A case report about the reconstruction procedures of the previously failed cylinderical implants site using distraction osteogenesis
Identifieur interne : 005A90 ( Ncbi/Checkpoint ); précédent : 005A89; suivant : 005A91A case report about the reconstruction procedures of the previously failed cylinderical implants site using distraction osteogenesis
Auteurs : Jung-Tae Lee [Corée du Sud] ; Shin-Young Park [Corée du Sud] ; Yang-Jin Yi [Corée du Sud] ; Young-Kyun Kim [Corée du Sud] ; Hyo-Jung Lee [Corée du Sud]Source :
- Journal of the Korean Association of Oral and Maxillofacial Surgeons [ 2234-7550 ] ; 2015.
Abstract
We report the eventually successful treatment of a huge bone defect and peri-implantitis following reconstruction of a previously failed intra-mobile cylinder implant system (IMZ) implant site using distraction osteogenesis (DO). In the anterior mandible, two IMZ implants failed and surgical debridement was performed in accordance to the patient's needs. Thereafter, mobility and suppuration were decreased and the patient visited the dental clinic on a regular basis for oral health maintenance. However, the inflammation did not resolve, and the bone destruction around the implants progressed for 4 years. Finally, the implants failed and a severe bone defect remained after implant removal. To reconstruct the bone defects, we attempted bone graft procedures. Titanium mesh was unsuccessfully used to obtain bone volume regeneration. However, DO subsequently was used to obtain sufficient bone volume for implant placement. The new implants were then installed, followed by prosthetic procedures. In conclusion, progression of peri-implantitis could not be arrested despite surgical intervention and repeated maintenance care for 3 years. Reconstruction of the peri-implantitis site was complicated due to its horizontal and vertical bone defects. Lesions caused by implant failure require an aggressive regenerative strategy, such as DO. DO was successful in reconstruction of a peri-implantitis site that was complicated due to horizontal and vertical bone defects.
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DOI: 10.5125/jkaoms.2015.41.2.84
PubMed: 25922820
PubMed Central: 4411733
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wicri:level="1"><nlm:aff id="A1">Department of Periodontology, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam</wicri:regionArea><wicri:noRegion>Seongnam</wicri:noRegion></affiliation></author><author><name sortKey="Yi, Yang Jin" sort="Yi, Yang Jin" uniqKey="Yi Y" first="Yang-Jin" last="Yi">Yang-Jin Yi</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Prosthodontics, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam</wicri:regionArea><wicri:noRegion>Seongnam</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Young Kyun" sort="Kim, Young Kyun" uniqKey="Kim Y" first="Young-Kyun" last="Kim">Young-Kyun Kim</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam</wicri:regionArea><wicri:noRegion>Seongnam</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Hyo Jung" sort="Lee, Hyo Jung" uniqKey="Lee H" first="Hyo-Jung" last="Lee">Hyo-Jung Lee</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Periodontology, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam</wicri:regionArea><wicri:noRegion>Seongnam</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of the Korean Association of Oral and Maxillofacial Surgeons</title><idno type="ISSN">2234-7550</idno><idno type="eISSN">2234-5930</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>We report the eventually successful treatment of a huge bone defect and peri-implantitis following reconstruction of a previously failed intra-mobile cylinder implant system (IMZ) implant site using distraction osteogenesis (DO). In the anterior mandible, two IMZ implants failed and surgical debridement was performed in accordance to the patient's needs. Thereafter, mobility and suppuration were decreased and the patient visited the dental clinic on a regular basis for oral health maintenance. However, the inflammation did not resolve, and the bone destruction around the implants progressed for 4 years. Finally, the implants failed and a severe bone defect remained after implant removal. To reconstruct the bone defects, we attempted bone graft procedures. Titanium mesh was