Segmental osteotomy for mobilization of dental implant
Identifieur interne : 001788 ( Pmc/Checkpoint ); précédent : 001787; suivant : 001789Segmental osteotomy for mobilization of dental implant
Auteurs : Sergio Olate [Chili] ; Benjamin Weber [Chili] ; Alvaro Marín [Chili]Source :
- Journal of Periodontal & Implant Science [ 2093-2278 ] ; 2013.
Abstract
The aim of this work is to evaluate a surgical technique for mobilization of mal posed dental implant in anterior area.
A 38-year-old patient consulted our unit for esthetic dissatisfaction with the implant treatment of a central incisor. An implant was observed in 11 and 21, where 11 was 3 mm above the ideal limit, with excessive vestibular angulation. The choice was made to perform a segmental osteotomy and mobilize the bone block and the implant down and forward; a bone block extracted from the mandibular ramus was installed between the implant block and the bed to stabilize the segment.
After 4 months, a conventional fixed prosthesis was created and the esthetic result achieved was close to what the patient wanted, with no need for further surgery. The surgical condition was stabilized and maintained for the long-time and no complications how necrosis, infection or bone defects was present.
It was concluded that the procedure is efficient, and the biological arguments in favor of the procedure are discussed.
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DOI: 10.5051/jpis.2013.43.5.243
PubMed: 24236247
PubMed Central: 3825992
Affiliations:
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Temuco</wicri:regionArea><wicri:noRegion>Temuco</wicri:noRegion></affiliation></author><author><name sortKey="Weber, Benjamin" sort="Weber, Benjamin" uniqKey="Weber B" first="Benjamin" last="Weber">Benjamin Weber</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral Implantology, Dental School, Universidad de La Frontera, Temuco, Chile.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Chili</country><wicri:regionArea>Department of Oral Implantology, Dental School, Universidad de La Frontera, Temuco</wicri:regionArea><wicri:noRegion>Temuco</wicri:noRegion></affiliation></author><author><name sortKey="Marin, Alvaro" sort="Marin, Alvaro" uniqKey="Marin A" first="Alvaro" last="Marín">Alvaro Marín</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral Implantology, Dental School, Universidad de La Frontera, Temuco, Chile.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Chili</country><wicri:regionArea>Department of Oral Implantology, Dental School, Universidad de La Frontera, Temuco</wicri:regionArea><wicri:noRegion>Temuco</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24236247</idno><idno type="pmc">3825992</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3825992</idno><idno type="RBID">PMC:3825992</idno><idno type="doi">10.5051/jpis.2013.43.5.243</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">001F02</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001F02</idno><idno type="wicri:Area/Pmc/Curation">001F02</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001F02</idno><idno type="wicri:Area/Pmc/Checkpoint">001788</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001788</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Segmental osteotomy for mobilization of dental implant</title><author><name sortKey="Olate, Sergio" sort="Olate, Sergio" uniqKey="Olate S" first="Sergio" last="Olate">Sergio Olate</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral Implantology, Dental School, Universidad de La Frontera, Temuco, Chile.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Chili</country><wicri:regionArea>Department of Oral Implantology, Dental School, Universidad de La Frontera, Temuco</wicri:regionArea><wicri:noRegion>Temuco</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Oral and Maxillofacial Surgery, Dental School, Universidad de La Frontera, Temuco, Chile.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Chili</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Dental School, Universidad de La Frontera, Temuco</wicri:regionArea><wicri:noRegion>Temuco</wicri:noRegion></affiliation></author><author><name sortKey="Weber, Benjamin" sort="Weber, Benjamin" uniqKey="Weber B" first="Benjamin" last="Weber">Benjamin Weber</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral Implantology, Dental School, Universidad de La Frontera, Temuco, Chile.