Flapless implant surgery to overcome anatomic challenges in the anterior mandible for overdenture therapy: a clinical report.
Identifieur interne : 000695 ( PubMed/Checkpoint ); précédent : 000694; suivant : 000696Flapless implant surgery to overcome anatomic challenges in the anterior mandible for overdenture therapy: a clinical report.
Auteurs : Avinash S. Bidra [Oman]Source :
- The Journal of prosthetic dentistry [ 1097-6841 ] ; 2014.
Descripteurs français
- KwdFr :
- Arcade dentaire (), Arcade dentaire (imagerie diagnostique), Atrophie, Conception d'appareil de prothèse dentaire, Conception de prothèse dentaire, Humains, Implants dentaires, Mandibule (), Mandibule (imagerie diagnostique), Mâchoire édentée (), Mâchoire édentée (imagerie diagnostique), Mâle, Ostéo-intégration (physiologie), Overdenture, Planification des soins du patient, Pose d'implant dentaire endo-osseux (), Pose d'implant dentaire endo-osseux (instrumentation), Prothèse dentaire implanto-portée, Sujet âgé de 80 ans ou plus, Tomodensitométrie à faisceau conique (), Études de suivi.
- MESH :
- imagerie diagnostique : Arcade dentaire, Mandibule, Mâchoire édentée.
- physiologie : Ostéo-intégration.
- Arcade dentaire, Atrophie, Conception d'appareil de prothèse dentaire, Conception de prothèse dentaire, Humains, Implants dentaires, Mandibule, Mâchoire édentée, Mâle, Overdenture, Planification des soins du patient, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Sujet âgé de 80 ans ou plus, Tomodensitométrie à faisceau conique, Études de suivi.
English descriptors
- KwdEn :
- Aged, 80 and over, Atrophy, Cone-Beam Computed Tomography (methods), Dental Arch (diagnostic imaging), Dental Arch (surgery), Dental Implantation, Endosseous (instrumentation), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Denture Design, Denture, Overlay, Follow-Up Studies, Humans, Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (surgery), Male, Mandible (blood supply), Mandible (diagnostic imaging), Mandible (surgery), Osseointegration (physiology), Patient Care Planning.
- MESH :
- chemical : Dental Implants.
- blood supply : Mandible.
- diagnostic imaging : Dental Arch, Jaw, Edentulous, Mandible.
- instrumentation : Dental Implantation, Endosseous.
- methods : Cone-Beam Computed Tomography, Dental Implantation, Endosseous.
- physiology : Osseointegration.
- surgery : Dental Arch, Jaw, Edentulous, Mandible.
- Aged, 80 and over, Atrophy, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Denture Design, Denture, Overlay, Follow-Up Studies, Humans, Male, Patient Care Planning.
Abstract
Implant surgery in the atrophic anterior mandible presents a number of anatomic challenges owing to the vascular and neurologic structures related to this region. Flapless implant surgery is known to be a conservative surgical approach that has a number of advantages and disadvantages for both the clinician and the patient. This clinical report describes the use of flapless implant surgery for a 2-implant overdenture in an 89-year-old patient with a severely atrophic mandible and significant anatomic constraints. The insertion of the sublingual artery into the lingual cortex close to the level of the crest of the ridge and the presence of the mental foramen at the ridge crest precluded conventional flap surgery. To overcome these anatomic challenges, a conventional surgical guide was used with careful preoperative treatment planning for a successful flapless implant surgery and subsequent overdenture therapy. The anatomic challenges, surgical and prosthetic treatment planning, choice of simple versus complex interventions, and indications and contraindications of flapless surgery are discussed.
