Multidimensional osteodistraction for correction of implant malposition in edentulous segments.
Identifieur interne : 000699 ( Ncbi/Curation ); précédent : 000698; suivant : 000700Multidimensional osteodistraction for correction of implant malposition in edentulous segments.
Auteurs : W. Zechner [Autriche] ; T. Bernhart ; K. Zauza ; A. Celar ; G. WatzekSource :
- Clinical oral implants research [ 0905-7161 ] ; 2001.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Cicatrisation de plaie, Développement maxillofacial (physiologie), Facteurs temps, Femelle, Humains, Implants dentaires, Mandibule (), Mandibule (imagerie diagnostique), Maxillaire (), Maxillaire (imagerie diagnostique), Mâchoire partiellement édentée (), Mâchoire partiellement édentée (imagerie diagnostique), Mâchoire partiellement édentée (physiopathologie), Mâle, Ostéogenèse par distraction (), Ostéogenèse par distraction (instrumentation), Ostéotomie (), Perte dentaire (physiopathologie), Perte dentaire (rééducation et réadaptation), Piliers dentaires, Radiographie panoramique, Reconstruction de crête alvéolaire (), Résultat thérapeutique, Tomodensitométrie, Études de suivi.
- MESH :
- imagerie diagnostique : Mandibule, Maxillaire, Mâchoire partiellement édentée.
- physiologie : Développement maxillofacial.
- physiopathologie : Mâchoire partiellement édentée, Perte dentaire.
- rééducation et réadaptation : Perte dentaire.
- Adolescent, Adulte, Adulte d'âge moyen, Cicatrisation de plaie, Facteurs temps, Femelle, Humains, Implants dentaires, Mandibule, Maxillaire, Mâchoire partiellement édentée, Mâle, Ostéogenèse par distraction, Ostéotomie, Piliers dentaires, Radiographie panoramique, Reconstruction de crête alvéolaire, Résultat thérapeutique, Tomodensitométrie, Études de suivi.
English descriptors
- KwdEn :
- Adolescent, Adult, Alveolar Ridge Augmentation (methods), Dental Abutments, Dental Implants, Female, Follow-Up Studies, Humans, Jaw, Edentulous, Partially (diagnostic imaging), Jaw, Edentulous, Partially (physiopathology), Jaw, Edentulous, Partially (surgery), Male, Mandible (diagnostic imaging), Mandible (surgery), Maxilla (diagnostic imaging), Maxilla (surgery), Maxillofacial Development (physiology), Middle Aged, Osteogenesis, Distraction (instrumentation), Osteogenesis, Distraction (methods), Osteotomy (methods), Radiography, Panoramic, Time Factors, Tomography, X-Ray Computed, Tooth Loss (physiopathology), Tooth Loss (rehabilitation), Treatment Outcome, Wound Healing.
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Jaw, Edentulous, Partially, Mandible, Maxilla.
- instrumentation : Osteogenesis, Distraction.
- methods : Alveolar Ridge Augmentation, Osteogenesis, Distraction, Osteotomy.
- physiology : Maxillofacial Development.
- physiopathology : Jaw, Edentulous, Partially, Tooth Loss.
- rehabilitation : Tooth Loss.
- surgery : Jaw, Edentulous, Partially, Mandible, Maxilla.
- Adolescent, Adult, Dental Abutments, Female, Follow-Up Studies, Humans, Male, Middle Aged, Radiography, Panoramic, Time Factors, Tomography, X-Ray Computed, Treatment Outcome, Wound Healing.
Abstract
This study examined multidimensional osteodistraction as a treatment method for correction of implant malposition and as an alternative to augmentation procedures. The prosthetically unfavourable implant positions were due to growth-related implant malposition (in the context of treatment of young patients with oligodontia) or primary bone-driven implant insertions. The radiographical and clinical findings obtained with this osteodistraction technique are presented and discussed. A tooth-supported osteodistractor for multidimensional distraction with custom-fabricated distraction abutments was used for treatment of 8 patients with a total of 9 maxillary and mandibular edentulous segments including single-tooth gaps. All patients underwent an osteotomy at a minimum distance of 1 mm from the implant surface. Following primary wound healing, distraction was carried out by 1 mm in vertical direction and 0.5 mm in the demanded transverse direction daily until the prosthetically optimized position was achieved. During and after the 12-week retention phase, the patients were evaluated clinically and radiographically. Multidimensional osteodistraction was carried out successfully in all 8 patients. The distraction distances were 3 to 11 mm in vertical direction and a maximum of 5 mm in buccolingual/buccopalatal direction. The malpositioned implants were brought into a prosthetically optimized position in all cases. The results of this study show that this multidimensional osteodistraction technique allows both augmentation of edentulous segments with a clearly compromised implant host site and correction of unfavourable implant positions.
