Surgical treatment of fractures of the edentulous mandible. Discussion
Identifieur interne : 009F16 ( Main/Exploration ); précédent : 009F15; suivant : 009F17Surgical treatment of fractures of the edentulous mandible. Discussion
Auteurs : G. K. H. Eyrich [Suisse] ; K. W. Gr Tz [Suisse] ; H. F. Sailer [Suisse] ; B. Alpert [États-Unis]Source :
- Journal of oral and maxillofacial surgery [ 0278-2391 ] ; 1997.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Atrophie, Complications postopératoires, Consolidation de fracture, Céphalométrie, Femelle, Fractures mandibulaires (), Fractures mandibulaires (anatomopathologie), Fractures mandibulaires (imagerie diagnostique), Humains, Implants dentaires, Mandibule (), Mandibule (anatomopathologie), Mâchoire édentée (), Mâchoire édentée (anatomopathologie), Mâchoire édentée (imagerie diagnostique), Mâle, Ostéonécrose (étiologie), Ostéosynthèse interne (effets indésirables), Ostéosynthèse interne (instrumentation), Panne d'appareillage, Plaques orthopédiques, Pose d'implant dentaire endo-osseux, Pseudarthrose (étiologie), Radiographie panoramique, Reconstruction de crête alvéolaire, Sujet âgé, Sujet âgé de 80 ans ou plus, Transplantation osseuse (effets indésirables), Troubles sensitifs (étiologie), Études de suivi, Études rétrospectives.
- MESH :
- anatomopathologie : Fractures mandibulaires, Mandibule, Mâchoire édentée.
- effets indésirables : Ostéosynthèse interne, Transplantation osseuse.
- imagerie diagnostique : Fractures mandibulaires, Mâchoire édentée.
- étiologie : Ostéonécrose, Ostéosynthèse interne, Pseudarthrose, Troubles sensitifs.
- Pascal (Inist)
- Adulte, Adulte d'âge moyen, Atrophie, Complications postopératoires, Consolidation de fracture, Céphalométrie, Edentation, Femelle, Fracture, Fractures mandibulaires, Humains, Implants dentaires, Mandibule, Mâchoire édentée, Mâle, Ostéosynthèse, Panne d'appareillage, Plaques orthopédiques, Plastie, Augmentation, Pose d'implant dentaire endo-osseux, Radiographie panoramique, Reconstruction de crête alvéolaire, Rétrospective, Sujet âgé, Sujet âgé de 80 ans ou plus, Traitement, Homme, Études de suivi, Études rétrospectives.
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Alveolar Ridge Augmentation, Atrophy, Bone Plates, Bone Transplantation (adverse effects), Cephalometry, Dental Implantation, Endosseous, Dental Implants, Edentulousness, Equipment Failure, Female, Follow-Up Studies, Fracture, Fracture Fixation, Internal (adverse effects), Fracture Fixation, Internal (instrumentation), Fracture Healing, Human, Humans, Increase, Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (pathology), Jaw, Edentulous (surgery), Male, Mandible, Mandible (pathology), Mandible (surgery), Mandibular Fractures (diagnostic imaging), Mandibular Fractures (pathology), Mandibular Fractures (surgery), Middle Aged, Osteonecrosis (etiology), Osteosynthesis, Plasty, Postoperative Complications, Pseudarthrosis (etiology), Radiography, Panoramic, Retrospective, Retrospective Studies, Sensation Disorders (etiology), Treatment.
- MESH :
- chemical : Dental Implants.
- adverse effects : Bone Transplantation, Fracture Fixation, Internal.
- diagnostic imaging : Jaw, Edentulous, Mandibular Fractures.
- etiology : Osteonecrosis, Pseudarthrosis, Sensation Disorders.
- instrumentation : Fracture Fixation, Internal.
- pathology : Jaw, Edentulous, Mandible, Mandibular Fractures.
- surgery : Jaw, Edentulous, Mandible, Mandibular Fractures.
- Adult, Aged, Aged, 80 and over, Alveolar Ridge Augmentation, Atrophy, Bone Plates, Cephalometry, Dental Implantation, Endosseous, Equipment Failure, Female, Follow-Up Studies, Fracture Healing, Humans, Male, Middle Aged, Postoperative Complications, Radiography, Panoramic, Retrospective Studies.
