Mandibular fracture in conjunction with bicortical penetration, using wide-diameter endosseous dental implants.
Identifieur interne : 001762 ( PubMed/Corpus ); précédent : 001761; suivant : 001763Mandibular fracture in conjunction with bicortical penetration, using wide-diameter endosseous dental implants.
Auteurs : Won-Suk Oh ; Eleni D. Roumanas ; John BeumerSource :
- Journal of prosthodontics : official journal of the American College of Prosthodontists [ 1532-849X ] ; 2010.
English descriptors
- KwdEn :
- Atrophy, Bone Plates, Dental Implantation, Endosseous (adverse effects), Dental Implants (adverse effects), Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Denture, Complete, Lower, Denture, Overlay, Device Removal, Edema (etiology), Follow-Up Studies, Fracture Fixation, Internal (instrumentation), Humans, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Male, Mandible (surgery), Mandibular Fractures (etiology), Middle Aged, Pain, Postoperative (etiology), Surgical Wound Infection (etiology).
- MESH :
- chemical , adverse effects : Dental Implants.
- adverse effects : Dental Implantation, Endosseous.
- etiology : Edema, Mandibular Fractures, Pain, Postoperative, Surgical Wound Infection.
- instrumentation : Fracture Fixation, Internal.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous, Mandible.
- Atrophy, Bone Plates, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Denture, Complete, Lower, Denture, Overlay, Device Removal, Follow-Up Studies, Humans, Male, Middle Aged.
Abstract
Prosthodontic rehabilitation of a patient with an atrophic edentulous mandible presents a significant challenge in restoring esthetics and function. The purpose of this clinical report is to describe fracture of an atrophic edentulous mandible opposing maxillary natural dentition in association with endosseous dental implants. The patient received two wide-diameter implants in the anterior mandible for an implant-assisted mandibular overdenture, in which the implants penetrated the inferior border of the mandible for bicortical stabilization. Three months following implant placement surgery, the patient experienced pain, swelling, and intraoral purulent drainage around the right implant. Panoramic radiograph revealed a fracture of the mandible through the right implant site and signs of infection around the left implant. The implants were removed surgically, and open reduction and fixation of the fracture site were undertaken using a titanium bone fixation plate. This clinical report demonstrates that placement of wide-diameter implants in conjunction with bicortical penetration in a severely atrophic edentulous mandible can risk fracture of the mandible.
DOI: 10.1111/j.1532-849X.2010.00646.x
PubMed: 21054640
Links to Exploration step
pubmed:21054640Le document en format XML
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<author><name sortKey="Oh, Won Suk" sort="Oh, Won Suk" uniqKey="Oh W" first="Won-Suk" last="Oh">Won-Suk Oh</name>
<affiliation><nlm:affiliation>Division of Prosthodontics, Department of Biologic and Materials Sciences, University of Michigan School of Dentistry, Ann Arbor, MI 48109-1078, USA. ohws@umich.edu</nlm:affiliation>
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<author><name sortKey="Roumanas, Eleni D" sort="Roumanas, Eleni D" uniqKey="Roumanas E" first="Eleni D" last="Roumanas">Eleni D. Roumanas</name>
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<author><name sortKey="Beumer, John" sort="Beumer, John" uniqKey="Beumer J" first="John" last="Beumer">John Beumer</name>
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<author><name sortKey="Oh, Won Suk" sort="Oh, Won Suk" uniqKey="Oh W" first="Won-Suk" last="Oh">Won-Suk Oh</name>
<affiliation><nlm:affiliation>Division of Prosthodontics, Department of Biologic and Materials Sciences, University of Michigan School of Dentistry, Ann Arbor, MI 48109-1078, USA. ohws@umich.edu</nlm:affiliation>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Atrophy</term>
<term>Bone Plates</term>
<term>Dental Implantation, Endosseous (adverse effects)</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Lower</term>
<term>Denture, Overlay</term>
<term>Device Removal</term>
<term>Edema (etiology)</term>
<term>Follow-Up Studies</term>
<term>Fracture Fixation, Internal (instrumentation)</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Mandibular Fractures (etiology)</term>
<term>Middle Aged</term>
<term>Pain, Postoperative (etiology)</term>
<term>Surgical Wound Infection (etiology)</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Edema</term>
<term>Mandibular Fractures</term>
<term>Pain, Postoperative</term>
<term>Surgical Wound Infection</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Fracture Fixation, Internal</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Atrophy</term>
<term>Bone Plates</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Lower</term>
<term>Denture, Overlay</term>
<term>Device Removal</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
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<front><div type="abstract" xml:lang="en">Prosthodontic rehabilitation of a patient with an atrophic edentulous mandible presents a significant challenge in restoring esthetics and function. The purpose of this clinical report is to describe fracture of an atrophic edentulous mandible opposing maxillary natural dentition in association with endosseous dental implants. The patient received two wide-diameter implants in the anterior mandible for an implant-assisted mandibular overdenture, in which the implants penetrated the inferior border of the mandible for bicortical stabilization. Three months following implant placement surgery, the patient experienced pain, swelling, and intraoral purulent drainage around the right implant. Panoramic radiograph revealed a fracture of the mandible through the right implant site and signs of infection around the left implant. The implants were removed surgically, and open reduction and fixation of the fracture site were undertaken using a titanium bone fixation plate. This clinical report demonstrates that placement of wide-diameter implants in conjunction with bicortical penetration in a severely atrophic edentulous mandible can risk fracture of the mandible.</div>
</front>
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<Abstract><AbstractText>Prosthodontic rehabilitation of a patient with an atrophic edentulous mandible presents a significant challenge in restoring esthetics and function. The purpose of this clinical report is to describe fracture of an atrophic edentulous mandible opposing maxillary natural dentition in association with endosseous dental implants. The patient received two wide-diameter implants in the anterior mandible for an implant-assisted mandibular overdenture, in which the implants penetrated the inferior border of the mandible for bicortical stabilization. Three months following implant placement surgery, the patient experienced pain, swelling, and intraoral purulent drainage around the right implant. Panoramic radiograph revealed a fracture of the mandible through the right implant site and signs of infection around the left implant. The implants were removed surgically, and open reduction and fixation of the fracture site were undertaken using a titanium bone fixation plate. This clinical report demonstrates that placement of wide-diameter implants in conjunction with bicortical penetration in a severely atrophic edentulous mandible can risk fracture of the mandible.</AbstractText>
<CopyrightInformation>© 2010 by The American College of Prosthodontists.</CopyrightInformation>
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