Bimaxillary protrusion with an atrophic alveolar defect: orthodontics, autogenous chin-block graft, soft tissue augmentation, and an implant.
Identifieur interne : 000550 ( PubMed/Corpus ); précédent : 000549; suivant : 000551Bimaxillary protrusion with an atrophic alveolar defect: orthodontics, autogenous chin-block graft, soft tissue augmentation, and an implant.
Auteurs : Grace S C. Chiu ; Chris H N. Chang ; W Eugene RobertsSource :
- American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics [ 1097-6752 ] ; 2015.
English descriptors
- KwdEn :
- Adult, Alveolar Bone Loss (surgery), Alveolar Ridge Augmentation (methods), Atrophy, Autografts (transplantation), Bone Transplantation (methods), Connective Tissue (transplantation), Dental Implantation, Endosseous (instrumentation), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Female, Gingiva (transplantation), Gingivoplasty (methods), Humans, Incisor (surgery), Jaw, Edentulous, Partially (therapy), Malocclusion, Angle Class I (therapy), Maxilla (surgery), Orthodontic Anchorage Procedures (instrumentation), Orthodontic Space Closure (instrumentation), Orthodontic Space Closure (methods), Orthodontics, Corrective (methods), Patient Care Planning, Patient Care Team, Root Resorption (surgery), Tooth Extraction.
- MESH :
- chemical : Dental Implants.
- instrumentation : Dental Implantation, Endosseous, Orthodontic Anchorage Procedures, Orthodontic Space Closure.
- methods : Alveolar Ridge Augmentation, Bone Transplantation, Dental Implantation, Endosseous, Gingivoplasty, Orthodontic Space Closure, Orthodontics, Corrective.
- surgery : Alveolar Bone Loss, Incisor, Maxilla, Root Resorption.
- therapy : Jaw, Edentulous, Partially, Malocclusion, Angle Class I.
- transplantation : Autografts, Connective Tissue, Gingiva.
- Adult, Atrophy, Dental Prosthesis, Implant-Supported, Female, Humans, Patient Care Planning, Patient Care Team, Tooth Extraction.
Abstract
Bimaxillary protrusion in a 28-year-old woman was complicated by multiple missing, restoratively compromised, or hopeless teeth. The maxillary right central incisor had a history of avulsion and replantation that subsequently evolved into generalized external root resorption with Class III mobility and severe loss of the supporting periodontium. This complex malocclusion had a discrepancy index of 21, and 8 additional points were scored for the atrophic dental implant site (maxillary right central incisor). The comprehensive treatment plan included extraction of 4 teeth (both maxillary first premolars, the maxillary right central incisor, and the mandibular right first molar), orthodontic closure of all spaces except for the future implant site (maxillary right central incisor), augmentation of the alveolar defect with an autogenous chin-block graft, enhancement of the gingival biotype with a connective tissue graft, and an implant-supported prosthesis. Orthodontists must understand the limitations of bone grafts. Augmented alveolar defects are slow to completely turn over to living bone, so they are usually good sites for implants but respond poorly to orthodontic space closure. However, postsurgical orthodontic treatment is often indicated to optimally finish the esthetic zone before placing the final prosthesis. The latter was effectively performed for this patient, resulting in a total treatment time of about 36 months for comprehensive interdisciplinary care. An excellent functional and esthetic result was achieved.
DOI: 10.1016/j.ajodo.2014.08.021
PubMed: 25533077
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pubmed:25533077Le document en format XML
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Chang</name><affiliation><nlm:affiliation>Director, Beethoven Orthodontic Center, HsinChu City, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Roberts, W Eugene" sort="Roberts, W Eugene" uniqKey="Roberts W" first="W Eugene" last="Roberts">W Eugene Roberts</name><affiliation><nlm:affiliation>Professor emeritus, Department of Orthodontics, School of Dentistry, Indiana University, Indianapolis, Ind, adjunct professor, Department of Mechanical Engineering, Indiana University and Purdue University at Indianapolis, Indianapolis, Ind, visiting professor, Department of Orthodontics, School of Dentistry, Loma Linda University, Loma Linda, Calif. 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Chiu</name><affiliation><nlm:affiliation>Lecturer, Newton Implant Center, HsinChu City, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Chang, Chris H N" sort="Chang, Chris H N" uniqKey="Chang C" first="Chris H N" last="Chang">Chris H N. Chang</name><affiliation><nlm:affiliation>Director, Beethoven Orthodontic Center, HsinChu City, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Roberts, W Eugene" sort="Roberts, W Eugene" uniqKey="Roberts W" first="W Eugene" last="Roberts">W Eugene Roberts</name><affiliation><nlm:affiliation>Professor emeritus, Department of Orthodontics, School of Dentistry, Indiana University, Indianapolis, Ind, adjunct professor, Department of Mechanical Engineering, Indiana University and Purdue University at Indianapolis, Indianapolis, Ind, visiting professor, Department of Orthodontics, School of Dentistry, Loma Linda University, Loma Linda, Calif. 