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Implant rehabilitation of the edentulous posterior atrophic mandible: the sandwich osteotomy revisited.

Identifieur interne : 001707 ( PubMed/Corpus ); précédent : 001706; suivant : 001708

Implant rehabilitation of the edentulous posterior atrophic mandible: the sandwich osteotomy revisited.

Auteurs : Jose Luis Lopez-Cedrun

Source :

RBID : pubmed:21365056

English descriptors

Abstract

Treatment of the posterior atrophic mandible has long been a challenge in implant dentistry and maxillofacial surgery. The objective of this study was to reevaluate the safety and efficacy of the sandwich osteotomy and bone grafting in patients with moderate to severe posterior mandibular atrophy.

PubMed: 21365056

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pubmed:21365056

Le document en format XML

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<title xml:lang="en">Implant rehabilitation of the edentulous posterior atrophic mandible: the sandwich osteotomy revisited.</title>
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<name sortKey="Lopez Cedrun, Jose Luis" sort="Lopez Cedrun, Jose Luis" uniqKey="Lopez Cedrun J" first="Jose Luis" last="Lopez-Cedrun">Jose Luis Lopez-Cedrun</name>
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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, University Hospital of La Coruña, La Coruña, Spain. lopezcedrun@centromaxilofacial.com</nlm:affiliation>
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<title xml:lang="en">Implant rehabilitation of the edentulous posterior atrophic mandible: the sandwich osteotomy revisited.</title>
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<title level="j">The International journal of oral & maxillofacial implants</title>
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<term>Adult</term>
<term>Aged</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Atrophy</term>
<term>Bone Plates</term>
<term>Bone Transplantation (methods)</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Mandible (pathology)</term>
<term>Mandible (surgery)</term>
<term>Mandibular Nerve (pathology)</term>
<term>Middle Aged</term>
<term>Osteotomy (instrumentation)</term>
<term>Osteotomy (methods)</term>
<term>Radiography, Panoramic</term>
<term>Retrospective Studies</term>
<term>Surgical Wound Dehiscence (etiology)</term>
<term>Treatment Outcome</term>
<term>Wound Healing (physiology)</term>
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<term>Dental Implants</term>
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<term>Surgical Wound Dehiscence</term>
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<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Osteotomy</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Bone Transplantation</term>
<term>Osteotomy</term>
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<term>Mandible</term>
<term>Mandibular Nerve</term>
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<term>Wound Healing</term>
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<term>Jaw, Edentulous, Partially</term>
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<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous, Partially</term>
<term>Mandible</term>
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<term>Adult</term>
<term>Aged</term>
<term>Atrophy</term>
<term>Bone Plates</term>
<term>Dental Implantation, Endosseous</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiography, Panoramic</term>
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<div type="abstract" xml:lang="en">Treatment of the posterior atrophic mandible has long been a challenge in implant dentistry and maxillofacial surgery. The objective of this study was to reevaluate the safety and efficacy of the sandwich osteotomy and bone grafting in patients with moderate to severe posterior mandibular atrophy.</div>
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<Year>2011</Year>
<Month>04</Month>
<Day>21</Day>
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<Year>2011</Year>
<Month>03</Month>
<Day>02</Day>
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<Title>The International journal of oral & maxillofacial implants</Title>
<ISOAbbreviation>Int J Oral Maxillofac Implants</ISOAbbreviation>
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<ArticleTitle>Implant rehabilitation of the edentulous posterior atrophic mandible: the sandwich osteotomy revisited.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Treatment of the posterior atrophic mandible has long been a challenge in implant dentistry and maxillofacial surgery. The objective of this study was to reevaluate the safety and efficacy of the sandwich osteotomy and bone grafting in patients with moderate to severe posterior mandibular atrophy.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">This retrospective study included patients with an edentulous posterior mandible in which there was not enough bone above the dental nerve to insert implants at least 10 mm in length; patients with adequate bone volume but with an excessive interocclusal distance at the posterior occlusal region were also included. Twenty-three patients with 30 sites of moderate to severe posterior atrophy were treated using a sandwich osteotomy above the mental nerve and an interpositioned block of autologous or allogeneic bone. Success criteria were based on the possibility of implant insertion after bone grafting.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The average gain in height was 5.3 mm (range, 2 to 10 mm). Partial loss of alveolar height was observed in only one patient from the allogeneic graft group. Patients were followed for 12 to 93 months after bone grafting. No signs of infection were observed. Minor dehiscence of the surgical wound occurred in four segments, but healing ultimately occurred in every patient. Sixty-five implants were placed, and none were lost during follow-up. Insertion of implants of 10 mm or more in length was successfully achieved in 90.8% of the sites, and partial success (ie, bone segments suitable for insertion of shorter implants) was seen in the remaining sites.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Moderate to severe posterior mandibular atrophy can be successfully treated by interpositional sandwich osteotomy and bone grafting, allowing for the subsequent placement of implants and fixed prostheses in all segments.</AbstractText>
</Abstract>
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