Treatment of the edentulous mandible with a vestibuloplasty combined with Intramobil Zylinder implants: a 5-year follow-up.
Identifieur interne : 009A69 ( Main/Merge ); précédent : 009A68; suivant : 009A70Treatment of the edentulous mandible with a vestibuloplasty combined with Intramobil Zylinder implants: a 5-year follow-up.
Auteurs : J M Kwakman [Pays-Bas] ; R A Voorsmit ; H P FreihoferSource :
- The British journal of oral & maxillofacial surgery [ 0266-4356 ] ; 1998.
Descripteurs français
- KwdFr :
- Conception de prothèse dentaire, Humains, Hypoesthésie (étiologie), Hémorragie gingivale (), Implants dentaires, Loi du khi-deux, Mandibule (), Menton (innervation), Muqueuse de la bouche (), Muqueuse de la bouche (anatomopathologie), Muscles de la face (), Muscles de la face (anatomopathologie), Mâchoire édentée (), Poche parodontale (), Pose d'implant dentaire endo-osseux, Périoste (), Vestibuloplastie (), Vestibuloplastie (effets indésirables), Études d'évaluation comme sujet, Études de suivi.
- MESH :
- anatomopathologie : Muqueuse de la bouche, Muscles de la face.
- effets indésirables : Vestibuloplastie.
- étiologie : Hypoesthésie, Menton.
- Conception de prothèse dentaire, Humains, Hémorragie gingivale, Implants dentaires, Loi du khi-deux, Mandibule, Muqueuse de la bouche, Muscles de la face, Mâchoire édentée, Poche parodontale, Pose d'implant dentaire endo-osseux, Périoste, Vestibuloplastie, Études d'évaluation comme sujet, Études de suivi.
English descriptors
- KwdEn :
- Chi-Square Distribution, Chin (innervation), Dental Implantation, Endosseous, Dental Implants, Dental Prosthesis Design, Evaluation Studies as Topic, Facial Muscles (pathology), Facial Muscles (surgery), Follow-Up Studies, Gingival Hemorrhage (prevention & control), Humans, Hypesthesia (etiology), Jaw, Edentulous (surgery), Mandible (surgery), Mouth Mucosa (pathology), Mouth Mucosa (surgery), Periodontal Pocket (prevention & control), Periosteum (surgery), Vestibuloplasty (adverse effects), Vestibuloplasty (methods).
- MESH :
- chemical : Dental Implants.
- adverse effects : Vestibuloplasty.
- etiology : Hypesthesia.
- innervation : Chin.
- methods : Vestibuloplasty.
- pathology : Facial Muscles, Mouth Mucosa.
- prevention & control : Gingival Hemorrhage, Periodontal Pocket.
- surgery : Facial Muscles, Jaw, Edentulous, Mandible, Mouth Mucosa, Periosteum.
- Chi-Square Distribution, Dental Implantation, Endosseous, Dental Prosthesis Design, Evaluation Studies as Topic, Follow-Up Studies, Humans.
Abstract
The long-term success of endosseous implants is related to healthy peri-implant tissues. Attached keratinized mucosa does not seem important for the prevention of soft tissue complications. Prevention of muscle attachment near the implants, however, seems more decisive for maintaining a favourable peri-implant environment. We treated 150 patients from 1990-91 with two Intramobil Zylinder implants and modified vestibuloplasty, 65 of whom were randomly selected for evaluation at 1 year; 48 of the 65 were also seen at 5 years. The vestibuloplasty was done by the technique of Pichler and Trauner, to prevent muscle pull and to create a thin layer of mucosa around the implants, and endosseous osseointegrated implants were inserted. The results show an adequately depended vestibulum with no muscle pull around the implants and significantly lower pocket depth after 5 years of follow-up compared with similar studies.
PubMed: 9762458
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<country xml:lang="fr">Pays-Bas</country>
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<term>Chin (innervation)</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Evaluation Studies as Topic</term>
<term>Facial Muscles (pathology)</term>
<term>Facial Muscles (surgery)</term>
<term>Follow-Up Studies</term>
<term>Gingival Hemorrhage (prevention & control)</term>
<term>Humans</term>
<term>Hypesthesia (etiology)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Mandible (surgery)</term>
<term>Mouth Mucosa (pathology)</term>
<term>Mouth Mucosa (surgery)</term>
<term>Periodontal Pocket (prevention & control)</term>
<term>Periosteum (surgery)</term>
<term>Vestibuloplasty (adverse effects)</term>
<term>Vestibuloplasty (methods)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Conception de prothèse dentaire</term>
<term>Humains</term>
<term>Hypoesthésie (étiologie)</term>
<term>Hémorragie gingivale ()</term>
<term>Implants dentaires</term>
<term>Loi du khi-deux</term>
<term>Mandibule ()</term>
<term>Menton (innervation)</term>
<term>Muqueuse de la bouche ()</term>
<term>Muqueuse de la bouche (anatomopathologie)</term>
<term>Muscles de la face ()</term>
<term>Muscles de la face (anatomopathologie)</term>
<term>Mâchoire édentée ()</term>
<term>Poche parodontale ()</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Périoste ()</term>
<term>Vestibuloplastie ()</term>
<term>Vestibuloplastie (effets indésirables)</term>
<term>Études d'évaluation comme sujet</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Vestibuloplasty</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Muqueuse de la bouche</term>
<term>Muscles de la face</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Vestibuloplastie</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Hypesthesia</term>
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<keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Chin</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Vestibuloplasty</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Facial Muscles</term>
<term>Mouth Mucosa</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Gingival Hemorrhage</term>
<term>Periodontal Pocket</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Facial Muscles</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Mouth Mucosa</term>
<term>Periosteum</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Hypoesthésie</term>
<term>Menton</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Chi-Square Distribution</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis Design</term>
<term>Evaluation Studies as Topic</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Conception de prothèse dentaire</term>
<term>Humains</term>
<term>Hémorragie gingivale</term>
<term>Implants dentaires</term>
<term>Loi du khi-deux</term>
<term>Mandibule</term>
<term>Muqueuse de la bouche</term>
<term>Muscles de la face</term>
<term>Mâchoire édentée</term>
<term>Poche parodontale</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Périoste</term>
<term>Vestibuloplastie</term>
<term>Études d'évaluation comme sujet</term>
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<front><div type="abstract" xml:lang="en">The long-term success of endosseous implants is related to healthy peri-implant tissues. Attached keratinized mucosa does not seem important for the prevention of soft tissue complications. Prevention of muscle attachment near the implants, however, seems more decisive for maintaining a favourable peri-implant environment. We treated 150 patients from 1990-91 with two Intramobil Zylinder implants and modified vestibuloplasty, 65 of whom were randomly selected for evaluation at 1 year; 48 of the 65 were also seen at 5 years. The vestibuloplasty was done by the technique of Pichler and Trauner, to prevent muscle pull and to create a thin layer of mucosa around the implants, and endosseous osseointegrated implants were inserted. The results show an adequately depended vestibulum with no muscle pull around the implants and significantly lower pocket depth after 5 years of follow-up compared with similar studies.</div>
</front>
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