Technique for systematic bone reduction for fixed implant-supported prosthesis in the edentulous maxilla.
Identifieur interne : 000C79 ( Main/Merge ); précédent : 000C78; suivant : 000C80Technique for systematic bone reduction for fixed implant-supported prosthesis in the edentulous maxilla.
Auteurs : Avinash S. Bidra [Oman]Source :
- The Journal of prosthetic dentistry [ 1097-6841 ] ; 2015.
Descripteurs français
- KwdFr :
- Gencive (anatomopathologie), Humains, Lèvre (anatomie et histologie), Maxillaire (), Maxillaire (imagerie diagnostique), Mâchoire édentée (), Mâchoire édentée (imagerie diagnostique), Ostéotomie (), Ostéotomie (instrumentation), Planification des soins du patient, Pose d'implant dentaire endo-osseux (), Pose d'implant dentaire endo-osseux (instrumentation), Prothèse dentaire implanto-portée, Sourire, Tomodensitométrie à faisceau conique ().
- MESH :
- anatomie et histologie : Lèvre.
- anatomopathologie : Gencive.
- imagerie diagnostique : Maxillaire, Mâchoire édentée.
- instrumentation : Humains, Maxillaire, Mâchoire édentée, Ostéotomie, Planification des soins du patient, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Sourire, Tomodensitométrie à faisceau conique.
English descriptors
- KwdEn :
- Cone-Beam Computed Tomography (methods), Dental Implantation, Endosseous (instrumentation), Dental Implantation, Endosseous (methods), Dental Prosthesis, Implant-Supported, Gingiva (pathology), Humans, Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (surgery), Lip (anatomy & histology), Maxilla (diagnostic imaging), Maxilla (surgery), Osteotomy (instrumentation), Osteotomy (methods), Patient Care Planning, Smiling.
- MESH :
- anatomy & histology : Lip.
- diagnostic imaging : Jaw, Edentulous, Maxilla.
- instrumentation : Dental Implantation, Endosseous, Osteotomy.
- methods : Cone-Beam Computed Tomography, Dental Implantation, Endosseous, Osteotomy.
- pathology : Gingiva.
- surgery : Jaw, Edentulous, Maxilla.
- Dental Prosthesis, Implant-Supported, Humans, Patient Care Planning, Smiling.
Abstract
Bone reduction for maxillary fixed implant-supported prosthodontic treatment is often necessary to either gain prosthetic space or to conceal the prosthesis-tissue junction in patients with excessive gingival display (gummy smile). Inadequate bone reduction is often a cause of prosthetic failure due to material fractures, poor esthetics, or inability to perform oral hygiene procedures due to unfavorable ridge lap prosthetic contours. Various instruments and techniques are available for bone reduction. It would be helpful to have an accurate and efficient method for bone reduction at the time of surgery and subsequently create a smooth bony platform. This article presents a straightforward technique for systematic bone reduction by transferring the patient's maximum smile line, recorded clinically, to a clear radiographic smile guide for treatment planning using cone beam computed tomography (CBCT). The patient's smile line and the amount of required bone reduction are transferred clinically by marking bone with a sterile stationery graphite wood pencil at the time of surgery. This technique can help clinicians to accurately achieve the desired bone reduction during surgery, and provide confidence that the diagnostic and treatment planning goals have been achieved.
DOI: 10.1016/j.prosdent.2015.01.011
PubMed: 25819356
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pubmed:25819356Le document en format XML
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<series><title level="j">The Journal of prosthetic dentistry</title>
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<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Gingiva (pathology)</term>
<term>Humans</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Lip (anatomy & histology)</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (surgery)</term>
<term>Osteotomy (instrumentation)</term>
<term>Osteotomy (methods)</term>
<term>Patient Care Planning</term>
<term>Smiling</term>
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<term>Humains</term>
<term>Lèvre (anatomie et histologie)</term>
<term>Maxillaire ()</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Ostéotomie ()</term>
<term>Ostéotomie (instrumentation)</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Sourire</term>
<term>Tomodensitométrie à faisceau conique ()</term>
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<keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr"><term>Lèvre</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Gencive</term>
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<keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Lip</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Maxillaire</term>
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Dental Implantation, Endosseous</term>
<term>Osteotomy</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cone-Beam Computed Tomography</term>
<term>Dental Implantation, Endosseous</term>
<term>Osteotomy</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Gingiva</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Dental Prosthesis, Implant-Supported</term>
<term>Humans</term>
<term>Patient Care Planning</term>
<term>Smiling</term>
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<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Ostéotomie</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Sourire</term>
<term>Tomodensitométrie à faisceau conique</term>
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<front><div type="abstract" xml:lang="en">Bone reduction for maxillary fixed implant-supported prosthodontic treatment is often necessary to either gain prosthetic space or to conceal the prosthesis-tissue junction in patients with excessive gingival display (gummy smile). Inadequate bone reduction is often a cause of prosthetic failure due to material fractures, poor esthetics, or inability to perform oral hygiene procedures due to unfavorable ridge lap prosthetic contours. Various instruments and techniques are available for bone reduction. It would be helpful to have an accurate and efficient method for bone reduction at the time of surgery and subsequently create a smooth bony platform. This article presents a straightforward technique for systematic bone reduction by transferring the patient's maximum smile line, recorded clinically, to a clear radiographic smile guide for treatment planning using cone beam computed tomography (CBCT). The patient's smile line and the amount of required bone reduction are transferred clinically by marking bone with a sterile stationery graphite wood pencil at the time of surgery. This technique can help clinicians to accurately achieve the desired bone reduction during surgery, and provide confidence that the diagnostic and treatment planning goals have been achieved.</div>
</front>
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