Serveur d'exploration sur le patient édenté

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Horizontal alveolar ridge distraction in an edentulous patient.

Identifieur interne : 003313 ( Ncbi/Merge ); précédent : 003312; suivant : 003314

Horizontal alveolar ridge distraction in an edentulous patient.

Auteurs : Zvi Laster [Israël] ; Younis Reem ; Rafael Nagler

Source :

RBID : pubmed:21145636

Descripteurs français

English descriptors

Abstract

Full fixed dental rehabilitation, including attachment based over denture (to dental implants) is the optimal solution for edentulous patients, although the insertion of implants will be impossible when the alveolar ridge has been horizontally and severely absorbed. A full arch narrow ("knife-edge") alveolar crest creates a "borderline" condition. Dental implants cannot be inserted into a narrow ridge, which is also at risk of rapid absorption, especially under the pressure of a full denture. Current clinical solutions have been limited. In bone augmentation, the bone absorption rate has been approximately 50%, requiring 6-month therapy prolongation for the grafted bone to consolidate.

DOI: 10.1016/j.joms.2010.10.008
PubMed: 21145636

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Le document en format XML

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<title xml:lang="en">Horizontal alveolar ridge distraction in an edentulous patient.</title>
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<name sortKey="Laster, Zvi" sort="Laster, Zvi" uniqKey="Laster Z" first="Zvi" last="Laster">Zvi Laster</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Oral & Maxillofacial Surgery, Baruch Padeh Medical Center, Poriya, Tiberias, Israel.</nlm:affiliation>
<country xml:lang="fr">Israël</country>
<wicri:regionArea>Department of Oral & Maxillofacial Surgery, Baruch Padeh Medical Center, Poriya, Tiberias</wicri:regionArea>
<wicri:noRegion>Tiberias</wicri:noRegion>
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</author>
<author>
<name sortKey="Reem, Younis" sort="Reem, Younis" uniqKey="Reem Y" first="Younis" last="Reem">Younis Reem</name>
</author>
<author>
<name sortKey="Nagler, Rafael" sort="Nagler, Rafael" uniqKey="Nagler R" first="Rafael" last="Nagler">Rafael Nagler</name>
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<nlm:affiliation>Department of Oral & Maxillofacial Surgery, Baruch Padeh Medical Center, Poriya, Tiberias, Israel.</nlm:affiliation>
<country xml:lang="fr">Israël</country>
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<name sortKey="Reem, Younis" sort="Reem, Younis" uniqKey="Reem Y" first="Younis" last="Reem">Younis Reem</name>
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<name sortKey="Nagler, Rafael" sort="Nagler, Rafael" uniqKey="Nagler R" first="Rafael" last="Nagler">Rafael Nagler</name>
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<title level="j">Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</title>
<idno type="eISSN">1531-5053</idno>
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<term>Adult</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Alveoloplasty (instrumentation)</term>
<term>Alveoloplasty (methods)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Upper</term>
<term>Denture, Overlay</term>
<term>Equipment Design</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Maxilla (surgery)</term>
<term>Osteogenesis, Distraction (instrumentation)</term>
<term>Osteogenesis, Distraction (methods)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Alvéoloplastie ()</term>
<term>Alvéoloplastie (instrumentation)</term>
<term>Conception d'appareillage</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire ()</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Ostéogenèse par distraction ()</term>
<term>Ostéogenèse par distraction (instrumentation)</term>
<term>Overdenture</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résorption alvéolaire ()</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Alveoloplasty</term>
<term>Osteogenesis, Distraction</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveoloplasty</term>
<term>Dental Implantation, Endosseous</term>
<term>Osteogenesis, Distraction</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>
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Upper</term>
<term>Denture, Overlay</term>
<term>Equipment Design</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Alvéoloplastie</term>
<term>Conception d'appareillage</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Ostéogenèse par distraction</term>
<term>Overdenture</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résorption alvéolaire</term>
<term>Études de suivi</term>
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<front>
<div type="abstract" xml:lang="en">Full fixed dental rehabilitation, including attachment based over denture (to dental implants) is the optimal solution for edentulous patients, although the insertion of implants will be impossible when the alveolar ridge has been horizontally and severely absorbed. A full arch narrow ("knife-edge") alveolar crest creates a "borderline" condition. Dental implants cannot be inserted into a narrow ridge, which is also at risk of rapid absorption, especially under the pressure of a full denture. Current clinical solutions have been limited. In bone augmentation, the bone absorption rate has been approximately 50%, requiring 6-month therapy prolongation for the grafted bone to consolidate.</div>
</front>
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<Year>2011</Year>
<Month>02</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised>
<Year>2011</Year>
<Month>01</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1531-5053</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>69</Volume>
<Issue>2</Issue>
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<Month>Feb</Month>
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</JournalIssue>
<Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title>
<ISOAbbreviation>J. Oral Maxillofac. Surg.</ISOAbbreviation>
</Journal>
<ArticleTitle>Horizontal alveolar ridge distraction in an edentulous patient.</ArticleTitle>
<Pagination>
<MedlinePgn>502-6</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.joms.2010.10.008</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Full fixed dental rehabilitation, including attachment based over denture (to dental implants) is the optimal solution for edentulous patients, although the insertion of implants will be impossible when the alveolar ridge has been horizontally and severely absorbed. A full arch narrow ("knife-edge") alveolar crest creates a "borderline" condition. Dental implants cannot be inserted into a narrow ridge, which is also at risk of rapid absorption, especially under the pressure of a full denture. Current clinical solutions have been limited. In bone augmentation, the bone absorption rate has been approximately 50%, requiring 6-month therapy prolongation for the grafted bone to consolidate.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">We have described an edentulous patient whose "knife-edge" maxillary alveolar crest was widened with crest expanders (horizontal distractors).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Only 6 weeks after initiation of the distraction, a wide enough ridge had been created, allowing bilateral insertion of implants, followed by attachment-based full dental rehabilitation. Bone augmentation was avoided, and the implants were placed in the correct lateral position, with sufficient attached gingiva obtained.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Horizontal crest expanding in narrow-alveolar edentulous patients can significantly reduce both morbidity and the therapeutic period and substantially increase the therapeutic success rate, based on both soft tissue and bone distraction. With this technique, our patient was without the denture for only 6 weeks.</AbstractText>
<CopyrightInformation>Copyright © 2011 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
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<LastName>Laster</LastName>
<ForeName>Zvi</ForeName>
<Initials>Z</Initials>
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<Affiliation>Department of Oral & Maxillofacial Surgery, Baruch Padeh Medical Center, Poriya, Tiberias, Israel.</Affiliation>
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<Author ValidYN="Y">
<LastName>Reem</LastName>
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<Author ValidYN="Y">
<LastName>Nagler</LastName>
<ForeName>Rafael</ForeName>
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<Language>eng</Language>
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<DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D019857" MajorTopicYN="N">Osteogenesis, Distraction</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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