Surgical-prosthodontic reconstruction of advanced maxillary bone compromise with autogenous onlay block bone grafts and osseointegrated endosseous implants: a 12-year study of 32 consecutive patients.
Identifieur interne : 000042 ( Ncbi/Checkpoint ); précédent : 000041; suivant : 000043Surgical-prosthodontic reconstruction of advanced maxillary bone compromise with autogenous onlay block bone grafts and osseointegrated endosseous implants: a 12-year study of 32 consecutive patients.
Auteurs : E E Keller [États-Unis] ; D E Tolman ; S. EckertSource :
- The International journal of oral & maxillofacial implants [ 0882-2786 ]
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Humains, Maxillaire (), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Pose d'implant dentaire endo-osseux (), Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire (), Résorption alvéolaire (), Sujet âgé, Transplantation osseuse (), Échec de restauration dentaire, Études rétrospectives, Évaluation de résultat (soins).
- MESH :
- rééducation et réadaptation : Mâchoire édentée.
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Humains, Maxillaire, Mâchoire édentée, Mâle, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire, Résorption alvéolaire, Sujet âgé, Transplantation osseuse, Échec de restauration dentaire, Études rétrospectives, Évaluation de résultat (soins).
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Alveolar Bone Loss (surgery), Alveolar Ridge Augmentation (methods), Bone Transplantation (methods), Dental Implantation, Endosseous (methods), Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Female, Humans, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Male, Maxilla (surgery), Middle Aged, Outcome Assessment (Health Care), Retrospective Studies.
- MESH :
- methods : Alveolar Ridge Augmentation, Bone Transplantation, Dental Implantation, Endosseous.
- rehabilitation : Jaw, Edentulous.
- surgery : Alveolar Bone Loss, Jaw, Edentulous, Maxilla.
- Adolescent, Adult, Aged, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Female, Humans, Male, Middle Aged, Outcome Assessment (Health Care), Retrospective Studies.
Abstract
During a 12-year period (1984 to 1997), 32 consecutive patients with advanced maxillary bone compromise received surgical-prosthodontic rehabilitation. The most frequent procedure used was maxillary augmentation with a free nonvascularized autogenous onlay block bone graft, and the average time of prosthesis function was 67 months. Twenty-eight patients underwent a 1-stage procedure, in which endosseous implants were placed simultaneously for internal rigid skeletal fixation of the onlay bone graft, and 4 patients underwent a 2-stage procedure, in which endosseous implants were placed secondarily 6 months after complete healing of the previously placed onlay bone graft, which initially was stabilized by titanium miniplates and lag screws. Treatment success was evaluated separately for the first 7 consecutively treated patients (developmental group) and for the next 25 consecutive patients (routine group). Assessment was made of implant survival relative to etiology of bone loss, implant type and length, type of prosthesis, type of opposing occlusion, type of surgical procedure, and presence of discontinuity. The implant survival rate was 91% in the 25 routine patients and 65% in the 7 developmental patients. Implant type and length, prosthesis type, opposing occlusion, and the presence or absence of discontinuity significantly impacted treatment outcome. Onlay block bone graft success (96%) in all 32 treated patients and prosthetic success (96%) in the last 25 patients was recorded.
PubMed: 10212536
Affiliations:
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Eckert</name></author></analytic><series><title level="j">The International journal of oral & maxillofacial implants</title><idno type="ISSN">0882-2786</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Alveolar Bone Loss (surgery)</term><term>Alveolar Ridge Augmentation (methods)</term><term>Bone Transplantation (methods)</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Female</term><term>Humans</term><term>Jaw, Edentulous (rehabilitation)</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Maxilla (surgery)</term><term>Middle Aged</term><term>Outcome Assessment (Health Care)</term><term>Retrospective Studies</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Maxillaire ()</term><term>Mâchoire édentée ()</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Prothèse dentaire implanto-portée</term><term>Reconstruction de crête alvéolaire ()</term><term>Résorption alvéolaire ()</term><term>Sujet âgé</term><term>Transplantation osseuse ()</term><term>Échec de restauration dentaire</term><term>Études rétrospectives</term><term>Évaluation de résultat (soins)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Bone Transplantation</term><term>Dental Implantation, Endosseous</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>Alveolar Bone Loss</term><term>Jaw, Edentulous</term><term>Maxilla</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Outcome Assessment (Health Care)</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Maxillaire</term><term>Mâchoire édentée</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire implanto-portée</term><term>Reconstruction de crête alvéolaire</term><term>Résorption alvéolaire</term><term>Sujet âgé</term><term>Transplantation osseuse</term><term>Échec de restauration dentaire</term><term>Études rétrospectives</term><term>Évaluation de résultat (soins)</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">During a 12-year period (1984 to 1997), 32 consecutive patients with advanced maxillary bone compromise received surgical-prosthodontic rehabilitation. The most frequent procedure used was maxillary augmentation with a free nonvascularized autogenous onlay block bone graft, and the average time of prosthesis function was 67 months. Twenty-eight patients underwent a 1-stage procedure, in which endosseous implants were placed simultaneously for internal rigid skeletal fixation of the onlay bone graft, and 4 patients underwent a 2-stage procedure, in which endosseous implants were placed secondarily 6 months after complete healing of the previously placed onlay bone graft, which initially was stabilized by titanium miniplates and lag screws. Treatment success was evaluated separately for the first 7 consecutively treated patients (developmental group) and for the next 25 consecutive patients (routine group). Assessment was made of implant survival relative to etiology of bone loss, implant type and length, type of prosthesis, type of opposing occlusion, type of surgical procedure, and presence of discontinuity. The implant survival rate was 91% in the 25 routine patients and 65% in the 7 developmental patients. Implant type and length, prosthesis type, opposing occlusion, and the presence or absence of discontinuity significantly impacted treatment outcome. Onlay block bone graft success (96%) in all 32 treated patients and prosthetic success (96%) in the last 25 patients was recorded.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Minnesota</li></region></list><tree><noCountry><name sortKey="Eckert, S" sort="Eckert, S" uniqKey="Eckert S" first="S" last="Eckert">S. Eckert</name><name sortKey="Tolman, D E" sort="Tolman, D E" uniqKey="Tolman D" first="D E" last="Tolman">D E Tolman</name></noCountry><country name="États-Unis"><region name="Minnesota"><name sortKey="Keller, E E" sort="Keller, E E" uniqKey="Keller E" first="E E" last="Keller">E E Keller</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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