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Le Fort I osteotomy with interpositional bone grafts and delayed oral implants for the rehabilitation of extremely atrophied maxillae: a 1-9-year clinical follow-up study on humans.

Identifieur interne : 001B61 ( Ncbi/Merge ); précédent : 001B60; suivant : 001B62

Le Fort I osteotomy with interpositional bone grafts and delayed oral implants for the rehabilitation of extremely atrophied maxillae: a 1-9-year clinical follow-up study on humans.

Auteurs : Matteo Chiapasco [Italie] ; Roberto Brusati ; Paolo Ronchi

Source :

RBID : pubmed:17224027

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English descriptors

Abstract

The purpose of this clinical follow-up study was to report the clinical outcome of osseointegrated implants placed in extremely atrophied edentulous maxillae after Le Fort I osteotomy and interpositional autogenous iliac bone grafts.

DOI: 10.1111/j.1600-0501.2006.01287.x
PubMed: 17224027

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pubmed:17224027

Le document en format XML

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<title xml:lang="en">Le Fort I osteotomy with interpositional bone grafts and delayed oral implants for the rehabilitation of extremely atrophied maxillae: a 1-9-year clinical follow-up study on humans.</title>
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<name sortKey="Chiapasco, Matteo" sort="Chiapasco, Matteo" uniqKey="Chiapasco M" first="Matteo" last="Chiapasco">Matteo Chiapasco</name>
<affiliation wicri:level="3">
<nlm:affiliation>Unit of Oral Surgery, Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy. matteo.chiapasco@unimi.it</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Unit of Oral Surgery, Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan</wicri:regionArea>
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<settlement type="city">Milan</settlement>
<region nuts="2">Lombardie</region>
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<name sortKey="Brusati, Roberto" sort="Brusati, Roberto" uniqKey="Brusati R" first="Roberto" last="Brusati">Roberto Brusati</name>
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<name sortKey="Ronchi, Paolo" sort="Ronchi, Paolo" uniqKey="Ronchi P" first="Paolo" last="Ronchi">Paolo Ronchi</name>
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<title xml:lang="en">Le Fort I osteotomy with interpositional bone grafts and delayed oral implants for the rehabilitation of extremely atrophied maxillae: a 1-9-year clinical follow-up study on humans.</title>
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<name sortKey="Chiapasco, Matteo" sort="Chiapasco, Matteo" uniqKey="Chiapasco M" first="Matteo" last="Chiapasco">Matteo Chiapasco</name>
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<wicri:regionArea>Unit of Oral Surgery, Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan</wicri:regionArea>
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<term>Adult</term>
<term>Aged</term>
<term>Atrophy</term>
<term>Bone Transplantation (methods)</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Graft Survival</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Maxilla (pathology)</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Osseointegration (physiology)</term>
<term>Osteotomy, Le Fort (methods)</term>
<term>Reconstructive Surgical Procedures</term>
<term>Survival Analysis</term>
<term>Transplantation, Autologous</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Atrophie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire ()</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Ostéo-intégration (physiologie)</term>
<term>Ostéotomie de Le Fort ()</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Survie du greffon</term>
<term>Transplantation autologue</term>
<term>Transplantation osseuse ()</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Maxillaire</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Bone Transplantation</term>
<term>Osteotomy, Le Fort</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Ostéo-intégration</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Osseointegration</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>Jaw, Edentulous</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Atrophy</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Graft Survival</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Reconstructive Surgical Procedures</term>
<term>Survival Analysis</term>
<term>Transplantation, Autologous</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Atrophie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Ostéotomie de Le Fort</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Survie du greffon</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">The purpose of this clinical follow-up study was to report the clinical outcome of osseointegrated implants placed in extremely atrophied edentulous maxillae after Le Fort I osteotomy and interpositional autogenous iliac bone grafts.</div>
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<DateCompleted>
<Year>2007</Year>
<Month>04</Month>
<Day>03</Day>
</DateCompleted>
<DateRevised>
<Year>2007</Year>
<Month>01</Month>
<Day>16</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Print">0905-7161</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>18</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2007</Year>
<Month>Feb</Month>
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</JournalIssue>
<Title>Clinical oral implants research</Title>
<ISOAbbreviation>Clin Oral Implants Res</ISOAbbreviation>
</Journal>
<ArticleTitle>Le Fort I osteotomy with interpositional bone grafts and delayed oral implants for the rehabilitation of extremely atrophied maxillae: a 1-9-year clinical follow-up study on humans.</ArticleTitle>
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<MedlinePgn>74-85</MedlinePgn>
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<Abstract>
<AbstractText Label="AIM" NlmCategory="OBJECTIVE">The purpose of this clinical follow-up study was to report the clinical outcome of osseointegrated implants placed in extremely atrophied edentulous maxillae after Le Fort I osteotomy and interpositional autogenous iliac bone grafts.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">In a 10-year period (1995-2004), 39 patients, 18 males and 21 females, aged from 32 to 76 years, presenting with severely atrophied edentulous maxillae were treated with Le Fort I osteotomy and interpositional iliac bone grafts. Four to 8 months after the reconstructive procedure, 281 osseointegrated implants were placed in the reconstructed maxillae. Four to 8 months afterwards, abutments were connected and the prosthetic rehabilitation started. The mean follow-up period of implants after the start of prosthetic loading was 45.9 months (range: 12-108 months).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The reconstructive procedure was successful in 38 of 39 patients. In one patient, partial loss of the inlay graft occurred before implant placement. Six patients (42 implants) dropped out of the study. Fifteen implants were removed during the follow-up period, due to loss of integration. Thirty-two implants, although integrated, presented with peri-implant bone-level changes higher than those proposed for successful implants. Cumulative survival and success rates of implants were 94.5% and 82.9%, respectively.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Results from this study showed that Le Fort I osteotomy with interpositional bone grafts followed by delayed implant placement is an acceptable means to rehabilitate edentulous patients affected by extremely atrophied edentulous maxillae. Survival rates of implants are consistent with those related to implants placed in native, non-reconstructed bone. Conversely, the success rate of implants resulted to be lower as compared with those obtained for implants placed in native bone.</AbstractText>
</Abstract>
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<LastName>Chiapasco</LastName>
<ForeName>Matteo</ForeName>
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<Affiliation>Unit of Oral Surgery, Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Milan, Italy. matteo.chiapasco@unimi.it</Affiliation>
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<DescriptorName UI="D006085" MajorTopicYN="N">Graft Survival</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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