unsuccessfully used to obtain bone volume regeneration. However, DO subsequently was used to obtain sufficient bone volume for implant placement. The new implants were then installed, followed by prosthetic procedures. In conclusion, progression of peri-implantitis could not be arrested despite surgical intervention and repeated maintenance care for 3 years. Reconstruction of the peri-implantitis site was complicated due to its horizontal and vertical bone defects. Lesions caused by implant failure require an aggressive regenerative strategy, such as DO. DO was successful in reconstruction of a peri-implantitis site that was complicated due to horizontal and vertical bone defects.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Mombelli, A" uniqKey="Mombelli A">A Mombelli</name></author><author><name sortKey="Muller, N" uniqKey="Muller N">N Müller</name></author><author><name sortKey="Cionca, N" uniqKey="Cionca N">N Cionca</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Willer, J" uniqKey="Willer J">J Willer</name></author><author><name sortKey="Noack, N" uniqKey="Noack N">N Noack</name></author><author><name sortKey="Hoffmann, J" uniqKey="Hoffmann J">J Hoffmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rinke, S" uniqKey="Rinke S">S Rinke</name></author><author><name sortKey="Ohl, S" uniqKey="Ohl S">S Ohl</name></author><author><name sortKey="Ziebolz, D" uniqKey="Ziebolz D">D Ziebolz</name></author><author><name sortKey="Lange, K" uniqKey="Lange K">K Lange</name></author><author><name sortKey="Eickholz, P" uniqKey="Eickholz P">P Eickholz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leonhardt, A" uniqKey="Leonhardt A">A Leonhardt</name></author><author><name sortKey="Renvert, S" uniqKey="Renvert S">S Renvert</name></author><author><name sortKey="Dahlen, G" uniqKey="Dahlen G">G Dahlén</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Renvert, S" uniqKey="Renvert S">S Renvert</name></author><author><name sortKey="Roos Jans Ker, Am" uniqKey="Roos Jans Ker A">AM Roos-Jansåker</name></author><author><name sortKey="Lindahl, C" uniqKey="Lindahl C">C Lindahl</name></author><author><name sortKey="Renvert, H" uniqKey="Renvert H">H Renvert</name></author><author><name sortKey="Rutger Persson, G" uniqKey="Rutger Persson G">G Rutger 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W" uniqKey="Hallermann W">W Hallermann</name></author><author><name sortKey="Seto, I" uniqKey="Seto I">I Seto</name></author><author><name sortKey="Smolka, W" uniqKey="Smolka W">W Smolka</name></author><author><name sortKey="Smolka, K" uniqKey="Smolka K">K Smolka</name></author><author><name sortKey="Bosshardt, Dd" uniqKey="Bosshardt D">DD Bosshardt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Polo, Wc" uniqKey="Polo W">WC Polo</name></author><author><name sortKey="Cury, Pr" uniqKey="Cury P">PR Cury</name></author><author><name sortKey="Sendyk, Wr" uniqKey="Sendyk W">WR Sendyk</name></author><author><name sortKey="Gromatzky, A" uniqKey="Gromatzky A">A Gromatzky</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cordaro, L" uniqKey="Cordaro L">L Cordaro</name></author><author><name sortKey="Amade, Ds" uniqKey="Amade D">DS Amadé</name></author><author><name sortKey="Cordaro, M" uniqKey="Cordaro M">M Cordaro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kourtis, Sg" uniqKey="Kourtis S">SG Kourtis</name></author><author><name sortKey="Sotiriadou, S" uniqKey="Sotiriadou S">S Sotiriadou</name></author><author><name sortKey="Voliotis, S" uniqKey="Voliotis S">S Voliotis</name></author><author><name sortKey="Challas, A" uniqKey="Challas A">A Challas</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Lee, Jung Tae" sort="Lee, Jung Tae" uniqKey="Lee J" first="Jung-Tae" last="Lee">Jung-Tae Lee</name></noRegion><name sortKey="Kim, Young Kyun" sort="Kim, Young Kyun" uniqKey="Kim Y" first="Young-Kyun" last="Kim">Young-Kyun Kim</name><name sortKey="Lee, Hyo Jung" sort="Lee, Hyo Jung" uniqKey="Lee H" first="Hyo-Jung" last="Lee">Hyo-Jung Lee</name><name sortKey="Park, Shin Young" sort="Park, Shin Young" uniqKey="Park S" first="Shin-Young" last="Park">Shin-Young Park</name><name sortKey="Yi, Yang Jin" sort="Yi, Yang Jin" uniqKey="Yi Y" first="Yang-Jin" last="Yi">Yang-Jin Yi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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