Interrelationship between implant and orthognathic surgery for the rehabilitation of edentulous cleft palate patients: a case report
Identifieur interne : 000D17 ( Pmc/Checkpoint ); précédent : 000D16; suivant : 000D18Interrelationship between implant and orthognathic surgery for the rehabilitation of edentulous cleft palate patients: a case report
Auteurs : José Fernando Scarelli Lopes [Brésil] ; João Henrique Nogueira Pinto [Brésil] ; Monica Moraes Waldemarin Lopes [Brésil] ; Reinaldo Mazottini [Brésil] ; Simone Soares [Brésil]Source :
- Journal of Applied Oral Science [ 1678-7757 ] ; 2015.
Abstract
A 43-year-old woman with a unilateral cleft lip and palate, presenting a totally edentulous maxilla and mandible with marked maxillomandibular discrepancy, attended the Prosthodontics section of the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo for treatment. She could not close her mouth and was dissatisfied with her complete dentures. Treatment planning comprised placement of six implants in the maxilla, four in the mandible followed by prostheses installation and orthognathic surgery. The mandibular full arch prosthesis guided the occlusion for orthognathic positioning of the maxilla. The maxillary complete prosthesis was designed to assist the orthognathic surgery with a provisional prosthesis (no metal framework), allowing reverse treatment planning. Maxillary and mandibular realignment was performed. Three months later, a relapse in the position of the maxilla was observed, which was offset with a new maxillary prosthesis. This isa complex interdisciplinary treatment and two-year follow-up is presented and discussed. It should be considered that this type of treatment could also be applied in non-cleft patients.
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DOI: 10.1590/1678-775720140371
PubMed: 26018315
PubMed Central: 4428468
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University of São Paulo (HRAC/USP), Bauru, SP, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Prosthodontics Sector, Hospital for Rehabilitation of Craniofacial Anomalies - University of São Paulo (HRAC/USP), Bauru, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Pinto, Joao Henrique Nogueira" sort="Pinto, Joao Henrique Nogueira" uniqKey="Pinto J" first="João Henrique Nogueira" last="Pinto">João Henrique Nogueira Pinto</name><affiliation wicri:level="2"><nlm:aff id="aff1">Prosthodontics Sector, Hospital for Rehabilitation of Craniofacial Anomalies - University of São Paulo (HRAC/USP), Bauru, SP, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Prosthodontics Sector, Hospital for Rehabilitation of Craniofacial Anomalies - University of São Paulo (HRAC/USP), Bauru, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Lopes, Monica Moraes Waldemarin" sort="Lopes, Monica Moraes Waldemarin" uniqKey="Lopes M" first="Monica Moraes Waldemarin" last="Lopes">Monica Moraes Waldemarin Lopes</name><affiliation wicri:level="2"><nlm:aff id="aff1">Prosthodontics Sector, Hospital for Rehabilitation of Craniofacial Anomalies - University of São Paulo (HRAC/USP), Bauru, SP, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Prosthodontics Sector, Hospital for Rehabilitation of Craniofacial Anomalies - University of São Paulo (HRAC/USP), Bauru, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Mazottini, Reinaldo" sort="Mazottini, Reinaldo" uniqKey="Mazottini R" first="Reinaldo" last="Mazottini">Reinaldo Mazottini</name><affiliation wicri:level="2"><nlm:aff id="aff2">Surgery Sector, Hospital for Rehabilitation of Craniofacial Anomalies - University of São Paulo (HRAC/USP), Bauru, SP, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Surgery Sector, Hospital for Rehabilitation of Craniofacial Anomalies - University of São Paulo (HRAC/USP), Bauru, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Soares, Simone" sort="Soares, Simone" uniqKey="Soares S" first="Simone" last="Soares">Simone Soares</name><affiliation wicri:level="4"><nlm:aff id="aff3">Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo;</nlm:aff><country>Brésil</country><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName><orgName type="university">Université de São Paulo</orgName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff4">Prosthodontics