Autogenous onlay bone grafts fixed with screw implants for the treatment of severely resorbed maxillae. Radiographic evaluation of preoperative bone dimensions, postoperative bone loss, and changes in soft-tissue profile.
Identifieur interne : 009841 ( Ncbi/Curation ); précédent : 009840; suivant : 009842Autogenous onlay bone grafts fixed with screw implants for the treatment of severely resorbed maxillae. Radiographic evaluation of preoperative bone dimensions, postoperative bone loss, and changes in soft-tissue profile.
Auteurs : E. Nyström [Suède] ; J. Ahlqvist ; K E Kahnberg ; J B RosenquistSource :
- International journal of oral and maxillofacial surgery [ 0901-5027 ] ; 1996.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Céphalométrie, Dimension verticale, Face, Facteurs sexuels, Femelle, Humains, Implants dentaires (effets indésirables), Lèvre (anatomopathologie), Maladies du maxillaire supérieur (), Maladies du maxillaire supérieur (anatomopathologie), Maladies du maxillaire supérieur (imagerie diagnostique), Maladies du maxillaire supérieur (étiologie), Maxillaire (), Maxillaire (anatomopathologie), Maxillaire (imagerie diagnostique), Menton (anatomopathologie), Mâchoire édentée (), Mâchoire édentée (anatomopathologie), Mâchoire édentée (imagerie diagnostique), Mâchoire édentée (rééducation et réadaptation), Mâle, Nez (anatomopathologie), Pose d'implant dentaire endo-osseux (effets indésirables), Radiographie, Reconstruction de crête alvéolaire (), Reconstruction de crête alvéolaire (effets indésirables), Résorption osseuse (), Résorption osseuse (anatomopathologie), Résorption osseuse (imagerie diagnostique), Résorption osseuse (étiologie), Sujet âgé, Technique de soustraction, Transplantation autologue, Transplantation osseuse (), Transplantation osseuse (effets indésirables), Échec de restauration dentaire, Études de suivi.
- MESH :
- anatomopathologie : Lèvre, Maladies du maxillaire supérieur, Maxillaire, Menton, Mâchoire édentée, Nez, Résorption osseuse.
- effets indésirables : Implants dentaires, Pose d'implant dentaire endo-osseux, Reconstruction de crête alvéolaire, Transplantation osseuse.
- imagerie diagnostique : Maladies du maxillaire supérieur, Maxillaire, Mâchoire édentée, Résorption osseuse.
- rééducation et réadaptation : Mâchoire édentée.
- étiologie : Maladies du maxillaire supérieur, Résorption osseuse.
- Adulte, Adulte d'âge moyen, Céphalométrie, Dimension verticale, Face, Facteurs sexuels, Femelle, Humains, Maladies du maxillaire supérieur, Maxillaire, Mâchoire édentée, Mâle, Radiographie, Reconstruction de crête alvéolaire, Résorption osseuse, Sujet âgé, Technique de soustraction, Transplantation autologue, Transplantation osseuse, Échec de restauration dentaire, Études de suivi.
English descriptors
- KwdEn :
- Adult, Aged, Alveolar Ridge Augmentation (adverse effects), Alveolar Ridge Augmentation (methods), Bone Resorption (diagnostic imaging), Bone Resorption (etiology), Bone Resorption (pathology), Bone Resorption (surgery), Bone Transplantation (adverse effects), Bone Transplantation (methods), Cephalometry, Chin (pathology), Dental Implantation, Endosseous (adverse effects), Dental Implants (adverse effects), Dental Restoration Failure, Face, Female, Follow-Up Studies, Humans, Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (pathology), Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Lip (pathology), Male, Maxilla (diagnostic imaging), Maxilla (pathology), Maxilla (surgery), Maxillary Diseases (diagnostic imaging), Maxillary Diseases (etiology), Maxillary Diseases (pathology), Maxillary Diseases (surgery), Middle Aged, Nose (pathology), Radiography, Sex Factors, Subtraction Technique, Transplantation, Autologous, Vertical Dimension.
- MESH :
- chemical , adverse effects : Dental Implants.
- adverse effects : Alveolar Ridge Augmentation, Bone Transplantation, Dental Implantation, Endosseous.
- diagnostic imaging : Bone Resorption, Jaw, Edentulous, Maxilla, Maxillary Diseases.
- etiology : Bone Resorption, Maxillary Diseases.
- methods : Alveolar Ridge Augmentation, Bone Transplantation.
- pathology : Bone Resorption, Chin, Jaw, Edentulous, Lip, Maxilla, Maxillary Diseases, Nose.
- rehabilitation : Jaw, Edentulous.
- surgery : Bone Resorption, Jaw, Edentulous, Maxilla, Maxillary Diseases.
- Adult, Aged, Cephalometry, Dental Restoration Failure, Face, Female, Follow-Up Studies, Humans, Male, Middle Aged, Radiography, Sex Factors, Subtraction Technique, Transplantation, Autologous, Vertical Dimension.
Abstract
Thirty patients with severely resorbed edentulous maxillae underwent combined treatment of iliac bone onlay graft and titanium implants. The patients were followed for 3 years. They were radiographically examined before surgery to evaluate the bone volume at the intended implant sites. Only 13/156 implant sites were suitable for implant insertion. The bone level at the implant surfaces was evaluated after 6 months and 1, 2, and 3 years, respectively. There was a continuing decrease of the bone level throughout the follow-up period with a mean loss of 4.9 mm after 3 years and with no difference between sexes. Twenty-six implants were radiographically examined before removal, and only three of these implant sites showed radiographic signs of failure. The soft-tissue profile was analyzed cephalometrically by the subtraction technique. The upper lip generally moved inward and the apex of the nose and the columella downward and inward. The anterior facial height increased in most of the patients, resulting in a downward and inward change of the lower lip, the mentolabial sulcus, the soft-tissue pogonion, and the soft-tissue gnathion.
