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Sinus lifting before Le Fort I maxillary osteotomy: a suitable method for oral rehabilitation of edentulous patients with skelettal class-III conditions: review of the literature and report of a case

Identifieur interne : 001B50 ( Ncbi/Checkpoint ); précédent : 001B49; suivant : 001B51

Sinus lifting before Le Fort I maxillary osteotomy: a suitable method for oral rehabilitation of edentulous patients with skelettal class-III conditions: review of the literature and report of a case

Auteurs : Rita A. Depprich [Allemagne] ; Jörg Gk Handschel [Allemagne] ; Christian Naujoks [Allemagne] ; Tobias Hahn [Allemagne] ; Ulrich Meyer [Allemagne] ; Norbert R. Kübler [Allemagne]

Source :

RBID : PMC:1774560

Descripteurs français

English descriptors

Abstract

Background

Functional rehabilitation of patients afflicted with severe mandibular and maxillary alveolar atrophy might be challenging especially in malformed patients.

Methods

Treatment planning using sinus lifting and implant placement before Le Fort I maxillary osteotomy in a patient with severe mandibular and posterior maxillary alveolar atrophy and skelettal class-III conditions due to cleft palate are described.

Results

A full functional and esthetic rehabilitation of the patient was achieved by a stepwise surgical approach performed through sinus lifting as the primary approach followed by implant placement and subsequent Le Fort I maxillary osteotomy to correct the maxillo-mandibular relation.

Conclusion

Stabilisation of the maxillary complex by a sinus lifting procedure in combination with computer aided implant placement as preorthodontic planning procedure before Le Fort I maxillary osteotomy seems to be suitable in order to allow ideal oral rehabilitation especially in malformed patients.


Url:
DOI: 10.1186/1746-160X-3-2
PubMed: 17204134
PubMed Central: 1774560


Affiliations:


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PMC:1774560

Le document en format XML

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<term>Alveolar Bone Loss (surgery)</term>
<term>Alveolar Ridge Augmentation</term>
<term>Bone Screws</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (diagnostic imaging)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Malocclusion, Angle Class III (diagnostic imaging)</term>
<term>Malocclusion, Angle Class III (surgery)</term>
<term>Maxillary Sinus (surgery)</term>
<term>Middle Aged</term>
<term>Osteotomy, Le Fort</term>
<term>Tomography, X-Ray Computed</term>
<term>Tooth Extraction</term>
</keywords>
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<term>Adulte d'âge moyen</term>
<term>Extraction dentaire</term>
<term>Humains</term>
<term>Malocclusion de classe III ()</term>
<term>Malocclusion de classe III (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Ostéotomie de Le Fort</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption alvéolaire ()</term>
<term>Sinus maxillaire ()</term>
<term>Tomodensitométrie</term>
<term>Transplantation osseuse</term>
<term>Vis orthopédiques</term>
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<term>Jaw, Edentulous, Partially</term>
<term>Malocclusion, Angle Class III</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Malocclusion de classe III</term>
<term>Mâchoire partiellement édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous, Partially</term>
<term>Malocclusion, Angle Class III</term>
<term>Maxillary Sinus</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Bone Screws</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Osteotomy, Le Fort</term>
<term>Tomography, X-Ray Computed</term>
<term>Tooth Extraction</term>
</keywords>
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<term>Adulte d'âge moyen</term>
<term>Extraction dentaire</term>
<term>Humains</term>
<term>Malocclusion de classe III</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Ostéotomie de Le Fort</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption alvéolaire</term>
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<title>Background</title>
<p>Functional rehabilitation of patients afflicted with severe mandibular and maxillary alveolar atrophy might be challenging especially in malformed patients.</p>
</sec>
<sec sec-type="methods">
<title>Methods</title>
<p>Treatment planning using sinus lifting and implant placement before Le Fort I maxillary osteotomy in a patient with severe mandibular and posterior maxillary alveolar atrophy and skelettal class-III conditions due to cleft palate are described.</p>
</sec>
<sec>
<title>Results</title>
<p>A full functional and esthetic rehabilitation of the patient was achieved by a stepwise surgical approach performed through sinus lifting as the primary approach followed by implant placement and subsequent Le Fort I maxillary osteotomy to correct the maxillo-mandibular relation.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Stabilisation of the maxillary complex by a sinus lifting procedure in combination with computer aided implant placement as preorthodontic planning procedure before Le Fort I maxillary osteotomy seems to be suitable in order to allow ideal oral rehabilitation especially in malformed patients.</p>
</sec>
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