Implant-prosthetic rehabilitation of hemimaxillectomy defects with CAD/CAM suprastructures.
Identifieur interne : 000115 ( PubMed/Checkpoint ); précédent : 000114; suivant : 000116Implant-prosthetic rehabilitation of hemimaxillectomy defects with CAD/CAM suprastructures.
Auteurs : Christian Mertens [Allemagne] ; Jose De San Jose Gonzalez [Allemagne] ; Christian Freudlsperger [Allemagne] ; Jens Bodem [Allemagne] ; Johannes Krisam [Allemagne] ; Jürgen Hoffmann [Allemagne] ; Michael Engel [Allemagne]Source :
- Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery [ 1878-4119 ] ; 2016.
Descripteurs français
- KwdFr :
- Conception assistée par ordinateur, Conception de prothèse dentaire (), Femelle, Humains, Implants dentaires, Maxillaire (), Mâchoire partiellement édentée (), Mâchoire partiellement édentée (étiologie), Mâle, Pose d'implant dentaire endo-osseux (), Reconstruction mandibulaire (), Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du maxillaire supérieur ().
- MESH :
- étiologie : Mâchoire partiellement édentée.
- Conception assistée par ordinateur, Conception de prothèse dentaire, Femelle, Humains, Implants dentaires, Maxillaire, Mâchoire partiellement édentée, Mâle, Pose d'implant dentaire endo-osseux, Reconstruction mandibulaire, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du maxillaire supérieur.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Computer-Aided Design, Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis Design (methods), Female, Humans, Jaw, Edentulous, Partially (etiology), Jaw, Edentulous, Partially (surgery), Male, Mandibular Reconstruction (methods), Maxilla (surgery), Maxillary Neoplasms (surgery).
- MESH :
- chemical : Dental Implants.
- etiology : Jaw, Edentulous, Partially.
- methods : Dental Implantation, Endosseous, Dental Prosthesis Design, Mandibular Reconstruction.
- surgery : Jaw, Edentulous, Partially, Maxilla, Maxillary Neoplasms.
- Aged, Aged, 80 and over, Computer-Aided Design, Female, Humans, Male.
Abstract
Patients with hemimaxillectomy defects after tumor surgery can alternatively be rehabilitated with dental obturators or microvascular flaps. When general medical or oncologic conditions do not permit microvascular surgery, dental obturators are the only solution, yet retention for edentulous patients is often poor. The aim of this study was to evaluate whether CAD/CAM suprastructures supported by implants placed in both residual alveolar ridges and contralateral zygomatic bone could enhance obturator stability and improve functional outcomes.
DOI: 10.1016/j.jcms.2016.08.009
PubMed: 27663677
Affiliations:
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Electronic address: christian.mertens@med.uni-heidelberg.de.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="De San Jose Gonzalez, Jose" sort="De San Jose Gonzalez, Jose" uniqKey="De San Jose Gonzalez J" first="Jose" last="De San Jose Gonzalez">Jose De San Jose Gonzalez</name><affiliation wicri:level="1"><nlm:affiliation>Gonzalez Zahntechnik, Weinheim, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Gonzalez Zahntechnik, Weinheim</wicri:regionArea><wicri:noRegion>Weinheim</wicri:noRegion><wicri:noRegion>Weinheim</wicri:noRegion><wicri:noRegion>Weinheim</wicri:noRegion></affiliation></author><author><name sortKey="Freudlsperger, Christian" sort="Freudlsperger, Christian" uniqKey="Freudlsperger C" first="Christian" last="Freudlsperger">Christian Freudlsperger</name><affiliation wicri:level="3"><nlm:affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Bodem, Jens" sort="Bodem, Jens" uniqKey="Bodem J" first="Jens" last="Bodem">Jens Bodem</name><affiliation wicri:level="3"><nlm:affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Krisam, Johannes" sort="Krisam, Johannes" uniqKey="Krisam J" first="Johannes" last="Krisam">Johannes Krisam</name><affiliation wicri:level="3"><nlm:affiliation>Institute of Medical Biometry and Informatics, University Heidelberg, Heidelberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Medical Biometry and Informatics, University Heidelberg, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Hoffmann, Jurgen" sort="Hoffmann, Jurgen" uniqKey="Hoffmann J" first="Jürgen" last="Hoffmann">Jürgen Hoffmann</name><affiliation wicri:level="3"><nlm:affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Engel, Michael" sort="Engel, Michael" uniqKey="Engel M" first="Michael" last="Engel">Michael Engel</name><affiliation wicri:level="3"><nlm:affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery</title><idno