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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 : 009A70

Treatment 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 Freihofer

Source :

RBID : pubmed:9762458

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English descriptors

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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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, University Hospital Nijmegen, The Netherlands.</nlm:affiliation>
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<term>Chi-Square Distribution</term>
<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>
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<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>
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<term>Vestibuloplasty</term>
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<term>Muqueuse de la bouche</term>
<term>Muscles de la face</term>
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<term>Facial Muscles</term>
<term>Mouth Mucosa</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Gingival Hemorrhage</term>
<term>Periodontal Pocket</term>
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<term>Facial Muscles</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Mouth Mucosa</term>
<term>Periosteum</term>
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<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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<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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<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>
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