Early Functional Loading in the Fully Edentulous Mandible after Mandibular Resection and Reconstruction due to an Ameloblastoma: Case Report
Identifieur interne : 008004 ( Main/Exploration ); précédent : 008003; suivant : 008005Early Functional Loading in the Fully Edentulous Mandible after Mandibular Resection and Reconstruction due to an Ameloblastoma: Case Report
Auteurs : William Becker [États-Unis, Niger] ; James Wong [États-Unis]Source :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2003-05.
Descripteurs français
- KwdFr :
- Améloblastome (rééducation et réadaptation), Humains, Implants dentaires, Mandibule, Mâchoire édentée (rééducation et réadaptation), Mâle, Pose d'implant dentaire endo-osseux (), Prothèse dentaire complète immédiate, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Résines acryliques, Sujet âgé, Technique de prise d'empreinte, Tumeurs de la mandibule (rééducation et réadaptation).
- MESH :
- rééducation et réadaptation : Améloblastome, Mâchoire édentée, Tumeurs de la mandibule.
- Humains, Implants dentaires, Mandibule, Mâle, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète immédiate, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Résines acryliques, Sujet âgé, Technique de prise d'empreinte.
English descriptors
- KwdEn :
- Abutment, Acrylic Resins, Acrylic denture, Aged, Ameloblastoma, Ameloblastoma (rehabilitation), Balshi, Bicuspid, Breakage, Brinemark, Brinemark implants, Brunski, Case report, Clinical success, Complete anesthesia, Dental Implantation, Endosseous (methods), Dental Implants, Dental Impression Technique, Dental Prosthesis, Implant-Supported, Denture, Denture, Complete, Immediate, Denture, Complete, Lower, Detachable denture, Drilling guide, Early loading, Edentulous, Edentulous mandible, Edentulous mandibles, Flap, Flap margins, Gold cylinders, Healing abutments, Humans, Immediate loading, Implant, Implant insertion, Implant loading, Implant placement, Impression copings, Impression material, Intaglio side, Jaw, Edentulous (rehabilitation), Laboratory screws, Laboratory technician, Large ameloblastoma, Male, Mandible, Mandibular, Mandibular Neoplasms (rehabilitation), Mandibular resection, Maxillofac, Metal denture, Nobel biocare, Oral maxillofac implants, Panographic view, Periapical radiographs, Private practice, Prosthesis, Prosthetic, Prosthetic abutments, Radiograph, Resorbable sutures, Right mandible, Sextant, Tissue side, Transfer copings.
- MESH :
- chemical : Acrylic Resins, Dental Implants.
- methods : Dental Implantation, Endosseous.
- rehabilitation : Ameloblastoma, Jaw, Edentulous, Mandibular Neoplasms.
- Teeft :
- Abutment, Acrylic denture, Aged, Ameloblastoma, Balshi, Bicuspid, Breakage, Brinemark, Brinemark implants, Brunski, Case report, Clinical success, Complete anesthesia, Dental Impression Technique, Dental Prosthesis, Implant-Supported, Denture, Denture, Complete, Immediate, Denture, Complete, Lower, Detachable denture, Drilling guide, Early loading, Edentulous, Edentulous mandible, Edentulous mandibles, Flap, Flap margins, Gold cylinders, Healing abutments, Humans, Immediate loading, Implant, Implant insertion, Implant loading, Implant placement, Impression copings, Impression material, Intaglio side, Laboratory screws, Laboratory technician, Large ameloblastoma, Male, Mandible, Mandibular, Mandibular resection, Maxillofac, Metal denture, Nobel biocare, Oral maxillofac implants, Panographic view, Periapical radiographs, Private practice, Prosthesis, Prosthetic, Prosthetic abutments, Radiograph, Resorbable sutures, Right mandible, Sextant, Tissue side, Transfer copings.