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The maxillary right central incisor had a history of avulsion and replantation that subsequently evolved into generalized external root resorption with Class III mobility and severe loss of the supporting periodontium. This complex malocclusion had a discrepancy index of 21, and 8 additional points were scored for the atrophic dental implant site (maxillary right central incisor). The comprehensive treatment plan included extraction of 4 teeth (both maxillary first premolars, the maxillary right central incisor, and the mandibular right first molar), orthodontic closure of all spaces except for the future implant site (maxillary right central incisor), augmentation of the alveolar defect with an autogenous chin-block graft, enhancement of the gingival biotype with a connective tissue graft, and an implant-supported prosthesis. Orthodontists must understand the limitations of bone grafts. Augmented alveolar defects are slow to completely turn over to living bone, so they are usually good sites for implants but respond poorly to orthodontic space closure. However, postsurgical orthodontic treatment is often indicated to optimally finish the esthetic zone before placing the final prosthesis. The latter was effectively performed for this patient, resulting in a total treatment time of about 36 months for comprehensive interdisciplinary care. An excellent functional and esthetic result was achieved.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25533077</PMID><DateCompleted><Year>2015</Year><Month>02</Month><Day>27</Day></DateCompleted><DateRevised><Year>2014</Year><Month>12</Month><Day>23</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1097-6752</ISSN><JournalIssue CitedMedium="Internet"><Volume>147</Volume><Issue>1</Issue><PubDate><Year>2015</Year><Month>Jan</Month></PubDate></JournalIssue><Title>American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics</Title><ISOAbbreviation>Am J Orthod Dentofacial Orthop</ISOAbbreviation></Journal><ArticleTitle>Bimaxillary protrusion with an atrophic alveolar defect: orthodontics, autogenous chin-block graft, soft tissue augmentation, and an implant.</ArticleTitle><Pagination><MedlinePgn>97-113</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ajodo.2014.08.021</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0889-5406(14)00878-6</ELocationID><Abstract><AbstractText>Bimaxillary protrusion in a 28-year-old woman was complicated by multiple missing, restoratively compromised, or hopeless teeth. The maxillary right central incisor had a history of avulsion and replantation that subsequently evolved into generalized external root resorption with Class III mobility and severe loss of the supporting periodontium. This complex malocclusion had a discrepancy index of 21, and 8 additional points were scored for the atrophic dental implant site (maxillary right central incisor). The comprehensive treatment plan included extraction of 4 teeth (both maxillary first premolars, the maxillary right central incisor, and the mandibular right first molar), orthodontic closure of all spaces except for the future implant site (maxillary right central incisor), augmentation of the alveolar defect with an autogenous chin-block graft, enhancement of the gingival biotype with a connective tissue graft, and an implant-supported prosthesis. Orthodontists must understand the limitations of bone grafts. Augmented alveolar defects are slow to completely turn over to living bone, so they are usually good sites for implants but respond poorly to orthodontic space closure. However, postsurgical orthodontic treatment is often indicated to optimally finish the esthetic zone before placing the final prosthesis. The latter was effectively performed for this patient, resulting in a total treatment time of about 36 months for comprehensive interdisciplinary care. An excellent functional and esthetic result was achieved.</AbstractText><CopyrightInformation>Copyright © 2015 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chiu</LastName><ForeName>Grace S C</ForeName><Initials>GS</Initials><AffiliationInfo><Affiliation>Lecturer, Newton Implant Center, HsinChu City, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chang</LastName><ForeName>Chris H N</ForeName><Initials>CH</Initials><AffiliationInfo><Affiliation>Director, Beethoven Orthodontic Center, HsinChu City, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Roberts</LastName><ForeName>W Eugene</ForeName><Initials>WE</Initials><AffiliationInfo><Affiliation>Professor emeritus, Department of Orthodontics, School of Dentistry, Indiana University, Indianapolis, Ind, adjunct professor, Department of Mechanical Engineering, Indiana University and Purdue University at Indianapolis, Indianapolis, Ind, visiting professor, Department of Orthodontics, School of Dentistry, Loma Linda University, Loma Linda, Calif. Electronic address: werobert@iu.edu.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Orthod Dentofacial Orthop</MedlineTA><NlmUniqueID>8610224</NlmUniqueID><ISSNLinking>0889-5406</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="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000540" MajorTopicYN="N">Alveolar Ridge Augmentation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001284" MajorTopicYN="N">Atrophy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D064592" MajorTopicYN="N">Autografts</DescriptorName><QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016025" MajorTopicYN="N">Bone Transplantation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003238" MajorTopicYN="N">Connective Tissue</DescriptorName><QualifierName UI="Q000637" MajorTopicYN="N">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName><QualifierName 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PubStatus="revised"><Year>2014</Year><Month>08</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>08</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>12</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>12</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>2</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25533077</ArticleId><ArticleId IdType="pii">S0889-5406(14)00878-6</ArticleId><ArticleId IdType="doi">10.1016/j.ajodo.2014.08.021</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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