Prosthetic rehabilitation of edentulous ridges following alveolar distraction osteogenesis: clinical report of three cases.
Identifieur interne : 004050 ( Main/Exploration ); précédent : 004049; suivant : 004051Prosthetic rehabilitation of edentulous ridges following alveolar distraction osteogenesis: clinical report of three cases.
Auteurs : Gulfem Ergun [Turquie] ; Isil Cekic Nagas ; Dervis Yilmaz ; Mustafa OzturkSource :
- The Journal of oral implantology [ 0160-6972 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Femelle, Humains, Implants dentaires, Mandibule (), Mandibule (anatomopathologie), Mandibule (imagerie diagnostique), Mâchoire édentée (), Mâchoire édentée (anatomopathologie), Mâchoire édentée (imagerie diagnostique), Mâchoire édentée (rééducation et réadaptation), Ostéogenèse par distraction (), Piliers dentaires, Pose d'implant dentaire endo-osseux (), Pose d'implant dentaire endo-osseux (instrumentation), Procédures de chirurgie orthognathique (), Procédures de chirurgie orthognathique (instrumentation), Procédures de chirurgie préprothétique en odontologie (), Procédures de chirurgie préprothétique en odontologie (instrumentation), Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Radiographie, Reconstruction de crête alvéolaire (), Reconstruction de crête alvéolaire (instrumentation), Résorption alvéolaire (), Résorption alvéolaire (anatomopathologie), Résorption alvéolaire (imagerie diagnostique), Rétention d'appareil de prothèse dentaire (), Rétention d'appareil de prothèse dentaire (instrumentation), Sujet âgé.
- MESH :
- anatomopathologie : Mandibule, Mâchoire édentée, Résorption alvéolaire.
- imagerie diagnostique : Mandibule, Mâchoire édentée, Résorption alvéolaire.
- rééducation et réadaptation : Mâchoire édentée.
- Adulte d'âge moyen, Femelle, Humains, Implants dentaires, Mandibule, Mâchoire édentée, Ostéogenèse par distraction, Piliers dentaires, Pose d'implant dentaire endo-osseux, Procédures de chirurgie orthognathique, Procédures de chirurgie préprothétique en odontologie, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Radiographie, Reconstruction de crête alvéolaire, Résorption alvéolaire, Rétention d'appareil de prothèse dentaire, Sujet âgé.
English descriptors
- KwdEn :
- Aged, Alveolar Bone Loss (diagnostic imaging), Alveolar Bone Loss (pathology), Alveolar Bone Loss (therapy), Alveolar Ridge Augmentation (instrumentation), Alveolar Ridge Augmentation (methods), Dental Abutments, Dental Implantation, Endosseous (instrumentation), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Denture Retention (instrumentation), Denture Retention (methods), Denture, Complete, Lower, Female, Humans, Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (pathology), Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Mandible (diagnostic imaging), Mandible (pathology), Mandible (surgery), Middle Aged, Oral Surgical Procedures, Preprosthetic (instrumentation), Oral Surgical Procedures, Preprosthetic (methods), Orthognathic Surgical Procedures (instrumentation), Orthognathic Surgical Procedures (methods), Osteogenesis, Distraction (methods), Radiography.
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Alveolar Bone Loss, Jaw, Edentulous, Mandible.
- instrumentation : Alveolar Ridge Augmentation, Dental Implantation, Endosseous, Denture Retention, Oral Surgical Procedures, Preprosthetic, Orthognathic Surgical Procedures.
- methods : Alveolar Ridge Augmentation, Dental Implantation, Endosseous, Denture Retention, Oral Surgical Procedures, Preprosthetic, Orthognathic Surgical Procedures, Osteogenesis, Distraction.
- pathology : Alveolar Bone Loss, Jaw, Edentulous, Mandible.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous, Mandible.
- therapy : Alveolar Bone Loss.
- Aged, Dental Abutments, Dental Prosthesis, Implant-Supported, Denture, Complete, Lower, Female, Humans, Middle Aged, Radiography.
Abstract
Patients with complete edentulism who have insufficient bone for endosseous dental implant treatment present a challenge for dental practitioners. Distraction osteogenesis of the edentulous alveolar ridges is a process for augmentation of atrophic alveolar bone before dental implant placement. This clinical report describes the use of distraction osteogenesis and rehabilitation of patients with a fixed or removable implant-supported prosthesis to treat mandibular defects. Two female patients with segmental alveolar atrophy at the posterior regions of mandible and one female patient with defect at the anterior region of mandible were treated using distraction devices. However, lingual tipping of the distraction vector occurred during the distraction phase in patient 1. The morphology of the alveolar bone was also analyzed in relation to the planned implant position. After a consolidation period of 12 weeks on average, radiologic observation suggested that there was sufficient bone formation for implant installation. In all patients, implant-supported fixed or removable prosthetic oral rehabilitation was successfully performed, and the clinical and radiologic findings were satisfactory. After 4 years of follow-up, no functional or esthetic difficulties with the implants and restorations were noted. These case reports suggest that although alveolar distraction osteogenesis seems to be an effective technique for augmenting atrophic alveolar bone for creating bone and soft tissue, complications may occur after surgical procedures.
