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A New Approach for Reconstruction of a Severely Atrophic Mandible

Identifieur interne : 000255 ( PascalFrancis/Corpus ); précédent : 000254; suivant : 000256

A New Approach for Reconstruction of a Severely Atrophic Mandible

Auteurs : Nadja Lopes ; David M. Oliveira ; André Vajgel ; Ivo Pita ; Tácio Bezerra ; Ricardo José De Holanda Vasconcellos

Source :

RBID : Pascal:09-0467505

Descripteurs français

English descriptors

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.

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 67
A06       @2 11
A08 01  1  ENG  @1 A New Approach for Reconstruction of a Severely Atrophic Mandible
A11 01  1    @1 LOPES (Nadja)
A11 02  1    @1 OLIVEIRA (David M.)
A11 03  1    @1 VAJGEL (André)
A11 04  1    @1 PITA (Ivo)
A11 05  1    @1 BEZERRA (Tácio)
A11 06  1    @1 DE HOLANDA VASCONCELLOS (Ricardo José)
A14 01      @1 São Leopoldo Mandic University @2 Campinas, SP @3 BRA @Z 1 aut.
A14 02      @1 Mauricio de Nassau University @2 Recife, PE @3 BRA @Z 2 aut.
A14 03      @1 Oral and Maxillofacial Surgery, University of Pernambuco @2 Recife, PE @3 BRA @Z 3 aut. @Z 6 aut.
A14 04      @1 Federal University of Ceará @2 Fortaleza, CE @3 BRA @Z 4 aut. @Z 5 aut.
A20       @1 2455-2459
A21       @1 2009
A23 01      @0 ENG
A43 01      @1 INIST @2 3005 @5 354000170162220210
A44       @0 0000 @1 © 2009 INIST-CNRS. All rights reserved.
A45       @0 12 ref.
A47 01  1    @0 09-0467505
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: 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.
C02 01  X    @0 002B10
C03 01  X  FRE  @0 Reconstruction anatomique @5 04
C03 01  X  ENG  @0 Anatomical reconstruction @5 04
C03 01  X  SPA  @0 Reconstrucción anatómica @5 04
C03 02  X  FRE  @0 Chirurgie @5 05
C03 02  X  ENG  @0 Surgery @5 05
C03 02  X  SPA  @0 Cirugía @5 05
C03 03  X  FRE  @0 Mandibule @5 07
C03 03  X  ENG  @0 Mandible @5 07
C03 03  X  SPA  @0 Mandíbula @5 07
C03 04  X  FRE  @0 Stomatologie @5 08
C03 04  X  ENG  @0 Stomatology @5 08
C03 04  X  SPA  @0 Estomatología @5 08
C03 05  X  FRE  @0 Traitement @5 30
C03 05  X  ENG  @0 Treatment @5 30
C03 05  X  SPA  @0 Tratamiento @5 30
N21       @1 341
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 09-0467505 INIST
ET : A New Approach for Reconstruction of a Severely Atrophic Mandible
AU : LOPES (Nadja); OLIVEIRA (David M.); VAJGEL (André); PITA (Ivo); BEZERRA (Tácio); DE HOLANDA VASCONCELLOS (Ricardo José)
AF : São Leopoldo Mandic University/Campinas, SP/Brésil (1 aut.); Mauricio de Nassau University/Recife, PE/Brésil (2 aut.); Oral and Maxillofacial Surgery, University of Pernambuco/Recife, PE/Brésil (3 aut., 6 aut.); Federal University of Ceará/Fortaleza, CE/Brésil (4 aut., 5 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of oral and maxillofacial surgery; ISSN 0278-2391; Coden JOMSDA; Etats-Unis; Da. 2009; Vol. 67; No. 11; Pp. 2455-2459; Bibl. 12 ref.
LA : Anglais
EA : 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.
CC : 002B10
FD : Reconstruction anatomique; Chirurgie; Mandibule; Stomatologie; Traitement
ED : Anatomical reconstruction; Surgery; Mandible; Stomatology; Treatment
SD : Reconstrucción anatómica; Cirugía; Mandíbula; Estomatología; Tratamiento
LO : INIST-3005.354000170162220210
ID : 09-0467505

Links to Exploration step

Pascal:09-0467505

Le document en format XML

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<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>
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<ET>A New Approach for Reconstruction of a Severely Atrophic Mandible</ET>
<AU>LOPES (Nadja); OLIVEIRA (David M.); VAJGEL (André); PITA (Ivo); BEZERRA (Tácio); DE HOLANDA VASCONCELLOS (Ricardo José)</AU>
<AF>São Leopoldo Mandic University/Campinas, SP/Brésil (1 aut.); Mauricio de Nassau University/Recife, PE/Brésil (2 aut.); Oral and Maxillofacial Surgery, University of Pernambuco/Recife, PE/Brésil (3 aut., 6 aut.); Federal University of Ceará/Fortaleza, CE/Brésil (4 aut., 5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of oral and maxillofacial surgery; ISSN 0278-2391; Coden JOMSDA; Etats-Unis; Da. 2009; Vol. 67; No. 11; Pp. 2455-2459; Bibl. 12 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B10</CC>
<FD>Reconstruction anatomique; Chirurgie; Mandibule; Stomatologie; Traitement</FD>
<ED>Anatomical reconstruction; Surgery; Mandible; Stomatology; Treatment</ED>
<SD>Reconstrucción anatómica; Cirugía; Mandíbula; Estomatología; Tratamiento</SD>
<LO>INIST-3005.354000170162220210</LO>
<ID>09-0467505</ID>
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