<term>Soft tissues</term>
<term>Subjective problems</term>
<term>Surgery</term>
<term>Surgical guide</term>
<term>Takahashi</term>
<term>Temporary crown</term>
<term>Temporary crowns</term>
<term>Tertiary</term>
<term>Tertiary bone</term>
<term>Tooth replacement</term>
<term>Treatment Outcome</term>
<term>Treatment characteristics</term>
<term>Treatment option</term>
<term>Upper arch</term>
<term>Wound dehiscence</term>
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<term>Adulte</term>
<term>Alvéoloplastie</term>
<term>Chirurgie</term>
<term>Couronnes</term>
<term>Dentisterie esthétique</term>
<term>Femelle</term>
<term>Fente palatine</term>
<term>Humains</term>
<term>Implants dentaires unitaires</term>
<term>Incisive</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Piliers dentaires</term>
<term>Restaurations dentaires temporaires</term>
<term>Résultat thérapeutique</term>
<term>Transplantation osseuse</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<front>
<div type="abstract">Abstract: When a residual edentulous space in the anterior region remains after surgical and orthodontic treatment of alveolar cleft patients, implant placement with or without additional grafting is a treatment option. We placed a total of 10 implants in nine consecutive alveolar cleft patients (five females, four males) with residual anterior edentulous spaces and non‐restored neighbouring teeth. Patient age generally varied from 18 to 22 years. Additional (tertiary) bone grafting, implant placement after 3 months of graft consolidation and implant uncover after no less than 6 months was the favoured surgical protocol in the five most recent cases. Ample time was allowed to evaluate and guide the development of soft tissues, following second‐stage surgery. For this purpose, temporary crowns were fabricated, adjusted and left in place for over 3–4 months in seven out of nine cases. No implants were lost after a mean observation period of 3.4 years and all implants function without objective (radiographic) or subjective problems. Aesthetics were considered acceptable in seven out of nine cases. Unsatisfactory aesthetic results originated from poor implant positioning or alignment in two patients who did not undergo tertiary bone grafting. We conclude that implant placement in alveolar cleft sites is a comprehensive but viable treatment option. Tertiary grafting of the site is recommended to achieve better ridge contour and bone height. This allows optimal implant placement and alignment.</div>
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