Vertical distraction of the severely resorbed mandible : The Groningen Distraction Device
Identifieur interne : 009061 ( Main/Exploration ); précédent : 009060; suivant : 009062Vertical distraction of the severely resorbed mandible : The Groningen Distraction Device
Auteurs : G. M. Raghoebar [Pays-Bas] ; K. Heydenrijk [Pays-Bas] ; A. Vissink [Pays-Bas]Source :
- International journal of oral and maxillofacial surgery [ 0901-5027 ] ; 2000.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Femelle, Humains, Mandibule (), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Ostéogenèse par distraction (instrumentation), Pose d'implant dentaire endo-osseux, Reconstruction de crête alvéolaire (), Reconstruction de crête alvéolaire (instrumentation), Résorption alvéolaire (), Résultat thérapeutique, Sujet âgé.
- MESH :
- rééducation et réadaptation : Adulte d'âge moyen, Femelle, Humains, Mandibule, Mâchoire édentée, Mâle, Ostéogenèse par distraction, Pose d'implant dentaire endo-osseux, Reconstruction de crête alvéolaire, Résorption alvéolaire, Résultat thérapeutique, Sujet âgé.
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
- Adult, Aged, Alveolar Bone Loss (surgery), Alveolar Ridge Augmentation (instrumentation), Alveolar Ridge Augmentation (methods), Bone, Comparative study, Dental Implantation, Endosseous, Distraction, Edentulousness, Exploration, Female, Histopathology, Humans, Implant, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Male, Mandible, Mandible (surgery), Middle Aged, Osteogenesis, Osteogenesis, Distraction (instrumentation), Osteosynthesis, Radiography, Screw plate, Surgery, Technique, Tooth, Treatment, Treatment Outcome, Treatment efficiency.
- MESH :
- instrumentation : Alveolar Ridge Augmentation, Osteogenesis, Distraction.
- methods : Alveolar Ridge Augmentation.
- rehabilitation : Jaw, Edentulous.
- surgery : Alveolar Bone Loss, Jaw, Edentulous, Mandible.
- Aged, Dental Implantation, Endosseous, Female, Humans, Male, Middle Aged, Treatment Outcome.
Abstract
In this paper, both the surgical procedure and the clinical results of a novel distraction device to augment a severely resorbed anterior edentulous mandible are described. The distraction device is non-voluminous, and consists of two distraction screws and one guide screw. Two months after the last day of distraction, both distraction screws are replaced by endosseous implants and the guide screw is removed. Three months after implantation, the prosthetic treatment can be started. So far three patients have been treated. In all patients, the severely resorbed mandible (mandibular height in the canine region: 5, 6 and 7 mm, respectively) could be sufficiently enlarged to enable reliable insertion of endosseous implants with a length of at least 12 mm. No complications occurred. Biopsies taken from the distraction site revealed formation of lamellar bone parallel to the distraction vector. From this preliminary study it is concluded that the Groningen vertical distraction device has the potential for reliable augmentation of the anterior segment of a severely resorbed edentulous mandible to enable insertion of endosseous implants with adequate length and primary stability.
Affiliations:
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Le document en format XML
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M." last="Raghoebar">G. M. Raghoebar</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen</s1><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen</wicri:noRegion></affiliation></author><author><name sortKey="Heydenrijk, K" sort="Heydenrijk, K" uniqKey="Heydenrijk K" first="K." last="Heydenrijk">K. Heydenrijk</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen</s1><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen</wicri:noRegion></affiliation></author><author><name sortKey="Vissink, A" sort="Vissink, A" uniqKey="Vissink A" first="A." last="Vissink">A. Vissink</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen</s1><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">International journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">Int. j. oral maxillofac. surg.</title><idno type="ISSN">0901-5027</idno><imprint><date when="2000">2000</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">International journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">Int. j. oral maxillofac. surg.</title><idno type="ISSN">0901-5027</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Alveolar Bone Loss (surgery)</term><term>Alveolar Ridge Augmentation (instrumentation)</term><term>Alveolar Ridge Augmentation (methods)</term><term>Bone</term><term>Comparative study</term><term>Dental Implantation, Endosseous</term><term>Distraction</term><term>Edentulousness</term><term>Exploration</term><term>Female</term><term>Histopathology</term><term>Humans</term><term>Implant</term><term>Jaw, Edentulous (rehabilitation)</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Mandible</term><term>Mandible (surgery)</term><term>Middle Aged</term><term>Osteogenesis</term><term>Osteogenesis, Distraction (instrumentation)</term><term>Osteosynthesis</term><term>Radiography</term><term>Screw plate</term><term>Surgery</term><term>Technique</term><term>Tooth</term><term>Treatment</term><term>Treatment Outcome</term><term>Treatment efficiency</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mandibule ()</term><term>Mâchoire édentée ()</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Ostéogenèse par distraction (instrumentation)</term><term>Pose d'implant dentaire endo-osseux</term><term>Reconstruction de crête alvéolaire ()</term><term>Reconstruction de crête alvéolaire (instrumentation)</term><term>Résorption alvéolaire ()</term><term>Résultat thérapeutique</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Osteogenesis, Distraction</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mandibule</term><term>Mâchoire édentée</term><term>Mâle</term><term>Ostéogenèse par distraction</term><term>Pose d'implant dentaire endo-osseux</term><term>Reconstruction de crête alvéolaire</term><term>Résorption alvéolaire</term><term>Résultat thérapeutique</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Alveolar Bone Loss</term><term>Jaw, Edentulous</term><term>Mandible</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Dental Implantation, Endosseous</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Treatment Outcome</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Edentation</term><term>Mandibule</term><term>Traitement</term><term>Chirurgie</term><term>Distraction</term><term>Ostéogenèse</term><term>Vis plaque</term><term>Efficacité traitement</term><term>Exploration</term><term>Radiographie</term><term>Histopathologie</term><term>Dent</term><term>Ostéosynthèse</term><term>Etude comparative</term><term>Technique</term><term>Implant</term><term>Os</term><term>Adulte</term><term>Résorption osseuse</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term><term>Adulte</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In this paper, both the surgical procedure and the clinical results of a novel distraction device to augment a severely resorbed anterior edentulous mandible are described. The distraction device is non-voluminous, and consists of two distraction screws and one guide screw. Two months after the last day of distraction, both distraction screws are replaced by endosseous implants and the guide screw is removed. Three months after implantation, the prosthetic treatment can be started. So far three patients have been treated. In all patients, the severely resorbed mandible (mandibular height in the canine region: 5, 6 and 7 mm, respectively) could be sufficiently enlarged to enable reliable insertion of endosseous implants with a length of at least 12 mm. No complications occurred. Biopsies taken from the distraction site revealed formation of lamellar bone parallel to the distraction vector. From this preliminary study it is concluded that the Groningen vertical distraction device has the potential for reliable augmentation of the anterior segment of a severely resorbed edentulous mandible to enable insertion of endosseous implants with adequate length and primary stability.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Raghoebar, G M" sort="Raghoebar, G M" uniqKey="Raghoebar G" first="G. M." last="Raghoebar">G. M. Raghoebar</name></noRegion><name sortKey="Heydenrijk, K" sort="Heydenrijk, K" uniqKey="Heydenrijk K" first="K." last="Heydenrijk">K. Heydenrijk</name><name sortKey="Vissink, A" sort="Vissink, A" uniqKey="Vissink A" first="A." last="Vissink">A. Vissink</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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