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Horizontal Alveolar Ridge Distraction in an Edentulous Patient

Identifieur interne : 000160 ( PascalFrancis/Corpus ); précédent : 000159; suivant : 000161

Horizontal Alveolar Ridge Distraction in an Edentulous Patient

Auteurs : Zvi Laster ; Younis Reem ; Rafael Nagler

Source :

RBID : Pascal:11-0104509

Descripteurs français

English descriptors

Abstract

Purpose: 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. Materials and Methods: We have described an edentulous patient whose "knife-edge" maxillary alveolar crest was widened with crest expanders (horizontal distractors). 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. 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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0278-2391
A02 01      @0 JOMSDA
A03   1    @0 J. oral maxillofac. surg.
A05       @2 69
A06       @2 2
A08 01  1  ENG  @1 Horizontal Alveolar Ridge Distraction in an Edentulous Patient
A11 01  1    @1 LASTER (Zvi)
A11 02  1    @1 REEM (Younis)
A11 03  1    @1 NAGLER (Rafael)
A14 01      @1 Department of Oral & Maxillofacial Surgery, Baruch Padeh Medical Center @2 Poriya, Tiberias @3 ISR @Z 1 aut. @Z 2 aut. @Z 3 aut.
A14 02      @1 Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology @2 Haifa @3 ISR @Z 1 aut. @Z 3 aut.
A20       @1 502-506
A21       @1 2011
A23 01      @0 ENG
A43 01      @1 INIST @2 3005 @5 354000193630770260
A44       @0 0000 @1 © 2011 INIST-CNRS. All rights reserved.
A45       @0 18 ref.
A47 01  1    @0 11-0104509
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of oral and maxillofacial surgery
A66 01      @0 USA
C01 01    ENG  @0 Purpose: 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. Materials and Methods: We have described an edentulous patient whose "knife-edge" maxillary alveolar crest was widened with crest expanders (horizontal distractors). 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. 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.
C02 01  X    @0 002B10C02
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C03 01  X  ENG  @0 Edentulousness @5 01
C03 01  X  SPA  @0 Edentación @5 01
C03 02  X  FRE  @0 Chirurgie @5 04
C03 02  X  ENG  @0 Surgery @5 04
C03 02  X  SPA  @0 Cirugía @5 04
C03 03  X  FRE  @0 Horizontal @5 07
C03 03  X  ENG  @0 Horizontal @5 07
C03 03  X  SPA  @0 Horizontal @5 07
C03 04  X  FRE  @0 Alvéole dentaire @5 08
C03 04  X  ENG  @0 Tooth alveolus @5 08
C03 04  X  SPA  @0 Alvéolo dental @5 08
C03 05  X  FRE  @0 Distraction @5 09
C03 05  X  ENG  @0 Distraction @5 09
C03 05  X  SPA  @0 Distracción @5 09
C03 06  X  FRE  @0 Homme @5 13
C03 06  X  ENG  @0 Human @5 13
C03 06  X  SPA  @0 Hombre @5 13
C03 07  X  FRE  @0 Stomatologie @5 14
C03 07  X  ENG  @0 Stomatology @5 14
C03 07  X  SPA  @0 Estomatología @5 14
C03 08  X  FRE  @0 Traitement @5 30
C03 08  X  ENG  @0 Treatment @5 30
C03 08  X  SPA  @0 Tratamiento @5 30
C07 01  X  FRE  @0 Pathologie dentaire @5 37
C07 01  X  ENG  @0 Dental disease @5 37
C07 01  X  SPA  @0 Diente patología @5 37
N21       @1 066
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 11-0104509 INIST
ET : Horizontal Alveolar Ridge Distraction in an Edentulous Patient
AU : LASTER (Zvi); REEM (Younis); NAGLER (Rafael)
AF : Department of Oral & Maxillofacial Surgery, Baruch Padeh Medical Center/Poriya, Tiberias/Israël (1 aut., 2 aut., 3 aut.); Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology/Haifa/Israël (1 aut., 3 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of oral and maxillofacial surgery; ISSN 0278-2391; Coden JOMSDA; Etats-Unis; Da. 2011; Vol. 69; No. 2; Pp. 502-506; Bibl. 18 ref.
LA : Anglais
EA : Purpose: 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. Materials and Methods: We have described an edentulous patient whose "knife-edge" maxillary alveolar crest was widened with crest expanders (horizontal distractors). 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. 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.
CC : 002B10C02
FD : Edentation; Chirurgie; Horizontal; Alvéole dentaire; Distraction; Homme; Stomatologie; Traitement
FG : Pathologie dentaire
ED : Edentulousness; Surgery; Horizontal; Tooth alveolus; Distraction; Human; Stomatology; Treatment
EG : Dental disease
SD : Edentación; Cirugía; Horizontal; Alvéolo dental; Distracción; Hombre; Estomatología; Tratamiento
LO : INIST-3005.354000193630770260
ID : 11-0104509

Links to Exploration step

Pascal:11-0104509

Le document en format XML

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<div type="abstract" xml:lang="en">Purpose: 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. Materials and Methods: We have described an edentulous patient whose "knife-edge" maxillary alveolar crest was widened with crest expanders (horizontal distractors). 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. 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.</div>
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<SO>Journal of oral and maxillofacial surgery; ISSN 0278-2391; Coden JOMSDA; Etats-Unis; Da. 2011; Vol. 69; No. 2; Pp. 502-506; Bibl. 18 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose: 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. Materials and Methods: We have described an edentulous patient whose "knife-edge" maxillary alveolar crest was widened with crest expanders (horizontal distractors). 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. 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.</EA>
<CC>002B10C02</CC>
<FD>Edentation; Chirurgie; Horizontal; Alvéole dentaire; Distraction; Homme; Stomatologie; Traitement</FD>
<FG>Pathologie dentaire</FG>
<ED>Edentulousness; Surgery; Horizontal; Tooth alveolus; Distraction; Human; Stomatology; Treatment</ED>
<EG>Dental disease</EG>
<SD>Edentación; Cirugía; Horizontal; Alvéolo dental; Distracción; Hombre; Estomatología; Tratamiento</SD>
<LO>INIST-3005.354000193630770260</LO>
<ID>11-0104509</ID>
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