Single-stage implantation in the atrophic alveolar ridge of the mandible with the Norian skeletal repair system.
Identifieur interne : 004018 ( Main/Merge ); précédent : 004017; suivant : 004019Single-stage implantation in the atrophic alveolar ridge of the mandible with the Norian skeletal repair system.
Auteurs : Frank Hölzle [Allemagne] ; Florian Bauer ; Marco R. Kesting ; Thomas Mücke ; Herbert Deppe ; Klaus-Dietrich Wolff ; Sami SwaidSource :
- The British journal of oral & maxillofacial surgery [ 1532-1940 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Alvéoloplastie (), Atrophie, Ciments osseux (usage thérapeutique), Humains, Implants dentaires, Lâchage de suture (étiologie), Mandibule (), Mâchoire édentée (), Ostéotomie (), Overdenture, Phosphates de calcium (usage thérapeutique), Pose d'implant dentaire endo-osseux (), Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire (), Remodelage osseux (physiologie), Résultat thérapeutique, Rétention d'appareil de prothèse dentaire, Sujet âgé, Échec de restauration dentaire, Études de suivi.
- MESH :
- physiologie : Remodelage osseux.
- usage thérapeutique : Ciments osseux, Phosphates de calcium.
- étiologie : Lâchage de suture.
- Adulte d'âge moyen, Alvéoloplastie, Atrophie, Humains, Implants dentaires, Mandibule, Mâchoire édentée, Ostéotomie, Overdenture, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire, Résultat thérapeutique, Rétention d'appareil de prothèse dentaire, Sujet âgé, Échec de restauration dentaire, Études de suivi.
English descriptors
- KwdEn :
- Aged, Alveolar Ridge Augmentation (methods), Alveoloplasty (methods), Atrophy, Bone Cements (therapeutic use), Bone Remodeling (physiology), Calcium Phosphates (therapeutic use), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture Retention, Denture, Overlay, Follow-Up Studies, Humans, Jaw, Edentulous (surgery), Mandible (surgery), Middle Aged, Osteotomy (methods), Surgical Wound Dehiscence (etiology), Treatment Outcome.
- MESH :
- chemical , therapeutic use : Bone Cements, Calcium Phosphates.
- etiology : Surgical Wound Dehiscence.
- methods : Alveolar Ridge Augmentation, Alveoloplasty, Dental Implantation, Endosseous, Osteotomy.
- physiology : Bone Remodeling.
- surgery : Jaw, Edentulous, Mandible.
- Aged, Atrophy, Dental Implants, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture Retention, Denture, Overlay, Follow-Up Studies, Humans, Middle Aged, Treatment Outcome.
Abstract
Dental implants have played a part in rehabilitation of the jaws for more than 40 years, but in some cases they alone are inadequate because of extreme alveolar resorption. Correction may necessitate a two-stage procedure with additional interventions. We have made a preliminary study of the use of the Norian skeletal repair system (SRS), a carbonated calcium phosphate bone cement used to augment the alveolar ridge as a single-stage procedure, with the placement of implants. Ten edentulous patients with insufficient vertical bone in the interforaminal area were treated. After a horizontal osteotomy and crestal mobilisation of the alveolar ridge, implants were placed through the crestal part and fixed in the basal part of the mandible. Norian SRS was used to fill the gap created. The prostheses were inserted 3 months later. Forty implants were inserted. The follow up period was 60 months, and no fractures or dislocations developed. One of the implants was lost and there was one wound dehiscence, but no surgical intervention or revision was necessary. Radiographs showed good consolidation of the bony structure in all cases. We have described a reliable, single-stage procedure for augmentation and implantation in a highly atrophic alveolar crest. A 98% survival is comparable with those of other techniques. Further clinical trials are necessary to replicate these promising results.
DOI: 10.1016/j.bjoms.2010.10.002
PubMed: 21035238
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pubmed:21035238Le document en format XML
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<author><name sortKey="Deppe, Herbert" sort="Deppe, Herbert" uniqKey="Deppe H" first="Herbert" last="Deppe">Herbert Deppe</name>
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<author><name sortKey="Wolff, Klaus Dietrich" sort="Wolff, Klaus Dietrich" uniqKey="Wolff K" first="Klaus-Dietrich" last="Wolff">Klaus-Dietrich Wolff</name>
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<term>Alveolar Ridge Augmentation (methods)</term>
<term>Alveoloplasty (methods)</term>
<term>Atrophy</term>
<term>Bone Cements (therapeutic use)</term>
<term>Bone Remodeling (physiology)</term>
<term>Calcium Phosphates (therapeutic use)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture Retention</term>
<term>Denture, Overlay</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Mandible (surgery)</term>
<term>Middle Aged</term>
<term>Osteotomy (methods)</term>
<term>Surgical Wound Dehiscence (etiology)</term>
<term>Treatment Outcome</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Alvéoloplastie ()</term>
<term>Atrophie</term>
<term>Ciments osseux (usage thérapeutique)</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Lâchage de suture (étiologie)</term>
<term>Mandibule ()</term>
<term>Mâchoire édentée ()</term>
<term>Ostéotomie ()</term>
<term>Overdenture</term>
<term>Phosphates de calcium (usage thérapeutique)</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Remodelage osseux (physiologie)</term>
<term>Résultat thérapeutique</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Sujet âgé</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Bone Cements</term>
<term>Calcium Phosphates</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Surgical Wound Dehiscence</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term>
<term>Alveoloplasty</term>
<term>Dental Implantation, Endosseous</term>
<term>Osteotomy</term>
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<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Remodelage osseux</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Bone Remodeling</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Mandible</term>
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<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Ciments osseux</term>
<term>Phosphates de calcium</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lâchage de suture</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Atrophy</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture Retention</term>
<term>Denture, Overlay</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Alvéoloplastie</term>
<term>Atrophie</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Mâchoire édentée</term>
<term>Ostéotomie</term>
<term>Overdenture</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résultat thérapeutique</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Sujet âgé</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">Dental implants have played a part in rehabilitation of the jaws for more than 40 years, but in some cases they alone are inadequate because of extreme alveolar resorption. Correction may necessitate a two-stage procedure with additional interventions. We have made a preliminary study of the use of the Norian skeletal repair system (SRS), a carbonated calcium phosphate bone cement used to augment the alveolar ridge as a single-stage procedure, with the placement of implants. Ten edentulous patients with insufficient vertical bone in the interforaminal area were treated. After a horizontal osteotomy and crestal mobilisation of the alveolar ridge, implants were placed through the crestal part and fixed in the basal part of the mandible. Norian SRS was used to fill the gap created. The prostheses were inserted 3 months later. Forty implants were inserted. The follow up period was 60 months, and no fractures or dislocations developed. One of the implants was lost and there was one wound dehiscence, but no surgical intervention or revision was necessary. Radiographs showed good consolidation of the bony structure in all cases. We have described a reliable, single-stage procedure for augmentation and implantation in a highly atrophic alveolar crest. A 98% survival is comparable with those of other techniques. Further clinical trials are necessary to replicate these promising results.</div>
</front>
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