Transition from hopeless dentition to full-arch fixed-implant-supported rehabilitation by a staged extraction approach: rationale and technique.
Identifieur interne : 005031 ( Ncbi/Curation ); précédent : 005030; suivant : 005032Transition from hopeless dentition to full-arch fixed-implant-supported rehabilitation by a staged extraction approach: rationale and technique.
Auteurs : Eitan Mijiritsky [Israël] ; Ziv Mazor ; Adi Lorean ; Carmen Mortellaro ; Ofer Mardinger ; Liran LevinSource :
- The Journal of craniofacial surgery [ 1536-3732 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Arcade dentaire (), Conception d'appareil de prothèse dentaire, Extraction dentaire (), Femelle, Humains, Implants dentaires, Maxillaire (), Mâchoire partiellement édentée (), Mâchoire partiellement édentée (rééducation et réadaptation), Ostéo-intégration (physiologie), Planification des soins du patient, Pose d'implant dentaire endo-osseux (), Prothèse dentaire complète supérieure, Prothèse dentaire implanto-portée, Prothèse dentaire partielle provisoire, Prothèse partielle fixe, Rehaussement du plancher du sinus ().
- MESH :
- physiologie : Ostéo-intégration.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Adulte d'âge moyen, Arcade dentaire, Conception d'appareil de prothèse dentaire, Extraction dentaire, Femelle, Humains, Implants dentaires, Maxillaire, Mâchoire partiellement édentée, Planification des soins du patient, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète supérieure, Prothèse dentaire implanto-portée, Prothèse dentaire partielle provisoire, Prothèse partielle fixe, Rehaussement du plancher du sinus.
English descriptors
- KwdEn :
- Dental Arch (surgery), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Denture Design, Denture, Complete, Upper, Denture, Partial, Fixed, Denture, Partial, Temporary, Female, Humans, Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Maxilla (surgery), Middle Aged, Osseointegration (physiology), Patient Care Planning, Sinus Floor Augmentation (methods), Tooth Extraction (methods).
- MESH :
- chemical : Dental Implants.
- methods : Dental Implantation, Endosseous, Sinus Floor Augmentation, Tooth Extraction.
- physiology : Osseointegration.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Dental Arch, Jaw, Edentulous, Partially, Maxilla.
- Dental Prosthesis, Implant-Supported, Denture Design, Denture, Complete, Upper, Denture, Partial, Fixed, Denture, Partial, Temporary, Female, Humans, Middle Aged, Patient Care Planning.
Abstract
Transition from a hopeless dentition to a fixed-implant-supported full-arch reconstruction can be difficult for patients if wearing a transitional removable denture is involved. In addition, an increased risk for trauma to bone augmentation areas and to the implant-bone interface exists when using a removable transitional complete denture during the implant healing period; such risk can compromise implant success or increase crestal bone loss around implants before the final restoration. This article describes a treatment approach that allows replacement of the hopeless dentition with an osseointegrated fixed prosthesis, without rendering the patient totally edentulous before the delivery of the final implant-supported prosthesis. A staged approach using a few hopeless teeth to support a provisional fixed restoration during the healing process can help avoid discomfort and improve implants' outcome. A treatment plan for a maxillary arch reconstruction is used to illustrate the staged approach protocol. This protocol addresses patients' psychologic need to remain dentate during partial or full-mouth rehabilitation, while providing good esthetics and function during restoration of a dental arch.
DOI: 10.1097/SCS.0000000000000861
PubMed: 24777024
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<affiliation wicri:level="1"><nlm:affiliation>From the *Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel; †Department of Medical Science, Faculty of Medicine, University of Eastern Piedmont, Novara, Italy; ‡Department of Maxillofacial Surgery, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel; §Department of Periodontology, School of Graduate Dentistry, Rambam Health Care Campus, Haifa, Israel; and ∥Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.</nlm:affiliation>
<country xml:lang="fr">Israël</country>
<wicri:regionArea>From the *Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel; †Department of Medical Science, Faculty of Medicine, University of Eastern Piedmont, Novara, Italy; ‡Department of Maxillofacial Surgery, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel; §Department of Periodontology, School of Graduate Dentistry, Rambam Health Care Campus, Haifa, Israel; and ∥Faculty of Medicine, Technion-Israel Institute of Technology, Haifa</wicri:regionArea>
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<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Complete, Upper</term>
<term>Denture, Partial, Fixed</term>
<term>Denture, Partial, Temporary</term>
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<term>Arcade dentaire ()</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Extraction dentaire ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
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<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Ostéo-intégration (physiologie)</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle provisoire</term>
<term>Prothèse partielle fixe</term>
<term>Rehaussement du plancher du sinus ()</term>
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<term>Arcade dentaire</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Extraction dentaire</term>
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<term>Humains</term>
<term>Implants dentaires</term>
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<term>Mâchoire partiellement édentée</term>
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<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle provisoire</term>
<term>Prothèse partielle fixe</term>
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<front><div type="abstract" xml:lang="en">Transition from a hopeless dentition to a fixed-implant-supported full-arch reconstruction can be difficult for patients if wearing a transitional removable denture is involved. In addition, an increased risk for trauma to bone augmentation areas and to the implant-bone interface exists when using a removable transitional complete denture during the implant healing period; such risk can compromise implant success or increase crestal bone loss around implants before the final restoration. This article describes a treatment approach that allows replacement of the hopeless dentition with an osseointegrated fixed prosthesis, without rendering the patient totally edentulous before the delivery of the final implant-supported prosthesis. A staged approach using a few hopeless teeth to support a provisional fixed restoration during the healing process can help avoid discomfort and improve implants' outcome. A treatment plan for a maxillary arch reconstruction is used to illustrate the staged approach protocol. This protocol addresses patients' psychologic need to remain dentate during partial or full-mouth rehabilitation, while providing good esthetics and function during restoration of a dental arch.</div>
</front>
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