Tomographic evaluation of iliac crest bone grafting and the use of immediate temporary implants to the atrophic maxilla.
Identifieur interne : 002134 ( Main/Exploration ); précédent : 002133; suivant : 002135Tomographic evaluation of iliac crest bone grafting and the use of immediate temporary implants to the atrophic maxilla.
Auteurs : L. Castagna [Brésil] ; W D Polido ; L G Soares ; E M B. TinocoSource :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Atrophie, Autogreffes (transplantation), Conception d'implant dentaire et de pilier, Femelle, Humains, Ilium (transplantation), Imagerie tridimensionnelle (), Infection de plaie opératoire (étiologie), Maxillaire (), Maxillaire (imagerie diagnostique), Mâchoire édentée (), Mâchoire édentée (imagerie diagnostique), Mâchoire édentée (rééducation et réadaptation), Mâle, Ostéo-intégration (physiologie), Pose immédiate d'implant dentaire (), Processus alvéolaire (imagerie diagnostique), Prothèse dentaire complète immédiate, Prothèse dentaire implanto-portée, Rehaussement du plancher du sinus (), Rétention de prothèse dentaire, Sujet âgé, Tomodensitométrie à faisceau conique (), Transplantation osseuse (), Études de suivi.
- MESH :
- imagerie diagnostique : Maxillaire, Mâchoire édentée, Processus alvéolaire.
- physiologie : Ostéo-intégration.
- rééducation et réadaptation : Mâchoire édentée.
- étiologie : Autogreffes, Ilium, Infection de plaie opératoire.
- Adulte, Adulte d'âge moyen, Atrophie, Conception d'implant dentaire et de pilier, Femelle, Humains, Imagerie tridimensionnelle, Maxillaire, Mâchoire édentée, Mâle, Pose immédiate d'implant dentaire, Prothèse dentaire complète immédiate, Prothèse dentaire implanto-portée, Rehaussement du plancher du sinus, Rétention de prothèse dentaire, Sujet âgé, Tomodensitométrie à faisceau conique, Transplantation osseuse, Études de suivi.
English descriptors
- KwdEn :
- Adult, Aged, Alveolar Process (diagnostic imaging), Atrophy, Autografts (transplantation), Bone Transplantation (methods), Cone-Beam Computed Tomography (methods), Dental Implant-Abutment Design, Dental Prosthesis Retention, Dental Prosthesis, Implant-Supported, Denture, Complete, Immediate, Female, Follow-Up Studies, Humans, Ilium (transplantation), Imaging, Three-Dimensional (methods), Immediate Dental Implant Loading (methods), Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Male, Maxilla (diagnostic imaging), Maxilla (surgery), Middle Aged, Osseointegration (physiology), Sinus Floor Augmentation (methods), Surgical Wound Infection (etiology).
- MESH :
- diagnostic imaging : Alveolar Process, Jaw, Edentulous, Maxilla.
- etiology : Surgical Wound Infection.
- methods : Bone Transplantation, Cone-Beam Computed Tomography, Imaging, Three-Dimensional, Immediate Dental Implant Loading, Sinus Floor Augmentation.
- physiology : Osseointegration.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous, Maxilla.
- transplantation : Autografts, Ilium.
- Adult, Aged, Atrophy, Dental Implant-Abutment Design, Dental Prosthesis Retention, Dental Prosthesis, Implant-Supported, Denture, Complete, Immediate, Female, Follow-Up Studies, Humans, Male, Middle Aged.
Abstract
Sixteen consecutive patients with atrophic maxillae, who had been referred for bone augmentation using iliac bone grafting before the placement of dental implants, received a full clinical examination and underwent a CT scan before and after surgery. Linear vertical and horizontal measurements were made before and 6 months after surgery. Differences in mean bone gain or loss for each area were compared between a group that received an immediate total provisional prosthesis on temporary immediate implants (test group, 12 patients) and a control group (four patients). Both groups showed significant horizontal bone gain in all regions and vertical bone augmentation in the posterior regions. The test group showed no significant difference for bone gain compared to the control group, but half the test group had problems during treatment. Bone augmentation of the atrophic maxilla with iliac crest bone grafting resulted in sufficient vertical and horizontal bone augmentation to install six or eight implants in all patients and successfully rehabilitate them. The results suggest that the use of total provisional prostheses on temporary immediate implants meets the aesthetic demands required, but should be used with care and in special cases.
