Horizontal Alveolar Ridge Distraction in an Edentulous Patient
Identifieur interne : 000160 ( PascalFrancis/Corpus ); précédent : 000159; suivant : 000161Horizontal Alveolar Ridge Distraction in an Edentulous Patient
Auteurs : Zvi Laster ; Younis Reem ; Rafael NaglerSource :
- Journal of oral and maxillofacial surgery [ 0278-2391 ] ; 2011.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
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.
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Pour connaître la documentation sur le format Inist Standard.
pA |
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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 |
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Pascal:11-0104509Le document en format XML
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<front><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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<server><NO>PASCAL 11-0104509 INIST</NO>
<ET>Horizontal Alveolar Ridge Distraction in an Edentulous Patient</ET>
<AU>LASTER (Zvi); REEM (Younis); NAGLER (Rafael)</AU>
<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.)</AF>
<DT>Publication en série; Niveau analytique</DT>
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<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>
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