Treatment of the edentulous mandible with a vestibuloplasty combined with Intramobil Zylinder implants : a 5-year follow-up
Identifieur interne : 009A44 ( Main/Exploration ); précédent : 009A43; suivant : 009A45Treatment of the edentulous mandible with a vestibuloplasty combined with Intramobil Zylinder implants : a 5-year follow-up
Auteurs : J. M. Kwakman [Pays-Bas] ; R. A. C. A. Voorsmit [Pays-Bas] ; H. P. M. Freihofer [Pays-Bas]Source :
- British journal of oral & maxillofacial surgery [ 0266-4356 ] ; 1998.
Descripteurs français
- KwdFr :
- Conception de prothèse dentaire, Humains, Hypoesthésie (étiologie), Hémorragie gingivale (), Implants dentaires, Loi du khi-deux, Mandibule (), Menton (innervation), Muqueuse de la bouche (), Muqueuse de la bouche (anatomopathologie), Muscles de la face (), Muscles de la face (anatomopathologie), Mâchoire édentée (), Poche parodontale (), Pose d'implant dentaire endo-osseux, Périoste (), Vestibuloplastie (), Vestibuloplastie (effets indésirables), Études d'évaluation comme sujet, Études de suivi.
- MESH :
- anatomopathologie : Muqueuse de la bouche, Muscles de la face.
- effets indésirables : Vestibuloplastie.
- étiologie : Hypoesthésie, Menton.
- Pascal (Inist)
- Conception de prothèse dentaire, Edentation, Humains, Hémorragie gingivale, Implant, Implants dentaires, Loi du khi-deux, Mandibule, Muqueuse de la bouche, Muscles de la face, Mâchoire édentée, Plastie, Poche parodontale, Pose d'implant dentaire endo-osseux, Périoste, Vestibule cavité buccale, Technique, Résultat, Long terme, Etude longitudinale, Traitement, Homme, Etude comparative, Revue bibliographique, Vestibuloplastie, Études d'évaluation comme sujet, Études de suivi.
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Bibliographic review, Chi-Square Distribution, Chin (innervation), Comparative study, Dental Implantation, Endosseous, Dental Implants, Dental Prosthesis Design, Edentulousness, Evaluation Studies as Topic, Facial Muscles (pathology), Facial Muscles (surgery), Follow up study, Follow-Up Studies, Gingival Hemorrhage (prevention & control), Human, Humans, Hypesthesia (etiology), Implant, Jaw, Edentulous (surgery), Long term, Mandible (surgery), Mouth Mucosa (pathology), Mouth Mucosa (surgery), Periodontal Pocket (prevention & control), Periosteum (surgery), Plasty, Result, Technique, Treatment, Vestibuloplasty (adverse effects), Vestibuloplasty (methods), Vestibulum of the mouth.
- MESH :
- chemical : Dental Implants.
- adverse effects : Vestibuloplasty.
- etiology : Hypesthesia.
- innervation : Chin.
- methods : Vestibuloplasty.
- pathology : Facial Muscles, Mouth Mucosa.
- prevention & control : Gingival Hemorrhage, Periodontal Pocket.
- surgery : Facial Muscles, Jaw, Edentulous, Mandible, Mouth Mucosa, Periosteum.
- Chi-Square Distribution, Dental Implantation, Endosseous, Dental Prosthesis Design, Evaluation Studies as Topic, Follow-Up Studies, Humans.
Abstract
The long-term success of endosseous implants is related to healthy peri-implant tissues. Attached keratinized mucosa does not seem important for the prevention of soft tissue complications. Prevention of muscle attachment near the implants, however, seems more decisive for maintaining a favourable peri-implant environment. We treated 150 patients from 1990-91 with two Intramobil Zylinder implants and modified vestibuloplasty, 65 of whom were randomly selected for evaluation at 1 year; 48 of the 65 were also seen at 5 years. The vestibuloplasty was done by the technique of Pichler and Trauner, to prevent muscle pull and to create a thin layer of mucosa around the implants, and endosseous osseointegrated implants were inserted. The results show an adequately deepened vestibulum with no muscle pull around the implants and significantly lower pocket depth after 5 years of follow-up compared with similar studies.