PubMed: 11564115
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pubmed:11564115Le document en format XML
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<term>Adult</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Dental Abutments</term>
<term>Dental Implants</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (diagnostic imaging)</term>
<term>Jaw, Edentulous, Partially (physiopathology)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Mandible (diagnostic imaging)</term>
<term>Mandible (surgery)</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (surgery)</term>
<term>Maxillofacial Development (physiology)</term>
<term>Middle Aged</term>
<term>Osteogenesis, Distraction (instrumentation)</term>
<term>Osteogenesis, Distraction (methods)</term>
<term>Osteotomy (methods)</term>
<term>Radiography, Panoramic</term>
<term>Time Factors</term>
<term>Tomography, X-Ray Computed</term>
<term>Tooth Loss (physiopathology)</term>
<term>Tooth Loss (rehabilitation)</term>
<term>Treatment Outcome</term>
<term>Wound Healing</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Cicatrisation de plaie</term>
<term>Développement maxillofacial (physiologie)</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule ()</term>
<term>Mandibule (imagerie diagnostique)</term>
<term>Maxillaire ()</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée (physiopathologie)</term>
<term>Mâle</term>
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<term>Ostéogenèse par distraction (instrumentation)</term>
<term>Ostéotomie ()</term>
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<term>Perte dentaire (rééducation et réadaptation)</term>
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<term>Radiographie panoramique</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résultat thérapeutique</term>
<term>Tomodensitométrie</term>
<term>Études de suivi</term>
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<term>Mandible</term>
<term>Maxilla</term>
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<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
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<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Osteogenesis, Distraction</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term>
<term>Osteogenesis, Distraction</term>
<term>Osteotomy</term>
</keywords>
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<term>Perte dentaire</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
<term>Tooth Loss</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Tooth Loss</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Perte dentaire</term>
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<term>Mandible</term>
<term>Maxilla</term>
</keywords>
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<term>Adult</term>
<term>Dental Abutments</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiography, Panoramic</term>
<term>Time Factors</term>
<term>Tomography, X-Ray Computed</term>
<term>Treatment Outcome</term>
<term>Wound Healing</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Cicatrisation de plaie</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Ostéogenèse par distraction</term>
<term>Ostéotomie</term>
<term>Piliers dentaires</term>
<term>Radiographie panoramique</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résultat thérapeutique</term>
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<front><div type="abstract" xml:lang="en">This study examined multidimensional osteodistraction as a treatment method for correction of implant malposition and as an alternative to augmentation procedures. The prosthetically unfavourable implant positions were due to growth-related implant malposition (in the context of treatment of young patients with oligodontia) or primary bone-driven implant insertions. The radiographical and clinical findings obtained with this osteodistraction technique are presented and discussed. A tooth-supported osteodistractor for multidimensional distraction with custom-fabricated distraction abutments was used for treatment of 8 patients with a total of 9 maxillary and mandibular edentulous segments including single-tooth gaps. All patients underwent an osteotomy at a minimum distance of 1 mm from the implant surface. Following primary wound healing, distraction was carried out by 1 mm in vertical direction and 0.5 mm in the demanded transverse direction daily until the prosthetically optimized position was achieved. During and after the 12-week retention phase, the patients were evaluated clinically and radiographically. Multidimensional osteodistraction was carried out successfully in all 8 patients. The distraction distances were 3 to 11 mm in vertical direction and a maximum of 5 mm in buccolingual/buccopalatal direction. The malpositioned implants were brought into a prosthetically optimized position in all cases. The results of this study show that this multidimensional osteodistraction technique allows both augmentation of edentulous segments with a clearly compromised implant host site and correction of unfavourable implant positions.</div>
</front>
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