DOI: 10.1016/j.ijom.2013.04.020
PubMed: 23746673
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Alveolar Process (diagnostic imaging)</term>
<term>Atrophy</term>
<term>Autografts (transplantation)</term>
<term>Bone Transplantation (methods)</term>
<term>Cone-Beam Computed Tomography (methods)</term>
<term>Dental Implant-Abutment Design</term>
<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Immediate</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Ilium (transplantation)</term>
<term>Imaging, Three-Dimensional (methods)</term>
<term>Immediate Dental Implant Loading (methods)</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Osseointegration (physiology)</term>
<term>Sinus Floor Augmentation (methods)</term>
<term>Surgical Wound Infection (etiology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Autogreffes (transplantation)</term>
<term>Conception d'implant dentaire et de pilier</term>
<term>Femelle</term>
<term>Humains</term>
<term>Ilium (transplantation)</term>
<term>Imagerie tridimensionnelle ()</term>
<term>Infection de plaie opératoire (étiologie)</term>
<term>Maxillaire ()</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Ostéo-intégration (physiologie)</term>
<term>Pose immédiate d'implant dentaire ()</term>
<term>Processus alvéolaire (imagerie diagnostique)</term>
<term>Prothèse dentaire complète immédiate</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Rehaussement du plancher du sinus ()</term>
<term>Rétention de prothèse dentaire</term>
<term>Sujet âgé</term>
<term>Tomodensitométrie à faisceau conique ()</term>
<term>Transplantation osseuse ()</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Alveolar Process</term>
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Surgical Wound Infection</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Processus alvéolaire</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Bone Transplantation</term>
<term>Cone-Beam Computed Tomography</term>
<term>Imaging, Three-Dimensional</term>
<term>Immediate Dental Implant Loading</term>
<term>Sinus Floor Augmentation</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Ostéo-intégration</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Osseointegration</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Autografts</term>
<term>Ilium</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Autogreffes</term>
<term>Ilium</term>
<term>Infection de plaie opératoire</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Atrophy</term>
<term>Dental Implant-Abutment Design</term>
<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Immediate</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Conception d'implant dentaire et de pilier</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Prothèse dentaire complète immédiate</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Rehaussement du plancher du sinus</term>
<term>Rétention de prothèse dentaire</term>
<term>Sujet âgé</term>
<term>Tomodensitométrie à faisceau conique</term>
<term>Transplantation osseuse</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">Sixteen consecutive patients with atrophic maxillae, who had been referred for bone augmentation using iliac bone grafting before the placement of dental implants, received a full clinical examination and underwent a CT scan before and after surgery. Linear vertical and horizontal measurements were made before and 6 months after surgery. Differences in mean bone gain or loss for each area were compared between a group that received an immediate total provisional prosthesis on temporary immediate implants (test group, 12 patients) and a control group (four patients). Both groups showed significant horizontal bone gain in all regions and vertical bone augmentation in the posterior regions. The test group showed no significant difference for bone gain compared to the control group, but half the test group had problems during treatment. Bone augmentation of the atrophic maxilla with iliac crest bone grafting resulted in sufficient vertical and horizontal bone augmentation to install six or eight implants in all patients and successfully rehabilitate them. The results suggest that the use of total provisional prostheses on temporary immediate implants meets the aesthetic demands required, but should be used with care and in special cases.</div>
</front>
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<region><li>État de Rio de Janeiro</li>
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<country name="Brésil"><region name="État de Rio de Janeiro"><name sortKey="Castagna, L" sort="Castagna, L" uniqKey="Castagna L" first="L" last="Castagna">L. Castagna</name>
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