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Implant treatment without bone grafting in edentulous severely resorbed maxillas : A long-term follow-up study

Identifieur interne : 000434 ( PascalFrancis/Corpus ); précédent : 000433; suivant : 000435

Implant treatment without bone grafting in edentulous severely resorbed maxillas : A long-term follow-up study

Auteurs : Annika Rosen ; Goran Gynther

Source :

RBID : Pascal:07-0252619

Descripteurs français

English descriptors

Abstract

Purpose: To evaluate retrospectively the surgical outcome of tilted implants in severely resorbed edentulous maxillas as an alternative to bone grafting and the prosthodontic outcome of posterior extension bridges on tilted implants. Patients and Methods: A total of 33 consecutive patients with severely resorbed edentulous maxillas participated in the study. In these patients, the maxillary bone volumes were insufficient for conventional placement of implants to support a fixed prosthesis. As an alternative to bone transplantation, a surgical technique with fenestration of the maxillary sinus to visualize the total amount of maxillary bone was used, followed by implant placement in a tilted manner along the anterior maxillary sinus wall. Thus, 4 to 6 implants of optimal length could be installed in each patient. Nineteen patients were included in this long-term follow-up study and were eligible for clinical evaluation at 8 to 12 years (mean, 10 years) after second-stage surgery. Each patient was examined clinically and radiographically. Results: The 19 patients had a total of 103 implants. In 2 of these patients, 3 fixtures were lost during the first year after second-stage surgery. All other patients had all implants intact with functionally fixed dental prostheses, corresponding to a success rate of 97%. Radiographic examination showed bone resorption in 10% of the implants (10 implants in 5 patients with a total number of 27 implants), with a mean bone loss of 1.2 mm. Mucositis was seen in 47% of the patients. Conclusions: This long-term follow-up study (mean time, 10 years) demonstrates that patients with a severely resorbed maxilla can be treated successfully with conventional implant treatment. This simplified surgical technique can be an alternative to the more resource-demanding technique with bone grafting.

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 65
A06       @2 5
A08 01  1  ENG  @1 Implant treatment without bone grafting in edentulous severely resorbed maxillas : A long-term follow-up study
A11 01  1    @1 ROSEN (Annika)
A11 02  1    @1 GYNTHER (Goran)
A14 01      @1 Department of Oral and Maxillofacial Surgery, Karolinska Institute /Karolinska University Hospital @2 Huddinge @3 SWE @Z 1 aut. @Z 2 aut.
A14 02      @1 Centre for Dental Implants @2 Nacka @3 SWE @Z 2 aut.
A20       @1 1010-1016
A21       @1 2007
A23 01      @0 ENG
A43 01      @1 INIST @2 3005 @5 354000149444910280
A44       @0 0000 @1 © 2007 INIST-CNRS. All rights reserved.
A45       @0 23 ref.
A47 01  1    @0 07-0252619
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: To evaluate retrospectively the surgical outcome of tilted implants in severely resorbed edentulous maxillas as an alternative to bone grafting and the prosthodontic outcome of posterior extension bridges on tilted implants. Patients and Methods: A total of 33 consecutive patients with severely resorbed edentulous maxillas participated in the study. In these patients, the maxillary bone volumes were insufficient for conventional placement of implants to support a fixed prosthesis. As an alternative to bone transplantation, a surgical technique with fenestration of the maxillary sinus to visualize the total amount of maxillary bone was used, followed by implant placement in a tilted manner along the anterior maxillary sinus wall. Thus, 4 to 6 implants of optimal length could be installed in each patient. Nineteen patients were included in this long-term follow-up study and were eligible for clinical evaluation at 8 to 12 years (mean, 10 years) after second-stage surgery. Each patient was examined clinically and radiographically. Results: The 19 patients had a total of 103 implants. In 2 of these patients, 3 fixtures were lost during the first year after second-stage surgery. All other patients had all implants intact with functionally fixed dental prostheses, corresponding to a success rate of 97%. Radiographic examination showed bone resorption in 10% of the implants (10 implants in 5 patients with a total number of 27 implants), with a mean bone loss of 1.2 mm. Mucositis was seen in 47% of the patients. Conclusions: This long-term follow-up study (mean time, 10 years) demonstrates that patients with a severely resorbed maxilla can be treated successfully with conventional implant treatment. This simplified surgical technique can be an alternative to the more resource-demanding technique with bone grafting.
C02 01  X    @0 002B10C02
C03 01  X  FRE  @0 Edentation @5 01
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 Implant @5 07
C03 03  X  ENG  @0 Implant @5 07
C03 03  X  SPA  @0 Implante @5 07
C03 04  X  FRE  @0 Traitement @5 08
C03 04  X  ENG  @0 Treatment @5 08
C03 04  X  SPA  @0 Tratamiento @5 08
C03 05  X  FRE  @0 Maxillaire @5 09
C03 05  X  ENG  @0 Maxillary @5 09
C03 05  X  SPA  @0 Maxilar @5 09
C03 06  X  FRE  @0 Long terme @5 13
C03 06  X  ENG  @0 Long term @5 13
C03 06  X  SPA  @0 Largo plazo @5 13
C03 07  X  FRE  @0 Etude longitudinale @5 14
C03 07  X  ENG  @0 Follow up study @5 14
C03 07  X  SPA  @0 Estudio longitudinal @5 14
C03 08  X  FRE  @0 Stomatologie @5 15
C03 08  X  ENG  @0 Stomatology @5 15
C03 08  X  SPA  @0 Estomatología @5 15
C03 09  X  FRE  @0 Greffe osseuse @4 CD @5 96
C03 09  X  ENG  @0 Bone graft @4 CD @5 96
C07 01  X  FRE  @0 Dent pathologie @5 37
C07 01  X  ENG  @0 Dental disease @5 37
C07 01  X  SPA  @0 Diente patología @5 37
N21       @1 169
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 07-0252619 INIST
ET : Implant treatment without bone grafting in edentulous severely resorbed maxillas : A long-term follow-up study
AU : ROSEN (Annika); GYNTHER (Goran)
AF : Department of Oral and Maxillofacial Surgery, Karolinska Institute /Karolinska University Hospital/Huddinge/Suède (1 aut., 2 aut.); Centre for Dental Implants/Nacka/Suède (2 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of oral and maxillofacial surgery; ISSN 0278-2391; Coden JOMSDA; Etats-Unis; Da. 2007; Vol. 65; No. 5; Pp. 1010-1016; Bibl. 23 ref.
LA : Anglais
EA : Purpose: To evaluate retrospectively the surgical outcome of tilted implants in severely resorbed edentulous maxillas as an alternative to bone grafting and the prosthodontic outcome of posterior extension bridges on tilted implants. Patients and Methods: A total of 33 consecutive patients with severely resorbed edentulous maxillas participated in the study. In these patients, the maxillary bone volumes were insufficient for conventional placement of implants to support a fixed prosthesis. As an alternative to bone transplantation, a surgical technique with fenestration of the maxillary sinus to visualize the total amount of maxillary bone was used, followed by implant placement in a tilted manner along the anterior maxillary sinus wall. Thus, 4 to 6 implants of optimal length could be installed in each patient. Nineteen patients were included in this long-term follow-up study and were eligible for clinical evaluation at 8 to 12 years (mean, 10 years) after second-stage surgery. Each patient was examined clinically and radiographically. Results: The 19 patients had a total of 103 implants. In 2 of these patients, 3 fixtures were lost during the first year after second-stage surgery. All other patients had all implants intact with functionally fixed dental prostheses, corresponding to a success rate of 97%. Radiographic examination showed bone resorption in 10% of the implants (10 implants in 5 patients with a total number of 27 implants), with a mean bone loss of 1.2 mm. Mucositis was seen in 47% of the patients. Conclusions: This long-term follow-up study (mean time, 10 years) demonstrates that patients with a severely resorbed maxilla can be treated successfully with conventional implant treatment. This simplified surgical technique can be an alternative to the more resource-demanding technique with bone grafting.
CC : 002B10C02
FD : Edentation; Chirurgie; Implant; Traitement; Maxillaire; Long terme; Etude longitudinale; Stomatologie; Greffe osseuse
FG : Dent pathologie
ED : Edentulousness; Surgery; Implant; Treatment; Maxillary; Long term; Follow up study; Stomatology; Bone graft
EG : Dental disease
SD : Edentación; Cirugía; Implante; Tratamiento; Maxilar; Largo plazo; Estudio longitudinal; Estomatología
LO : INIST-3005.354000149444910280
ID : 07-0252619

