[Mandibular fractures due to implant management--incidence, mechanism of injury and therapeutic characteristics].
Identifieur interne : 009F56 ( Main/Exploration ); précédent : 009F55; suivant : 009F57[Mandibular fractures due to implant management--incidence, mechanism of injury and therapeutic characteristics].
Auteurs : F R Carls ; G. Pajarola ; H F SailerSource :
- Fortschritte der Kiefer- und Gesichts-Chirurgie [ 0071-7916 ] ; 1996.
Descripteurs français
- KwdFr :
- Bouche édentée (), Bouche édentée (imagerie diagnostique), Complications postopératoires (), Complications postopératoires (imagerie diagnostique), Consolidation de fracture (physiologie), Fractures mandibulaires (), Fractures mandibulaires (imagerie diagnostique), Humains, Ostéo-intégration, Ostéosynthèse interne, Plaques orthopédiques, Pose d'implant dentaire, Radiographie panoramique, Réintervention, Transplantation osseuse, Études prospectives.
- MESH :
- imagerie diagnostique : Bouche édentée, Complications postopératoires, Fractures mandibulaires.
- physiologie : Consolidation de fracture.
- Bouche édentée, Complications postopératoires, Fractures mandibulaires, Humains, Ostéo-intégration, Ostéosynthèse interne, Plaques orthopédiques, Pose d'implant dentaire, Radiographie panoramique, Réintervention, Transplantation osseuse, Études prospectives.
English descriptors
- KwdEn :
- Bone Plates, Bone Transplantation, Dental Implantation, Fracture Fixation, Internal, Fracture Healing (physiology), Humans, Mandibular Fractures (diagnostic imaging), Mandibular Fractures (surgery), Mouth, Edentulous (diagnostic imaging), Mouth, Edentulous (surgery), Osseointegration, Postoperative Complications (diagnostic imaging), Postoperative Complications (surgery), Prospective Studies, Radiography, Panoramic, Reoperation.
- MESH :
- diagnostic imaging : Mandibular Fractures, Mouth, Edentulous, Postoperative Complications.
- physiology : Fracture Healing.
- surgery : Mandibular Fractures, Mouth, Edentulous, Postoperative Complications.
- Bone Plates, Bone Transplantation, Dental Implantation, Fracture Fixation, Internal, Humans, Osseointegration, Prospective Studies, Radiography, Panoramic, Reoperation.
Abstract
We report of 5 of 337 patients (1.48%), in whom a fracture of the edentulous atrophied mandible occurred after dental implants had been inserted. In 79 patients a sandwich osteotomy (anterior and/or lateral mandible) had been carried out together with the insertion of implants. The reason for a fracture was infection in 3 patients and weakening of the atrophied mandible by the additional osteotomies in 2 patients. One of the latter two was seen intraoperatively and fixed immediately using miniplates. The other occurred about 4 weeks postoperatively and was not discovered until callus had been developed. Consequently only 4 of the 5 patients were treated by osteosynthesis. In two patients no implants were lost. The application of bone morphogenetic protein (BMP) helped to avoid the loss of implants because it accelerated ossification of the fracture and the integration of the implants.