type="eISSN">1878-4119</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Computer-Aided Design</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Prosthesis Design (methods)</term><term>Female</term><term>Humans</term><term>Jaw, Edentulous, Partially (etiology)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Male</term><term>Mandibular Reconstruction (methods)</term><term>Maxilla (surgery)</term><term>Maxillary Neoplasms (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Conception assistée par ordinateur</term><term>Conception de prothèse dentaire ()</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Maxillaire ()</term><term>Mâchoire partiellement édentée ()</term><term>Mâchoire partiellement édentée (étiologie)</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Reconstruction mandibulaire ()</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du maxillaire supérieur ()</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term><term>Dental Prosthesis Design</term><term>Mandibular Reconstruction</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Maxilla</term><term>Maxillary Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Mâchoire partiellement édentée</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Computer-Aided Design</term><term>Female</term><term>Humans</term><term>Male</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Conception assistée par ordinateur</term><term>Conception de prothèse dentaire</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Maxillaire</term><term>Mâchoire partiellement édentée</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux</term><term>Reconstruction mandibulaire</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du maxillaire supérieur</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Patients with hemimaxillectomy defects after tumor surgery can alternatively be rehabilitated with dental obturators or microvascular flaps. When general medical or oncologic conditions do not permit microvascular surgery, dental obturators are the only solution, yet retention for edentulous patients is often poor. The aim of this study was to evaluate whether CAD/CAM suprastructures supported by implants placed in both residual alveolar ridges and contralateral zygomatic bone could enhance obturator stability and improve functional outcomes.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27663677</PMID><DateCompleted><Year>2017</Year><Month>10</Month><Day>31</Day></DateCompleted><DateRevised><Year>2017</Year><Month>10</Month><Day>31</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-4119</ISSN><JournalIssue CitedMedium="Internet"><Volume>44</Volume><Issue>11</Issue><PubDate><Year>2016</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery</Title><ISOAbbreviation>J Craniomaxillofac Surg</ISOAbbreviation></Journal><ArticleTitle>Implant-prosthetic rehabilitation of hemimaxillectomy defects with CAD/CAM suprastructures.</ArticleTitle><Pagination><MedlinePgn>1812-1818</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1010-5182(16)30177-9</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jcms.2016.08.009</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Patients with hemimaxillectomy defects after tumor surgery can alternatively be rehabilitated with dental obturators or microvascular flaps. When general medical or oncologic conditions do not permit microvascular surgery, dental obturators are the only solution, yet retention for edentulous patients is often poor. The aim of this study was to evaluate whether CAD/CAM suprastructures supported by implants placed in both residual alveolar ridges and contralateral zygomatic bone could enhance obturator stability and improve functional outcomes.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Five edentulous patients with class IId hemimaxillectomy defects were included in the study. Implant-retained reconstructions were planned to support cross-arch CAD/CAM milled suprastructures. Patients had to rate their restorations on a 100-mm visual analogue scale before and after treatment. Additional evaluation was performed using the Oral Health Impact Profile (OHIP-EDENT) questionnaire.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In the 5 patients, 7 conventional implants were placed in the remaining zygomatic bone and 16 in the remaining contralateral alveolar ridge. After 4 months of submerged healing, CAD/CAM suprastructures were fabricated that connected all respective implants with each other. All of the prosthetic restorations were removable and bar-retained. They all achieved good defect closure and showed significant improvements concerning general satisfaction (p = 0.0343), stability (p < 0.0001), ability to chew (p = 0.0077), esthetics (p = 0.0173) and foreign body sensation (p = 0.0207). According to the OHIP-EDENT questionnaire (p = 0.0036) the improvements were significant. During the observation period of 29.4 months, no mechanical or biological complications occurred.