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Chili</country><wicri:regionArea>Department of Oral Implantology, Dental School, Universidad de La Frontera, Temuco</wicri:regionArea><wicri:noRegion>Temuco</wicri:noRegion></affiliation></author><author><name sortKey="Marin, Alvaro" sort="Marin, Alvaro" uniqKey="Marin A" first="Alvaro" last="Marín">Alvaro Marín</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral Implantology, Dental School, Universidad de La Frontera, Temuco, Chile.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Chili</country><wicri:regionArea>Department of Oral Implantology, Dental School, Universidad de La Frontera, Temuco</wicri:regionArea><wicri:noRegion>Temuco</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Periodontal & Implant Science</title><idno type="ISSN">2093-2278</idno><idno type="eISSN">2093-2286</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>The aim of this work is to evaluate a surgical technique for mobilization of mal posed dental implant in anterior area.</p></sec><sec><title>Methods</title><p>A 38-year-old patient consulted our unit for esthetic dissatisfaction with the implant treatment of a central incisor. An implant was observed in 11 and 21, where 11 was 3 mm above the ideal limit, with excessive vestibular angulation. The choice was made to perform a segmental osteotomy and mobilize the bone block and the implant down and forward; a bone block extracted from the mandibular ramus was installed between the implant block and the bed to stabilize the segment.</p></sec><sec><title>Results</title><p>After 4 months, a conventional fixed prosthesis was created and the esthetic result achieved was close to what the patient wanted, with no need for further surgery. The surgical condition was stabilized and maintained for the long-time and no complications how necrosis, infection or bone defects was present.</p></sec><sec><title>Conclusions</title><p>It was concluded that the procedure is efficient, and the biological arguments in favor of the procedure are discussed.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Scacchi, M" uniqKey="Scacchi M">M Scacchi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Scacchi, M" uniqKey="Scacchi M">M Scacchi</name></author><author><name sortKey="Merz, Br" uniqKey="Merz B">BR Merz</name></author><author><name sortKey="Schar, Ar" uniqKey="Schar A">AR Schar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author><author><name sortKey="Martin, W" uniqKey="Martin W">W Martin</name></author><author><name sortKey="Belser, Uc" uniqKey="Belser U">UC Belser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Higginbottom, F" uniqKey="Higginbottom F">F Higginbottom</name></author><author><name sortKey="Belser, U" uniqKey="Belser U">U Belser</name></author><author><name sortKey="Jones, Jd" uniqKey="Jones J">JD Jones</name></author><author><name sortKey="Keith, Se" uniqKey="Keith S">SE Keith</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Grunder, U" uniqKey="Grunder U">U Grunder</name></author><author><name sortKey="Gracis, S" uniqKey="Gracis S">S Gracis</name></author><author><name sortKey="Capelli, M" uniqKey="Capelli M">M Capelli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zechner, W" uniqKey="Zechner W">W Zechner</name></author><author><name sortKey="Bernhart, T" uniqKey="Bernhart T">T Bernhart</name></author><author><name sortKey="Zauza, K" uniqKey="Zauza K">K Zauza</name></author><author><name sortKey="Celar, A" uniqKey="Celar A">A Celar</name></author><author><name sortKey="Watzek, G" uniqKey="Watzek G">G Watzek</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kassolis, Jd" uniqKey="Kassolis J">JD Kassolis</name></author><author><name sortKey="Baer, Ml" uniqKey="Baer M">ML Baer</name></author><author><name sortKey="Reynolds, Ma" uniqKey="Reynolds M">MA Reynolds</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Olate, S" uniqKey="Olate S">S Olate</name></author><author><name sortKey="Kluppel, Le" uniqKey="Kluppel L">LE Kluppel</name></author><author><name sortKey="De Miranda Chaves Netto, Hd" uniqKey="De Miranda Chaves Netto H">HD de Miranda Chaves Netto</name></author><author><name sortKey="Stabile, Ga" uniqKey="Stabile G">GA Stabile</name></author><author><name sortKey="Mazzonetto, R" uniqKey="Mazzonetto R">R Mazzonetto</name></author><author><name sortKey="De Albergaria Barbosa, Jr" uniqKey="De Albergaria Barbosa J">JR de Albergaria-Barbosa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bell, Wh" uniqKey="Bell W">WH Bell</name></author><author><name sortKey="You, Zh" uniqKey="You Z">ZH You</name></author><author><name