A comparison of labial and crestal incisions for the 1-stage placement of IMZ implants : A pilot study. Discussion
Identifieur interne : 009089 ( Main/Exploration ); précédent : 009088; suivant : 009090A comparison of labial and crestal incisions for the 1-stage placement of IMZ implants : A pilot study. Discussion
Auteurs : Kees Heydenrijk [Pays-Bas] ; Gerry M. Raghoebar [Pays-Bas] ; Rutger H. K. Batenburg [Pays-Bas] ; Boudewijn Stegenga [Pays-Bas] ; Dennis P. Tarnow [États-Unis]Source :
- Journal of oral and maxillofacial surgery [ 0278-2391 ] ; 2000.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Femelle, Humains, Mandibule (), Muqueuse de la bouche (), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Pose d'implant dentaire endo-osseux (), Pose d'implant dentaire endo-osseux (effets indésirables), Processus alvéolaire (), Projets pilotes, Récession gingivale (étiologie), Résorption alvéolaire (rééducation et réadaptation), Sujet âgé, Échec de restauration dentaire.
- MESH :
- effets indésirables : Pose d'implant dentaire endo-osseux.
- rééducation et réadaptation : Mâchoire édentée, Résorption alvéolaire.
- étiologie : Récession gingivale.
- Pascal (Inist)
- Adulte, Adulte d'âge moyen, Edentation, Femelle, Humains, Mandibule, Muqueuse de la bouche, Mâchoire édentée, Mâle, Pose d'implant dentaire endo-osseux, Processus alvéolaire, Projets pilotes, Sujet âgé, Traitement, Chirurgie, Implant, Etude comparative, Incision chirurgicale, Voie abord, Lambeau, Biomatériau, Mandibule, Technique, Complication, Postopératoire, Muqueuse, Cavité buccale, Efficacité traitement, Morbidité, Adulte, Partie molle, Arcade dentaire, Etude pilote, Échec de restauration dentaire.
- Wicri :
- topic : Chirurgie, Biomatériau, Adulte.
English descriptors
- KwdEn :
- Adult, Aged, Alveolar Bone Loss (rehabilitation), Alveolar Process (surgery), Biomaterial, Comparative study, Complication, Dental Implantation, Endosseous (adverse effects), Dental Implantation, Endosseous (methods), Dental Restoration Failure, Dental arch, Edentulousness, Female, Flap (surgery), Gingival Recession (etiology), Humans, Implant, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Male, Mandible, Mandible (surgery), Middle Aged, Morbidity, Mouth Mucosa (surgery), Mucosa, Oral cavity, Pilot Projects, Pilot study, Postoperative, Soft tissue, Surgery, Surgical approach, Surgical incision, Technique, Treatment, Treatment efficiency.
- MESH :
- adverse effects : Dental Implantation, Endosseous.
- etiology : Gingival Recession.
- methods : Dental Implantation, Endosseous.
- rehabilitation : Alveolar Bone Loss, Jaw, Edentulous.
- surgery : Alveolar Process, Jaw, Edentulous, Mandible, Mouth Mucosa.
- Adult, Aged, Dental Restoration Failure, Female, Humans, Male, Middle Aged, Pilot Projects.
Abstract
Purpose: The aim of this study was to compare the crestal incision with the labial flap design when inserting a 2-stage implant system in a nonsubmerged manner. Patients and Methods: Ten consecutive edentulous patients with a severely resorbed mandible (Cawood Class V to VI) that resulted in reduced stability and insufficient retention of the lower denture were included. In all patients, 2 IMZ implants were inserted in a 1-stage procedure in the mandibular canine regions as part of an implant overdenture treatment. In 5 patients, the labial flap approach was used, and a crestal incision approach was used in the other 5 patients. Standardized evaluations were performed at 2, 6, and 12 weeks after implant placement and 12 months after placement of the new prosthesis. Results: In the first postoperative weeks, more hyperplasia occurred around the implants inserted by the crestal incision than the labial flap. However, after 1 year of function, no striking differences between the 2 groups were present with regard to the clinical and radiographic parameters. Conclusions: From this pilot study, it was concluded that both the crestal incision and the labial flap approach are reliable procedures for insertion of IMZ implants in a 1-stage procedure. However, because of the smaller risk of soft tissue overgrowth, there is a preference for the labial flap approach.