Abstract
Background: Immediate or early functional loading of implants in fully edentulous mandibles can enhance patient comfort and the ability to masticate within a few days after implant placement. Recently there has been evidence that this method of restoring edentulous mandibles is predictable. Purpose: The goal of this case report is to present the treatment of a patient diagnosed with a large ameloblastoma in the mandible. After removal of the tumor and mandibular reconstruction, the patient had complete anesthesia in the right mandible, with an alveolar ridge deformity. Methods: Two years after removal of an ameloblastoma in the right mandibluar sextant, five implants were installed between the mental foramina. One implant was installed for safety reasons in the event one of the others was lost. This implant remains buried. A denture was used as a drilling guide. Abutments were attached to the implants, and impression copings were fixed to the abutments. The denture was used for the “pickup” impression. Flaps were sutured, maintaining exposure of the abutments. In the laboratory, gold cylinders were heat cured to the tissue side of the denture. The cylinders were attached to the cast with laboratory screws. The gold cylinders were heat cured to the intaglio side of the denture. Five days after implant placement, the nonmetal reinforced acrylic denture was fixed to the implants with laboratory screws. The bridge is removed annually, and the implants are examined for mobility and periapical radiographs are taken. Results: The patient has worn the prosthesis for 2.5 years without loss of implants and without breakage of the nonmetal reinforced denture. At 2.5 years the implants are stable, implant sites demonstrate stable crestal bone, and the patient is eating comfortably and without limitations. Conclusion: Early functional loading of implants in the edentulous mandible may offer patients the option of wearing implant‐supported prosthesis immediately or shortly after implant insertion.
Url:
DOI: 10.1111/j.1708-8208.2003.tb00181.x
Affiliations:
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WA</wicri:regionArea><placeName><region type="state">Washington (État)</region></placeName></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Niger</country></affiliation></author><author><name sortKey="Wong, James" sort="Wong, James" uniqKey="Wong J" first="James" last="Wong">James Wong</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Private practice, Tucson, AZ</wicri:regionArea><placeName><region type="state">Arizona</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY RELATED RESEARCH</title><idno type="ISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><imprint><biblScope unit="vol">5</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="47">47</biblScope><biblScope unit="page" to="51">51</biblScope><biblScope unit="page-count">5</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2003-05">2003-05</date></imprint><idno type="ISSN">1523-0899</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1523-0899</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abutment</term><term>Acrylic Resins</term><term>Acrylic denture</term><term>Aged</term><term>Ameloblastoma</term><term>Ameloblastoma (rehabilitation)</term><term>Balshi</term><term>Bicuspid</term><term>Breakage</term><term>Brinemark</term><term>Brinemark implants</term><term>Brunski</term><term>Case report</term><term>Clinical success</term><term>Complete anesthesia</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Impression Technique</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture</term><term>Denture, Complete, Immediate</term><term>Denture, Complete, Lower</term><term>Detachable denture</term><term>Drilling guide</term><term>Early loading</term><term>Edentulous</term><term>Edentulous mandible</term><term>Edentulous mandibles</term><term>Flap</term><term>Flap margins</term><term>Gold cylinders</term><term>Healing abutments</term><term>Humans</term><term>Immediate loading</term><term>Implant</term><term>Implant insertion</term><term>Implant loading</term><term>Implant placement</term><term>Impression copings</term><term>Impression material</term><term>Intaglio side</term><term>Jaw, Edentulous (rehabilitation)</term><term>Laboratory screws</term><term>Laboratory technician</term><term>Large ameloblastoma</term><term>Male</term><term>Mandible</term><term>Mandibular</term><term>Mandibular Neoplasms (rehabilitation)</term><term>Mandibular resection</term><term>Maxillofac</term><term>Metal denture</term><term>Nobel biocare</term><term>Oral maxillofac implants</term><term>Panographic view</term><term>Periapical radiographs</term><term>Private practice</term><term>Prosthesis</term><term>Prosthetic</term><term>Prosthetic abutments</term><term>Radiograph</term><term>Resorbable sutures</term><term>Right mandible</term><term>Sextant</term><term>Tissue side</term><term>Transfer copings</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Améloblastome (rééducation et réadaptation)</term><term>Humains</term><term>Implants dentaires</term><term>Mandibule</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Prothèse dentaire complète immédiate</term><term>Prothèse dentaire complète inférieure</term><term>Prothèse dentaire implanto-portée</term><term>Résines