Affiliations:
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M." last="Kwakman">J. M. Kwakman</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral and Maxillofacial Surgery, University Hospital Nijmegen</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, University Hospital Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Voorsmit, R A C A" sort="Voorsmit, R A C A" uniqKey="Voorsmit R" first="R. A. C. A." last="Voorsmit">R. A. C. A. Voorsmit</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral and Maxillofacial Surgery, University Hospital Nijmegen</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, University Hospital Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Freihofer, H P M" sort="Freihofer, H P M" uniqKey="Freihofer H" first="H. P. M." last="Freihofer">H. P. M. Freihofer</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral and Maxillofacial Surgery, University Hospital Nijmegen</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, University Hospital Nijmegen</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">British journal of oral & maxillofacial surgery</title><title level="j" type="abbreviated">Br. j. oral maxillofac. surg.</title><idno type="ISSN">0266-4356</idno><imprint><date when="1998">1998</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">British journal of oral & maxillofacial surgery</title><title level="j" type="abbreviated">Br. j. oral maxillofac. surg.</title><idno type="ISSN">0266-4356</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bibliographic review</term><term>Chi-Square Distribution</term><term>Chin (innervation)</term><term>Comparative study</term><term>Dental Implantation, Endosseous</term><term>Dental Implants</term><term>Dental Prosthesis Design</term><term>Edentulousness</term><term>Evaluation Studies as Topic</term><term>Facial Muscles (pathology)</term><term>Facial Muscles (surgery)</term><term>Follow up study</term><term>Follow-Up Studies</term><term>Gingival Hemorrhage (prevention & control)</term><term>Human</term><term>Humans</term><term>Hypesthesia (etiology)</term><term>Implant</term><term>Jaw, Edentulous (surgery)</term><term>Long term</term><term>Mandible (surgery)</term><term>Mouth Mucosa (pathology)</term><term>Mouth Mucosa (surgery)</term><term>Periodontal Pocket (prevention & control)</term><term>Periosteum (surgery)</term><term>Plasty</term><term>Result</term><term>Technique</term><term>Treatment</term><term>Vestibuloplasty (adverse effects)</term><term>Vestibuloplasty (methods)</term><term>Vestibulum of the mouth</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Conception de prothèse dentaire</term><term>Humains</term><term>Hypoesthésie (étiologie)</term><term>Hémorragie gingivale ()</term><term>Implants dentaires</term><term>Loi du khi-deux</term><term>Mandibule ()</term><term>Menton (innervation)</term><term>Muqueuse de la bouche ()</term><term>Muqueuse de la bouche (anatomopathologie)</term><term>Muscles de la face ()</term><term>Muscles de la face (anatomopathologie)</term><term>Mâchoire édentée ()</term><term>Poche parodontale ()</term><term>Pose d'implant dentaire endo-osseux</term><term>Périoste ()</term><term>Vestibuloplastie ()</term><term>Vestibuloplastie (effets indésirables)</term><term>Études d'évaluation comme sujet</term><term>Études de suivi</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Vestibuloplasty</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Muqueuse de la bouche</term><term>Muscles de la face</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Vestibuloplastie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Hypesthesia</term></keywords><keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Chin</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Vestibuloplasty</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Facial Muscles</term><term>Mouth Mucosa</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Gingival Hemorrhage</term><term>Periodontal Pocket</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Facial Muscles</term><term>Jaw, Edentulous</term><term>Mandible</term><term>Mouth Mucosa</term><term>Periosteum</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Hypoesthésie</term><term>Menton</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Chi-Square Distribution</term><term>Dental Implantation, Endosseous</term><term>Dental Prosthesis Design</term><term>Evaluation Studies as Topic</term><term>Follow-Up Studies</term><term>Humans</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Conception de prothèse dentaire</term><term>Edentation</term><term>Humains</term><term>Hémorragie gingivale</term><term>Implant</term><term>Implants dentaires</term><term>Loi du khi-deux</term><term>Mandibule</term><term>Muqueuse de la bouche</term><term>Muscles de la face</term><term>Mâchoire édentée</term><term>Plastie</term><term>Poche parodontale</term><term>Pose d'implant dentaire endo-osseux</term><term>Périoste</term><term>Vestibule cavité buccale</term><term>Technique</term><term>Résultat</term><term>Long terme</term><term>Etude longitudinale</term><term>Traitement</term><term>Homme</term><term>Etude comparative</term><term>Revue bibliographique</term><term>Vestibuloplastie</term><term>Études d'évaluation comme sujet</term><term>Études de suivi</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The long-term success of endosseous implants is related to healthy peri-implant tissues. Attached keratinized mucosa does not seem important for the prevention of soft tissue complications. Prevention of muscle attachment near the implants, however, seems more decisive for maintaining a favourable peri-implant environment. We treated 150 patients from 1990-91 with two Intramobil Zylinder implants and modified vestibuloplasty, 65 of whom were randomly selected for evaluation at 1 year; 48 of the 65 were also seen at 5 years. The vestibuloplasty was done by the technique of Pichler and Trauner, to prevent muscle pull and to create a thin layer of mucosa around the implants, and endosseous osseointegrated implants were inserted. The results show an adequately deepened vestibulum with no muscle pull around the implants and significantly lower pocket depth after 5 years of follow-up compared with similar studies.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Kwakman, J M" sort="Kwakman, J M" uniqKey="Kwakman J" first="J. M." last="Kwakman">J. M. Kwakman</name></noRegion><name sortKey="Freihofer, H P M" sort="Freihofer, H P M" uniqKey="Freihofer H" first="H. P. M." last="Freihofer">H. P. M. Freihofer</name><name sortKey="Voorsmit, R A C A" sort="Voorsmit, R A C A" uniqKey="Voorsmit R" first="R. A. C. A." last="Voorsmit">R. A. C. A. Voorsmit</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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