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Tent-pole approach to treat severely atrophic fractured mandibles using immediate or delayed protocols: preliminary case series.

Identifieur interne : 000E11 ( PubMed/Corpus ); précédent : 000E10; suivant : 000E12

Tent-pole approach to treat severely atrophic fractured mandibles using immediate or delayed protocols: preliminary case series.

Auteurs : Jarkko T. Korpi ; Vesa T. Kainulainen ; George K. Sándor ; Kyösti S. Oikarinen

Source :

RBID : pubmed:23099225

English descriptors

Abstract

To investigate the outcomes of patients with severely resorbed fractured mandibles who were managed with a modified tent-pole procedure.

DOI: 10.1016/j.joms.2012.09.008
PubMed: 23099225

Links to Exploration step

pubmed:23099225

Le document en format XML

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<title xml:lang="en">Tent-pole approach to treat severely atrophic fractured mandibles using immediate or delayed protocols: preliminary case series.</title>
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<name sortKey="Korpi, Jarkko T" sort="Korpi, Jarkko T" uniqKey="Korpi J" first="Jarkko T" last="Korpi">Jarkko T. Korpi</name>
<affiliation>
<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Institute of Dentistry, University of Oulu and Oulu University Hospital, Oulu, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Kainulainen, Vesa T" sort="Kainulainen, Vesa T" uniqKey="Kainulainen V" first="Vesa T" last="Kainulainen">Vesa T. Kainulainen</name>
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<author>
<name sortKey="Sandor, George K" sort="Sandor, George K" uniqKey="Sandor G" first="George K" last="Sándor">George K. Sándor</name>
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<author>
<name sortKey="Oikarinen, Kyosti S" sort="Oikarinen, Kyosti S" uniqKey="Oikarinen K" first="Kyösti S" last="Oikarinen">Kyösti S. Oikarinen</name>
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<title xml:lang="en">Tent-pole approach to treat severely atrophic fractured mandibles using immediate or delayed protocols: preliminary case series.</title>
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<name sortKey="Korpi, Jarkko T" sort="Korpi, Jarkko T" uniqKey="Korpi J" first="Jarkko T" last="Korpi">Jarkko T. Korpi</name>
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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Institute of Dentistry, University of Oulu and Oulu University Hospital, Oulu, Finland.</nlm:affiliation>
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<name sortKey="Kainulainen, Vesa T" sort="Kainulainen, Vesa T" uniqKey="Kainulainen V" first="Vesa T" last="Kainulainen">Vesa T. Kainulainen</name>
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<name sortKey="Sandor, George K" sort="Sandor, George K" uniqKey="Sandor G" first="George K" last="Sándor">George K. Sándor</name>
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<name sortKey="Oikarinen, Kyosti S" sort="Oikarinen, Kyosti S" uniqKey="Oikarinen K" first="Kyösti S" last="Oikarinen">Kyösti S. Oikarinen</name>
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<title level="j">Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</title>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Alveolar Bone Loss (complications)</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Female</term>
<term>Fracture Fixation, Internal (methods)</term>
<term>Humans</term>
<term>Male</term>
<term>Mandibular Diseases (complications)</term>
<term>Mandibular Diseases (surgery)</term>
<term>Mandibular Fractures (complications)</term>
<term>Mandibular Fractures (surgery)</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (complications)</term>
<term>Mouth, Edentulous (rehabilitation)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Mandibular Diseases</term>
<term>Mandibular Fractures</term>
<term>Mouth, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Fracture Fixation, Internal</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Mouth, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Mandibular Diseases</term>
<term>Mandibular Fractures</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Bone Transplantation</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">To investigate the outcomes of patients with severely resorbed fractured mandibles who were managed with a modified tent-pole procedure.</div>
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<Month>02</Month>
<Day>11</Day>
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<Year>2012</Year>
<Month>12</Month>
<Day>18</Day>
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<ISSN IssnType="Electronic">1531-5053</ISSN>
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<Volume>71</Volume>
<Issue>1</Issue>
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<Year>2013</Year>
<Month>Jan</Month>
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<Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title>
<ISOAbbreviation>J. Oral Maxillofac. Surg.</ISOAbbreviation>
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<ArticleTitle>Tent-pole approach to treat severely atrophic fractured mandibles using immediate or delayed protocols: preliminary case series.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To investigate the outcomes of patients with severely resorbed fractured mandibles who were managed with a modified tent-pole procedure.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">Four edentulous patients (2 male and 2 female; mean age, 59.5 years; range, 52 to 64 years) with a severely atrophic fractured mandible and less than 10 mm of vertical height of the body of the mandible were treated with an immediate or a delayed protocol (n=2 in each group). In the immediate group, a transcutaneous submental approach was used to provide open reduction with rigid fixation, immediate dental implant placement in the anterior mandible, and an autogenous particulate iliac bone grafting harvested from the posterior iliac crest. In the delayed protocol group, the fractures were treated with an open reduction and rigid fixation. Six months after fracture treatment, the fixation hardware was removed and a tent-pole approach was used to place the dental implants to the anterior mandible with an autogenous bone graft harvested from the posterior iliac crest. Implant fixtures were loaded at 3 months as the patients were fitted with healing caps, and the dental implants were loaded using provisional screw-retained acrylic resin prostheses and bar-retained overdentures afterward. The mean follow-up was 19.8 months (range, 13 to 28 months).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The postoperative course and healing of the 4 patients was uneventful, without any fracture nonunion. The average alveolar augmentation±standard deviation was 7.5±1.17 mm (range, 6.6 to 9.0 mm). There was no bone resorption around any of the endosseous implants on follow-up. All 4 patients wore their dental implant-supported prosthesis comfortably.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This preliminary evidence indicates that the modified tent-pole technique may be a safe and effective method to manage the fractured severely resorbed mandible using an immediate or a delayed protocol. Much larger-scale prospective evidence is required to further validate this observation.</AbstractText>
<CopyrightInformation>Copyright © 2013 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
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