A New Approach for Reconstruction of a Severely Atrophic Mandible
Identifieur interne : 000301 ( PascalFrancis/Checkpoint ); précédent : 000300; suivant : 000302A New Approach for Reconstruction of a Severely Atrophic Mandible
Auteurs : Nadja Lopes [Brésil] ; David M. Oliveira [Brésil] ; André Vajgel [Brésil] ; Ivo Pita [Brésil] ; Tácio Bezerra [Brésil] ; Ricardo José De Holanda Vasconcellos [Brésil]Source :
- Journal of oral and maxillofacial surgery [ 0278-2391 ] ; 2009.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
Abstract
Purpose: The purpose of this study is to report a case of a patient with a severely atrophic mandible (less than 5 mm) who was treated without bone graft using short implants and internal rigid fixation. Patient and Methods: A 61-year-old woman was referred to a private clinic in the city of Recife (Brazil) with a severely resorbed mandible (less than 5 mm). The patient reported a history of nearly 15 years of complete edentulism and consecutive treatment failures. Cone beam tomography was performed and severe atrophy was confirmed, revealing total bilateral exposed inferior alveolar nerves. There was a high risk of pathologic mandible fracture, since bone density in critical areas was very low. Treatment of choice was the placement of 4 Shorty (3.75 × 5.5 mm) implants (Nobel Biocare, Göteborg, Sweden) at the symphysis for immediate functional reasons and a 2.0-mm large profile Unilock bone plate (Synthes Maxillofacial, Paoli, PA) to reinforce the mandible. A rapid prototype model was made to help precontour the plate, enabling the insertion of the plate through the transoral approach. Results: A week after surgery, a Brånemark prosthesis protocol was performed and the patient was satisfied with the result. At 29 months after surgery, the patient was still satisfied and had excellent function without complications. Conclusions: Because of the reported advances in implantology and internal rigid fixation, more patients would be able to improve their severe dental condition without the use of more invasive techniques.
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Oliveira</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Mauricio de Nassau University</s1><s2>Recife, PE</s2><s3>BRA</s3><sZ>2 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Pernambuco</region></placeName></affiliation></author><author><name sortKey="Vajgel, Andre" sort="Vajgel, Andre" uniqKey="Vajgel A" first="André" last="Vajgel">André Vajgel</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Oral and Maxillofacial Surgery, University of Pernambuco</s1><s2>Recife, PE</s2><s3>BRA</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Pernambuco</region></placeName></affiliation></author><author><name sortKey="Pita, Ivo" sort="Pita, Ivo" uniqKey="Pita I" first="Ivo" last="Pita">Ivo Pita</name><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Federal University of Ceará</s1><s2>Fortaleza, CE</s2><s3>BRA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName><orgName type="university">Université fédérale du Ceará</orgName></affiliation></author><author><name sortKey="Bezerra, Tacio" sort="Bezerra, Tacio" uniqKey="Bezerra T" first="Tácio" last="Bezerra">Tácio Bezerra</name><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Federal University of Ceará</s1><s2>Fortaleza, CE</s2><s3>BRA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName><orgName type="university">Université fédérale du Ceará</orgName></affiliation></author><author><name sortKey="De Holanda Vasconcellos, Ricardo Jose" sort="De Holanda Vasconcellos, Ricardo Jose" uniqKey="De Holanda Vasconcellos R" first="Ricardo José" last="De Holanda Vasconcellos">Ricardo José De Holanda Vasconcellos</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Oral and Maxillofacial Surgery, University of Pernambuco</s1><s2>Recife, PE</s2><s3>BRA</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Pernambuco</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">09-0467505</idno><date when="2009">2009</date><idno type="stanalyst">PASCAL 09-0467505 INIST</idno><idno type="RBID">Pascal:09-0467505</idno><idno type="wicri:Area/PascalFrancis/Corpus">000255</idno><idno type="wicri:Area/PascalFrancis/Curation">000448</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000301</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000301</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">A New Approach for Reconstruction of a Severely Atrophic Mandible</title><author><name sortKey="Lopes, Nadja" sort="Lopes, Nadja" uniqKey="Lopes N" first="Nadja" last="Lopes">Nadja Lopes</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>São Leopoldo Mandic University</s1><s2>Campinas, SP</s2><s3>BRA</s3><sZ>1 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Oliveira, David M" sort="Oliveira, David M" uniqKey="Oliveira D" first="David M." last="Oliveira">David M. Oliveira</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Mauricio de Nassau University</s1><s2>Recife, PE</s2><s3>BRA</s3><sZ>2 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Pernambuco</region></placeName></affiliation></author><author><name sortKey="Vajgel, Andre" sort="Vajgel, Andre" uniqKey="Vajgel A" first="André" last="Vajgel">André Vajgel</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Oral and Maxillofacial Surgery, University of Pernambuco</s1><s2>Recife, PE</s2><s3>BRA</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Pernambuco</region></placeName></affiliation></author><author><name sortKey="Pita, Ivo" sort="Pita, Ivo" uniqKey="Pita I" first="Ivo" last="Pita">Ivo