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An inventory of mandibular fractures associated with implants in atrophic edentulous mandibles: a survey of Dutch oral and maxillofacial surgeons.

Identifieur interne : 001454 ( PubMed/Corpus ); précédent : 001453; suivant : 001455

An inventory of mandibular fractures associated with implants in atrophic edentulous mandibles: a survey of Dutch oral and maxillofacial surgeons.

Auteurs : Antariksa Soehardi ; Gert J. Meijer ; Rian Manders ; Paul J W. Stoelnga

Source :

RBID : pubmed:22010093

English descriptors

Abstract

The present study provides an inventory of the number of fractures that occurred in conjunction with implant placement in edentulous patients in the Dutch population from 1980 to 2007 and estimates the incidence with which this might occur. The study also sought to define the factors that increase the risk of fracture.

PubMed: 22010093

Links to Exploration step

pubmed:22010093

Le document en format XML

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<title xml:lang="en">An inventory of mandibular fractures associated with implants in atrophic edentulous mandibles: a survey of Dutch oral and maxillofacial surgeons.</title>
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<name sortKey="Soehardi, Antariksa" sort="Soehardi, Antariksa" uniqKey="Soehardi A" first="Antariksa" last="Soehardi">Antariksa Soehardi</name>
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<nlm:affiliation>Deprtment of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands. A.Soehardi@mka.umcn.nl</nlm:affiliation>
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<name sortKey="Meijer, Gert J" sort="Meijer, Gert J" uniqKey="Meijer G" first="Gert J" last="Meijer">Gert J. Meijer</name>
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<name sortKey="Manders, Rian" sort="Manders, Rian" uniqKey="Manders R" first="Rian" last="Manders">Rian Manders</name>
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<author>
<name sortKey="Stoelnga, Paul J W" sort="Stoelnga, Paul J W" uniqKey="Stoelnga P" first="Paul J W" last="Stoelnga">Paul J W. Stoelnga</name>
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<title xml:lang="en">An inventory of mandibular fractures associated with implants in atrophic edentulous mandibles: a survey of Dutch oral and maxillofacial surgeons.</title>
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<name sortKey="Soehardi, Antariksa" sort="Soehardi, Antariksa" uniqKey="Soehardi A" first="Antariksa" last="Soehardi">Antariksa Soehardi</name>
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<term>Atrophy</term>
<term>Bone Transplantation (statistics & numerical data)</term>
<term>Dental Arch (pathology)</term>
<term>Dental Implants (statistics & numerical data)</term>
<term>Dental Prosthesis, Implant-Supported (statistics & numerical data)</term>
<term>Dental Restoration Failure (statistics & numerical data)</term>
<term>Denture, Overlay (statistics & numerical data)</term>
<term>Equipment Failure (statistics & numerical data)</term>
<term>Fracture Fixation, Internal (statistics & numerical data)</term>
<term>Fracture Healing</term>
<term>Fractures, Ununited (epidemiology)</term>
<term>Humans</term>
<term>Iatrogenic Disease (epidemiology)</term>
<term>Incidence</term>
<term>Jaw, Edentulous (epidemiology)</term>
<term>Mandible (pathology)</term>
<term>Mandibular Diseases (epidemiology)</term>
<term>Mandibular Fractures (epidemiology)</term>
<term>Mandibular Injuries (epidemiology)</term>
<term>Netherlands (epidemiology)</term>
<term>Osteomyelitis (epidemiology)</term>
<term>Peri-Implantitis (epidemiology)</term>
<term>Periprosthetic Fractures (epidemiology)</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
<term>Surgery, Oral (statistics & numerical data)</term>
<term>Surgical Wound Dehiscence (epidemiology)</term>
<term>Surgical Wound Infection (epidemiology)</term>
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<term>Dental Implants</term>
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<term>Netherlands</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Fractures, Ununited</term>
<term>Iatrogenic Disease</term>
<term>Jaw, Edentulous</term>
<term>Mandibular Diseases</term>
<term>Mandibular Fractures</term>
<term>Mandibular Injuries</term>
<term>Osteomyelitis</term>
<term>Peri-Implantitis</term>
<term>Periprosthetic Fractures</term>
<term>Surgical Wound Dehiscence</term>
<term>Surgical Wound Infection</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Dental Arch</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Bone Transplantation</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture, Overlay</term>
<term>Equipment Failure</term>
<term>Fracture Fixation, Internal</term>
<term>Surgery, Oral</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Atrophy</term>
<term>Fracture Healing</term>
<term>Humans</term>
<term>Incidence</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
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<front>
<div type="abstract" xml:lang="en">The present study provides an inventory of the number of fractures that occurred in conjunction with implant placement in edentulous patients in the Dutch population from 1980 to 2007 and estimates the incidence with which this might occur. The study also sought to define the factors that increase the risk of fracture.</div>
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<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">22010093</PMID>
<DateCompleted>
<Year>2012</Year>
<Month>02</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised>
<Year>2011</Year>
<Month>10</Month>
<Day>19</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1942-4434</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>26</Volume>
<Issue>5</Issue>
<PubDate>
<MedlineDate>2011 Sep-Oct</MedlineDate>
</PubDate>
</JournalIssue>
<Title>The International journal of oral & maxillofacial implants</Title>
<ISOAbbreviation>Int J Oral Maxillofac Implants</ISOAbbreviation>
</Journal>
<ArticleTitle>An inventory of mandibular fractures associated with implants in atrophic edentulous mandibles: a survey of Dutch oral and maxillofacial surgeons.</ArticleTitle>
<Pagination>
<MedlinePgn>1087-93</MedlinePgn>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The present study provides an inventory of the number of fractures that occurred in conjunction with implant placement in edentulous patients in the Dutch population from 1980 to 2007 and estimates the incidence with which this might occur. The study also sought to define the factors that increase the risk of fracture.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Questionnaires were sent to all 198 oral and maxillofacial surgeons working in 56 hospitals in the Netherlands. Questions were asked regarding the causes of fractures, the height of the edentulous mandible, and the methods of fracture treatment.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Responses were received from 53 of the 56 departments. During the study period, 157 edentulous mandibles fractured in conjunction with implant treatment. All fractures occurred in mandibles with less than 10 mm of height, as measured in the symphysis. An incidence of less than 0.05% was estimated based on an estimated number of 475,000 patients treated with at least two implants during this time to support an overdenture. Reasons for early implant failures were insufficient bone volume, iatrogenic causes, nonintegration, and a narrow arch. Peri-implantitis, trauma, and explantation were associated with fractures occurring 1 year or more after implant placement. Several methods were employed to treat the fractured mandibles, including closed reduction, rigid fixation using osteosynthesis plates, and bone grafts with fixation. In 52% of patients, fracture healing was uneventful; however, in 48% of patients, complications were encountered, including osteomyelitis, nonunion, plate fracture, screw loosening, and dehiscences with subsequent infections.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Mandibles with a height of 10 mm or less, as measured at the symphysis, are at risk of fractures and associated complications. The provision of proper informed consent regarding the advantages and disadvantages of placing implants in thin mandibles is essential.</AbstractText>
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<DescriptorName UI="D001284" MajorTopicYN="N">Atrophy</DescriptorName>
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