Reconstruction of posterior mandibular alveolar ridge deficiencies with the piezoelectric hinge-assisted ridge split technique: a retrospective observational report.
Identifieur interne : 001398 ( PubMed/Checkpoint ); précédent : 001397; suivant : 001399Reconstruction of posterior mandibular alveolar ridge deficiencies with the piezoelectric hinge-assisted ridge split technique: a retrospective observational report.
Auteurs : Dan J. Holtzclaw ; Nicholas J. Toscano ; Paul S. RosenSource :
- Journal of periodontology [ 1943-3670 ] ; 2010.
Descripteurs français
- KwdFr :
- Adulte, Arcade dentaire (), Arcade dentaire (anatomopathologie), Céphalométrie, Densité osseuse (physiologie), Femelle, Humains, Implants dentaires, Jeune adulte, Maladies mandibulaires (), Mandibule (), Mandibule (anatomopathologie), Membrane artificielle, Mâchoire partiellement édentée (), Mâle, Ostéotomie (), Ostéotomie (instrumentation), Pose d'implant dentaire endo-osseux, Processus alvéolaire (anatomopathologie), Procédures de chirurgie reconstructive (), Procédures de chirurgie reconstructive (instrumentation), Reconstruction de crête alvéolaire (), Régénération osseuse (physiologie), Résorption alvéolaire (), Résultat thérapeutique, Science des ultrasons, Transplantation osseuse (), Études de suivi, Études rétrospectives.
- MESH :
- anatomopathologie : Arcade dentaire, Mandibule, Processus alvéolaire.
- physiologie : Densité osseuse, Régénération osseuse.
- Adulte, Arcade dentaire, Céphalométrie, Femelle, Humains, Implants dentaires, Jeune adulte, Maladies mandibulaires, Mandibule, Membrane artificielle, Mâchoire partiellement édentée, Mâle, Ostéotomie, Pose d'implant dentaire endo-osseux, Procédures de chirurgie reconstructive, Reconstruction de crête alvéolaire, Résorption alvéolaire, Résultat thérapeutique, Science des ultrasons, Transplantation osseuse, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Alveolar Bone Loss (surgery), Alveolar Process (pathology), Alveolar Ridge Augmentation (methods), Bone Density (physiology), Bone Regeneration (physiology), Bone Transplantation (methods), Cephalometry, Dental Arch (pathology), Dental Arch (surgery), Dental Implantation, Endosseous, Dental Implants, Female, Follow-Up Studies, Humans, Jaw, Edentulous, Partially (surgery), Male, Mandible (pathology), Mandible (surgery), Mandibular Diseases (surgery), Membranes, Artificial, Osteotomy (instrumentation), Osteotomy (methods), Reconstructive Surgical Procedures (instrumentation), Reconstructive Surgical Procedures (methods), Retrospective Studies, Treatment Outcome, Ultrasonics, Young Adult.
- MESH :
- chemical : Dental Implants, Membranes, Artificial.
- instrumentation : Osteotomy, Reconstructive Surgical Procedures.
- methods : Alveolar Ridge Augmentation, Bone Transplantation, Osteotomy, Reconstructive Surgical Procedures.
- pathology : Alveolar Process, Dental Arch, Mandible.
- physiology : Bone Density, Bone Regeneration.
- surgery : Alveolar Bone Loss, Dental Arch, Jaw, Edentulous, Partially, Mandible, Mandibular Diseases.
- Adult, Cephalometry, Dental Implantation, Endosseous, Female, Follow-Up Studies, Humans, Male, Retrospective Studies, Treatment Outcome, Ultrasonics, Young Adult.
Abstract
Reconstruction of alveolar defects in the posterior edentulous mandible can be a difficult task. In addition to complicating anatomic features, such as the inferior alveolar nerve, mental foramen, oblique ridge, and lingual undercut of the mylohyoid ridge, edentulous ridges in the posterior mandible have thicker cortices and decreased volumes of vascular trabecular bone than their maxillary counterparts. Traditionally, these areas have been treated with autogenous block grafts. Significant resorption of these grafts, in combination with patient morbidity at secondary donor sites, has led clinicians to seek alternatives for augmenting the edentulous posterior mandible. The aim of this retrospective consecutive case series is to report on both the technique of the piezoelectric hinge-assisted ridge split procedure for augmenting these sites and the results that were achieved.
