Management of deficient anterior maxillary alveolus with mandibular parasymphyseal bone graft for implants.
Identifieur interne : 008224 ( Main/Exploration ); précédent : 008223; suivant : 008225Management of deficient anterior maxillary alveolus with mandibular parasymphyseal bone graft for implants.
Auteurs : S M Balaji [Inde]Source :
- Implant dentistry [ 1056-6163 ] ; 2002.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Alvéoloplastie, Cicatrisation de plaie, Couronnes, Densité osseuse, Femelle, Humains, Implants dentaires, Mandibule, Maxillaire (), Mâchoire partiellement édentée (), Mâle, Ostéo-intégration, Piliers dentaires, Pose d'implant dentaire endo-osseux (), Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire (), Résultat thérapeutique, Survie du greffon, Transplantation autologue, Transplantation osseuse (), Études de suivi.
- MESH :
- Adulte, Adulte d'âge moyen, Alvéoloplastie, Cicatrisation de plaie, Couronnes, Densité osseuse, Femelle, Humains, Implants dentaires, Mandibule, Maxillaire, Mâchoire partiellement édentée, Mâle, Ostéo-intégration, Piliers dentaires, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire, Résultat thérapeutique, Survie du greffon, Transplantation autologue, Transplantation osseuse, Études de suivi.
English descriptors
- KwdEn :
- Adult, Alveolar Ridge Augmentation (methods), Alveoloplasty, Bone Density, Bone Transplantation (methods), Crowns, Dental Abutments, Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Female, Follow-Up Studies, Graft Survival, Humans, Jaw, Edentulous, Partially (surgery), Male, Mandible, Maxilla (surgery), Middle Aged, Osseointegration, Transplantation, Autologous, Treatment Outcome, Wound Healing.
- MESH :
- chemical : Dental Implants.
- methods : Alveolar Ridge Augmentation, Bone Transplantation, Dental Implantation, Endosseous.
- surgery : Jaw, Edentulous, Partially, Maxilla.
- Adult, Alveoloplasty, Bone Density, Crowns, Dental Abutments, Dental Prosthesis, Implant-Supported, Female, Follow-Up Studies, Graft Survival, Humans, Male, Mandible, Middle Aged, Osseointegration, Transplantation, Autologous, Treatment Outcome, Wound Healing.
Abstract
This paper discusses the use of autogenous bone graft from the symphyseal region of the mandible to widen the deficient anterior maxilla. Compressing short or narrow implants into deficient ridges is a poor technique that often fails to correctly replace ridge anatomy or afford stable restorations. Patients who were missing a maxillary incisor, and exhibiting a loss of supporting bone in the area, were found suitable for this technique. Ten patients were included in the study. In the anterior maxilla, the thin cortices can be split, and a corticocancellous bone graft from the mandibular symphyseal region can be positioned on the labial-buccal cortex. This surgical procedure enables implant placement in previously deficient bone within the maxilla. In comparison with other techniques, the use of a mandibular symphysis graft technique offers ease of access, good bone quantity for localized repair, a corticocancellous block graft morphology, low morbidity, decreased complaints of postoperative sensory disturbances and discomfort, and minimal graft resorption. An improved bone density results along with a shorter healing time as compared with other methods for bone repair. A success rate of 81.2% was obtained after a mean follow-up period of 3 years.
PubMed: 12518704
Affiliations:
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Le document en format XML
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<term>Alveolar Ridge Augmentation (methods)</term>
<term>Alveoloplasty</term>
<term>Bone Density</term>
<term>Bone Transplantation (methods)</term>
<term>Crowns</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Graft Survival</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Mandible</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Transplantation, Autologous</term>
<term>Treatment Outcome</term>
<term>Wound Healing</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Alvéoloplastie</term>
<term>Cicatrisation de plaie</term>
<term>Couronnes</term>
<term>Densité osseuse</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Maxillaire ()</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résultat thérapeutique</term>
<term>Survie du greffon</term>
<term>Transplantation autologue</term>
<term>Transplantation osseuse ()</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
<term>Maxilla</term>
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<term>Alveoloplasty</term>
<term>Bone Density</term>
<term>Crowns</term>
<term>Dental Abutments</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Graft Survival</term>
<term>Humans</term>
<term>Male</term>
<term>Mandible</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Transplantation, Autologous</term>
<term>Treatment Outcome</term>
<term>Wound Healing</term>
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<term>Adulte d'âge moyen</term>
<term>Alvéoloplastie</term>
<term>Cicatrisation de plaie</term>
<term>Couronnes</term>
<term>Densité osseuse</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résultat thérapeutique</term>
<term>Survie du greffon</term>
<term>Transplantation autologue</term>
<term>Transplantation osseuse</term>
<term>Études de suivi</term>
</keywords>
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<front><div type="abstract" xml:lang="en">This paper discusses the use of autogenous bone graft from the symphyseal region of the mandible to widen the deficient anterior maxilla. Compressing short or narrow implants into deficient ridges is a poor technique that often fails to correctly replace ridge anatomy or afford stable restorations. Patients who were missing a maxillary incisor, and exhibiting a loss of supporting bone in the area, were found suitable for this technique. Ten patients were included in the study. In the anterior maxilla, the thin cortices can be split, and a corticocancellous bone graft from the mandibular symphyseal region can be positioned on the labial-buccal cortex. This surgical procedure enables implant placement in previously deficient bone within the maxilla. In comparison with other techniques, the use of a mandibular symphysis graft technique offers ease of access, good bone quantity for localized repair, a corticocancellous block graft morphology, low morbidity, decreased complaints of postoperative sensory disturbances and discomfort, and minimal graft resorption. An improved bone density results along with a shorter healing time as compared with other methods for bone repair. A success rate of 81.2% was obtained after a mean follow-up period of 3 years.</div>
</front>
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