PubMed: 8755415
Affiliations:
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Pajarola</name></author><author><name sortKey="Sailer, H F" sort="Sailer, H F" uniqKey="Sailer H" first="H F" last="Sailer">H F Sailer</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1996">1996</date><idno type="RBID">pubmed:8755415</idno><idno type="pmid">8755415</idno><idno type="wicri:Area/PubMed/Corpus">004129</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">004129</idno><idno type="wicri:Area/PubMed/Curation">004129</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">004129</idno><idno type="wicri:Area/PubMed/Checkpoint">004129</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">004129</idno><idno type="wicri:Area/Ncbi/Merge">009749</idno><idno type="wicri:Area/Ncbi/Curation">009749</idno><idno type="wicri:Area/Ncbi/Checkpoint">009749</idno><idno type="wicri:doubleKey">0071-7916:1996:Carls F:mandibular:fractures:due</idno><idno type="wicri:Area/Main/Merge">00A486</idno><idno type="wicri:Area/Main/Curation">009F56</idno><idno type="wicri:Area/Main/Exploration">009F56</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Mandibular fractures due to implant management--incidence, mechanism of injury and therapeutic characteristics].</title><author><name sortKey="Carls, F R" sort="Carls, F R" uniqKey="Carls F" first="F R" last="Carls">F R Carls</name><affiliation><nlm:affiliation>Klinik und Poliklinik für Kiefer- und Gesichtschirurgie, Universitätsspital Zürich.</nlm:affiliation><wicri:noCountry code="subField">Universitätsspital Zürich</wicri:noCountry></affiliation></author><author><name sortKey="Pajarola, G" sort="Pajarola, G" uniqKey="Pajarola G" first="G" last="Pajarola">G. Pajarola</name></author><author><name sortKey="Sailer, H F" sort="Sailer, H F" uniqKey="Sailer H" first="H F" last="Sailer">H F Sailer</name></author></analytic><series><title level="j">Fortschritte der Kiefer- und Gesichts-Chirurgie</title><idno type="ISSN">0071-7916</idno><imprint><date when="1996" type="published">1996</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bone Plates</term><term>Bone Transplantation</term><term>Dental Implantation</term><term>Fracture Fixation, Internal</term><term>Fracture Healing (physiology)</term><term>Humans</term><term>Mandibular Fractures (diagnostic imaging)</term><term>Mandibular Fractures (surgery)</term><term>Mouth, Edentulous (diagnostic imaging)</term><term>Mouth, Edentulous (surgery)</term><term>Osseointegration</term><term>Postoperative Complications (diagnostic imaging)</term><term>Postoperative Complications (surgery)</term><term>Prospective Studies</term><term>Radiography, Panoramic</term><term>Reoperation</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Bouche édentée ()</term><term>Bouche édentée (imagerie diagnostique)</term><term>Complications postopératoires ()</term><term>Complications postopératoires (imagerie diagnostique)</term><term>Consolidation de fracture (physiologie)</term><term>Fractures mandibulaires ()</term><term>Fractures mandibulaires (imagerie diagnostique)</term><term>Humains</term><term>Ostéo-intégration</term><term>Ostéosynthèse interne</term><term>Plaques orthopédiques</term><term>Pose d'implant dentaire</term><term>Radiographie panoramique</term><term>Réintervention</term><term>Transplantation osseuse</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Mandibular Fractures</term><term>Mouth, Edentulous</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Bouche édentée</term><term>Complications postopératoires</term><term>Fractures mandibulaires</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Consolidation de fracture</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Fracture Healing</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Mandibular Fractures</term><term>Mouth, Edentulous</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Bone Plates</term><term>Bone Transplantation</term><term>Dental Implantation</term><term>Fracture Fixation, Internal</term><term>Humans</term><term>Osseointegration</term><term>Prospective Studies</term><term>Radiography, Panoramic</term><term>Reoperation</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Bouche édentée</term><term>Complications postopératoires</term><term>Fractures mandibulaires</term><term>Humains</term><term>Ostéo-intégration</term><term>Ostéosynthèse interne</term><term>Plaques orthopédiques</term><term>Pose d'implant dentaire</term><term>Radiographie panoramique</term><term>Réintervention</term><term>Transplantation osseuse</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We report of 5 of 337 patients (1.48%), in whom a fracture of the edentulous atrophied mandible occurred after dental implants had been inserted. In 79 patients a sandwich osteotomy (anterior and/or lateral mandible) had been carried out together with the insertion of implants. The reason for a fracture was infection in 3 patients and weakening of the atrophied mandible by the additional osteotomies in 2 patients. One of the latter two was seen intraoperatively and fixed immediately using miniplates. The other occurred about 4 weeks postoperatively and was not discovered until callus had been developed. Consequently only 4 of the 5 patients were treated by osteosynthesis. In two patients no implants were lost. The application of bone morphogenetic protein (BMP) helped to avoid the loss of implants because it accelerated ossification of the fracture and the integration of the implants.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Carls, F R" sort="Carls, F R" uniqKey="Carls F" first="F R" last="Carls">F R Carls</name><name sortKey="Pajarola, G" sort="Pajarola, G" uniqKey="Pajarola G" first="G" last="Pajarola">G. Pajarola</name><name sortKey="Sailer, H F" sort="Sailer, H F" uniqKey="Sailer H" first="H F" last="Sailer">H F Sailer</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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