sortKey="Finn, Ra" uniqKey="Finn R">RA Finn</name></author><author><name sortKey="Fields, Rt" uniqKey="Fields R">RT Fields</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mazzonetto, R" uniqKey="Mazzonetto R">R Mazzonetto</name></author><author><name sortKey="Allais, M" uniqKey="Allais M">M Allais</name></author><author><name sortKey="Maurette, Pe" uniqKey="Maurette P">PE Maurette</name></author><author><name sortKey="Moreira, Rw" uniqKey="Moreira R">RW Moreira</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Puleo, Da" uniqKey="Puleo D">DA Puleo</name></author><author><name sortKey="Thomas, Mv" uniqKey="Thomas M">MV Thomas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Martin, Rj" uniqKey="Martin R">RJ Martin</name></author><author><name sortKey="Goupil, Mt" uniqKey="Goupil M">MT Goupil</name></author><author><name sortKey="Goldschmidt, M" uniqKey="Goldschmidt M">M Goldschmidt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Raghoebar, Gm" uniqKey="Raghoebar G">GM Raghoebar</name></author><author><name sortKey="Visser, A" uniqKey="Visser A">A Visser</name></author><author><name sortKey="Vissink, A" uniqKey="Vissink A">A Vissink</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kao, Sy" uniqKey="Kao S">SY Kao</name></author><author><name sortKey="Fong, Jh" uniqKey="Fong J">JH Fong</name></author><author><name sortKey="Chou, Sj" uniqKey="Chou S">SJ Chou</name></author><author><name sortKey="Wu, Jh" uniqKey="Wu J">JH Wu</name></author><author><name sortKey="Tu, Hf" uniqKey="Tu H">HF Tu</name></author><author><name sortKey="Yeung, Tc" uniqKey="Yeung T">TC Yeung</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Netto, Hd" uniqKey="Netto H">HD Netto</name></author><author><name sortKey="Olate, S" uniqKey="Olate S">S Olate</name></author><author><name sortKey="Mazzonetto, R" uniqKey="Mazzonetto R">R Mazzonetto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adolfi, D" uniqKey="Adolfi D">D Adolfi</name></author><author><name sortKey="De Freitas, Aj" uniqKey="De Freitas A">AJ de Freitas</name></author><author><name sortKey="Groisman, M" uniqKey="Groisman M">M Groisman</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Periodontal Implant Sci</journal-id><journal-id journal-id-type="iso-abbrev">J Periodontal Implant Sci</journal-id><journal-id journal-id-type="publisher-id">JPIS</journal-id><journal-title-group><journal-title>Journal of Periodontal & Implant Science</journal-title></journal-title-group><issn pub-type="ppub">2093-2278</issn><issn pub-type="epub">2093-2286</issn><publisher><publisher-name>Korean Academy of Periodontology</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24236247</article-id><article-id pub-id-type="pmc">3825992</article-id><article-id pub-id-type="doi">10.5051/jpis.2013.43.5.243</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Segmental osteotomy for mobilization of dental implant</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Olate</surname><given-names>Sergio</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Weber</surname><given-names>Benjamin</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Marín</surname><given-names>Alvaro</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Oral Implantology, Dental School, Universidad de La Frontera, Temuco, Chile.</aff><aff id="A2"><label>2</label>Department of Oral and Maxillofacial Surgery, Dental School, Universidad de La Frontera, Temuco, Chile.</aff><author-notes><corresp>Correspondence: Sergio Olate. Department of Oral Implantology, Dental School, Universidad de La Frontera, Facultad de Odontologia, Claro Solar 115, Oficina 20, Temuco, Chile. <email>sergio.olate@ufrontera.cl</email>, Tel: +56-45-232-5000, Fax: +56-45-232-5001</corresp></author-notes><pub-date pub-type="ppub"><month>10</month><year>2013</year></pub-date><pub-date pub-type="epub"><day>29</day><month>10</month><year>2013</year></pub-date><volume>43</volume><issue>5</issue><fpage>243</fpage><lpage>247</lpage><history><date date-type="received"><day>06</day><month>9</month><year>2013</year></date><date date-type="accepted"><day>27</day><month>9</month><year>2013</year></date></history><permissions><copyright-statement>Copyright © 2013 Korean Academy of Periodontology</copyright-statement><copyright-year>2013</copyright-year><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 (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>).</license-p></license></permissions><abstract><sec><title>Purpose</title><p>The aim of this work is to evaluate a surgical technique for mobilization of mal posed dental implant in anterior area.