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Multidimensional osteodistraction for correction of implant malposition in edentulous segments

Identifieur interne : 008943 ( Main/Exploration ); précédent : 008942; suivant : 008944

Multidimensional osteodistraction for correction of implant malposition in edentulous segments

Auteurs : Werner Zechner ; Thomas Bernhart ; Konstantin Zauza ; Ales Celar ; Georg Watzek [Autriche]

Source :

RBID : ISTEX:FFE647A2BC960962913FC4FE65DF693145C4EC80

Descripteurs français

English descriptors

Abstract

Abstract: This study examined multidimensional osteodistraction as a treatment method for correction of implant malposition and as an alternative to augmentation procedures. The prosthetically unfavourable implant positions were due to growth‐related implant malposition (in the context of treatment of young patients with oligodontia) or primary bone‐driven implant insertions. The radiographical and clinical findings obtained with this osteodistraction technique are presented and discussed. A tooth‐supported osteodistractor for multidimensional distraction with custom‐fabricated distraction abutments was used for treatment of 8 patients with a total of 9 maxillary and mandibular edentulous segments including single‐tooth gaps. All patients underwent an osteotomy at a minimum distance of 1 mm from the implant surface. Following primary wound healing, distraction was carried out by 1 mm in vertical direction and 0.5 mm in the demanded transverse direction daily until the prosthetically optimized position was achieved. During and after the 12‐week retention phase, the patients were evaluated clinically and radiographically. Multidimensional osteodistraction was carried out successfully in all 8 patients. The distraction distances were 3 to 11 mm in vertical direction and a maximum of 5 mm in buccolingual/buccopalatal direction. The malpositioned implants were brought into a prosthetically optimized position in all cases. The results of this study show that this multidimensional osteodistraction technique allows both augmentation of edentulous segments with a clearly compromised implant host site and correction of unfavourable implant positions.

Url:
DOI: 10.1034/j.1600-0501.2001.120515.x


Affiliations:


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Le document en format XML

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<term>Alveolar ridge augmentation</term>
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<term>Soft tissue</term>
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<term>Standard deviation</term>
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<term>Thread height</term>
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<term>Cette etude</term>
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<term>Clinical application</term>
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<term>Distraction abutments</term>
<term>Distraction device</term>
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<term>Maxillofacial surgery</term>
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<term>Minimum distance</term>
<term>Mobility degree</term>
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<term>Multidimensional osteodistraction</term>
<term>Observation period</term>
<term>Oligodontia</term>
<term>Optimized</term>
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<term>Watzek</term>
<term>Werner zechner</term>
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<term>Radiographie panoramique</term>
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<front>
<div type="abstract">Abstract: This study examined multidimensional osteodistraction as a treatment method for correction of implant malposition and as an alternative to augmentation procedures. The prosthetically unfavourable implant positions were due to growth‐related implant malposition (in the context of treatment of young patients with oligodontia) or primary bone‐driven implant insertions. The radiographical and clinical findings obtained with this osteodistraction technique are presented and discussed. A tooth‐supported osteodistractor for multidimensional distraction with custom‐fabricated distraction abutments was used for treatment of 8 patients with a total of 9 maxillary and mandibular edentulous segments including single‐tooth gaps. All patients underwent an osteotomy at a minimum distance of 1 mm from the implant surface. Following primary wound healing, distraction was carried out by 1 mm in vertical direction and 0.5 mm in the demanded transverse direction daily until the prosthetically optimized position was achieved. During and after the 12‐week retention phase, the patients were evaluated clinically and radiographically. Multidimensional osteodistraction was carried out successfully in all 8 patients. The distraction distances were 3 to 11 mm in vertical direction and a maximum of 5 mm in buccolingual/buccopalatal direction. The malpositioned implants were brought into a prosthetically optimized position in all cases. The results of this study show that this multidimensional osteodistraction technique allows both augmentation of edentulous segments with a clearly compromised implant host site and correction of unfavourable implant positions.</div>
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