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Severely resorbed mandible treated with iliac crest autogenous bone graft and dental implants: 17-year follow-up.

Identifieur interne : 010E22 ( Main/Exploration ); précédent : 010E21; suivant : 010E23

Severely resorbed mandible treated with iliac crest autogenous bone graft and dental implants: 17-year follow-up.

Auteurs : Ofer Moses [Israël] ; Carlos E. Nemcovsky ; Yair Langer ; Haim Tal

Source :

RBID : pubmed:18271386

Descripteurs français

English descriptors

Abstract

Severe bone atrophy in the mandible may result in weakening of the jaw, unstable dentures, and dysfunction of the inferior alveolar nerve. These conditions were diagnosed in a 65-year-old woman who presented with a severely resorbed mandible. The interforaminal region of the mandible was augmented with an onlay graft harvested from the iliac crest. Four dental implants stabilized the graft by anchoring it inferiorly to the residual mandibular basal bone. Implants later served as abutments for a fixed 12-unit implant-supported prosthesis. The patient was followed for 17 years, during which the mandibular prosthesis was replaced twice. Despite the initial questionable prognosis, oral rehabilitation was successful, with no detectable clinical signs of bone loss over the 17-year follow-up period.

PubMed: 18271386


Affiliations:


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Le document en format XML

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<nlm:affiliation>Department of Periodontology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel. moseso@post.tau.ac.il</nlm:affiliation>
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<wicri:regionArea>Department of Periodontology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv</wicri:regionArea>
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<term>Aged</term>
<term>Alveolar Bone Loss (etiology)</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Atrophy</term>
<term>Bone Resorption (surgery)</term>
<term>Bone Transplantation (methods)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Ilium (transplantation)</term>
<term>Jaw, Edentulous (complications)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Mandibular Diseases (etiology)</term>
<term>Mandibular Diseases (surgery)</term>
<term>Maxillary Diseases (etiology)</term>
<term>Maxillary Diseases (surgery)</term>
<term>Treatment Outcome</term>
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<term>Atrophie</term>
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<term>Implants dentaires</term>
<term>Maladies du maxillaire supérieur ()</term>
<term>Maladies du maxillaire supérieur (étiologie)</term>
<term>Maladies mandibulaires ()</term>
<term>Maladies mandibulaires (étiologie)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résorption alvéolaire ()</term>
<term>Résorption alvéolaire (étiologie)</term>
<term>Résorption osseuse ()</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Transplantation osseuse ()</term>
<term>Études de suivi</term>
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<term>Aged</term>
<term>Atrophy</term>
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<div type="abstract" xml:lang="en">Severe bone atrophy in the mandible may result in weakening of the jaw, unstable dentures, and dysfunction of the inferior alveolar nerve. These conditions were diagnosed in a 65-year-old woman who presented with a severely resorbed mandible. The interforaminal region of the mandible was augmented with an onlay graft harvested from the iliac crest. Four dental implants stabilized the graft by anchoring it inferiorly to the residual mandibular basal bone. Implants later served as abutments for a fixed 12-unit implant-supported prosthesis. The patient was followed for 17 years, during which the mandibular prosthesis was replaced twice. Despite the initial questionable prognosis, oral rehabilitation was successful, with no detectable clinical signs of bone loss over the 17-year follow-up period.</div>
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