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Implant-supported fixed restoration of post-traumatic mandibular defect accompanied with skin grafting: A clinical report

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Implant-supported fixed restoration of post-traumatic mandibular defect accompanied with skin grafting: A clinical report

Auteurs : Kwantae Noh [Corée du Sud] ; Woo-Jin Choi [Corée du Sud] ; Ahran Pae [Corée du Sud]

Source :

The Journal of Advanced Prosthodontics [ 2005-7806 ] ; 2013.

RBID : PMC:3597928

Abstract

Traumatic defects are mostly accompanied by hard and soft tissue loss. This report describes the surgical and prosthetic treatment of a patient with post-traumatic mandibular defect. A split-thickness skin graft was performed prior to implant placement and prefabricated acrylic stent was placed to hold the graft in place. The esthetic and functional demands of the patient were fulfilled by implant-supported screw-retained fixed prosthesis using CAD-CAM technology.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3597928

DOI: 10.4047/jap.2013.5.1.67
PubMed: 23508120
PubMed Central: 3597928

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<author><name sortKey="Noh, Kwantae" sort="Noh, Kwantae" uniqKey="Noh K" first="Kwantae" last="Noh">Kwantae Noh</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Prosthodontics, School of Dentistry, Kyung Hee University, Seoul, Republic of Korea.</nlm:aff>
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<author><name sortKey="Choi, Woo Jin" sort="Choi, Woo Jin" uniqKey="Choi W" first="Woo-Jin" last="Choi">Woo-Jin Choi</name>
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<front><div type="abstract" xml:lang="en"><p>Traumatic defects are mostly accompanied by hard and soft tissue loss. This report describes the surgical and prosthetic treatment of a patient with post-traumatic mandibular defect. A split-thickness skin graft was performed prior to implant placement and prefabricated acrylic stent was placed to hold the graft in place. The esthetic and functional demands of the patient were fulfilled by implant-supported screw-retained fixed prosthesis using CAD-CAM technology.</p>
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-ta">J Adv Prosthodont</journal-id>
<journal-id journal-id-type="iso-abbrev">J Adv Prosthodont</journal-id>
<journal-id journal-id-type="publisher-id">JAP</journal-id>
<journal-title-group><journal-title>The Journal of Advanced Prosthodontics</journal-title>
</journal-title-group>
<issn pub-type="ppub">2005-7806</issn>
<issn pub-type="epub">2005-7814</issn>
<publisher><publisher-name>The Korean Academy of Prosthodontics</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">23508120</article-id>
<article-id pub-id-type="pmc">3597928</article-id>
<article-id pub-id-type="doi">10.4047/jap.2013.5.1.67</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Implant-supported fixed restoration of post-traumatic mandibular defect accompanied with skin grafting: A clinical report</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Noh</surname>
<given-names>Kwantae</given-names>
</name>
<degrees>DMD</degrees>
<degrees>MSD</degrees>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Choi</surname>
<given-names>Woo-Jin</given-names>
</name>
<degrees>DMD</degrees>
<degrees>MSD</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Pae</surname>
<given-names>Ahran</given-names>
</name>
<degrees>DMD</degrees>
<degrees>MSD</degrees>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
</contrib-group>
<aff id="A1">Department of Prosthodontics, School of Dentistry, Kyung Hee University, Seoul, Republic of Korea.</aff>
<author-notes><corresp>Corresponding author: Ahran Pae. Department of Prosthodontics, School of Dentistry, Kyung Hee University, 1 Hoegi-Dong, Dongdaemun-Gu, Seoul, 130-701, Republic of Korea. Tel. 8229589349: <email>ahranp@khu.ac.kr</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>2</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>28</day>