acryliques</term><term>Sujet âgé</term><term>Technique de prise d'empreinte</term><term>Tumeurs de la mandibule (rééducation et réadaptation)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Acrylic Resins</term><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Ameloblastoma</term><term>Jaw, Edentulous</term><term>Mandibular Neoplasms</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Améloblastome</term><term>Mâchoire édentée</term><term>Tumeurs de la mandibule</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Abutment</term><term>Acrylic denture</term><term>Aged</term><term>Ameloblastoma</term><term>Balshi</term><term>Bicuspid</term><term>Breakage</term><term>Brinemark</term><term>Brinemark implants</term><term>Brunski</term><term>Case report</term><term>Clinical success</term><term>Complete anesthesia</term><term>Dental Impression Technique</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture</term><term>Denture, Complete, Immediate</term><term>Denture, Complete, Lower</term><term>Detachable denture</term><term>Drilling guide</term><term>Early loading</term><term>Edentulous</term><term>Edentulous mandible</term><term>Edentulous mandibles</term><term>Flap</term><term>Flap margins</term><term>Gold cylinders</term><term>Healing abutments</term><term>Humans</term><term>Immediate loading</term><term>Implant</term><term>Implant insertion</term><term>Implant loading</term><term>Implant placement</term><term>Impression copings</term><term>Impression material</term><term>Intaglio side</term><term>Laboratory screws</term><term>Laboratory technician</term><term>Large ameloblastoma</term><term>Male</term><term>Mandible</term><term>Mandibular</term><term>Mandibular resection</term><term>Maxillofac</term><term>Metal denture</term><term>Nobel biocare</term><term>Oral maxillofac implants</term><term>Panographic view</term><term>Periapical radiographs</term><term>Private practice</term><term>Prosthesis</term><term>Prosthetic</term><term>Prosthetic abutments</term><term>Radiograph</term><term>Resorbable sutures</term><term>Right mandible</term><term>Sextant</term><term>Tissue side</term><term>Transfer copings</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Implants dentaires</term><term>Mandibule</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire complète immédiate</term><term>Prothèse dentaire complète inférieure</term><term>Prothèse dentaire implanto-portée</term><term>Résines acryliques</term><term>Sujet âgé</term><term>Technique de prise d'empreinte</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Immediate or early functional loading of implants in fully edentulous mandibles can enhance patient comfort and the ability to masticate within a few days after implant placement. Recently there has been evidence that this method of restoring edentulous mandibles is predictable. Purpose: The goal of this case report is to present the treatment of a patient diagnosed with a large ameloblastoma in the mandible. After removal of the tumor and mandibular reconstruction, the patient had complete anesthesia in the right mandible, with an alveolar ridge deformity. Methods: Two years after removal of an ameloblastoma in the right mandibluar sextant, five implants were installed between the mental foramina. One implant was installed for safety reasons in the event one of the others was lost. This implant remains buried. A denture was used as a drilling guide. Abutments were attached to the implants, and impression copings were fixed to the abutments. The denture was used for the “pickup” impression. Flaps were sutured, maintaining exposure of the abutments. In the laboratory, gold cylinders were heat cured to the tissue side of the denture. The cylinders were attached to the cast with laboratory screws. The gold cylinders were heat cured to the intaglio side of the denture. Five days after implant placement, the nonmetal reinforced acrylic denture was fixed to the implants with laboratory screws. The bridge is removed annually, and the implants are examined for mobility and periapical radiographs are taken. Results: The patient has worn the prosthesis for 2.5 years without loss of implants and without breakage of the nonmetal reinforced denture. At 2.5 years the implants are stable, implant sites demonstrate stable crestal bone, and the patient is eating comfortably and without limitations. Conclusion: Early functional loading of implants in the edentulous mandible may offer patients the option of wearing implant‐supported prosthesis immediately or shortly after implant insertion.</div></front></TEI><affiliations><list><country><li>Niger</li><li>États-Unis</li></country><region><li>Arizona</li><li>Washington (État)</li></region></list><tree><country name="États-Unis"><region name="Washington (État)"><name sortKey="Becker, William" sort="Becker, William" uniqKey="Becker W" first="William" last="Becker">William Becker</name></region><name sortKey="Wong, James" sort="Wong, James" uniqKey="Wong J" first="James" last="Wong">James Wong</name></country><country name="Niger"><noRegion><name sortKey="Becker, William" sort="Becker, William" uniqKey="Becker W" first="William" last="Becker">William Becker</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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