Treatment of oligodontia with endo-osseous fixtures: experience in eight consecutive patients at the end of dental growth.
Identifieur interne : 001F16 ( Ncbi/Merge ); précédent : 001F15; suivant : 001F17Treatment of oligodontia with endo-osseous fixtures: experience in eight consecutive patients at the end of dental growth.
Auteurs : Roberto Becelli [Italie] ; Roberto Morello ; Giancarlo Renzi ; Chiara DominiciSource :
- The Journal of craniofacial surgery [ 1049-2275 ] ; 2007.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Anodontie (rééducation et réadaptation), Femelle, Humains, Implants dentaires, Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Ostéo-intégration, Pose d'implant dentaire endo-osseux (), Procédures de chirurgie préprothétique en odontologie, Prothèse dentaire implanto-portée, Prothèse dentaire partielle immédiate, Prothèse dentaire partielle provisoire, Échec de restauration dentaire.
- MESH :
- rééducation et réadaptation : Anodontie, Mâchoire partiellement édentée.
- Adolescent, Adulte, Femelle, Humains, Implants dentaires, Mâle, Ostéo-intégration, Pose d'implant dentaire endo-osseux, Procédures de chirurgie préprothétique en odontologie, Prothèse dentaire implanto-portée, Prothèse dentaire partielle immédiate, Prothèse dentaire partielle provisoire, Échec de restauration dentaire.
English descriptors
- KwdEn :
- Adolescent, Adult, Anodontia (rehabilitation), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Partial, Immediate, Denture, Partial, Temporary, Female, Humans, Jaw, Edentulous, Partially (rehabilitation), Male, Oral Surgical Procedures, Preprosthetic, Osseointegration.
- MESH :
- chemical : Dental Implants.
- methods : Dental Implantation, Endosseous.
- rehabilitation : Anodontia, Jaw, Edentulous, Partially.
- Adolescent, Adult, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Partial, Immediate, Denture, Partial, Temporary, Female, Humans, Male, Oral Surgical Procedures, Preprosthetic, Osseointegration.
Abstract
Clinical manifestations of oligodontia consist in agenesia of multiple teeth eventually with deciduous retained teeth, atrophy of alveolar ridge, aberrations of teeth dimension, and shape, with consequent aesthetic and functional defects. The first choice treatment is based on a team collaboration of maxillo-facial surgeon, orthodontist, and prosthodontist, and is conditioned by various clinical parameters as number and site of lacking teeth, age and dental development of patients, eventual alveolar ridge atrophy. Treatment planning should be individualized for each patient. In our experience, based on 8 consecutive patients at the end of dental growth affected by oligodontia, endo-osseous fixtures positioning was carried out in consideration of long-lasting stability and optimal aesthetical characteristics. In 5 patients rehabilitative preprosthetic surgical procedures were performed, consisting in 2 sinus lift with immediate positioning of 3 fixtures in both cases, 4 heterologous bone graft in postextractive sites with retained ankylotic deciduous teeth and 1 positioning of reabsorbable biomembrane. A temporary removable denture was positioned immediately after surgery in order to obtain a prompt aesthetical and psychosocial restore. Osseointegration ratio as observed at 8.5 years follow-up was analyzed according to surgical variables and differences in prosthetic rehabilitation (fixtures supporting single crown versus multiple crowns). Successful osteointegration was observed at 8.5 years mean follow-up in 58 fixtures, corresponding to a 96.6% ratio. Failure of integration was encountered in fixtures immediately positioned in postextractive sites having a mild grade of bone atrophy, supporting single crown. A rate of success of 100% was observed in cases of immediate or delayed positioning in postextractive or traditional sites.Fixtures positioning in patients affected by isolated oligodontia, without malformative syndromes, and at the end of dental development, is subject to the same recommendations for patients with lacking permanent teeth not caused by agenesia.
