Augmentation of the atrophic edentulous mandible by a bilateral two-step osteotomy with autogenous bone graft to place osseointegrated dental implants.
Identifieur interne : 001A32 ( PubMed/Corpus ); précédent : 001A31; suivant : 001A33Augmentation of the atrophic edentulous mandible by a bilateral two-step osteotomy with autogenous bone graft to place osseointegrated dental implants.
Auteurs : S. Pelo ; R. Boniello ; A. Moro ; G. Gasparini ; P F AmorosoSource :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2010.
English descriptors
- KwdEn :
- Aged, Alveolar Process (blood supply), Alveolar Process (innervation), Alveolar Ridge Augmentation (methods), Alveoloplasty (methods), Atrophy, Bone Transplantation (methods), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Complete, Lower, Denture, Overlay, Female, Follow-Up Studies, Graft Survival, Humans, Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (pathology), Jaw, Edentulous (surgery), Male, Mandible (diagnostic imaging), Mandible (surgery), Middle Aged, Osseointegration (physiology), Osteotomy (methods), Paresthesia (etiology), Patient Satisfaction, Postoperative Complications, Radiography, Vertical Dimension.
- MESH :
- chemical : Dental Implants.
- blood supply : Alveolar Process.
- diagnostic imaging : Jaw, Edentulous, Mandible.
- etiology : Paresthesia.
- innervation : Alveolar Process.
- methods : Alveolar Ridge Augmentation, Alveoloplasty, Bone Transplantation, Dental Implantation, Endosseous, Osteotomy.
- pathology : Jaw, Edentulous.
- physiology : Osseointegration.
- surgery : Jaw, Edentulous, Mandible.
- Aged, Atrophy, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Complete, Lower, Denture, Overlay, Female, Follow-Up Studies, Graft Survival, Humans, Male, Middle Aged, Patient Satisfaction, Postoperative Complications, Radiography, Vertical Dimension.
Abstract
Extensive resorption of the mandible increases the interarch space and rehabilitation with traditional dentures is often unsatisfactory due to the superficialization of intraoral muscles. A study of 19 patients who underwent augmentation of an atrophic mandible using a bilateral two-step osteotomy and interpositional bone graft technique is presented. Three horizontal bone cuts (one in the intraforamina and two in the molar region) were made and jointed together by two short vertical bone cuts mesialy to the mental nerve. The cranial fragment was lifted and the iliac bone graft was interposed recreating the correct intermaxillary relationship. A broad vascular pedicle was maintained during surgery, ensuring nutrition from the lingual side, essential to reduce resorption of the bone graft and cranial fragment. 141 Biomet 3i Osseotite((R)) implants were placed. Patients were rehabilitated with a full-arch implant-supported fixed prosthesis or an implant-supported overdenture. This clinical study describes the resorption process over a 4 year follow-up. 3 of 19 suffered from persistent neurosensitive disturbances. In conclusion, bilateral two-step osteotomy in association with interpositional bone graft is a reliable surgical means to recreate the anatomical morphology of the mandible.
DOI: 10.1016/j.ijom.2009.11.004
PubMed: 20022217
Links to Exploration step
pubmed:20022217Le document en format XML
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Gasparini</name></author><author><name sortKey="Amoroso, P F" sort="Amoroso, P F" uniqKey="Amoroso P" first="P F" last="Amoroso">P F Amoroso</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:20022217</idno><idno type="pmid">20022217</idno><idno type="doi">10.1016/j.ijom.2009.11.004</idno><idno type="wicri:Area/PubMed/Corpus">001A32</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001A32</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Augmentation of the atrophic edentulous mandible by a bilateral two-step osteotomy with autogenous bone graft to place osseointegrated dental implants.</title><author><name sortKey="Pelo, S" sort="Pelo, S" uniqKey="Pelo S" first="S" last="Pelo">S. Pelo</name><affiliation><nlm:affiliation>Department of Oral and Maxillofacial Surgery. Catholic University of S. Cuore, A Gemelli - Columbus Hospital- Via Moscati 31 00168, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Boniello, R" sort="Boniello, R" uniqKey="Boniello R" first="R" last="Boniello">R. Boniello</name></author><author><name sortKey="Moro, A" sort="Moro, A" uniqKey="Moro A" first="A" last="Moro">A. Moro</name></author><author><name sortKey="Gasparini, G" sort="Gasparini, G" uniqKey="Gasparini G" first="G" last="Gasparini">G. Gasparini</name></author><author><name sortKey="Amoroso, P F" sort="Amoroso, P F" uniqKey="Amoroso P" first="P F" last="Amoroso">P F Amoroso</name></author></analytic><series><title level="j">International journal of oral and maxillofacial surgery</title><idno type="eISSN">1399-0020</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Alveolar Process (blood supply)</term><term>Alveolar Process (innervation)</term><term>Alveolar Ridge Augmentation (methods)</term><term>Alveoloplasty (methods)</term><term>Atrophy</term><term>Bone Transplantation (methods)</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Denture, Complete, Lower</term><term>Denture, Overlay</term><term>Female</term><term>Follow-Up Studies</term><term>Graft Survival</term><term>Humans</term><term>Jaw, Edentulous (diagnostic imaging)</term><term>Jaw, Edentulous (pathology)</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Mandible (diagnostic imaging)</term><term>Mandible (surgery)</term><term>Middle Aged</term><term>Osseointegration (physiology)</term><term>Osteotomy (methods)</term><term>Paresthesia (etiology)</term><term>Patient Satisfaction</term><term>Postoperative Complications</term><term>Radiography</term><term>Vertical Dimension</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Alveolar Process</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Jaw, Edentulous</term><term>Mandible</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Paresthesia</term></keywords><keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Alveolar Process</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Alveoloplasty</term><term>Bone Transplantation</term><term>Dental