DOI: 10.1563/AAID-JOI-D-10-00004
PubMed: 20662665
Affiliations:
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Le document en format XML
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<term>Alveolar Bone Loss (diagnostic imaging)</term>
<term>Alveolar Bone Loss (pathology)</term>
<term>Alveolar Bone Loss (therapy)</term>
<term>Alveolar Ridge Augmentation (instrumentation)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Retention (instrumentation)</term>
<term>Denture Retention (methods)</term>
<term>Denture, Complete, Lower</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (pathology)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Mandible (diagnostic imaging)</term>
<term>Mandible (pathology)</term>
<term>Mandible (surgery)</term>
<term>Middle Aged</term>
<term>Oral Surgical Procedures, Preprosthetic (instrumentation)</term>
<term>Oral Surgical Procedures, Preprosthetic (methods)</term>
<term>Orthognathic Surgical Procedures (instrumentation)</term>
<term>Orthognathic Surgical Procedures (methods)</term>
<term>Osteogenesis, Distraction (methods)</term>
<term>Radiography</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule ()</term>
<term>Mandibule (anatomopathologie)</term>
<term>Mandibule (imagerie diagnostique)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (anatomopathologie)</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Ostéogenèse par distraction ()</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Procédures de chirurgie orthognathique ()</term>
<term>Procédures de chirurgie orthognathique (instrumentation)</term>
<term>Procédures de chirurgie préprothétique en odontologie ()</term>
<term>Procédures de chirurgie préprothétique en odontologie (instrumentation)</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Reconstruction de crête alvéolaire (instrumentation)</term>
<term>Résorption alvéolaire ()</term>
<term>Résorption alvéolaire (anatomopathologie)</term>
<term>Résorption alvéolaire (imagerie diagnostique)</term>
<term>Rétention d'appareil de prothèse dentaire ()</term>
<term>Rétention d'appareil de prothèse dentaire (instrumentation)</term>
<term>Sujet âgé</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Mandibule</term>
<term>Mâchoire édentée</term>
<term>Résorption alvéolaire</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Mandibule</term>
<term>Mâchoire édentée</term>
<term>Résorption alvéolaire</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Alveolar Ridge Augmentation</term>
<term>Dental Implantation, Endosseous</term>
<term>Denture Retention</term>
<term>Oral Surgical Procedures, Preprosthetic</term>
<term>Orthognathic Surgical Procedures</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term>
<term>Dental Implantation, Endosseous</term>
<term>Denture Retention</term>
<term>Oral Surgical Procedures, Preprosthetic</term>
<term>Orthognathic Surgical Procedures</term>
<term>Osteogenesis, Distraction</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
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<term>Dental Abutments</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Lower</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Radiography</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Mâchoire édentée</term>
<term>Ostéogenèse par distraction</term>
<term>Piliers dentaires</term>
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<term>Procédures de chirurgie orthognathique</term>
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<front><div type="abstract" xml:lang="en">Patients with complete edentulism who have insufficient bone for endosseous dental implant treatment present a challenge for dental practitioners. Distraction osteogenesis of the edentulous alveolar ridges is a process for augmentation of atrophic alveolar bone before dental implant placement. This clinical report describes the use of distraction osteogenesis and rehabilitation of patients with a fixed or removable implant-supported prosthesis to treat mandibular defects. Two female patients with segmental alveolar atrophy at the posterior regions of mandible and one female patient with defect at the anterior region of mandible were treated using distraction devices. However, lingual tipping of the distraction vector occurred during the distraction phase in patient 1. The morphology of the alveolar bone was also analyzed in relation to the planned implant position. After a consolidation period of 12 weeks on average, radiologic observation suggested that there was sufficient bone formation for implant installation. In all patients, implant-supported fixed or removable prosthetic oral rehabilitation was successfully performed, and the clinical and radiologic findings were satisfactory. After 4 years of follow-up, no functional or esthetic difficulties with the implants and restorations were noted. These case reports suggest that although alveolar distraction osteogenesis seems to be an effective technique for augmenting atrophic alveolar bone for creating bone and soft tissue, complications may occur after surgical procedures.</div>
</front>
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