Horizontal osteotomy for reconstruction of the narrow edentulous mandible
Identifieur interne : 008F15 ( Main/Exploration ); précédent : 008F14; suivant : 008F16Horizontal osteotomy for reconstruction of the narrow edentulous mandible
Auteurs : Gerry M. Raghoebar [Pays-Bas] ; Rutger H. K. Batenburg [Pays-Bas] ; Henny J. A. Meijer [Pays-Bas] ; Arjan Vissink [Pays-Bas]Source :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2000-02.
English descriptors
- KwdEn :
- Abutment connection, Alveolar, Alveolar bone, Alveolar crest, Alveolar ridge, Apparent bone loss, Autogenous, Autogenous bone, Autogenous bone grafts, Bone level, Bone resorption, Bone volume, Bone width, Bonefit implants, Cancellous bone, Cawood howell, Cephalometric radiographs, Chin region, Donor site morbidity, Edentulous patients, Endosseous implants, Extensive width reduction, Gingiva index, Graft, Healing period, Horizontal osteotomy, Horizontal osteotomy procedure, Hueso recolectado, Iliac crest, Implant, Implant length, Inferior alveolar ridge, Insertion, Insufficient retention, International journal, Local anesthesia, Lower denture, Mandible, Mandibular, Mandibular overdenture, Maxillofacial, Maxillofacial implants, Maxillofacial prosthetics, Maxillofacial surgery, Mental foramina, Mental nerve, Misch, Molar area, Narrow alveolar ridge, Osteotomy, Panoramic radiograph, Plaque index, Radiograph, Raghoebar, Range months, Resorption, Same region, Sufficient bone volume, Sufficient height, Titanium screws, Trois mois.
- Teeft :
- Abutment connection, Alveolar, Alveolar bone, Alveolar crest, Alveolar ridge, Apparent bone loss, Autogenous, Autogenous bone, Autogenous bone grafts, Bone level, Bone resorption, Bone volume, Bone width, Bonefit implants, Cancellous bone, Cawood howell, Cephalometric radiographs, Chin region, Donor site morbidity, Edentulous patients, Endosseous implants, Extensive width reduction, Gingiva index, Graft, Healing period, Horizontal osteotomy, Horizontal osteotomy procedure, Hueso recolectado, Iliac crest, Implant, Implant length, Inferior alveolar ridge, Insertion, Insufficient retention, International journal, Local anesthesia, Lower denture, Mandible, Mandibular, Mandibular overdenture, Maxillofacial, Maxillofacial implants, Maxillofacial prosthetics, Maxillofacial surgery, Mental foramina, Mental nerve, Misch, Molar area, Narrow alveolar ridge, Osteotomy, Panoramic radiograph, Plaque index, Radiograph, Raghoebar, Range months, Resorption, Same region, Sufficient bone volume, Sufficient height, Titanium screws, Trois mois.
Abstract
The aim of this retrospective study was to evaluate the applicability of a horizontal osteotomy procedure for reconstruction of a narrow edentulous mandible in order to enable insertion of implants. In 7 edentulous patients a narrow inferior alveolar ridge was reconstructed with autogenous bone grafts harvested by a horizontal osteotomy procedure (mean width of the top of the alveolar crest before grafting 1.3±0.3 mm, after grafting 5.6±0.6 mm). Insertion of endosseous implants (10 Brånemark implants, 8 ITI Bonefit implants) was performed 3 months after the grafting procedure. Implant supported overdentures were fabricated 3 months after implantation. At regular time intervals a standardized clinical and a radiographic evaluation was performed. All grafted sites showed sufficient bone volume for insertion of the implants at the moment of implantation. At time of evaluation (mean 37±14.6 months, range 14–68 months) all implants and overdentures functioned well. None of the patients showed a disturbed sensitivity of the lip or chin region. It is concluded that reconstruction of a narrow edentulous mandible with autogenous bone grafts harvested by an intraoral horizontal osteotomy was shown to be a reliable preimplantology procedure with potential applicability in this group of patients.