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Pascal:07-0252619

Le document en format XML

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<ET>Implant treatment without bone grafting in edentulous severely resorbed maxillas : A long-term follow-up study</ET>
<AU>ROSEN (Annika); GYNTHER (Goran)</AU>
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<SO>Journal of oral and maxillofacial surgery; ISSN 0278-2391; Coden JOMSDA; Etats-Unis; Da. 2007; Vol. 65; No. 5; Pp. 1010-1016; Bibl. 23 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose: To evaluate retrospectively the surgical outcome of tilted implants in severely resorbed edentulous maxillas as an alternative to bone grafting and the prosthodontic outcome of posterior extension bridges on tilted implants. Patients and Methods: A total of 33 consecutive patients with severely resorbed edentulous maxillas participated in the study. In these patients, the maxillary bone volumes were insufficient for conventional placement of implants to support a fixed prosthesis. As an alternative to bone transplantation, a surgical technique with fenestration of the maxillary sinus to visualize the total amount of maxillary bone was used, followed by implant placement in a tilted manner along the anterior maxillary sinus wall. Thus, 4 to 6 implants of optimal length could be installed in each patient. Nineteen patients were included in this long-term follow-up study and were eligible for clinical evaluation at 8 to 12 years (mean, 10 years) after second-stage surgery. Each patient was examined clinically and radiographically. Results: The 19 patients had a total of 103 implants. In 2 of these patients, 3 fixtures were lost during the first year after second-stage surgery. All other patients had all implants intact with functionally fixed dental prostheses, corresponding to a success rate of 97%. Radiographic examination showed bone resorption in 10% of the implants (10 implants in 5 patients with a total number of 27 implants), with a mean bone loss of 1.2 mm. Mucositis was seen in 47% of the patients. Conclusions: This long-term follow-up study (mean time, 10 years) demonstrates that patients with a severely resorbed maxilla can be treated successfully with conventional implant treatment. This simplified surgical technique can be an alternative to the more resource-demanding technique with bone grafting.</EA>
<CC>002B10C02</CC>
<FD>Edentation; Chirurgie; Implant; Traitement; Maxillaire; Long terme; Etude longitudinale; Stomatologie; Greffe osseuse</FD>
<FG>Dent pathologie</FG>
<ED>Edentulousness; Surgery; Implant; Treatment; Maxillary; Long term; Follow up study; Stomatology; Bone graft</ED>
<EG>Dental disease</EG>
<SD>Edentación; Cirugía; Implante; Tratamiento; Maxilar; Largo plazo; Estudio longitudinal; Estomatología</SD>
<LO>INIST-3005.354000149444910280</LO>
<ID>07-0252619</ID>
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