Affiliations:
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Discussion</title><author><name sortKey="Heydenrijk, Kees" sort="Heydenrijk, Kees" uniqKey="Heydenrijk K" first="Kees" last="Heydenrijk">Kees 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><sZ>4 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="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M." last="Raghoebar">Gerry 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><sZ>4 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="Batenburg, Rutger H K" sort="Batenburg, Rutger H K" uniqKey="Batenburg R" first="Rutger H. K." last="Batenburg">Rutger H. K. 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Tarnow</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Implant Dentistry NYU College of Dentistry</s1><s2>New York New York</s2><s3>USA</s3><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Implant Dentistry NYU College of Dentistry</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">J. oral maxillofac. surg.</title><idno type="ISSN">0278-2391</idno><imprint><date when="2000">2000</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">J. oral maxillofac. surg.</title><idno type="ISSN">0278-2391</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Alveolar Bone Loss (rehabilitation)</term><term>Alveolar Process (surgery)</term><term>Biomaterial</term><term>Comparative study</term><term>Complication</term><term>Dental Implantation, Endosseous (adverse effects)</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Restoration Failure</term><term>Dental arch</term><term>Edentulousness</term><term>Female</term><term>Flap (surgery)</term><term>Gingival Recession (etiology)</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>Morbidity</term><term>Mouth Mucosa (surgery)</term><term>Mucosa</term><term>Oral cavity</term><term>Pilot Projects</term><term>Pilot study</term><term>Postoperative</term><term>Soft tissue</term><term>Surgery</term><term>Surgical approach</term><term>Surgical incision</term><term>Technique</term><term>Treatment</term><term>Treatment efficiency</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mandibule ()</term><term>Muqueuse de la bouche ()</term><term>Mâchoire édentée ()</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Pose d'implant dentaire endo-osseux (effets indésirables)</term><term>Processus alvéolaire ()</term><term>Projets pilotes</term><term>Récession gingivale (étiologie)</term><term>Résorption alvéolaire (rééducation et réadaptation)</term><term>Sujet âgé</term><term>Échec de restauration dentaire</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Pose d'implant dentaire endo-osseux</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Gingival Recession</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>Alveolar Bone Loss</term><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Alveolar Process</term><term>Jaw, Edentulous</term><term>Mandible</term><term>Mouth Mucosa</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Récession gingivale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Dental Restoration Failure</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pilot Projects</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Edentation</term><term>Femelle</term><term>Humains</term><term>Mandibule</term><term>Muqueuse de la bouche</term><term>Mâchoire édentée</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux</term><term>Processus alvéolaire</term><term>Projets pilotes</term><term>Sujet âgé</term><term>Traitement</term><term>Chirurgie</term><term>Implant</term><term>Etude comparative</term><term>Incision chirurgicale</term><term>Voie abord</term><term>Lambeau</term><term>Biomatériau</term><term>Mandibule</term><term>Technique</term><term>Complication</term><term>Postopératoire</term><term>Muqueuse</term><term>Cavité buccale</term><term>Efficacité traitement</term><term>Morbidité</term><term>Adulte</term><term>Partie molle</term><term>Arcade dentaire</term><term>Etude pilote</term><term>Échec de restauration dentaire</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term><term>Biomatériau</term><term>Adulte</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose: The aim of this study was to compare the crestal incision with the labial flap design when inserting a 2-stage implant system in a nonsubmerged manner. Patients and Methods: Ten consecutive edentulous patients with a severely resorbed mandible (Cawood Class V to VI) that resulted in reduced stability and insufficient retention of the lower denture were included. In all patients, 2 IMZ implants were inserted in a 1-stage procedure in the mandibular canine regions as part of an implant overdenture treatment. In 5 patients, the labial flap approach was used, and a crestal incision approach was used in the other 5 patients. Standardized evaluations were performed at 2, 6, and 12 weeks after implant placement and 12 months after placement of the new prosthesis. Results: In the first postoperative weeks, more hyperplasia occurred around the implants inserted by the crestal incision than the labial flap. However, after 1 year of function, no striking differences between the 2 groups were present with regard to the clinical and radiographic parameters. Conclusions: From this pilot study, it was concluded that both the crestal incision and the labial flap approach are reliable procedures for insertion of IMZ implants in a 1-stage procedure. However, because of the smaller risk of soft tissue overgrowth, there is a preference for the labial flap approach.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li><li>États-Unis</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Heydenrijk, Kees" sort="Heydenrijk, Kees" uniqKey="Heydenrijk K" first="Kees" last="Heydenrijk">Kees Heydenrijk</name></noRegion><name sortKey="Batenburg, Rutger H K" sort="Batenburg, Rutger H K" uniqKey="Batenburg R" first="Rutger H. K." last="Batenburg">Rutger H. K. Batenburg</name><name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M." last="Raghoebar">Gerry M. Raghoebar</name><name sortKey="Stegenga, Boudewijn" sort="Stegenga, Boudewijn" uniqKey="Stegenga B" first="Boudewijn" last="Stegenga">Boudewijn Stegenga</name></country><country name="États-Unis"><noRegion><name sortKey="Tarnow, Dennis P" sort="Tarnow, Dennis P" uniqKey="Tarnow D" first="Dennis P." last="Tarnow">Dennis P. Tarnow</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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