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The CAD/CAM suprastructures improved retention in all treated patients without any complications.</AbstractText><CopyrightInformation>Copyright © 2016 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mertens</LastName><ForeName>Christian</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany. Electronic address: christian.mertens@med.uni-heidelberg.de.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de San Jose Gonzalez</LastName><ForeName>Jose</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Gonzalez Zahntechnik, Weinheim, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Freudlsperger</LastName><ForeName>Christian</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bodem</LastName><ForeName>Jens</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Krisam</LastName><ForeName>Johannes</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Institute of Medical Biometry and Informatics, University Heidelberg, Heidelberg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hoffmann</LastName><ForeName>Jürgen</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Engel</LastName><ForeName>Michael</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>08</Month><Day>24</Day></ArticleDate></Article><MedlineJournalInfo><Country>Scotland</Country><MedlineTA>J Craniomaxillofac Surg</MedlineTA><NlmUniqueID>8704309</NlmUniqueID><ISSNLinking>1010-5182</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance></Chemical></ChemicalList><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017076" MajorTopicYN="Y">Computer-Aided Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015921" MajorTopicYN="N">Dental Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017267" MajorTopicYN="N">Dental Prosthesis Design</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D063175" MajorTopicYN="N">Mandibular Reconstruction</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008441" MajorTopicYN="N">Maxillary Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">CAD/CAM suprastructure</Keyword><Keyword MajorTopicYN="N">Hemimaxillectomy</Keyword><Keyword MajorTopicYN="N">Implants</Keyword><Keyword MajorTopicYN="N">Obturator</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>02</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>06</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>08</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>9</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>11</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>9</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27663677</ArticleId><ArticleId IdType="pii">S1010-5182(16)30177-9</ArticleId><ArticleId IdType="doi">10.1016/j.jcms.2016.08.009</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Bade-Wurtemberg</li><li>District de Karlsruhe</li></region><settlement><li>Heidelberg</li></settlement></list><tree><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Mertens, Christian" sort="Mertens, Christian" uniqKey="Mertens C" first="Christian" last="Mertens">Christian Mertens</name></region><name sortKey="Bodem, Jens" sort="Bodem, Jens" uniqKey="Bodem J" first="Jens" last="Bodem">Jens Bodem</name><name sortKey="De San Jose Gonzalez, Jose" sort="De San Jose Gonzalez, Jose" uniqKey="De San Jose Gonzalez J" first="Jose" last="De San Jose Gonzalez">Jose De San Jose Gonzalez</name><name sortKey="Engel, Michael" sort="Engel, Michael" uniqKey="Engel M" first="Michael" last="Engel">Michael Engel</name><name sortKey="Freudlsperger, Christian" sort="Freudlsperger, Christian" uniqKey="Freudlsperger C" first="Christian" last="Freudlsperger">Christian Freudlsperger</name><name sortKey="Hoffmann, Jurgen" sort="Hoffmann, Jurgen" uniqKey="Hoffmann J" first="Jürgen" last="Hoffmann">Jürgen Hoffmann</name><name sortKey="Krisam, Johannes" sort="Krisam, Johannes" uniqKey="Krisam J" first="Johannes" last="Krisam">Johannes 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HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Checkpoint/RBID.i -Sk "pubmed:27663677" \
| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a EdenteV2
| This area was generated with Dilib version V0.6.32. |  |