Augmentation of the atrophic edentulous maxilla with hydroxylapatite.
Identifieur interne : 003648 ( Ncbi/Checkpoint ); précédent : 003647; suivant : 003649Augmentation of the atrophic edentulous maxilla with hydroxylapatite.
Auteurs : P L Maloney ; T B Welch ; H C DokuSource :
- Oral surgery, oral medicine, and oral pathology [ 0030-4220 ] ; 1990.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Durapatite, Femelle, Humains, Hydroxyapatites, Implants dentaires, Lambeaux chirurgicaux, Maxillaire, Mâchoire édentée (), Mâle, Procédures de chirurgie préprothétique en odontologie (), Prothèse dentaire complète immédiate, Périoste (), Reconstruction de crête alvéolaire (), Sujet âgé, Études de suivi.
- MESH :
- Adulte, Adulte d'âge moyen, Durapatite, Femelle, Humains, Hydroxyapatites, Implants dentaires, Lambeaux chirurgicaux, Maxillaire, Mâchoire édentée, Mâle, Procédures de chirurgie préprothétique en odontologie, Prothèse dentaire complète immédiate, Périoste, Reconstruction de crête alvéolaire, Sujet âgé, Études de suivi.
English descriptors
- KwdEn :
- Adult, Aged, Alveolar Ridge Augmentation (methods), Dental Implants, Denture, Complete, Immediate, Durapatite, Female, Follow-Up Studies, Humans, Hydroxyapatites, Jaw, Edentulous (surgery), Male, Maxilla, Middle Aged, Oral Surgical Procedures, Preprosthetic (methods), Periosteum (surgery), Surgical Flaps.
- MESH :
- chemical : Dental Implants, Durapatite, Hydroxyapatites.
- methods : Alveolar Ridge Augmentation, Oral Surgical Procedures, Preprosthetic.
- surgery : Jaw, Edentulous, Periosteum.
- Adult, Aged, Denture, Complete, Immediate, Female, Follow-Up Studies, Humans, Male, Maxilla, Middle Aged, Surgical Flaps.
Abstract
A technique for augmentation of the severely atrophic edentulous maxilla is presented. This technique combines the mobilization of the available soft tissue of the labial vestibule with a subperiosteal reflection and "filleting" of the redundant crestal soft tissue to create ample space to accommodate the insertion of the desired amount of hydroxylapatite. The surgical development of a distinct labial periosteal flap by both a subperiosteal and supraperiosteal dissection allows a two-layered lapped closure of the mucosal and periosteal flaps. Fourteen patients were treated with this technique and have been observed for period of 8 to 40 months. Arch form was dramatically improved in all cases. Observation of panoramic radiographs disclosed an average initial increase in ridge height of 11.8 mm in the midline and 7.6 mm in the first premolar regions. During the first 6 months, consolidation of the ridge occurred, but the diminution in ridge height never exceeded 15%.
PubMed: 2159137
Affiliations:
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pubmed:2159137Le document en format XML
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<series><title level="j">Oral surgery, oral medicine, and oral pathology</title>
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<term>Aged</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Dental Implants</term>
<term>Denture, Complete, Immediate</term>
<term>Durapatite</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Hydroxyapatites</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Maxilla</term>
<term>Middle Aged</term>
<term>Oral Surgical Procedures, Preprosthetic (methods)</term>
<term>Periosteum (surgery)</term>
<term>Surgical Flaps</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Durapatite</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hydroxyapatites</term>
<term>Implants dentaires</term>
<term>Lambeaux chirurgicaux</term>
<term>Maxillaire</term>
<term>Mâchoire édentée ()</term>
<term>Mâle</term>
<term>Procédures de chirurgie préprothétique en odontologie ()</term>
<term>Prothèse dentaire complète immédiate</term>
<term>Périoste ()</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Sujet âgé</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
<term>Durapatite</term>
<term>Hydroxyapatites</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term>
<term>Oral Surgical Procedures, Preprosthetic</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Periosteum</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Denture, Complete, Immediate</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Maxilla</term>
<term>Middle Aged</term>
<term>Surgical Flaps</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Durapatite</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hydroxyapatites</term>
<term>Implants dentaires</term>
<term>Lambeaux chirurgicaux</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Procédures de chirurgie préprothétique en odontologie</term>
<term>Prothèse dentaire complète immédiate</term>
<term>Périoste</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Sujet âgé</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">A technique for augmentation of the severely atrophic edentulous maxilla is presented. This technique combines the mobilization of the available soft tissue of the labial vestibule with a subperiosteal reflection and "filleting" of the redundant crestal soft tissue to create ample space to accommodate the insertion of the desired amount of hydroxylapatite. The surgical development of a distinct labial periosteal flap by both a subperiosteal and supraperiosteal dissection allows a two-layered lapped closure of the mucosal and periosteal flaps. Fourteen patients were treated with this technique and have been observed for period of 8 to 40 months. Arch form was dramatically improved in all cases. Observation of panoramic radiographs disclosed an average initial increase in ridge height of 11.8 mm in the midline and 7.6 mm in the first premolar regions. During the first 6 months, consolidation of the ridge occurred, but the diminution in ridge height never exceeded 15%.</div>
</front>
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<name sortKey="Welch, T B" sort="Welch, T B" uniqKey="Welch T" first="T B" last="Welch">T B Welch</name>
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