DOI: 10.1902/jop.2010.100093
PubMed: 20594048
Affiliations:
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pubmed:20594048Le document en format XML
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<term>Bone Density (physiology)</term>
<term>Bone Regeneration (physiology)</term>
<term>Bone Transplantation (methods)</term>
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<term>Densité osseuse (physiologie)</term>
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<term>Études rétrospectives</term>
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<term>Bone Transplantation</term>
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<term>Reconstructive Surgical Procedures</term>
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<term>Dental Arch</term>
<term>Mandible</term>
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<term>Régénération osseuse</term>
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<term>Bone Regeneration</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Alveolar Bone Loss</term>
<term>Dental Arch</term>
<term>Jaw, Edentulous, Partially</term>
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<term>Mandibular Diseases</term>
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<term>Cephalometry</term>
<term>Dental Implantation, Endosseous</term>
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<term>Humans</term>
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<term>Procédures de chirurgie reconstructive</term>
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<term>Résorption alvéolaire</term>
<term>Résultat thérapeutique</term>
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<front><div type="abstract" xml:lang="en">Reconstruction of alveolar defects in the posterior edentulous mandible can be a difficult task. In addition to complicating anatomic features, such as the inferior alveolar nerve, mental foramen, oblique ridge, and lingual undercut of the mylohyoid ridge, edentulous ridges in the posterior mandible have thicker cortices and decreased volumes of vascular trabecular bone than their maxillary counterparts. Traditionally, these areas have been treated with autogenous block grafts. Significant resorption of these grafts, in combination with patient morbidity at secondary donor sites, has led clinicians to seek alternatives for augmenting the edentulous posterior mandible. The aim of this retrospective consecutive case series is to report on both the technique of the piezoelectric hinge-assisted ridge split procedure for augmenting these sites and the results that were achieved.</div>
</front>
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<Title>Journal of periodontology</Title>
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<ArticleTitle>Reconstruction of posterior mandibular alveolar ridge deficiencies with the piezoelectric hinge-assisted ridge split technique: a retrospective observational report.</ArticleTitle>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Reconstruction of alveolar defects in the posterior edentulous mandible can be a difficult task. In addition to complicating anatomic features, such as the inferior alveolar nerve, mental foramen, oblique ridge, and lingual undercut of the mylohyoid ridge, edentulous ridges in the posterior mandible have thicker cortices and decreased volumes of vascular trabecular bone than their maxillary counterparts. Traditionally, these areas have been treated with autogenous block grafts. Significant resorption of these grafts, in combination with patient morbidity at secondary donor sites, has led clinicians to seek alternatives for augmenting the edentulous posterior mandible. The aim of this retrospective consecutive case series is to report on both the technique of the piezoelectric hinge-assisted ridge split procedure for augmenting these sites and the results that were achieved.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Thirteen patients with 17 horizontal alveolar ridge deficiencies of the posterior mandible were treated with the piezoelectric hinge-assisted ridge split procedure. After an average healing period of 14 weeks, dental implants were placed into the augmented sites. Intrasurgical alveolar ridge measurements taken at the initial surgery and subsequently at the time of implant placement documented the horizontal gains achieved by this procedure.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Overall mean gain in horizontal width was 4.03 mm (± 0.67). For single implant-site augmentations, the mean gain was 3.38 mm (± 0.25). For multiple adjacent implant-site augmentations, mean gain was 4.25 mm (± 0.62). A total of 31 dental implants were successfully placed in all sites and none required additional augmentation procedures. There were no instances of adverse outcomes, such as neurosensory deficits or sequestration of mobilized buccal plates. After a minimum of 6 months of loading, all dental implants have been successful.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This retrospective observational report demonstrates that the piezoelectric hinge-assisted ridge split procedure can achieve substantial gains in horizontal ridge width of the edentulous posterior mandible without associated morbidity. Further prospective and larger observational studies are warranted to see if this is true over a larger patient population and to compare this technique to other more traditionally used approaches.</AbstractText>
</Abstract>
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