Autotransplantation of two maxillary premolars in a free vascularized fibula reconstructed mandible.
Identifieur interne : 004291 ( Main/Exploration ); précédent : 004290; suivant : 004292Autotransplantation of two maxillary premolars in a free vascularized fibula reconstructed mandible.
Auteurs : G. Mensink [Pays-Bas] ; K H Karagozoglu ; S D Strackee ; R A Van Teeseling ; L E Smeele ; A G BeckingSource :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2011.
Descripteurs français
- KwdFr :
- Améloblastome (), Améloblastome (rééducation et réadaptation), Enfant, Extraction dentaire, Femelle, Humains, Lambeaux tissulaires libres, Malocclusion de classe II (), Mandibule (), Mâchoire partiellement édentée (), Mâchoire partiellement édentée (rééducation et réadaptation), Procédures de chirurgie maxillofaciale et buccodentaire (), Procédures de chirurgie maxillofaciale et buccodentaire (effets indésirables), Procédures de chirurgie reconstructive (effets indésirables), Prémolaire (transplantation), Transplantation osseuse, Tumeurs de la mandibule (), Tumeurs de la mandibule (rééducation et réadaptation).
- MESH :
- effets indésirables : Procédures de chirurgie maxillofaciale et buccodentaire, Procédures de chirurgie reconstructive.
- rééducation et réadaptation : Améloblastome, Mâchoire partiellement édentée, Tumeurs de la mandibule.
- Améloblastome, Enfant, Extraction dentaire, Femelle, Humains, Lambeaux tissulaires libres, Malocclusion de classe II, Mandibule, Mâchoire partiellement édentée, Procédures de chirurgie maxillofaciale et buccodentaire, Prémolaire, Transplantation osseuse, Tumeurs de la mandibule.
English descriptors
- KwdEn :
- Ameloblastoma (rehabilitation), Ameloblastoma (surgery), Bicuspid (transplantation), Bone Transplantation, Child, Female, Free Tissue Flaps, Humans, Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Malocclusion, Angle Class II (therapy), Mandible (surgery), Mandibular Neoplasms (rehabilitation), Mandibular Neoplasms (surgery), Oral Surgical Procedures (adverse effects), Oral Surgical Procedures (methods), Reconstructive Surgical Procedures (adverse effects), Tooth Extraction.
- MESH :
- adverse effects : Oral Surgical Procedures, Reconstructive Surgical Procedures.
- methods : Oral Surgical Procedures.
- rehabilitation : Ameloblastoma, Jaw, Edentulous, Partially, Mandibular Neoplasms.
- surgery : Ameloblastoma, Jaw, Edentulous, Partially, Mandible, Mandibular Neoplasms.
- therapy : Malocclusion, Angle Class II.
- transplantation : Bicuspid.
- Bone Transplantation, Child, Female, Free Tissue Flaps, Humans, Tooth Extraction.
Abstract
A 10-year-old female patient with a fibula transplant in her left hemimandible due to ameloblastoma treatment was referred for combined orthodontic and surgical planning and treatment to observe and prevent expected asymmetric facial development and malocclusion, because the premolars and molars on the left side of the mandible were missing. The patient had an Angle Class II malocclusion and arch length discrepancy in the upper jaw. The two second premolars in the maxilla were transplanted into the neomandible to create occlusion on the left side and retention for orthodontic treatment. Clinical and radiological examination 3 months postoperatively showed good integration of both premolars without pocket formation. After 4 months, active orthodontic treatment with fixed appliances was started to create sufficient arch space in the upper jaw for both canines to erupt and to extrude and for the transplanted premolars in the lower jaw to rotate and align into the planned positions. This case report demonstrates that autotransplantation of premolars into a fibula transplant can be a successful dental rehabilitation procedure.
DOI: 10.1016/j.ijom.2010.08.004
PubMed: 20832247
Affiliations:
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Le document en format XML
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<term>Ameloblastoma (surgery)</term>
<term>Bicuspid (transplantation)</term>
<term>Bone Transplantation</term>
<term>Child</term>
<term>Female</term>
<term>Free Tissue Flaps</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Malocclusion, Angle Class II (therapy)</term>
<term>Mandible (surgery)</term>
<term>Mandibular Neoplasms (rehabilitation)</term>
<term>Mandibular Neoplasms (surgery)</term>
<term>Oral Surgical Procedures (adverse effects)</term>
<term>Oral Surgical Procedures (methods)</term>
<term>Reconstructive Surgical Procedures (adverse effects)</term>
<term>Tooth Extraction</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Améloblastome ()</term>
<term>Améloblastome (rééducation et réadaptation)</term>
<term>Enfant</term>
<term>Extraction dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lambeaux tissulaires libres</term>
<term>Malocclusion de classe II ()</term>
<term>Mandibule ()</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Procédures de chirurgie maxillofaciale et buccodentaire ()</term>
<term>Procédures de chirurgie maxillofaciale et buccodentaire (effets indésirables)</term>
<term>Procédures de chirurgie reconstructive (effets indésirables)</term>
<term>Prémolaire (transplantation)</term>
<term>Transplantation osseuse</term>
<term>Tumeurs de la mandibule ()</term>
<term>Tumeurs de la mandibule (rééducation et réadaptation)</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Oral Surgical Procedures</term>
<term>Reconstructive Surgical Procedures</term>
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<term>Procédures de chirurgie reconstructive</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Ameloblastoma</term>
<term>Jaw, Edentulous, Partially</term>
<term>Mandibular Neoplasms</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Améloblastome</term>
<term>Mâchoire partiellement édentée</term>
<term>Tumeurs de la mandibule</term>
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<term>Jaw, Edentulous, Partially</term>
<term>Mandible</term>
<term>Mandibular Neoplasms</term>
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<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Bicuspid</term>
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<keywords scheme="MESH" xml:lang="en"><term>Bone Transplantation</term>
<term>Child</term>
<term>Female</term>
<term>Free Tissue Flaps</term>
<term>Humans</term>
<term>Tooth Extraction</term>
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<term>Enfant</term>
<term>Extraction dentaire</term>
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<term>Lambeaux tissulaires libres</term>
<term>Malocclusion de classe II</term>
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<term>Mâchoire partiellement édentée</term>
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<front><div type="abstract" xml:lang="en">A 10-year-old female patient with a fibula transplant in her left hemimandible due to ameloblastoma treatment was referred for combined orthodontic and surgical planning and treatment to observe and prevent expected asymmetric facial development and malocclusion, because the premolars and molars on the left side of the mandible were missing. The patient had an Angle Class II malocclusion and arch length discrepancy in the upper jaw. The two second premolars in the maxilla were transplanted into the neomandible to create occlusion on the left side and retention for orthodontic treatment. Clinical and radiological examination 3 months postoperatively showed good integration of both premolars without pocket formation. After 4 months, active orthodontic treatment with fixed appliances was started to create sufficient arch space in the upper jaw for both canines to erupt and to extrude and for the transplanted premolars in the lower jaw to rotate and align into the planned positions. This case report demonstrates that autotransplantation of premolars into a fibula transplant can be a successful dental rehabilitation procedure.</div>
</front>
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