Abstract
Purpose: This retrospective study presents treatment alternatives for fractures of the edentulous mandible. Methods: A chart review of 34 patients with fractures of the edentulous mandible was performed. Patients were followed with clinical and radiographic examinations. Results: Five different treatment groups were used, ranging from closed treatment to bone graft augmentation and immediate placement of dental implants. Twenty-five patients showed good bony union. Frequent complications were encountered, including psuedarthrosis, fractured plates, and persistent dysesthesia. Augmentation was more stable when implants were placed simultaneously. Conclusion: Treatment needs to be based on the type and location of the fracture and the degree of atrophy. Augmentation in combination with implants appears to be a good treatment for fractures of the edentulous mandible.
Affiliations:
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Discussion</title><author><name sortKey="Eyrich, G K H" sort="Eyrich, G K H" uniqKey="Eyrich G" first="G. K. H." last="Eyrich">G. K. H. Eyrich</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Maxillofacial Surgery, University Hospital Zürich</s1><s3>CHE</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Suisse</country><wicri:noRegion>Department of Maxillofacial Surgery, University Hospital Zürich</wicri:noRegion></affiliation></author><author><name sortKey="Gr Tz, K W" sort="Gr Tz, K W" uniqKey="Gr Tz K" first="K. W." last="Gr Tz">K. W. Gr Tz</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Maxillofacial Surgery, University Hospital Zürich</s1><s3>CHE</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Suisse</country><wicri:noRegion>Department of Maxillofacial Surgery, University Hospital Zürich</wicri:noRegion></affiliation></author><author><name sortKey="Sailer, H F" sort="Sailer, H F" uniqKey="Sailer H" first="H. F." last="Sailer">H. F. Sailer</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Maxillofacial Surgery, University Hospital Zürich</s1><s3>CHE</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Suisse</country><wicri:noRegion>Department of Maxillofacial Surgery, University Hospital Zürich</wicri:noRegion></affiliation></author><author><name sortKey="Alpert, B" sort="Alpert, B" uniqKey="Alpert B" first="B." last="Alpert">B. Alpert</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>University of Louisville</s1><s2>Kentucky</s2><s3>USA</s3><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Kentucky</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">J. oral maxillofac. surg.</title><idno type="ISSN">0278-2391</idno><imprint><date when="1997">1997</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">J. oral maxillofac. surg.</title><idno type="ISSN">0278-2391</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Alveolar Ridge Augmentation</term><term>Atrophy</term><term>Bone Plates</term><term>Bone Transplantation (adverse effects)</term><term>Cephalometry</term><term>Dental Implantation, Endosseous</term><term>Dental Implants</term><term>Edentulousness</term><term>Equipment Failure</term><term>Female</term><term>Follow-Up Studies</term><term>Fracture</term><term>Fracture Fixation, Internal (adverse effects)</term><term>Fracture Fixation, Internal (instrumentation)</term><term>Fracture Healing</term><term>Human</term><term>Humans</term><term>Increase</term><term>Jaw, Edentulous (diagnostic imaging)</term><term>Jaw, Edentulous (pathology)</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Mandible</term><term>Mandible (pathology)</term><term>Mandible (surgery)</term><term>Mandibular Fractures (diagnostic imaging)</term><term>Mandibular Fractures (pathology)</term><term>Mandibular Fractures (surgery)</term><term>Middle Aged</term><term>Osteonecrosis (etiology)</term><term>Osteosynthesis</term><term>Plasty</term><term>Postoperative Complications</term><term>Pseudarthrosis (etiology)</term><term>Radiography, Panoramic</term><term>Retrospective</term><term>Retrospective Studies</term><term>Sensation Disorders (etiology)</term><term>Treatment</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Atrophie</term><term>Complications postopératoires</term><term>Consolidation de fracture</term><term>Céphalométrie</term><term>Femelle</term><term>Fractures mandibulaires ()</term><term>Fractures mandibulaires (anatomopathologie)</term><term>Fractures mandibulaires (imagerie diagnostique)</term><term>Humains</term><term>Implants dentaires</term><term>Mandibule ()</term><term>Mandibule (anatomopathologie)</term><term>Mâchoire édentée ()</term><term>Mâchoire édentée (anatomopathologie)</term><term>Mâchoire édentée (imagerie