DOI: 10.1097/scs.0b013e3180a772ff
PubMed: 17993876
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The first choice treatment is based on a team collaboration of maxillo-facial surgeon, orthodontist, and prosthodontist, and is conditioned by various clinical parameters as number and site of lacking teeth, age and dental development of patients, eventual alveolar ridge atrophy. Treatment planning should be individualized for each patient. In our experience, based on 8 consecutive patients at the end of dental growth affected by oligodontia, endo-osseous fixtures positioning was carried out in consideration of long-lasting stability and optimal aesthetical characteristics. In 5 patients rehabilitative preprosthetic surgical procedures were performed, consisting in 2 sinus lift with immediate positioning of 3 fixtures in both cases, 4 heterologous bone graft in postextractive sites with retained ankylotic deciduous teeth and 1 positioning of reabsorbable biomembrane. A temporary removable denture was positioned immediately after surgery in order to obtain a prompt aesthetical and psychosocial restore. Osseointegration ratio as observed at 8.5 years follow-up was analyzed according to surgical variables and differences in prosthetic rehabilitation (fixtures supporting single crown versus multiple crowns). Successful osteointegration was observed at 8.5 years mean follow-up in 58 fixtures, corresponding to a 96.6% ratio. Failure of integration was encountered in fixtures immediately positioned in postextractive sites having a mild grade of bone atrophy, supporting single crown. A rate of success of 100% was observed in cases of immediate or delayed positioning in postextractive or traditional sites.Fixtures positioning in patients affected by isolated oligodontia, without malformative syndromes, and at the end of dental development, is subject to the same recommendations for patients with lacking permanent teeth not caused by agenesia.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17993876</PMID><DateCompleted><Year>2008</Year><Month>02</Month><Day>19</Day></DateCompleted><DateRevised><Year>2009</Year><Month>11</Month><Day>03</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1049-2275</ISSN><JournalIssue CitedMedium="Print"><Volume>18</Volume><Issue>6</Issue><PubDate><Year>2007</Year><Month>Nov</Month></PubDate></JournalIssue><Title>The Journal of craniofacial surgery</Title><ISOAbbreviation>J Craniofac Surg</ISOAbbreviation></Journal><ArticleTitle>Treatment of oligodontia with endo-osseous fixtures: experience in eight consecutive patients at the end of dental growth.</ArticleTitle><Pagination><MedlinePgn>1327-30</MedlinePgn></Pagination><Abstract><AbstractText>Clinical manifestations of oligodontia consist in agenesia of multiple teeth eventually with deciduous retained teeth, atrophy of alveolar ridge, aberrations of teeth dimension, and shape, with consequent aesthetic and functional defects. The first choice treatment is based on a team collaboration of maxillo-facial surgeon, orthodontist, and prosthodontist, and is conditioned by various clinical parameters as number and site of lacking teeth, age and dental development of patients, eventual alveolar ridge atrophy. Treatment planning should be individualized for each patient. In our experience, based on 8 consecutive patients at the end of dental growth affected by oligodontia, endo-osseous fixtures positioning was carried out in consideration of long-lasting stability and optimal aesthetical characteristics. In 5 patients rehabilitative preprosthetic surgical procedures were performed, consisting in 2 sinus lift with immediate positioning of 3 fixtures in both cases, 4 heterologous bone graft in postextractive sites with retained ankylotic deciduous teeth and 1 positioning of reabsorbable biomembrane. A temporary removable denture was positioned immediately after surgery in order to obtain a prompt aesthetical and psychosocial restore. Osseointegration ratio as observed at 8.5 years follow-up was analyzed according to surgical variables and differences in prosthetic rehabilitation (fixtures supporting single crown versus multiple crowns). Successful osteointegration was observed at 8.5 years mean follow-up in 58 fixtures, corresponding to a 96.6% ratio. Failure of integration was encountered in fixtures immediately positioned in postextractive sites having a mild grade of bone atrophy, supporting single crown. A rate of success of 100% was observed in cases of immediate or delayed positioning in postextractive or traditional sites.Fixtures positioning in patients affected by isolated oligodontia, without malformative syndromes, and at the end of dental development, is subject to the same recommendations for patients with lacking permanent teeth not caused by agenesia.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Becelli</LastName><ForeName>Roberto</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Second Faculty of Medicine and Surgery of La Sapienza University of Rome, at Sant'Andrea Hospital in Rome - Department of Maxillo-Facial Surgery, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Morello</LastName><ForeName>Roberto</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Renzi</LastName><ForeName>Giancarlo</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Dominici</LastName><ForeName>Chiara</ForeName><Initials>C</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Craniofac Surg</MedlineTA><NlmUniqueID>9010410</NlmUniqueID><ISSNLinking>1049-2275</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance></Chemical></ChemicalList><CitationSubset>D</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000848" MajorTopicYN="N">Anodontia</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015921" MajorTopicYN="N">Dental Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019094" MajorTopicYN="Y">Dental Prosthesis, Implant-Supported</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019232" MajorTopicYN="N">Dental Restoration Failure</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003831" MajorTopicYN="N">Denture, Partial, Immediate</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003833" MajorTopicYN="N">Denture, Partial, Temporary</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013516" MajorTopicYN="Y">Oral Surgical Procedures, Preprosthetic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016348" MajorTopicYN="N">Osseointegration</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2007</Year><Month>11</Month><Day>13</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2008</Year><Month>2</Month><Day>20</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2007</Year><Month>11</Month><Day>13</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">17993876</ArticleId><ArticleId IdType="doi">10.1097/scs.0b013e3180a772ff</ArticleId><ArticleId IdType="pii">00001665-200711000-00013</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Italie</li></country><region><li>Latium</li></region><settlement><li>Rome</li></settlement></list><tree><noCountry><name sortKey="Dominici, Chiara" sort="Dominici, Chiara" uniqKey="Dominici C" first="Chiara" last="Dominici">Chiara Dominici</name><name sortKey="Morello, Roberto" sort="Morello, Roberto" uniqKey="Morello R" first="Roberto" last="Morello">Roberto Morello</name><name sortKey="Renzi, Giancarlo" sort="Renzi, Giancarlo" uniqKey="Renzi G" first="Giancarlo" last="Renzi">Giancarlo Renzi</name></noCountry><country name="Italie"><region name="Latium"><name sortKey="Becelli, Roberto" sort="Becelli, Roberto" uniqKey="Becelli R" first="Roberto" last="Becelli">Roberto Becelli</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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