Edentulous site enhancement: a regenerative approach for the management of edentulous areas. Part 1. Pontic areas.
Identifieur interne : 002458 ( Ncbi/Curation ); précédent : 002457; suivant : 002459Edentulous site enhancement: a regenerative approach for the management of edentulous areas. Part 1. Pontic areas.
Auteurs : Gaetano Calesini [Italie] ; Costanza Micarelli ; Stefano Coppè ; Agostino ScipioniSource :
- The International journal of periodontics & restorative dentistry [ 0198-7569 ] ; 2008.
Descripteurs français
- KwdFr :
- Cicatrisation de plaie (physiologie), Conception d'appareil de prothèse dentaire, Dentisterie esthétique, Déglutition (physiologie), Gencive (transplantation), Humains, Hygiène buccodentaire, Implants dentaires, Lambeaux chirurgicaux, Mastication (physiologie), Mâchoire partiellement édentée (), Mâchoire partiellement édentée (rééducation et réadaptation), Piliers dentaires, Pression, Processus alvéolaire (anatomopathologie), Racine dentaire (anatomopathologie), Régénération tissulaire guidée parodontale (), Tissu conjonctif (transplantation).
- MESH :
- anatomopathologie : Processus alvéolaire, Racine dentaire.
- physiologie : Cicatrisation de plaie, Déglutition, Mastication.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Conception d'appareil de prothèse dentaire, Dentisterie esthétique, Gencive, Humains, Hygiène buccodentaire, Implants dentaires, Lambeaux chirurgicaux, Mâchoire partiellement édentée, Piliers dentaires, Pression, Régénération tissulaire guidée parodontale, Tissu conjonctif.
English descriptors
- KwdEn :
- Alveolar Process (pathology), Connective Tissue (transplantation), Deglutition (physiology), Dental Abutments, Dental Implants, Denture Design, Esthetics, Dental, Gingiva (transplantation), Guided Tissue Regeneration, Periodontal (methods), Humans, Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Mastication (physiology), Oral Hygiene, Pressure, Surgical Flaps, Tooth Root (pathology), Wound Healing (physiology).
- MESH :
- chemical : Dental Implants.
- methods : Guided Tissue Regeneration, Periodontal.
- pathology : Alveolar Process, Tooth Root.
- physiology : Deglutition, Mastication, Wound Healing.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially.
- transplantation : Connective Tissue, Gingiva.
- Dental Abutments, Denture Design, Esthetics, Dental, Humans, Oral Hygiene, Pressure, Surgical Flaps.
Abstract
The successful esthetic integration of a prosthesis is dependent on the anatomic site in which the restoration is inserted. Edentulous site enhancement is a regenerative approach based on the following: (1) anatomic evidence that the morphology of soft tissues is dependent on the underlying support (bone, roots, implants) but also significantly influenced by overlying structures (fixed or removable prostheses); (2) histologic evidence of the remarkable regenerative capacity of the newly formed tissue that develops during healing by secondary intention; (3) clinical evidence that it is possible to guide the formation of this new regenerative tissue by creating a support with proper morphology and a highly polished surface; (4) observations that positive pressure exerted by alimentary bolus and negative pressure produced by deglutition affect the growth of this tissue healing by second intention; and (5) the application of appropriate oral hygiene techniques to guide tissue healing and maintain its integrity. The edentulous site enhancement approach is simple, practical, and predictable and offers minimal postoperative complications. This paper describes the edentulous site enhancement approach as applied in the pontic areas.
PubMed: 18991003
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alveolar Process (pathology)</term>
<term>Connective Tissue (transplantation)</term>
<term>Deglutition (physiology)</term>
<term>Dental Abutments</term>
<term>Dental Implants</term>
<term>Denture Design</term>
<term>Esthetics, Dental</term>
<term>Gingiva (transplantation)</term>
<term>Guided Tissue Regeneration, Periodontal (methods)</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Mastication (physiology)</term>
<term>Oral Hygiene</term>
<term>Pressure</term>
<term>Surgical Flaps</term>
<term>Tooth Root (pathology)</term>
<term>Wound Healing (physiology)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Cicatrisation de plaie (physiologie)</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Dentisterie esthétique</term>
<term>Déglutition (physiologie)</term>
<term>Gencive (transplantation)</term>
<term>Humains</term>
<term>Hygiène buccodentaire</term>
<term>Implants dentaires</term>
<term>Lambeaux chirurgicaux</term>
<term>Mastication (physiologie)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Piliers dentaires</term>
<term>Pression</term>
<term>Processus alvéolaire (anatomopathologie)</term>
<term>Racine dentaire (anatomopathologie)</term>
<term>Régénération tissulaire guidée parodontale ()</term>
<term>Tissu conjonctif (transplantation)</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Processus alvéolaire</term>
<term>Racine dentaire</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Guided Tissue Regeneration, Periodontal</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Alveolar Process</term>
<term>Tooth Root</term>
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<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Cicatrisation de plaie</term>
<term>Déglutition</term>
<term>Mastication</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Deglutition</term>
<term>Mastication</term>
<term>Wound Healing</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
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<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Connective Tissue</term>
<term>Gingiva</term>
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<term>Denture Design</term>
<term>Esthetics, Dental</term>
<term>Humans</term>
<term>Oral Hygiene</term>
<term>Pressure</term>
<term>Surgical Flaps</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Conception d'appareil de prothèse dentaire</term>
<term>Dentisterie esthétique</term>
<term>Gencive</term>
<term>Humains</term>
<term>Hygiène buccodentaire</term>
<term>Implants dentaires</term>
<term>Lambeaux chirurgicaux</term>
<term>Mâchoire partiellement édentée</term>
<term>Piliers dentaires</term>
<term>Pression</term>
<term>Régénération tissulaire guidée parodontale</term>
<term>Tissu conjonctif</term>
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<front><div type="abstract" xml:lang="en">The successful esthetic integration of a prosthesis is dependent on the anatomic site in which the restoration is inserted. Edentulous site enhancement is a regenerative approach based on the following: (1) anatomic evidence that the morphology of soft tissues is dependent on the underlying support (bone, roots, implants) but also significantly influenced by overlying structures (fixed or removable prostheses); (2) histologic evidence of the remarkable regenerative capacity of the newly formed tissue that develops during healing by secondary intention; (3) clinical evidence that it is possible to guide the formation of this new regenerative tissue by creating a support with proper morphology and a highly polished surface; (4) observations that positive pressure exerted by alimentary bolus and negative pressure produced by deglutition affect the growth of this tissue healing by second intention; and (5) the application of appropriate oral hygiene techniques to guide tissue healing and maintain its integrity. The edentulous site enhancement approach is simple, practical, and predictable and offers minimal postoperative complications. This paper describes the edentulous site enhancement approach as applied in the pontic areas.</div>
</front>
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