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Mandibular Fracture in Conjunction with Bicortical Penetration, Using Wide‐Diameter Endosseous Dental Implants

Identifieur interne : 005186 ( Main/Exploration ); précédent : 005185; suivant : 005187

Mandibular Fracture in Conjunction with Bicortical Penetration, Using Wide‐Diameter Endosseous Dental Implants

Auteurs : Won-Suk Oh [États-Unis] ; Eleni D. Roumanas [États-Unis] ; John Beumer Iii [États-Unis]

Source :

RBID : ISTEX:3AA79076F78C9A37F83E8C026B2CB9A321E668BD

Descripteurs français

English descriptors

Abstract

Prosthodontic rehabilitation of a patient with an atrophic edentulous mandible presents a significant challenge in restoring esthetics and function. The purpose of this clinical report is to describe fracture of an atrophic edentulous mandible opposing maxillary natural dentition in association with endosseous dental implants. The patient received two wide‐diameter implants in the anterior mandible for an implant‐assisted mandibular overdenture, in which the implants penetrated the inferior border of the mandible for bicortical stabilization. Three months following implant placement surgery, the patient experienced pain, swelling, and intraoral purulent drainage around the right implant. Panoramic radiograph revealed a fracture of the mandible through the right implant site and signs of infection around the left implant. The implants were removed surgically, and open reduction and fixation of the fracture site were undertaken using a titanium bone fixation plate. This clinical report demonstrates that placement of wide‐diameter implants in conjunction with bicortical penetration in a severely atrophic edentulous mandible can risk fracture of the mandible.

Url:
DOI: 10.1111/j.1532-849X.2010.00646.x


Affiliations:


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Le document en format XML

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<term>American college</term>
<term>Anterior mandible</term>
<term>Atrophic</term>
<term>Atrophic mandible</term>
<term>Atrophy</term>
<term>Bicortical</term>
<term>Bicortical penetration</term>
<term>Bone Plates</term>
<term>Bone volume</term>
<term>Cancellous bone</term>
<term>Clinical report</term>
<term>Copious irrigation</term>
<term>Dent</term>
<term>Dental Implantation, Endosseous (adverse effects)</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dentition</term>
<term>Denture</term>
<term>Denture, Complete, Lower</term>
<term>Denture, Overlay</term>
<term>Device Removal</term>
<term>Edema (etiology)</term>
<term>Edentulous</term>
<term>Edentulous mandible</term>
<term>Endosseous</term>
<term>Endosseous implants</term>
<term>Follow-Up Studies</term>
<term>Fracture</term>
<term>Fracture Fixation, Internal (instrumentation)</term>
<term>Fracture site</term>
<term>Functional loading</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant length</term>
<term>Inferior border</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible</term>
<term>Mandible (surgery)</term>
<term>Mandibular</term>
<term>Mandibular Fractures (etiology)</term>
<term>Mandibular fracture</term>
<term>Maxillofac</term>
<term>Middle Aged</term>
<term>Natural dentition</term>
<term>Oral maxillofac implants</term>
<term>Oral maxillofac surg</term>
<term>Pain, Postoperative (etiology)</term>
<term>Panoramic</term>
<term>Panoramic radiograph</term>
<term>Panoramic radiographic image</term>
<term>Prosthet dent</term>
<term>Prosthodontics</term>
<term>Radiographic</term>
<term>Resorption</term>
<term>Right implant</term>
<term>Short implants</term>
<term>Stress distribution</term>
<term>Surgical Wound Infection (etiology)</term>
<term>Thermal injury</term>
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<term>Ablation de dispositif</term>
<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Conception de prothèse dentaire</term>
<term>Douleur postopératoire (étiologie)</term>
<term>Fractures mandibulaires (étiologie)</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Infection de plaie opératoire (étiologie)</term>
<term>Mandibule ()</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Oedème (étiologie)</term>
<term>Ostéosynthèse interne (instrumentation)</term>
<term>Overdenture</term>
<term>Plaques orthopédiques</term>
<term>Pose d'implant dentaire endo-osseux (effets indésirables)</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Études de suivi</term>
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<term>Dental Implants</term>
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<term>Dental Implantation, Endosseous</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Implants dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Edema</term>
<term>Mandibular Fractures</term>
<term>Pain, Postoperative</term>
<term>Surgical Wound Infection</term>
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<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Fracture Fixation, Internal</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire édentée</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Mandible</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Douleur postopératoire</term>
<term>Fractures mandibulaires</term>
<term>Infection de plaie opératoire</term>
<term>Oedème</term>
<term>Ostéosynthèse interne</term>
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<keywords scheme="Teeft" xml:lang="en">
<term>American college</term>
<term>Anterior mandible</term>
<term>Atrophic</term>
<term>Atrophic mandible</term>
<term>Atrophy</term>
<term>Bicortical</term>
<term>Bicortical penetration</term>
<term>Bone Plates</term>
<term>Bone volume</term>
<term>Cancellous bone</term>
<term>Clinical report</term>
<term>Copious irrigation</term>
<term>Dent</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dentition</term>
<term>Denture</term>
<term>Denture, Complete, Lower</term>
<term>Denture, Overlay</term>
<term>Device Removal</term>
<term>Edentulous</term>
<term>Edentulous mandible</term>
<term>Endosseous</term>
<term>Endosseous implants</term>
<term>Follow-Up Studies</term>
<term>Fracture</term>
<term>Fracture site</term>
<term>Functional loading</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant length</term>
<term>Inferior border</term>
<term>Male</term>
<term>Mandible</term>
<term>Mandibular</term>
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<term>Natural dentition</term>
<term>Oral maxillofac implants</term>
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<term>Panoramic radiograph</term>
<term>Panoramic radiographic image</term>
<term>Prosthet dent</term>
<term>Prosthodontics</term>
<term>Radiographic</term>
<term>Resorption</term>
<term>Right implant</term>
<term>Short implants</term>
<term>Stress distribution</term>
<term>Thermal injury</term>
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<term>Ablation de dispositif</term>
<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Conception de prothèse dentaire</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Plaques orthopédiques</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
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<front>
<div type="abstract" xml:lang="en">Prosthodontic rehabilitation of a patient with an atrophic edentulous mandible presents a significant challenge in restoring esthetics and function. The purpose of this clinical report is to describe fracture of an atrophic edentulous mandible opposing maxillary natural dentition in association with endosseous dental implants. The patient received two wide‐diameter implants in the anterior mandible for an implant‐assisted mandibular overdenture, in which the implants penetrated the inferior border of the mandible for bicortical stabilization. Three months following implant placement surgery, the patient experienced pain, swelling, and intraoral purulent drainage around the right implant. Panoramic radiograph revealed a fracture of the mandible through the right implant site and signs of infection around the left implant. The implants were removed surgically, and open reduction and fixation of the fracture site were undertaken using a titanium bone fixation plate. This clinical report demonstrates that placement of wide‐diameter implants in conjunction with bicortical penetration in a severely atrophic edentulous mandible can risk fracture of the mandible.</div>
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<name sortKey="Beumer Iii, John" sort="Beumer Iii, John" uniqKey="Beumer Iii J" first="John" last="Beumer Iii">John Beumer Iii</name>
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