Serveur d'exploration sur le patient édenté

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Advanced Implant-Prosthetic Rehabilitation: How to Obtain a Correct Restoration of Both Functions and Aesthetics in Patients with Complex Combined Dental and Maxillofacial Trauma: A Case Report and Topical Review of the Literature

Identifieur interne : 006F23 ( Ncbi/Merge ); précédent : 006F22; suivant : 006F24

Advanced Implant-Prosthetic Rehabilitation: How to Obtain a Correct Restoration of Both Functions and Aesthetics in Patients with Complex Combined Dental and Maxillofacial Trauma: A Case Report and Topical Review of the Literature

Auteurs : M. M. Figliuzzi [Italie] ; A. Giudice [Italie] ; L. Fortunato [Italie]

Source :

RBID : PMC:5368393

Abstract

Aim. This study aims to explain the main steps that characterize the implant-prosthetic rehabilitation in complex combined dental and maxillofacial trauma. Material and Methods. A 20-year-old patient reported an extensive facial trauma which also involved the alveolar process of the maxillary bone. The patient reported a maxillofacial fracture and the loss of teeth 1.3, 1.2, 1.1, and 2.1. A “Le Fort” type 2 fracture was also reported, with the malar bone involvement. After reduction and containment of bone fractures, through appropriate mounting plates, appropriate functional and aesthetic rehabilitation of the patient were replaced thanks to a temporary removable prosthesis. After 6 months, the patient performed numerous clinical investigations, aimed at a proper planning of implant-prosthetic rehabilitation of the upper dental arch. Conclusion. With the planning of the case, as well as respecting the surrounding biological structures, the surgery of implants can be carried out with the most appropriate procedure. Lastly, new dental implants with highly bioactive surfaces have been developed, providing an excellent and rapid bone integration.


