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Immediate loading of dental implants placed in distracted bone: a case report.

Identifieur interne : 001387 ( Ncbi/Curation ); précédent : 001386; suivant : 001388

Immediate loading of dental implants placed in distracted bone: a case report.

Auteurs : Marco Degidi [Italie] ; Francesco Pieri ; Claudio Marchetti ; Adriano Piattelli

Source :

RBID : pubmed:15214233

Descripteurs français

English descriptors

Abstract

A 40-year-old female patient presented for rehabilitation of an edentulous mandible with endosseous implants. Radiologic examination showed evidence of moderate atrophy in the intraforaminal area and an even more pronounced level of bone resorption in the posterior mandible. The patient desired a fixed rehabilitation with re-establishment of the posterior occlusal plane. From an esthetic standpoint, it was necessary to provide a restoration with crowns the same height as the original teeth while avoiding an unfavorable biomechanical situation. Vertical distraction of the complete mandible was performed using a Martin distractor according to the Hoffmeister technique. At the end of the period of activation and consolidation, the distractor was removed and 8 Frialit-2 Synchro-type implants were placed in predetermined sites and immediately loaded with a cemented transitional prosthesis. Ten months later the definitive restoration was delivered. The absence of any pathologic symptoms or negative radiologic findings 12 months after the surgery suggests a satisfactory result in the short term.

PubMed: 15214233

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Le document en format XML

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<name sortKey="Pieri, Francesco" sort="Pieri, Francesco" uniqKey="Pieri F" first="Francesco" last="Pieri">Francesco Pieri</name>
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<term>Adult</term>
<term>Alveolar Ridge Augmentation (instrumentation)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Stress Analysis</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Mandible (surgery)</term>
<term>Osteogenesis, Distraction</term>
<term>Time Factors</term>
<term>Weight-Bearing</term>
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<term>Adulte</term>
<term>Analyse du stress dentaire</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule ()</term>
<term>Mise en charge</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Ostéogenèse par distraction</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Reconstruction de crête alvéolaire (instrumentation)</term>
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<term>Dental Implants</term>
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<term>Alveolar Ridge Augmentation</term>
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<term>Alveolar Ridge Augmentation</term>
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<term>Analyse du stress dentaire</term>
<term>Facteurs temps</term>
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<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Mise en charge</term>
<term>Mâchoire édentée</term>
<term>Ostéogenèse par distraction</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
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<front>
<div type="abstract" xml:lang="en">A 40-year-old female patient presented for rehabilitation of an edentulous mandible with endosseous implants. Radiologic examination showed evidence of moderate atrophy in the intraforaminal area and an even more pronounced level of bone resorption in the posterior mandible. The patient desired a fixed rehabilitation with re-establishment of the posterior occlusal plane. From an esthetic standpoint, it was necessary to provide a restoration with crowns the same height as the original teeth while avoiding an unfavorable biomechanical situation. Vertical distraction of the complete mandible was performed using a Martin distractor according to the Hoffmeister technique. At the end of the period of activation and consolidation, the distractor was removed and 8 Frialit-2 Synchro-type implants were placed in predetermined sites and immediately loaded with a cemented transitional prosthesis. Ten months later the definitive restoration was delivered. The absence of any pathologic symptoms or negative radiologic findings 12 months after the surgery suggests a satisfactory result in the short term.</div>
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