Pita</name><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Federal University of Ceará</s1><s2>Fortaleza, CE</s2><s3>BRA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName><orgName type="university">Université fédérale du Ceará</orgName></affiliation></author><author><name sortKey="Bezerra, Tacio" sort="Bezerra, Tacio" uniqKey="Bezerra T" first="Tácio" last="Bezerra">Tácio Bezerra</name><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Federal University of Ceará</s1><s2>Fortaleza, CE</s2><s3>BRA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName><orgName type="university">Université fédérale du Ceará</orgName></affiliation></author><author><name sortKey="De Holanda Vasconcellos, Ricardo Jose" sort="De Holanda Vasconcellos, Ricardo Jose" uniqKey="De Holanda Vasconcellos R" first="Ricardo José" last="De Holanda Vasconcellos">Ricardo José De Holanda Vasconcellos</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Oral and Maxillofacial Surgery, University of Pernambuco</s1><s2>Recife, PE</s2><s3>BRA</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Pernambuco</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">J. oral maxillofac. surg.</title><idno type="ISSN">0278-2391</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">J. oral maxillofac. surg.</title><idno type="ISSN">0278-2391</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anatomical reconstruction</term><term>Mandible</term><term>Stomatology</term><term>Surgery</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Reconstruction anatomique</term><term>Chirurgie</term><term>Mandibule</term><term>Stomatologie</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose: The purpose of this study is to report a case of a patient with a severely atrophic mandible (less than 5 mm) who was treated without bone graft using short implants and internal rigid fixation. Patient and Methods: A 61-year-old woman was referred to a private clinic in the city of Recife (Brazil) with a severely resorbed mandible (less than 5 mm). The patient reported a history of nearly 15 years of complete edentulism and consecutive treatment failures. Cone beam tomography was performed and severe atrophy was confirmed, revealing total bilateral exposed inferior alveolar nerves. There was a high risk of pathologic mandible fracture, since bone density in critical areas was very low. Treatment of choice was the placement of 4 Shorty (3.75 × 5.5 mm) implants (Nobel Biocare, Göteborg, Sweden) at the symphysis for immediate functional reasons and a 2.0-mm large profile Unilock bone plate (Synthes Maxillofacial, Paoli, PA) to reinforce the mandible. A rapid prototype model was made to help precontour the plate, enabling the insertion of the plate through the transoral approach. Results: A week after surgery, a Brånemark prosthesis protocol was performed and the patient was satisfied with the result. At 29 months after surgery, the patient was still satisfied and had excellent function without complications. Conclusions: Because of the reported advances in implantology and internal rigid fixation, more patients would be able to improve their severe dental condition without the use of more invasive techniques.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0278-2391</s0></fA01><fA02 i1="01"><s0>JOMSDA</s0></fA02><fA03 i2="1"><s0>J. oral maxillofac. surg.</s0></fA03><fA05><s2>67</s2></fA05><fA06><s2>11</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>A New Approach for Reconstruction of a Severely Atrophic Mandible</s1></fA08><fA11 i1="01" i2="1"><s1>LOPES (Nadja)</s1></fA11><fA11 i1="02" i2="1"><s1>OLIVEIRA (David M.)</s1></fA11><fA11 i1="03" i2="1"><s1>VAJGEL (André)</s1></fA11><fA11 i1="04" i2="1"><s1>PITA (Ivo)</s1></fA11><fA11 i1="05" i2="1"><s1>BEZERRA (Tácio)</s1></fA11><fA11 i1="06" i2="1"><s1>DE HOLANDA VASCONCELLOS (Ricardo José)</s1></fA11><fA14 i1="01"><s1>São Leopoldo Mandic University</s1><s2>Campinas, SP</s2><s3>BRA</s3><sZ>1 aut.</sZ></fA14><fA14 i1="02"><s1>Mauricio de Nassau University</s1><s2>Recife, PE</s2><s3>BRA</s3><sZ>2 aut.</sZ></fA14><fA14 i1="03"><s1>Oral and Maxillofacial Surgery, University of Pernambuco</s1><s2>Recife, PE</s2><s3>BRA</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ></fA14><fA14 i1="04"><s1>Federal University of Ceará</s1><s2>Fortaleza, CE</s2><s3>BRA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></fA14><fA20><s1>2455-2459</s1></fA20><fA21><s1>2009</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>3005</s2><s5>354000170162220210</s5></fA43><fA44><s0>0000</s0><s1>© 2009 INIST-CNRS. 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Treatment of choice was the placement of 4 Shorty (3.75 × 5.5 mm) implants (Nobel Biocare, Göteborg, Sweden) at the symphysis for immediate functional reasons and a 2.0-mm large profile Unilock bone plate (Synthes Maxillofacial, Paoli, PA) to reinforce the mandible. A rapid prototype model was made to help precontour the plate, enabling the insertion of the plate through the transoral approach. Results: A week after surgery, a Brånemark prosthesis protocol was performed and the patient was satisfied with the result. At 29 months after surgery, the patient was still satisfied and had excellent function without complications. 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Oliveira</name><name sortKey="Pita, Ivo" sort="Pita, Ivo" uniqKey="Pita I" first="Ivo" last="Pita">Ivo Pita</name><name sortKey="Vajgel, Andre" sort="Vajgel, Andre" uniqKey="Vajgel A" first="André" last="Vajgel">André Vajgel</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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