</p></sec><sec><title>Methods</title><p>A 38-year-old patient consulted our unit for esthetic dissatisfaction with the implant treatment of a central incisor. An implant was observed in 11 and 21, where 11 was 3 mm above the ideal limit, with excessive vestibular angulation. The choice was made to perform a segmental osteotomy and mobilize the bone block and the implant down and forward; a bone block extracted from the mandibular ramus was installed between the implant block and the bed to stabilize the segment.</p></sec><sec><title>Results</title><p>After 4 months, a conventional fixed prosthesis was created and the esthetic result achieved was close to what the patient wanted, with no need for further surgery. The surgical condition was stabilized and maintained for the long-time and no complications how necrosis, infection or bone defects was present.</p></sec><sec><title>Conclusions</title><p>It was concluded that the procedure is efficient, and the biological arguments in favor of the procedure are discussed.</p></sec></abstract><kwd-group><kwd>Dental implants</kwd><kwd>Osteotomy</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>(A) Inadequate positioning of implant 11, 3 mm over the ideal cervical limit. (B) Anterior position of 11 in relation to the lateral incisor and adjacent implant.</p></caption><graphic xlink:href="jpis-43-243-g001"></graphic></fig><fig id="F2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Periapical radiograph of implants 11 and 21 free of pathology, peri-implantitis, or any other type of alteration.</p></caption><graphic xlink:href="jpis-43-243-g002"></graphic></fig><fig id="F3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Study of models and surgery on models to identify the planned movement needed for repositioning 3 mm downwards and 2 mm posterior.</p></caption><graphic xlink:href="jpis-43-243-g003"></graphic></fig><fig id="F4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Vestibular maxillary incision close to the bottom of the vestibule 3 cm long.</p></caption><graphic xlink:href="jpis-43-243-g004"></graphic></fig><fig id="F5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>Horizontal and vertical osteotomy of the block with the implant. The osteotomy reaches the palatal periosteum. The superior vertical osteotomy is performed 5 mm over the apical limit of the implant recorded by another osteotomy guide.</p></caption><graphic xlink:href="jpis-43-243-g005"></graphic></fig><fig id="F6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Mobilized bone block, maintaining contact with the palatal periosteum. A bone graft is installed in the superior sector to ensure the mobility and stability of the 3 mm downward movement.</p></caption><graphic xlink:href="jpis-43-243-g006"></graphic></fig><fig id="F7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>Autogenous particulate bone graft installed in the osteotomies and in the defects caused by mobilization of the bone block.</p></caption><graphic xlink:href="jpis-43-243-g007"></graphic></fig><fig id="F8" orientation="portrait" position="float"><label>Figure 8</label><caption><p>(A) Simple suture of the incision without excessive traction of the flap. (B) Implant 11 located posteriorly at its cervical level after rotating the apical sector vestibularly.</p></caption><graphic xlink:href="jpis-43-243-g008"></graphic></fig><fig id="F9" orientation="portrait" position="float"><label>Figure 9</label><caption><p>Metal ceramic fixed prosthesis installed on the implants, maintaining adequate esthetics and correct functionality. The regional esthetic can be optimized with manipulation of the soft tissue and dental management in a second operation.</p></caption><graphic xlink:href="jpis-43-243-g009"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Chili</li></country></list><tree><country name="Chili"><noRegion><name sortKey="Olate, Sergio" sort="Olate, Sergio" uniqKey="Olate S" first="Sergio" last="Olate">Sergio Olate</name></noRegion><name sortKey="Marin, Alvaro" sort="Marin, Alvaro" uniqKey="Marin A" first="Alvaro" last="Marín">Alvaro Marín</name><name sortKey="Olate, Sergio" sort="Olate, Sergio" uniqKey="Olate S" first="Sergio" last="Olate">Sergio Olate</name><name sortKey="Weber, Benjamin" sort="Weber, Benjamin" uniqKey="Weber B" first="Benjamin" last="Weber">Benjamin Weber</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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