Sector, Hospital for Rehabilitation of Craniofacial Anomalies - University of São Paulo (HRAC/USP), Bauru, SP, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Prosthodontics Sector, Hospital for Rehabilitation of Craniofacial Anomalies - University of São Paulo (HRAC/USP), Bauru, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author></analytic><series><title level="j">Journal of Applied Oral Science</title><idno type="ISSN">1678-7757</idno><idno type="eISSN">1678-7765</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>A 43-year-old woman with a unilateral cleft lip and palate, presenting a totally edentulous maxilla and mandible with marked maxillomandibular discrepancy, attended the Prosthodontics section of the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo for treatment. She could not close her mouth and was dissatisfied with her complete dentures. Treatment planning comprised placement of six implants in the maxilla, four in the mandible followed by prostheses installation and orthognathic surgery. The mandibular full arch prosthesis guided the occlusion for orthognathic positioning of the maxilla. The maxillary complete prosthesis was designed to assist the orthognathic surgery with a provisional prosthesis (no metal framework), allowing reverse treatment planning. Maxillary and mandibular realignment was performed. Three months later, a relapse in the position of the maxilla was observed, which was offset with a new maxillary prosthesis. This isa complex interdisciplinary treatment and two-year follow-up is presented and discussed. It should be considered that this type of treatment could also be applied in non-cleft patients.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Bailey, Lj" uniqKey="Bailey L">LJ Bailey</name></author><author><name sortKey="Cevidanes, Lh" uniqKey="Cevidanes L">LH Cevidanes</name></author><author><name sortKey="Proffit, Wr" uniqKey="Proffit W">WR Proffit</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bishara, Se" uniqKey="Bishara S">SE Bishara</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Erkan, M" uniqKey="Erkan M">M Erkan</name></author><author><name sortKey="Karacay, " uniqKey="Karacay ">Ş Karaçay</name></author><author><name sortKey="Atilla, Oa" uniqKey="Atilla O">OA Atilla</name></author><author><name sortKey="Uzel, G" uniqKey="Uzel G">G Uzel</name></author><author><name sortKey="Ulkur, E" uniqKey="Ulkur E">E Ülkür</name></author><author><name 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Appl Oral Sci</journal-id><journal-id journal-id-type="iso-abbrev">J Appl Oral Sci</journal-id><journal-title-group><journal-title>Journal of Applied Oral Science</journal-title></journal-title-group><issn pub-type="ppub">1678-7757</issn><issn pub-type="epub">1678-7765</issn><publisher><publisher-name>Faculdade de Odontologia de Bauru da Universidade de São Paulo</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26018315</article-id><article-id pub-id-type="pmc">4428468</article-id><article-id pub-id-type="publisher-id">1678-775720140371</article-id><article-id pub-id-type="doi">10.1590/1678-775720140371</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Interrelationship between implant and orthognathic surgery for the rehabilitation of edentulous cleft palate patients: a case report</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>LOPES</surname><given-names>José Fernando Scarelli</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>PINTO</surname><given-names>João Henrique Nogueira</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>LOPES</surname><given-names>Monica Moraes Waldemarin</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>MAZOTTINI</surname><given-names>Reinaldo</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>SOARES</surname><given-names>Simone</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref><xref ref-type="aff" rid="aff4"></xref></contrib></contrib-group><aff id="aff1"><label>1</label>Prosthodontics Sector, Hospital for Rehabilitation of Craniofacial Anomalies - University of São Paulo (HRAC/USP), Bauru, SP, Brazil.</aff><aff id="aff2"><label>2</label>Surgery Sector, Hospital for Rehabilitation of Craniofacial Anomalies - University of São Paulo (HRAC/USP), Bauru, SP, Brazil.