Url:
DOI: 10.1155/2017/7146126
PubMed: 28392948
PubMed Central: 5368393

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PMC:5368393

Le document en format XML

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<italic>Aim</italic>
. This study aims to explain the main steps that characterize the implant-prosthetic rehabilitation in complex combined dental and maxillofacial trauma.
<italic> Material and Methods</italic>
. A 20-year-old patient reported an extensive facial trauma which also involved the alveolar process of the maxillary bone. The patient reported a maxillofacial fracture and the loss of teeth 1.3, 1.2, 1.1, and 2.1. A “Le Fort” type 2 fracture was also reported, with the malar bone involvement. After reduction and containment of bone fractures, through appropriate mounting plates, appropriate functional and aesthetic rehabilitation of the patient were replaced thanks to a temporary removable prosthesis. After 6 months, the patient performed numerous clinical investigations, aimed at a proper planning of implant-prosthetic rehabilitation of the upper dental arch.
<italic> Conclusion</italic>
. With the planning of the case, as well as respecting the surrounding biological structures, the surgery of implants can be carried out with the most appropriate procedure. Lastly, new dental implants with highly bioactive surfaces have been developed, providing an excellent and rapid bone integration.</p>
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<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id>
<journal-id journal-id-type="publisher-id">CRID</journal-id>
<journal-title-group>
<journal-title>Case Reports in Dentistry</journal-title>
</journal-title-group>
<issn pub-type="ppub">2090-6447</issn>
<issn pub-type="epub">2090-6455</issn>
<publisher>
<publisher-name>Hindawi</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">28392948</article-id>
<article-id pub-id-type="pmc">5368393</article-id>
<article-id pub-id-type="doi">10.1155/2017/7146126</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Advanced Implant-Prosthetic Rehabilitation: How to Obtain a Correct Restoration of Both Functions and Aesthetics in Patients with Complex Combined Dental and Maxillofacial Trauma: A Case Report and Topical Review of the Literature</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-7849-6403</contrib-id>
<name>
<surname>Figliuzzi</surname>
<given-names>M. M.</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-5091-6979</contrib-id>
<name>
<surname>Giudice</surname>
<given-names>A.</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fortunato</surname>
<given-names>L.</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
</contrib>
</contrib-group>
<aff id="I1">Department of Periodontics and Oral Sciences, “Magna Graecia” University, 88100 Catanzaro, Italy</aff>
<author-notes>
<corresp id="cor1">*M. M. Figliuzzi:
<email>michelefigliuzzi@libero.it</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Giuseppe Colella</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>14</day>
<month>3</month>
<year>2017</year>
</pub-date>
<volume>2017</volume>
<elocation-id>7146126</elocation-id>
<history>
<date date-type="received">
<day>27</day>
<month>12</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>8</day>
<month>2</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2017 M. M. Figliuzzi et al.</copyright-statement>
<copyright-year>2017</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>
<italic>Aim</italic>
. This study aims to explain the main steps that characterize the implant-prosthetic rehabilitation in complex combined dental and maxillofacial trauma.
<italic> Material and Methods</italic>
. A 20-year-old patient reported an extensive facial trauma which also involved the alveolar process of the maxillary bone. The patient reported a maxillofacial fracture and the loss of teeth 1.3, 1.2, 1.1, and 2.1. A “Le Fort” type 2 fracture was also reported, with the malar bone involvement. After reduction and containment of bone fractures, through appropriate mounting plates, appropriate functional and aesthetic rehabilitation of the patient were replaced thanks to a temporary removable prosthesis. After 6 months, the patient performed numerous clinical investigations, aimed at a proper planning of implant-prosthetic rehabilitation of the upper dental arch.
<italic> Conclusion</italic>
. With the planning of the case, as well as respecting the surrounding biological structures, the surgery of implants can be carried out with the most appropriate procedure. Lastly, new dental implants with highly bioactive surfaces have been developed, providing an excellent and rapid bone integration.</p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Clinical vision of the patient with a maxillofacial fracture and the loss of teeth.</p>
</caption>
<graphic xlink:href="CRID2017-7146126.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>Reduction and containment of bone fractures through appropriate mounting plates.</p>
</caption>
<graphic xlink:href="CRID2017-7146126.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>Clinical vision after 6 months.</p>
</caption>
<graphic xlink:href="CRID2017-7146126.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>Incision with partial-thickness flap after 6 months.</p>
</caption>
<graphic xlink:href="CRID2017-7146126.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float">
<label>Figure 5</label>
<caption>
<p>Orthopanoramic view after 6 months.</p>
</caption>
<graphic xlink:href="CRID2017-7146126.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float">
<label>Figure 6</label>
<caption>
<p>Clinical vision of the parallelism pins.</p>
</caption>
<graphic xlink:href="CRID2017-7146126.006"></graphic>
</fig>
<fig id="fig7" orientation="portrait" position="float">
<label>Figure 7</label>
<caption>
<p>Implants insertion.</p>
</caption>
<graphic xlink:href="CRID2017-7146126.007"></graphic>
</fig>
<fig id="fig8" orientation="portrait" position="float">
<label>Figure 8</label>
<caption>
<p>The flap was properly closed with single stitches linking the periosteum.</p>
</caption>
<graphic xlink:href="CRID2017-7146126.008"></graphic>
</fig>
<fig id="fig9" orientation="portrait" position="float">
<label>Figure 9</label>
<caption>
<p>Tissue healing after 15 days.</p>
</caption>
<graphic xlink:href="CRID2017-7146126.009"></graphic>
</fig>
<fig id="fig10" orientation="portrait" position="float">
<label>Figure 10</label>
<caption>
<p>Profiles of the prosthetic abutments.</p>
</caption>
<graphic xlink:href="CRID2017-7146126.010"></graphic>
</fig>
<fig id="fig11" orientation="portrait" position="float">
<label>Figure 11</label>
<caption>
<p>Clinical control after 6 months.</p>
</caption>
<graphic xlink:href="CRID2017-7146126.011"></graphic>
</fig>
<fig id="fig12" orientation="portrait" position="float">
<label>Figure 12</label>
<caption>
<p>Clinical control after 6 months.</p>
</caption>
<graphic xlink:href="CRID2017-7146126.012"></graphic>
</fig>
<fig id="fig13" orientation="portrait" position="float">
<label>Figure 13</label>
<caption>
<p>Radiological control after five years.</p>
</caption>
<graphic xlink:href="CRID2017-7146126.013"></graphic>
</fig>
<fig id="fig14" orientation="portrait" position="float">
<label>Figure 14</label>
<caption>
<p>Radiological control after five years.</p>
</caption>
<graphic xlink:href="CRID2017-7146126.014"></graphic>
</fig>
<fig id="fig15" orientation="portrait" position="float">
<label>Figure 15</label>
<caption>
<p>Clinical control after five years.</p>
</caption>
<graphic xlink:href="CRID2017-7146126.015"></graphic>
</fig>
<fig id="fig16" orientation="portrait" position="float">
<label>Figure 16</label>
<caption>
<p>Clinical control after five years.</p>
</caption>
<graphic xlink:href="CRID2017-7146126.016"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>Italie</li>
</country>
</list>
<tree>
<country name="Italie">
<noRegion>
<name sortKey="Figliuzzi, M M" sort="Figliuzzi, M M" uniqKey="Figliuzzi M" first="M. M." last="Figliuzzi">M. M. Figliuzzi</name>
</noRegion>
<name sortKey="Fortunato, L" sort="Fortunato, L" uniqKey="Fortunato L" first="L." last="Fortunato">L. Fortunato</name>
<name sortKey="Giudice, A" sort="Giudice, A" uniqKey="Giudice A" first="A." last="Giudice">A. Giudice</name>
</country>
</tree>
</affiliations>
</record>

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