Implant-prosthetic rehabilitation of hemimaxillectomy defects with CAD/CAM suprastructures.
Identifieur interne : 000073 ( PubMed/Corpus ); précédent : 000072; suivant : 000074Implant-prosthetic rehabilitation of hemimaxillectomy defects with CAD/CAM suprastructures.
Auteurs : Christian Mertens ; Jose De San Jose Gonzalez ; Christian Freudlsperger ; Jens Bodem ; Johannes Krisam ; Jürgen Hoffmann ; Michael EngelSource :
- Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery [ 1878-4119 ] ; 2016.
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
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pubmed:27663677Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Implant-prosthetic rehabilitation of hemimaxillectomy defects with CAD/CAM suprastructures.</title><author><name sortKey="Mertens, Christian" sort="Mertens, Christian" uniqKey="Mertens C" first="Christian" last="Mertens">Christian Mertens</name><affiliation><nlm:affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany. Electronic address: christian.mertens@med.uni-heidelberg.de.</nlm:affiliation></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><nlm:affiliation>Gonzalez Zahntechnik, Weinheim, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Freudlsperger, Christian" sort="Freudlsperger, Christian" uniqKey="Freudlsperger C" first="Christian" last="Freudlsperger">Christian Freudlsperger</name><affiliation><nlm:affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Bodem, Jens" sort="Bodem, Jens" uniqKey="Bodem J" first="Jens" last="Bodem">Jens Bodem</name><affiliation><nlm:affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Krisam, Johannes" sort="Krisam, Johannes" uniqKey="Krisam J" first="Johannes" last="Krisam">Johannes Krisam</name><affiliation><nlm:affiliation>Institute of Medical Biometry and Informatics, University Heidelberg, Heidelberg, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Hoffmann, Jurgen" sort="Hoffmann, Jurgen" uniqKey="Hoffmann J" first="Jürgen" last="Hoffmann">Jürgen Hoffmann</name><affiliation><nlm:affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Engel, Michael" sort="Engel, Michael" uniqKey="Engel M" first="Michael" last="Engel">Michael Engel</name><affiliation><nlm:affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27663677</idno><idno type="pmid">27663677</idno><idno type="doi">10.1016/j.jcms.2016.08.009</idno><idno type="wicri:Area/PubMed/Corpus">000073</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000073</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Implant-prosthetic rehabilitation of hemimaxillectomy defects with CAD/CAM suprastructures.</title><author><name sortKey="Mertens, Christian" sort="Mertens, Christian" uniqKey="Mertens C" first="Christian" last="Mertens">Christian Mertens</name><affiliation><nlm:affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany. Electronic address: christian.mertens@med.uni-heidelberg.de.</nlm:affiliation></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><nlm:affiliation>Gonzalez Zahntechnik, Weinheim, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Freudlsperger, Christian" sort="Freudlsperger, Christian" uniqKey="Freudlsperger C" first="Christian" last="Freudlsperger">Christian Freudlsperger</name><affiliation><nlm:affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Bodem, Jens" sort="Bodem, Jens" uniqKey="Bodem J" first="Jens" last="Bodem">Jens Bodem</name><affiliation><nlm:affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Krisam, Johannes" sort="Krisam, Johannes" uniqKey="Krisam J" first="Johannes" last="Krisam">Johannes Krisam</name><affiliation><nlm:affiliation>Institute of Medical Biometry and Informatics, University Heidelberg, Heidelberg, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Hoffmann, Jurgen" sort="Hoffmann, Jurgen" uniqKey="Hoffmann J" first="Jürgen" last="Hoffmann">Jürgen Hoffmann</name><affiliation><nlm:affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Engel, Michael" sort="Engel, Michael" uniqKey="Engel M" first="Michael" last="Engel">Michael Engel</name><affiliation><nlm:affiliation>Department of Oral- and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany.</nlm:affiliation></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="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" 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></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></record>Pour manipuler ce document sous Unix (Dilib)
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