</aff><aff id="aff3"><label>3</label>Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo;</aff><aff id="aff4">Prosthodontics Sector, Hospital for Rehabilitation of Craniofacial Anomalies - University of São Paulo (HRAC/USP), Bauru, SP, Brazil.</aff><author-notes><corresp><bold>Corresponding address:</bold> Simone Soares - Setor de Prótese Dentária - Hospital de Reabilitação de Anomalias Craniofaciais - Universidade de São Paulo (HRAC/USP) - Rua Sílvio Marchioni, 3-20 - Vila Nova Universitária - Bauru - SP - Brazil - 17012-900 - e-mail: <email>sisomi@uol.com.br</email> / <email>sisoares@usp.br</email></corresp><fn fn-type="conflict"><p><bold>CONFLICTS OF INTEREST:</bold> None.</p></fn></author-notes><pub-date pub-type="epub-ppub"><season>Mar-Apr</season><year>2015</year></pub-date><pmc-comment>Fake ppub date generated by PMC from publisher
pub-date/@pub-type='epub-ppub' </pmc-comment>
<pub-date pub-type="ppub"><season>Mar-Apr</season><year>2015</year></pub-date><volume>23</volume><issue>2</issue><fpage>224</fpage><lpage>229</lpage><history><date date-type="received"><day>17</day><month>9</month><year>2014</year></date><date date-type="rev-recd"><day>4</day><month>11</month><year>2014</year></date><date date-type="accepted"><day>5</day><month>11</month><year>2014</year></date></history><permissions><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>A 43-year-old woman with a unilateral cleft lip and palate, presenting a totally edentulous maxilla and mandible with marked maxillomandibular discrepancy, attended the Prosthodontics section of the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo for treatment. She could not close her mouth and was dissatisfied with her complete dentures. Treatment planning comprised placement of six implants in the maxilla, four in the mandible followed by prostheses installation and orthognathic surgery. The mandibular full arch prosthesis guided the occlusion for orthognathic positioning of the maxilla. The maxillary complete prosthesis was designed to assist the orthognathic surgery with a provisional prosthesis (no metal framework), allowing reverse treatment planning. Maxillary and mandibular realignment was performed. Three months later, a relapse in the position of the maxilla was observed, which was offset with a new maxillary prosthesis. This isa complex interdisciplinary treatment and two-year follow-up is presented and discussed. It should be considered that this type of treatment could also be applied in non-cleft patients.</p></abstract><kwd-group><kwd>Orthognathic surgery</kwd><kwd>Cleft palate</kwd><kwd>Implant-supported dental prothesis</kwd></kwd-group><counts><fig-count count="7"></fig-count><table-count count="0"></table-count><equation-count count="0"></equation-count><ref-count count="19"></ref-count><page-count count="6"></page-count></counts></article-meta></front></pmc><affiliations><list><country><li>Brésil</li></country><region><li>État de São Paulo</li></region><settlement><li>São Paulo</li></settlement><orgName><li>Université de São Paulo</li></orgName></list><tree><country name="Brésil"><region name="État de São Paulo"><name sortKey="Lopes, Jose Fernando Scarelli" sort="Lopes, Jose Fernando Scarelli" uniqKey="Lopes J" first="José Fernando Scarelli" last="Lopes">José Fernando Scarelli Lopes</name></region><name sortKey="Lopes, Monica Moraes Waldemarin" sort="Lopes, Monica Moraes Waldemarin" uniqKey="Lopes M" first="Monica Moraes Waldemarin" last="Lopes">Monica Moraes Waldemarin Lopes</name><name sortKey="Mazottini, Reinaldo" sort="Mazottini, Reinaldo" uniqKey="Mazottini R" first="Reinaldo" last="Mazottini">Reinaldo Mazottini</name><name sortKey="Pinto, Joao Henrique Nogueira" sort="Pinto, Joao Henrique Nogueira" uniqKey="Pinto J" first="João Henrique Nogueira" last="Pinto">João Henrique Nogueira Pinto</name><name sortKey="Soares, Simone" sort="Soares, Simone" uniqKey="Soares S" first="Simone" last="Soares">Simone Soares</name><name sortKey="Soares, Simone" sort="Soares, Simone" uniqKey="Soares S" first="Simone" last="Soares">Simone Soares</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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