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Implant treatment without bone grafting in edentulous severely resorbed maxillas: a long-term follow-up study.

Identifieur interne : 001D84 ( PubMed/Checkpoint ); précédent : 001D83; suivant : 001D85

Implant treatment without bone grafting in edentulous severely resorbed maxillas: a long-term follow-up study.

Auteurs : Annika Rosén [Suède] ; Göran Gynther

Source :

RBID : pubmed:17448855

Descripteurs français

English descriptors

Abstract

To evaluate retrospectively the surgical outcome of tilted implants in severely resorbed edentulous maxillas as an alternative to bone grafting and the prosthodontic outcome of posterior extension bridges on tilted implants.

DOI: 10.1016/j.joms.2006.11.023
PubMed: 17448855


Affiliations:

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pubmed:17448855

Le document en format XML

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<term>Alveolar Bone Loss (rehabilitation)</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Bone Resorption (physiopathology)</term>
<term>Dental Implantation, Endosseous (methods)</term>
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<term>Denture, Complete</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Indice de gravité médicale</term>
<term>Maladies du maxillaire supérieur ()</term>
<term>Maladies du maxillaire supérieur (imagerie diagnostique)</term>
<term>Maladies du maxillaire supérieur (rééducation et réadaptation)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Résorption alvéolaire ()</term>
<term>Résorption alvéolaire (imagerie diagnostique)</term>
<term>Résorption alvéolaire (rééducation et réadaptation)</term>
<term>Résorption osseuse (physiopathologie)</term>
<term>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
<term>Sinus maxillaire ()</term>
<term>Sinus maxillaire (imagerie diagnostique)</term>
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<term>Études rétrospectives</term>
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<term>Maxillary Diseases</term>
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<term>Maxillary Sinus</term>
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<term>Maladies du maxillaire supérieur</term>
<term>Mâchoire édentée</term>
<term>Résorption alvéolaire</term>
<term>Sinus maxillaire</term>
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<term>Dental Implantation, Endosseous</term>
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<term>Résorption osseuse</term>
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<term>Maladies du maxillaire supérieur</term>
<term>Mâchoire édentée</term>
<term>Résorption alvéolaire</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
<term>Maxillary Diseases</term>
<term>Maxillary Sinus</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Dental Prosthesis Retention</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
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<term>Retrospective Studies</term>
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<term>Treatment Outcome</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Indice de gravité médicale</term>
<term>Maladies du maxillaire supérieur</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
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<front>
<div type="abstract" xml:lang="en">To evaluate retrospectively the surgical outcome of tilted implants in severely resorbed edentulous maxillas as an alternative to bone grafting and the prosthodontic outcome of posterior extension bridges on tilted implants.</div>
</front>
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<DateCompleted>
<Year>2007</Year>
<Month>05</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>24</Day>
</DateRevised>
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<ISSN IssnType="Print">0278-2391</ISSN>
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<Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To evaluate retrospectively the surgical outcome of tilted implants in severely resorbed edentulous maxillas as an alternative to bone grafting and the prosthodontic outcome of posterior extension bridges on tilted implants.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">A total of 33 consecutive patients with severely resorbed edentulous maxillas participated in the study. In these patients, the maxillary bone volumes were insufficient for conventional placement of implants to support a fixed prosthesis. As an alternative to bone transplantation, a surgical technique with fenestration of the maxillary sinus to visualize the total amount of maxillary bone was used, followed by implant placement in a tilted manner along the anterior maxillary sinus wall. Thus, 4 to 6 implants of optimal length could be installed in each patient. Nineteen patients were included in this long-term follow-up study and were eligible for clinical evaluation at 8 to 12 years (mean, 10 years) after second-stage surgery. Each patient was examined clinically and radiographically.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The 19 patients had a total of 103 implants. In 2 of these patients, 3 fixtures were lost during the first year after second-stage surgery. All other patients had all implants intact with functionally fixed dental prostheses, corresponding to a success rate of 97%. Radiographic examination showed bone resorption in 10% of the implants (10 implants in 5 patients with a total number of 27 implants), with a mean bone loss of 1.2 mm. Mucositis was seen in 47% of the patients.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This long-term follow-up study (mean time, 10 years) demonstrates that patients with a severely resorbed maxilla can be treated successfully with conventional implant treatment. This simplified surgical technique can be an alternative to the more resource-demanding technique with bone grafting.</AbstractText>
</Abstract>
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<MeshHeading>
<DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName>
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