DOI: 10.1016/j.prosdent.2013.09.019
PubMed: 24286637
Affiliations:
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Bidra</name><affiliation wicri:level="1"><nlm:affiliation>Assistant Professor and Assistant Program Director, Post-Graduate Prosthodontics, University of Connecticut Health Center; and Private practice, Meriden, Conn. Electronic address: avinashbidra@yahoo.com.</nlm:affiliation><country wicri:rule="url">Oman</country></affiliation></author></analytic><series><title level="j">The Journal of prosthetic dentistry</title><idno type="eISSN">1097-6841</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged, 80 and over</term><term>Atrophy</term><term>Cone-Beam Computed Tomography (methods)</term><term>Dental Arch (diagnostic imaging)</term><term>Dental Arch (surgery)</term><term>Dental Implantation, Endosseous (instrumentation)</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture Design</term><term>Denture, Overlay</term><term>Follow-Up Studies</term><term>Humans</term><term>Jaw, Edentulous (diagnostic imaging)</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Mandible (blood supply)</term><term>Mandible (diagnostic imaging)</term><term>Mandible (surgery)</term><term>Osseointegration (physiology)</term><term>Patient Care Planning</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Arcade dentaire ()</term><term>Arcade dentaire (imagerie diagnostique)</term><term>Atrophie</term><term>Conception d'appareil de prothèse dentaire</term><term>Conception de prothèse dentaire</term><term>Humains</term><term>Implants dentaires</term><term>Mandibule ()</term><term>Mandibule (imagerie diagnostique)</term><term>Mâchoire édentée ()</term><term>Mâchoire édentée (imagerie diagnostique)</term><term>Mâle</term><term>Ostéo-intégration (physiologie)</term><term>Overdenture</term><term>Planification des soins du patient</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Pose d'implant dentaire endo-osseux (instrumentation)</term><term>Prothèse dentaire implanto-portée</term><term>Sujet âgé de 80 ans ou plus</term><term>Tomodensitométrie à faisceau conique ()</term><term>Études de suivi</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Mandible</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Dental Arch</term><term>Jaw, Edentulous</term><term>Mandible</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Arcade dentaire</term><term>Mandibule</term><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cone-Beam Computed Tomography</term><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Ostéo-intégration</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Osseointegration</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Dental Arch</term><term>Jaw, Edentulous</term><term>Mandible</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged, 80 and over</term><term>Atrophy</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture Design</term><term>Denture, Overlay</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Patient Care Planning</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Arcade dentaire</term><term>Atrophie</term><term>Conception d'appareil de prothèse dentaire</term><term>Conception de prothèse dentaire</term><term>Humains</term><term>Implants dentaires</term><term>Mandibule</term><term>Mâchoire édentée</term><term>Mâle</term><term>Overdenture</term><term>Planification des soins du patient</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire implanto-portée</term><term>Sujet âgé de 80 ans ou plus</term><term>Tomodensitométrie à faisceau conique</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Implant surgery in the atrophic anterior mandible presents a number of anatomic challenges owing to the vascular and neurologic structures related to this region. Flapless implant surgery is known to be a conservative surgical approach that has a number of advantages and disadvantages for both the clinician and the patient. This clinical report describes the use of flapless implant surgery for a 2-implant overdenture in an 89-year-old patient with a severely atrophic mandible and significant anatomic constraints. The insertion of the sublingual artery into the lingual cortex close to the level of the crest of the ridge and the presence of the mental foramen at the ridge crest precluded conventional flap surgery. To overcome these anatomic challenges, a conventional surgical guide was used with careful preoperative treatment planning for a successful flapless implant surgery and subsequent overdenture therapy. The anatomic challenges, surgical and prosthetic treatment planning, choice of simple versus complex interventions, and indications and contraindications of flapless surgery are discussed.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24286637</PMID><DateCompleted><Year>2014</Year><Month>12</Month><Day>05</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1097-6841</ISSN><JournalIssue CitedMedium="Internet"><Volume>111</Volume><Issue>3</Issue><PubDate><Year>2014</Year><Month>Mar</Month></PubDate></JournalIssue><Title>The Journal of prosthetic dentistry</Title><ISOAbbreviation>J Prosthet Dent</ISOAbbreviation></Journal><ArticleTitle>Flapless implant surgery to overcome anatomic challenges in the anterior mandible for overdenture therapy: a clinical report.</ArticleTitle><Pagination><MedlinePgn>175-80</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.prosdent.2013.09.019</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0022-3913(13)00270-9</ELocationID><Abstract><AbstractText>Implant surgery in the atrophic anterior mandible presents a number of anatomic challenges owing to the vascular and neurologic structures related to this region. Flapless implant surgery is known to be a conservative surgical approach that has a number of advantages and disadvantages for both the clinician and the patient. This clinical report describes the use of flapless implant surgery for a 2-implant overdenture in an 89-year-old patient with a severely atrophic mandible and significant anatomic constraints. The insertion of the sublingual artery into the lingual cortex close to the level of the crest of the ridge and the presence of the mental foramen at the ridge crest precluded conventional flap surgery. To overcome these anatomic challenges, a conventional surgical guide was used with careful preoperative treatment planning for a successful flapless implant surgery and subsequent overdenture therapy. The anatomic challenges, surgical and prosthetic treatment planning, choice of simple versus complex interventions, and indications and contraindications of flapless surgery are discussed.</AbstractText><CopyrightInformation>Copyright © 2014 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bidra</LastName><ForeName>Avinash S</ForeName><Initials>AS</Initials><AffiliationInfo><Affiliation>Assistant Professor and Assistant Program Director, Post-Graduate Prosthodontics, University of Connecticut Health Center; and Private practice, Meriden, Conn. 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