Implantation, Endosseous</term><term>Osteotomy</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Osseointegration</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>Aged</term><term>Atrophy</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Denture, Complete, Lower</term><term>Denture, Overlay</term><term>Female</term><term>Follow-Up Studies</term><term>Graft Survival</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Satisfaction</term><term>Postoperative Complications</term><term>Radiography</term><term>Vertical Dimension</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Extensive resorption of the mandible increases the interarch space and rehabilitation with traditional dentures is often unsatisfactory due to the superficialization of intraoral muscles. A study of 19 patients who underwent augmentation of an atrophic mandible using a bilateral two-step osteotomy and interpositional bone graft technique is presented. Three horizontal bone cuts (one in the intraforamina and two in the molar region) were made and jointed together by two short vertical bone cuts mesialy to the mental nerve. The cranial fragment was lifted and the iliac bone graft was interposed recreating the correct intermaxillary relationship. A broad vascular pedicle was maintained during surgery, ensuring nutrition from the lingual side, essential to reduce resorption of the bone graft and cranial fragment. 141 Biomet 3i Osseotite((R)) implants were placed. Patients were rehabilitated with a full-arch implant-supported fixed prosthesis or an implant-supported overdenture. This clinical study describes the resorption process over a 4 year follow-up. 3 of 19 suffered from persistent neurosensitive disturbances. In conclusion, bilateral two-step osteotomy in association with interpositional bone graft is a reliable surgical means to recreate the anatomical morphology of the mandible.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20022217</PMID><DateCompleted><Year>2010</Year><Month>06</Month><Day>10</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1399-0020</ISSN><JournalIssue CitedMedium="Internet"><Volume>39</Volume><Issue>3</Issue><PubDate><Year>2010</Year><Month>Mar</Month></PubDate></JournalIssue><Title>International journal of oral and maxillofacial surgery</Title><ISOAbbreviation>Int J Oral Maxillofac Surg</ISOAbbreviation></Journal><ArticleTitle>Augmentation of the atrophic edentulous mandible by a bilateral two-step osteotomy with autogenous bone graft to place osseointegrated dental implants.</ArticleTitle><Pagination><MedlinePgn>227-34</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ijom.2009.11.004</ELocationID><Abstract><AbstractText>Extensive resorption of the mandible increases the interarch space and rehabilitation with traditional dentures is often unsatisfactory due to the superficialization of intraoral muscles. A study of 19 patients who underwent augmentation of an atrophic mandible using a bilateral two-step osteotomy and interpositional bone graft technique is presented. Three horizontal bone cuts (one in the intraforamina and two in the molar region) were made and jointed together by two short vertical bone cuts mesialy to the mental nerve. The cranial fragment was lifted and the iliac bone graft was interposed recreating the correct intermaxillary relationship. A broad vascular pedicle was maintained during surgery, ensuring nutrition from the lingual side, essential to reduce resorption of the bone graft and cranial fragment. 141 Biomet 3i Osseotite((R)) implants were placed. Patients were rehabilitated with a full-arch implant-supported fixed prosthesis or an implant-supported overdenture. This clinical study describes the resorption process over a 4 year follow-up. 3 of 19 suffered from persistent neurosensitive disturbances. In conclusion, bilateral two-step osteotomy in association with interpositional bone graft is a reliable surgical means to recreate the anatomical morphology of the mandible.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pelo</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Surgery. Catholic University of S. Cuore, A Gemelli - Columbus Hospital- Via Moscati 31 00168, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Boniello</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Moro</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Gasparini</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Amoroso</LastName><ForeName>P F</ForeName><Initials>PF</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Denmark</Country><MedlineTA>Int J Oral Maxillofac Surg</MedlineTA><NlmUniqueID>8605826</NlmUniqueID><ISSNLinking>0901-5027</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="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000539" MajorTopicYN="N">Alveolar Process</DescriptorName><QualifierName UI="Q000098" MajorTopicYN="N">blood supply</QualifierName><QualifierName UI="Q000294" MajorTopicYN="N">innervation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000540" MajorTopicYN="N">Alveolar Ridge Augmentation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000543" MajorTopicYN="N">Alveoloplasty</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001284" MajorTopicYN="N">Atrophy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016025" MajorTopicYN="N">Bone Transplantation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019094" MajorTopicYN="N">Dental Prosthesis, Implant-Supported</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019232" MajorTopicYN="N">Dental Restoration Failure</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003826" MajorTopicYN="N">Denture, Complete, Lower</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003828" MajorTopicYN="N">Denture, Overlay</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006085" MajorTopicYN="N">Graft Survival</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016348" MajorTopicYN="N">Osseointegration</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010027" MajorTopicYN="N">Osteotomy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010292" MajorTopicYN="N">Paresthesia</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017060" MajorTopicYN="N">Patient Satisfaction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011859" MajorTopicYN="N">Radiography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014716" MajorTopicYN="N">Vertical 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