<month>2</month>
<year>2013</year>
</pub-date>
<volume>5</volume>
<issue>1</issue>
<fpage>67</fpage>
<lpage>72</lpage>
<history><date date-type="received"><day>10</day>
<month>10</month>
<year>2012</year>
</date>
<date date-type="rev-recd"><day>06</day>
<month>12</month>
<year>2012</year>
</date>
<date date-type="accepted"><day>12</day>
<month>12</month>
<year>2012</year>
</date>
</history>
<permissions><copyright-statement>© 2013 The Korean Academy of Prosthodontics</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>
) 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>Traumatic defects are mostly accompanied by hard and soft tissue loss. This report describes the surgical and prosthetic treatment of a patient with post-traumatic mandibular defect. A split-thickness skin graft was performed prior to implant placement and prefabricated acrylic stent was placed to hold the graft in place. The esthetic and functional demands of the patient were fulfilled by implant-supported screw-retained fixed prosthesis using CAD-CAM technology.</p>
</abstract>
<kwd-group><kwd>Dental implants</kwd>
<kwd>Skin grafting</kwd>
<kwd>Stents</kwd>
<kwd>CAD-CAM</kwd>
<kwd>Zirconium oxide</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><fig id="F1" position="float"><label>Fig. 1</label>
<caption><p>Pretreatment panoramic radiograph. The patient received a reconstructive surgery about 20 years ago due to trauma.</p>
</caption>
<graphic xlink:href="jap-5-67-g001"></graphic>
</fig>
<fig id="F2" position="float"><label>Fig. 2</label>
<caption><p>Pretreatment intraoral condition. A: Frontal view, B: Mandibular occlusal view. Note the shallow buccal vestibule and lack of keratinized tissue of left posterior mandible.</p>
</caption>
<graphic xlink:href="jap-5-67-g002"></graphic>
</fig>
<fig id="F3" position="float"><label>Fig. 3</label>
<caption><p>A: Mandibular preliminary cast, B: Trimmed and modified mandibular cast. Note change of posterior buccal side.</p>
</caption>
<graphic xlink:href="jap-5-67-g003"></graphic>
</fig>
<fig id="F4" position="float"><label>Fig. 4</label>
<caption><p>A: Placement of prefabricated acrylic resin stent after skin graft, B: Intraoral view 10 days after operation.</p>
</caption>
<graphic xlink:href="jap-5-67-g004"></graphic>
</fig>
<fig id="F5" position="float"><label>Fig. 5</label>
<caption><p>Panoramic radiograph of dental implants after placements.</p>
</caption>
<graphic xlink:href="jap-5-67-g005"></graphic>
</fig>
<fig id="F6" position="float"><label>Fig. 6</label>
<caption><p>Bite block was fabricated on definitive cast using pick-up type impression copings and autopolymerizing acrylic resin.</p>
</caption>
<graphic xlink:href="jap-5-67-g006"></graphic>
</fig>
<fig id="F7" position="float"><label>Fig. 7</label>
<caption><p>Zirconium oxide framework for the mandibular implant-supported prosthesis. Note the increased keratinized tissue and vestibular depth of left buccal side.</p>
</caption>
<graphic xlink:href="jap-5-67-g007"></graphic>
</fig>
<fig id="F8" position="float"><label>Fig. 8</label>
<caption><p>Mandibular screw-retained implant-supported restorations with two cementable zirconium oxide crowns and maxillary implant crown.</p>
</caption>
<graphic xlink:href="jap-5-67-g008"></graphic>
</fig>
<fig id="F9" position="float"><label>Fig. 9</label>
<caption><p>Definitive prosthesis. A: Facial view, B: Occlusal view.</p>
</caption>
<graphic xlink:href="jap-5-67-g009"></graphic>
</fig>
<fig id="F10" position="float"><label>Fig. 10</label>
<caption><p>Panoramic radiograph 12 months after placement of definitive prosthesis.</p>
</caption>
<graphic xlink:href="jap-5-67-g010"></graphic>
</fig>
</floats-group>
</pmc>
</record>

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Implant-supported fixed restoration of post-traumatic mandibular defect accompanied with skin grafting: A clinical report

Implant-supported fixed restoration of post-traumatic mandibular defect accompanied with skin grafting: A clinical report

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