PubMed: 8961015
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pubmed:8961015Le document en format XML
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<author><name sortKey="Nystrom, E" sort="Nystrom, E" uniqKey="Nystrom E" first="E" last="Nyström">E. Nyström</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Umeå University, Sweden.</nlm:affiliation>
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<author><name sortKey="Kahnberg, K E" sort="Kahnberg, K E" uniqKey="Kahnberg K" first="K E" last="Kahnberg">K E Kahnberg</name>
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<author><name sortKey="Rosenquist, J B" sort="Rosenquist, J B" uniqKey="Rosenquist J" first="J B" last="Rosenquist">J B Rosenquist</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Autogenous onlay bone grafts fixed with screw implants for the treatment of severely resorbed maxillae. Radiographic evaluation of preoperative bone dimensions, postoperative bone loss, and changes in soft-tissue profile.</title>
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<series><title level="j">International journal of oral and maxillofacial surgery</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Alveolar Ridge Augmentation (adverse effects)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Bone Resorption (diagnostic imaging)</term>
<term>Bone Resorption (etiology)</term>
<term>Bone Resorption (pathology)</term>
<term>Bone Resorption (surgery)</term>
<term>Bone Transplantation (adverse effects)</term>
<term>Bone Transplantation (methods)</term>
<term>Cephalometry</term>
<term>Chin (pathology)</term>
<term>Dental Implantation, Endosseous (adverse effects)</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Restoration Failure</term>
<term>Face</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (pathology)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Lip (pathology)</term>
<term>Male</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (pathology)</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Diseases (diagnostic imaging)</term>
<term>Maxillary Diseases (etiology)</term>
<term>Maxillary Diseases (pathology)</term>
<term>Maxillary Diseases (surgery)</term>
<term>Middle Aged</term>
<term>Nose (pathology)</term>
<term>Radiography</term>
<term>Sex Factors</term>
<term>Subtraction Technique</term>
<term>Transplantation, Autologous</term>
<term>Vertical Dimension</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Céphalométrie</term>
<term>Dimension verticale</term>
<term>Face</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Lèvre (anatomopathologie)</term>
<term>Maladies du maxillaire supérieur ()</term>
<term>Maladies du maxillaire supérieur (anatomopathologie)</term>
<term>Maladies du maxillaire supérieur (imagerie diagnostique)</term>
<term>Maladies du maxillaire supérieur (étiologie)</term>
<term>Maxillaire ()</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Menton (anatomopathologie)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (anatomopathologie)</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Nez (anatomopathologie)</term>
<term>Pose d'implant dentaire endo-osseux (effets indésirables)</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Reconstruction de crête alvéolaire (effets indésirables)</term>
<term>Résorption osseuse ()</term>
<term>Résorption osseuse (anatomopathologie)</term>
<term>Résorption osseuse (imagerie diagnostique)</term>
<term>Résorption osseuse (étiologie)</term>
<term>Sujet âgé</term>
<term>Technique de soustraction</term>
<term>Transplantation autologue</term>
<term>Transplantation osseuse ()</term>
<term>Transplantation osseuse (effets indésirables)</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Alveolar Ridge Augmentation</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lèvre</term>
<term>Maladies du maxillaire supérieur</term>
<term>Maxillaire</term>
<term>Menton</term>
<term>Mâchoire édentée</term>
<term>Nez</term>
<term>Résorption osseuse</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Bone Resorption</term>
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
<term>Maxillary Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Implants dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Transplantation osseuse</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Bone Resorption</term>
<term>Maxillary Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Maladies du maxillaire supérieur</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Résorption osseuse</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term>
<term>Bone Transplantation</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Bone Resorption</term>
<term>Chin</term>
<term>Jaw, Edentulous</term>
<term>Lip</term>
<term>Maxilla</term>
<term>Maxillary Diseases</term>
<term>Nose</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Bone Resorption</term>
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
<term>Maxillary Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Maladies du maxillaire supérieur</term>
<term>Résorption osseuse</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Cephalometry</term>
<term>Dental Restoration Failure</term>
<term>Face</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiography</term>
<term>Sex Factors</term>
<term>Subtraction Technique</term>
<term>Transplantation, Autologous</term>
<term>Vertical Dimension</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Céphalométrie</term>
<term>Dimension verticale</term>
<term>Face</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladies du maxillaire supérieur</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption osseuse</term>
<term>Sujet âgé</term>
<term>Technique de soustraction</term>
<term>Transplantation autologue</term>
<term>Transplantation osseuse</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">Thirty patients with severely resorbed edentulous maxillae underwent combined treatment of iliac bone onlay graft and titanium implants. The patients were followed for 3 years. They were radiographically examined before surgery to evaluate the bone volume at the intended implant sites. Only 13/156 implant sites were suitable for implant insertion. The bone level at the implant surfaces was evaluated after 6 months and 1, 2, and 3 years, respectively. There was a continuing decrease of the bone level throughout the follow-up period with a mean loss of 4.9 mm after 3 years and with no difference between sexes. Twenty-six implants were radiographically examined before removal, and only three of these implant sites showed radiographic signs of failure. The soft-tissue profile was analyzed cephalometrically by the subtraction technique. The upper lip generally moved inward and the apex of the nose and the columella downward and inward. The anterior facial height increased in most of the patients, resulting in a downward and inward change of the lower lip, the mentolabial sulcus, the soft-tissue pogonion, and the soft-tissue gnathion.</div>
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