diagnostique)</term><term>Mâle</term><term>Ostéonécrose (étiologie)</term><term>Ostéosynthèse interne (effets indésirables)</term><term>Ostéosynthèse interne (instrumentation)</term><term>Panne d'appareillage</term><term>Plaques orthopédiques</term><term>Pose d'implant dentaire endo-osseux</term><term>Pseudarthrose (étiologie)</term><term>Radiographie panoramique</term><term>Reconstruction de crête alvéolaire</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Transplantation osseuse (effets indésirables)</term><term>Troubles sensitifs (étiologie)</term><term>Études de suivi</term><term>Études rétrospectives</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>Bone Transplantation</term><term>Fracture Fixation, Internal</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Fractures mandibulaires</term><term>Mandibule</term><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Jaw, Edentulous</term><term>Mandibular Fractures</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Ostéosynthèse interne</term><term>Transplantation osseuse</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Osteonecrosis</term><term>Pseudarthrosis</term><term>Sensation Disorders</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Fractures mandibulaires</term><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Fracture Fixation, Internal</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Jaw, Edentulous</term><term>Mandible</term><term>Mandibular Fractures</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term><term>Mandible</term><term>Mandibular Fractures</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Ostéonécrose</term><term>Ostéosynthèse interne</term><term>Pseudarthrose</term><term>Troubles sensitifs</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Alveolar Ridge Augmentation</term><term>Atrophy</term><term>Bone Plates</term><term>Cephalometry</term><term>Dental Implantation, Endosseous</term><term>Equipment Failure</term><term>Female</term><term>Follow-Up Studies</term><term>Fracture Healing</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Postoperative Complications</term><term>Radiography, Panoramic</term><term>Retrospective Studies</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Atrophie</term><term>Complications postopératoires</term><term>Consolidation de fracture</term><term>Céphalométrie</term><term>Edentation</term><term>Femelle</term><term>Fracture</term><term>Fractures mandibulaires</term><term>Humains</term><term>Implants dentaires</term><term>Mandibule</term><term>Mâchoire édentée</term><term>Mâle</term><term>Ostéosynthèse</term><term>Panne d'appareillage</term><term>Plaques orthopédiques</term><term>Plastie</term><term>Augmentation</term><term>Pose d'implant dentaire endo-osseux</term><term>Radiographie panoramique</term><term>Reconstruction de crête alvéolaire</term><term>Rétrospective</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Traitement</term><term>Homme</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose: This retrospective study presents treatment alternatives for fractures of the edentulous mandible. Methods: A chart review of 34 patients with fractures of the edentulous mandible was performed. Patients were followed with clinical and radiographic examinations. Results: Five different treatment groups were used, ranging from closed treatment to bone graft augmentation and immediate placement of dental implants. Twenty-five patients showed good bony union. Frequent complications were encountered, including psuedarthrosis, fractured plates, and persistent dysesthesia. Augmentation was more stable when implants were placed simultaneously. Conclusion: Treatment needs to be based on the type and location of the fracture and the degree of atrophy. Augmentation in combination with implants appears to be a good treatment for fractures of the edentulous mandible.</div></front></TEI><affiliations><list><country><li>Suisse</li><li>États-Unis</li></country><region><li>Kentucky</li></region></list><tree><country name="Suisse"><noRegion><name sortKey="Eyrich, G K H" sort="Eyrich, G K H" uniqKey="Eyrich G" first="G. K. H." last="Eyrich">G. K. H. Eyrich</name></noRegion><name sortKey="Gr Tz, K W" sort="Gr Tz, K W" uniqKey="Gr Tz K" first="K. W." last="Gr Tz">K. W. Gr Tz</name><name sortKey="Sailer, H F" sort="Sailer, H F" uniqKey="Sailer H" first="H. F." last="Sailer">H. F. Sailer</name></country><country name="États-Unis"><region name="Kentucky"><name sortKey="Alpert, B" sort="Alpert, B" uniqKey="Alpert B" first="B." last="Alpert">B. Alpert</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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