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Placement of posterior mandibular and maxillary implants in patients with severe bone deficiency: a clinical report of procedure.

Identifieur interne : 010F83 ( Main/Exploration ); précédent : 010F82; suivant : 010F84

Placement of posterior mandibular and maxillary implants in patients with severe bone deficiency: a clinical report of procedure.

Auteurs : L. Krekmanov [Suède]

Source :

RBID : pubmed:11055139

Descripteurs français

English descriptors

Abstract

The purpose of this investigation was to modify the method for implant placement in the posterior parts of the arches for fixed implant-supported prostheses using minimally invasive surgery. Eighty-six implants were placed posterior to the mental foramina in patients with severely resorbed mandibles, and 75 implants were placed in the posterior severely resorbed maxilla. Bone grafting from the mandible to the maxillary sinus was performed in 9 patients with severely atrophic maxillae. In all patients, optimal use of the anatomic features of the arch was achieved by tilting the implants. Patients were followed up for 12 to 123 months after prosthesis connection (mean 18 months). Three maxillary implants were lost at the time of abutment connection: 1 in the pterygoid plate, 1 close to the posterior sinus wall, and 1 placed in the palatal cortex. One implant was mobile approximately 1 year later, apparently because of an ill-fitting prosthesis. In the mandible, no implants were lost. The method described for the treatment of edentulous arches represents an alternative therapy to several others currently in use. This minimally invasive surgical procedure should be applicable in an outpatient clinic for treatment of severely resorbed posterior portions of the arches with implant-supported prostheses.

PubMed: 11055139


Affiliations:


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Le document en format XML

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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Huddinge University Hospital, Västerås, Sweden. leonard.krekmanov@mailbox.swipnet.se</nlm:affiliation>
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<term>Adult</term>
<term>Aged</term>
<term>Alveolar Bone Loss (rehabilitation)</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Bicuspid</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Partial, Fixed</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Sinus (surgery)</term>
<term>Middle Aged</term>
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<term>Adulte d'âge moyen</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mandibule ()</term>
<term>Maxillaire ()</term>
<term>Molaire</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Procédures de chirurgie préprothétique en odontologie</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Prémolaire</term>
<term>Résorption alvéolaire ()</term>
<term>Résorption alvéolaire (rééducation et réadaptation)</term>
<term>Résultat thérapeutique</term>
<term>Sinus maxillaire ()</term>
<term>Sujet âgé</term>
<term>Transplantation osseuse</term>
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<term>Dental Implantation, Endosseous</term>
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<term>Résorption alvéolaire</term>
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<term>Maxilla</term>
<term>Maxillary Sinus</term>
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<term>Aged</term>
<term>Bicuspid</term>
<term>Bone Transplantation</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
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<term>Female</term>
<term>Humans</term>
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<term>Middle Aged</term>
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<term>Femelle</term>
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<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Prémolaire</term>
<term>Résorption alvéolaire</term>
<term>Résultat thérapeutique</term>
<term>Sinus maxillaire</term>
<term>Sujet âgé</term>
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<div type="abstract" xml:lang="en">The purpose of this investigation was to modify the method for implant placement in the posterior parts of the arches for fixed implant-supported prostheses using minimally invasive surgery. Eighty-six implants were placed posterior to the mental foramina in patients with severely resorbed mandibles, and 75 implants were placed in the posterior severely resorbed maxilla. Bone grafting from the mandible to the maxillary sinus was performed in 9 patients with severely atrophic maxillae. In all patients, optimal use of the anatomic features of the arch was achieved by tilting the implants. Patients were followed up for 12 to 123 months after prosthesis connection (mean 18 months). Three maxillary implants were lost at the time of abutment connection: 1 in the pterygoid plate, 1 close to the posterior sinus wall, and 1 placed in the palatal cortex. One implant was mobile approximately 1 year later, apparently because of an ill-fitting prosthesis. In the mandible, no implants were lost. The method described for the treatment of edentulous arches represents an alternative therapy to several others currently in use. This minimally invasive surgical procedure should be applicable in an outpatient clinic for treatment of severely resorbed posterior portions of the arches with implant-supported prostheses.</div>
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