Url:
DOI: 10.1034/j.1600-0501.2000.011001076.x
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abutment connection</term>
<term>Alveolar</term>
<term>Alveolar bone</term>
<term>Alveolar crest</term>
<term>Alveolar ridge</term>
<term>Apparent bone loss</term>
<term>Autogenous</term>
<term>Autogenous bone</term>
<term>Autogenous bone grafts</term>
<term>Bone level</term>
<term>Bone resorption</term>
<term>Bone volume</term>
<term>Bone width</term>
<term>Bonefit implants</term>
<term>Cancellous bone</term>
<term>Cawood howell</term>
<term>Cephalometric radiographs</term>
<term>Chin region</term>
<term>Donor site morbidity</term>
<term>Edentulous patients</term>
<term>Endosseous implants</term>
<term>Extensive width reduction</term>
<term>Gingiva index</term>
<term>Graft</term>
<term>Healing period</term>
<term>Horizontal osteotomy</term>
<term>Horizontal osteotomy procedure</term>
<term>Hueso recolectado</term>
<term>Iliac crest</term>
<term>Implant</term>
<term>Implant length</term>
<term>Inferior alveolar ridge</term>
<term>Insertion</term>
<term>Insufficient retention</term>
<term>International journal</term>
<term>Local anesthesia</term>
<term>Lower denture</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular overdenture</term>
<term>Maxillofacial</term>
<term>Maxillofacial implants</term>
<term>Maxillofacial prosthetics</term>
<term>Maxillofacial surgery</term>
<term>Mental foramina</term>
<term>Mental nerve</term>
<term>Misch</term>
<term>Molar area</term>
<term>Narrow alveolar ridge</term>
<term>Osteotomy</term>
<term>Panoramic radiograph</term>
<term>Plaque index</term>
<term>Radiograph</term>
<term>Raghoebar</term>
<term>Range months</term>
<term>Resorption</term>
<term>Same region</term>
<term>Sufficient bone volume</term>
<term>Sufficient height</term>
<term>Titanium screws</term>
<term>Trois mois</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Abutment connection</term>
<term>Alveolar</term>
<term>Alveolar bone</term>
<term>Alveolar crest</term>
<term>Alveolar ridge</term>
<term>Apparent bone loss</term>
<term>Autogenous</term>
<term>Autogenous bone</term>
<term>Autogenous bone grafts</term>
<term>Bone level</term>
<term>Bone resorption</term>
<term>Bone volume</term>
<term>Bone width</term>
<term>Bonefit implants</term>
<term>Cancellous bone</term>
<term>Cawood howell</term>
<term>Cephalometric radiographs</term>
<term>Chin region</term>
<term>Donor site morbidity</term>
<term>Edentulous patients</term>
<term>Endosseous implants</term>
<term>Extensive width reduction</term>
<term>Gingiva index</term>
<term>Graft</term>
<term>Healing period</term>
<term>Horizontal osteotomy</term>
<term>Horizontal osteotomy procedure</term>
<term>Hueso recolectado</term>
<term>Iliac crest</term>
<term>Implant</term>
<term>Implant length</term>
<term>Inferior alveolar ridge</term>
<term>Insertion</term>
<term>Insufficient retention</term>
<term>International journal</term>
<term>Local anesthesia</term>
<term>Lower denture</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular overdenture</term>
<term>Maxillofacial</term>
<term>Maxillofacial implants</term>
<term>Maxillofacial prosthetics</term>
<term>Maxillofacial surgery</term>
<term>Mental foramina</term>
<term>Mental nerve</term>
<term>Misch</term>
<term>Molar area</term>
<term>Narrow alveolar ridge</term>
<term>Osteotomy</term>
<term>Panoramic radiograph</term>
<term>Plaque index</term>
<term>Radiograph</term>
<term>Raghoebar</term>
<term>Range months</term>
<term>Resorption</term>
<term>Same region</term>
<term>Sufficient bone volume</term>
<term>Sufficient height</term>
<term>Titanium screws</term>
<term>Trois mois</term>
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<front><div type="abstract" xml:lang="en">The aim of this retrospective study was to evaluate the applicability of a horizontal osteotomy procedure for reconstruction of a narrow edentulous mandible in order to enable insertion of implants. In 7 edentulous patients a narrow inferior alveolar ridge was reconstructed with autogenous bone grafts harvested by a horizontal osteotomy procedure (mean width of the top of the alveolar crest before grafting 1.3±0.3 mm, after grafting 5.6±0.6 mm). Insertion of endosseous implants (10 Brånemark implants, 8 ITI Bonefit implants) was performed 3 months after the grafting procedure. Implant supported overdentures were fabricated 3 months after implantation. At regular time intervals a standardized clinical and a radiographic evaluation was performed. All grafted sites showed sufficient bone volume for insertion of the implants at the moment of implantation. At time of evaluation (mean 37±14.6 months, range 14–68 months) all implants and overdentures functioned well. None of the patients showed a disturbed sensitivity of the lip or chin region. It is concluded that reconstruction of a narrow edentulous mandible with autogenous bone grafts harvested by an intraoral horizontal osteotomy was shown to be a reliable preimplantology procedure with potential applicability in this group of patients.</div>
</front>
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