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Horizontal osteotomy for reconstruction of the narrow edentulous mandible

Identifieur interne : 008F15 ( Main/Exploration ); précédent : 008F14; suivant : 008F16

Horizontal 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 :

RBID : ISTEX:24529BFAD671B94E0545986A6AD7266A6BB84926

English descriptors

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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<term>Apparent bone loss</term>
<term>Autogenous</term>
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<term>Bone level</term>
<term>Bone resorption</term>
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<term>Bone width</term>
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<term>Edentulous patients</term>
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<term>Maxillofacial implants</term>
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<term>Osteotomy</term>
<term>Panoramic radiograph</term>
<term>Plaque index</term>
<term>Radiograph</term>
<term>Raghoebar</term>
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<term>Resorption</term>
<term>Same region</term>
<term>Sufficient bone volume</term>
<term>Sufficient height</term>
<term>Titanium screws</term>
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<term>Plaque index</term>
<term>Radiograph</term>
<term>Raghoebar</term>
<term>Range months</term>
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<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>
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