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Treatment of advanced periodontal destruction with immediately loaded implants and simultaneous bone augmentation: a case report.

Identifieur interne : 000B99 ( Ncbi/Merge ); précédent : 000B98; suivant : 000C00

Treatment of advanced periodontal destruction with immediately loaded implants and simultaneous bone augmentation: a case report.

Auteurs : George E. Romanos [Allemagne]

Source :

RBID : pubmed:12666715

Descripteurs français

English descriptors

Abstract

Advanced periodontal destruction is often associated with extraction of the teeth. Oral rehabilitation in these cases may include the traditional prosthetic restoration or an implant-supported reconstruction. Immediately loaded implants present an alternative treatment modality using a bar in the anterior mandible, along with the placement of higher numbers of implants, which are connected with a fixed prosthetic reconstruction.

DOI: 10.1902/jop.2003.74.2.255
PubMed: 12666715

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Le document en format XML

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<name sortKey="Romanos, George E" sort="Romanos, George E" uniqKey="Romanos G" first="George E" last="Romanos">George E. Romanos</name>
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<nlm:affiliation>Department of Oral Surgery and Implantology, Dental School (Carolinum), Johann Wolfgang Goethe-University, Frankfurt, Germany. Dr.G.E.Romanos@t-online.de</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Oral Surgery and Implantology, Dental School (Carolinum), Johann Wolfgang Goethe-University, Frankfurt</wicri:regionArea>
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<region type="land" nuts="1">Hesse (Land)</region>
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<term>Alveolar Bone Loss (complications)</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Stress Analysis</term>
<term>Denture, Partial, Immediate</term>
<term>Denture, Partial, Temporary</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (etiology)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Middle Aged</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Analyse du stress dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâchoire édentée (étiologie)</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle immédiate</term>
<term>Prothèse dentaire partielle provisoire</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résorption alvéolaire ()</term>
<term>Transplantation osseuse</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Alveolar Bone Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Alveolar Bone Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Bone Transplantation</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Stress Analysis</term>
<term>Denture, Partial, Immediate</term>
<term>Denture, Partial, Temporary</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse du stress dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle immédiate</term>
<term>Prothèse dentaire partielle provisoire</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption alvéolaire</term>
<term>Transplantation osseuse</term>
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<div type="abstract" xml:lang="en">Advanced periodontal destruction is often associated with extraction of the teeth. Oral rehabilitation in these cases may include the traditional prosthetic restoration or an implant-supported reconstruction. Immediately loaded implants present an alternative treatment modality using a bar in the anterior mandible, along with the placement of higher numbers of implants, which are connected with a fixed prosthetic reconstruction.</div>
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<DateCompleted>
<Year>2003</Year>
<Month>06</Month>
<Day>03</Day>
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<DateRevised>
<Year>2004</Year>
<Month>11</Month>
<Day>17</Day>
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<Article PubModel="Print">
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<ISSN IssnType="Print">0022-3492</ISSN>
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<Volume>74</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2003</Year>
<Month>Feb</Month>
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</JournalIssue>
<Title>Journal of periodontology</Title>
<ISOAbbreviation>J. Periodontol.</ISOAbbreviation>
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<ArticleTitle>Treatment of advanced periodontal destruction with immediately loaded implants and simultaneous bone augmentation: a case report.</ArticleTitle>
<Pagination>
<MedlinePgn>255-61</MedlinePgn>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Advanced periodontal destruction is often associated with extraction of the teeth. Oral rehabilitation in these cases may include the traditional prosthetic restoration or an implant-supported reconstruction. Immediately loaded implants present an alternative treatment modality using a bar in the anterior mandible, along with the placement of higher numbers of implants, which are connected with a fixed prosthetic reconstruction.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">This clinical case report presents the surgical and prosthetic rehabilitation in a patient who had lost all teeth due to advanced periodontal bone destruction. Six implants were placed in the upper and lower jaw each. Some implants required guided bone regeneration in conjunction with autologous bone grafting. All of the implants were connected with their abutments, and a temporary fixed restoration was placed immediately after surgery. The final metalloceramic-fixed reconstruction was cemented after 6 weeks of loading.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">All of the implants were osseointegrated and showed no clinical signs of mobility or infection. Mobility values were evaluated during healing and were found to be reduced. Radiological findings showed a stable peri-implant bone level during the total 18-month loading observation period.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This case report presents an alternative treatment concept for the oral rehabilitation in a patient with advanced periodontal destruction. The concept of immediate loading of implants might provide a better opportunity to meet patient needs than more traditional treatment modalities.</AbstractText>
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