[Implant-borne prosthesis for an edentulous maxilla with a large maxillectomy defect--a step-wise therapy concept].
Identifieur interne : 002402 ( Ncbi/Checkpoint ); précédent : 002401; suivant : 002403[Implant-borne prosthesis for an edentulous maxilla with a large maxillectomy defect--a step-wise therapy concept].
Auteurs : Frank P. Nothdurft [Allemagne] ; Martin Propson ; Wolfgang J. Spitzer ; Peter R. PospiechSource :
- Schweizer Monatsschrift fur Zahnmedizin = Revue mensuelle suisse d'odonto-stomatologie = Rivista mensile svizzera di odontologia e stomatologia [ 0256-2855 ] ; 2008.
Descripteurs français
- KwdFr :
- Facteurs temps, Femelle, Humains, Maxillaire (), Mâchoire édentée (rééducation et réadaptation), Obturateurs palatins, Os zygomatique (), Pose d'implant dentaire endo-osseux (), Prothèse dentaire implanto-portée, Sinus maxillaire (), Sujet âgé, Tumeurs du maxillaire supérieur (), Tumeurs du maxillaire supérieur (rééducation et réadaptation).
- MESH :
English descriptors
- KwdEn :
- Aged, Dental Implantation, Endosseous (methods), Dental Prosthesis, Implant-Supported, Female, Humans, Jaw, Edentulous (rehabilitation), Maxilla (surgery), Maxillary Neoplasms (rehabilitation), Maxillary Neoplasms (surgery), Maxillary Sinus (surgery), Palatal Obturators, Time Factors, Zygoma (surgery).
- MESH :
- methods : Dental Implantation, Endosseous.
- rehabilitation : Jaw, Edentulous, Maxillary Neoplasms.
- surgery : Maxilla, Maxillary Neoplasms, Maxillary Sinus, Zygoma.
- Aged, Dental Prosthesis, Implant-Supported, Female, Humans, Palatal Obturators, Time Factors.
Abstract
Due to the great variety of maxillectomy defects standardized restorative treatment protocols are rarely documented. For the practitioner it is from highest importance to consider the specific defect morphology and, even more important, the individual needs of affected patients. The presented case shows the planning and realization of the restoration of a maxilla with an extended resection defect following tumor surgery. Because the demanding patient remained edentulous after extraction of the residual teeth for periodontal reasons, an implant retained obturator prosthesis was inserted. Following interdisciplinary planning a treatment protocol with stepwise extraction, augmentation and implant insertion in the os zygomaticum as well as in the residual alveolar ridge was carried out, which make successive adjustment of the temporary obturator prosthesis possible. This procedure resulted in a long lasting treatment duration, but made also a sufficient temporary restoration during healing periods feasible. The definitive restoration was retained by a bar splinting four implants in the residual alveolar ridge and a special retentive anchoring abutment on two implants in the os zygomaticum.
PubMed: 18846976
Affiliations:
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pubmed:18846976Le document en format XML
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<affiliation wicri:level="1"><nlm:affiliation>Universitätsklinikum des Saarlandes, Klinik für Zahnärztliche Prothetik und Werkstoffkunde, Homburg/Saar. zmkfnot@uniklinikum-saarland.de</nlm:affiliation>
<country wicri:rule="url">Allemagne</country>
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<author><name sortKey="Propson, Martin" sort="Propson, Martin" uniqKey="Propson M" first="Martin" last="Propson">Martin Propson</name>
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<author><name sortKey="Spitzer, Wolfgang J" sort="Spitzer, Wolfgang J" uniqKey="Spitzer W" first="Wolfgang J" last="Spitzer">Wolfgang J. Spitzer</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">[Implant-borne prosthesis for an edentulous maxilla with a large maxillectomy defect--a step-wise therapy concept].</title>
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<author><name sortKey="Propson, Martin" sort="Propson, Martin" uniqKey="Propson M" first="Martin" last="Propson">Martin Propson</name>
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<author><name sortKey="Spitzer, Wolfgang J" sort="Spitzer, Wolfgang J" uniqKey="Spitzer W" first="Wolfgang J" last="Spitzer">Wolfgang J. Spitzer</name>
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<author><name sortKey="Pospiech, Peter R" sort="Pospiech, Peter R" uniqKey="Pospiech P" first="Peter R" last="Pospiech">Peter R. Pospiech</name>
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<series><title level="j">Schweizer Monatsschrift fur Zahnmedizin = Revue mensuelle suisse d'odonto-stomatologie = Rivista mensile svizzera di odontologia e stomatologia</title>
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<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Neoplasms (rehabilitation)</term>
<term>Maxillary Neoplasms (surgery)</term>
<term>Maxillary Sinus (surgery)</term>
<term>Palatal Obturators</term>
<term>Time Factors</term>
<term>Zygoma (surgery)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maxillaire ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Obturateurs palatins</term>
<term>Os zygomatique ()</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Sinus maxillaire ()</term>
<term>Sujet âgé</term>
<term>Tumeurs du maxillaire supérieur ()</term>
<term>Tumeurs du maxillaire supérieur (rééducation et réadaptation)</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Maxillary Neoplasms</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term>
<term>Tumeurs du maxillaire supérieur</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Maxilla</term>
<term>Maxillary Neoplasms</term>
<term>Maxillary Sinus</term>
<term>Zygoma</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Humans</term>
<term>Palatal Obturators</term>
<term>Time Factors</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Maxillaire</term>
<term>Obturateurs palatins</term>
<term>Os zygomatique</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Sinus maxillaire</term>
<term>Sujet âgé</term>
<term>Tumeurs du maxillaire supérieur</term>
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<front><div type="abstract" xml:lang="en">Due to the great variety of maxillectomy defects standardized restorative treatment protocols are rarely documented. For the practitioner it is from highest importance to consider the specific defect morphology and, even more important, the individual needs of affected patients. The presented case shows the planning and realization of the restoration of a maxilla with an extended resection defect following tumor surgery. Because the demanding patient remained edentulous after extraction of the residual teeth for periodontal reasons, an implant retained obturator prosthesis was inserted. Following interdisciplinary planning a treatment protocol with stepwise extraction, augmentation and implant insertion in the os zygomaticum as well as in the residual alveolar ridge was carried out, which make successive adjustment of the temporary obturator prosthesis possible. This procedure resulted in a long lasting treatment duration, but made also a sufficient temporary restoration during healing periods feasible. The definitive restoration was retained by a bar splinting four implants in the residual alveolar ridge and a special retentive anchoring abutment on two implants in the os zygomaticum.</div>
</front>
</TEI>
<affiliations><list><country><li>Allemagne</li>
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<tree><noCountry><name sortKey="Pospiech, Peter R" sort="Pospiech, Peter R" uniqKey="Pospiech P" first="Peter R" last="Pospiech">Peter R. Pospiech</name>
<name sortKey="Propson, Martin" sort="Propson, Martin" uniqKey="Propson M" first="Martin" last="Propson">Martin Propson</name>
<name sortKey="Spitzer, Wolfgang J" sort="Spitzer, Wolfgang J" uniqKey="Spitzer W" first="Wolfgang J" last="Spitzer">Wolfgang J. Spitzer</name>
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<country name="Allemagne"><noRegion><name sortKey="Nothdurft, Frank P" sort="Nothdurft, Frank P" uniqKey="Nothdurft F" first="Frank P" last="Nothdurft">Frank P. Nothdurft</name>
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