Reconstruction of severely resorbed edentulous maxillae using osseointegrated fixtures in immediate autogenous bone grafts.
Identifieur interne : 00B793 ( Main/Exploration ); précédent : 00B792; suivant : 00B794Reconstruction of severely resorbed edentulous maxillae using osseointegrated fixtures in immediate autogenous bone grafts.
Auteurs : R. Adell [Suède] ; U. Lekholm ; K. Gröndahl ; P I Br Nemark ; J. Lindström ; M. JacobssonSource :
- The International journal of oral & maxillofacial implants [ 0882-2786 ] ; 1990.
Descripteurs français
- KwdFr :
- MESH :
- rééducation et réadaptation : Mâchoire édentée, Résorption alvéolaire.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Mâle, Ostéo-intégration, Overdenture, Pose d'implant dentaire endo-osseux, Pronostic, Reconstruction de crête alvéolaire, Transplantation osseuse.
English descriptors
- KwdEn :
- MESH :
- methods : Alveolar Ridge Augmentation.
- rehabilitation : Alveolar Bone Loss, Jaw, Edentulous.
- Adult, Bone Transplantation, Dental Implantation, Endosseous, Denture, Overlay, Female, Humans, Male, Middle Aged, Osseointegration, Prognosis.
Abstract
A surgical technique for rehabilitation of severely resorbed edentulous maxillae using fixed prostheses or overdentures supported by osseointegrated fixtures in immediate autogenous corticocancellous bone grafts from the ilium is described. The results of the first 23 consecutively treated patients are reviewed. The mean observation time was 4.2 years (range 1 to 10 years). A total of 124 fixtures was originally placed into the grafts, supplemented with 16 fixtures inserted later into seven of the jaws. Throughout their observation period, 17 of the patients had continuously stable prostheses. The remaining five had overdentures, and one patient had resorted to a conventional complete denture. After 4 years, 12 of 16 patients had continuously stable prostheses. Corresponding values at 5 years were 7 of 8 patients. Calculated from the date of abutment connection, 82.1% and 81.6% of the original fixtures were clinically stable and radiographically osseointegrated after 4 and 5 years in function, respectively. From the date of fixture placement, the corresponding figures were 75.3% and 73.8%, respectively. The mean marginal bone loss after the first year of prosthesis function was 1.49 mm. The annual marginal bone loss thereafter was about 0.1 mm. The results indicate that this technique is worthwhile for patients with extreme maxillary atrophy and who cannot wear conventional complete dentures.
PubMed: 2098327
Affiliations:
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Gröndahl</name></author><author><name sortKey="Br Nemark, P I" sort="Br Nemark, P I" uniqKey="Br Nemark P" first="P I" last="Br Nemark">P I Br Nemark</name></author><author><name sortKey="Lindstrom, J" sort="Lindstrom, J" uniqKey="Lindstrom J" first="J" last="Lindström">J. Lindström</name></author><author><name sortKey="Jacobsson, M" sort="Jacobsson, M" uniqKey="Jacobsson M" first="M" last="Jacobsson">M. 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Adell</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, University of Göteborg, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University of Göteborg</wicri:regionArea><wicri:noRegion>University of Göteborg</wicri:noRegion></affiliation></author><author><name sortKey="Lekholm, U" sort="Lekholm, U" uniqKey="Lekholm U" first="U" last="Lekholm">U. Lekholm</name></author><author><name sortKey="Grondahl, K" sort="Grondahl, K" uniqKey="Grondahl K" first="K" last="Gröndahl">K. Gröndahl</name></author><author><name sortKey="Br Nemark, P I" sort="Br Nemark, P I" uniqKey="Br Nemark P" first="P I" last="Br Nemark">P I Br Nemark</name></author><author><name sortKey="Lindstrom, J" sort="Lindstrom, J" uniqKey="Lindstrom J" first="J" last="Lindström">J. Lindström</name></author><author><name sortKey="Jacobsson, M" sort="Jacobsson, M" uniqKey="Jacobsson M" first="M" last="Jacobsson">M. Jacobsson</name></author></analytic><series><title level="j">The International journal of oral & maxillofacial implants</title><idno type="ISSN">0882-2786</idno><imprint><date when="1990" type="published">1990</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Alveolar Bone Loss (rehabilitation)</term><term>Alveolar Ridge Augmentation (methods)</term><term>Bone Transplantation</term><term>Dental Implantation, Endosseous</term><term>Denture, Overlay</term><term>Female</term><term>Humans</term><term>Jaw, Edentulous (rehabilitation)</term><term>Male</term><term>Middle Aged</term><term>Osseointegration</term><term>Prognosis</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Ostéo-intégration</term><term>Overdenture</term><term>Pose d'implant dentaire endo-osseux</term><term>Pronostic</term><term>Reconstruction de crête alvéolaire ()</term><term>Résorption alvéolaire (rééducation et réadaptation)</term><term>Transplantation osseuse</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>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" xml:lang="en"><term>Adult</term><term>Bone Transplantation</term><term>Dental Implantation, Endosseous</term><term>Denture, Overlay</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Osseointegration</term><term>Prognosis</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Ostéo-intégration</term><term>Overdenture</term><term>Pose d'implant dentaire endo-osseux</term><term>Pronostic</term><term>Reconstruction de crête alvéolaire</term><term>Transplantation osseuse</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A surgical technique for rehabilitation of severely resorbed edentulous maxillae using fixed prostheses or overdentures supported by osseointegrated fixtures in immediate autogenous corticocancellous bone grafts from the ilium is described. The results of the first 23 consecutively treated patients are reviewed. The mean observation time was 4.2 years (range 1 to 10 years). A total of 124 fixtures was originally placed into the grafts, supplemented with 16 fixtures inserted later into seven of the jaws. Throughout their observation period, 17 of the patients had continuously stable prostheses. The remaining five had overdentures, and one patient had resorted to a conventional complete denture. After 4 years, 12 of 16 patients had continuously stable prostheses. Corresponding values at 5 years were 7 of 8 patients. Calculated from the date of abutment connection, 82.1% and 81.6% of the original fixtures were clinically stable and radiographically osseointegrated after 4 and 5 years in function, respectively. From the date of fixture placement, the corresponding figures were 75.3% and 73.8%, respectively. The mean marginal bone loss after the first year of prosthesis function was 1.49 mm. The annual marginal bone loss thereafter was about 0.1 mm. The results indicate that this technique is worthwhile for patients with extreme maxillary atrophy and who cannot wear conventional complete dentures.</div></front></TEI><affiliations><list><country><li>Suède</li></country></list><tree><noCountry><name sortKey="Br Nemark, P I" sort="Br Nemark, P I" uniqKey="Br Nemark P" first="P I" last="Br Nemark">P I Br Nemark</name><name sortKey="Grondahl, K" sort="Grondahl, K" uniqKey="Grondahl K" first="K" last="Gröndahl">K. Gröndahl</name><name sortKey="Jacobsson, M" sort="Jacobsson, M" uniqKey="Jacobsson M" first="M" last="Jacobsson">M. Jacobsson</name><name sortKey="Lekholm, U" sort="Lekholm, U" uniqKey="Lekholm U" first="U" last="Lekholm">U. Lekholm</name><name sortKey="Lindstrom, J" sort="Lindstrom, J" uniqKey="Lindstrom J" first="J" last="Lindström">J. Lindström</name></noCountry><country name="Suède"><noRegion><name sortKey="Adell, R" sort="Adell, R" uniqKey="Adell R" first="R" last="Adell">R. Adell</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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