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Vertical distraction of the severely resorbed edentulous mandible: an assessment of treatment outcome.

Identifieur interne : 002190 ( PubMed/Corpus ); précédent : 002189; suivant : 002191

Vertical distraction of the severely resorbed edentulous mandible: an assessment of treatment outcome.

Auteurs : Gerry M. Raghoebar ; Kees Stellingsma ; Henny J A. Meijer ; Arjan Vissink

Source :

RBID : pubmed:18548927

English descriptors

Abstract

To assess the treatment outcome (implant survival, surgical complications, patient satisfaction) of vertical distraction of the severely resorbed edentulous mandible.

PubMed: 18548927

Links to Exploration step

pubmed:18548927

Le document en format XML

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<title xml:lang="en">Vertical distraction of the severely resorbed edentulous mandible: an assessment of treatment outcome.</title>
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<name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M" last="Raghoebar">Gerry M. Raghoebar</name>
<affiliation>
<nlm:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. g.m.raghoebar@kchir.umcg.nl</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Stellingsma, Kees" sort="Stellingsma, Kees" uniqKey="Stellingsma K" first="Kees" last="Stellingsma">Kees Stellingsma</name>
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<author>
<name sortKey="Meijer, Henny J A" sort="Meijer, Henny J A" uniqKey="Meijer H" first="Henny J A" last="Meijer">Henny J A. Meijer</name>
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<author>
<name sortKey="Vissink, Arjan" sort="Vissink, Arjan" uniqKey="Vissink A" first="Arjan" last="Vissink">Arjan Vissink</name>
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<title xml:lang="en">Vertical distraction of the severely resorbed edentulous mandible: an assessment of treatment outcome.</title>
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<name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M" last="Raghoebar">Gerry M. Raghoebar</name>
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<nlm:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. g.m.raghoebar@kchir.umcg.nl</nlm:affiliation>
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<name sortKey="Meijer, Henny J A" sort="Meijer, Henny J A" uniqKey="Meijer H" first="Henny J A" last="Meijer">Henny J A. Meijer</name>
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<name sortKey="Vissink, Arjan" sort="Vissink, Arjan" uniqKey="Vissink A" first="Arjan" last="Vissink">Arjan Vissink</name>
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<title level="j">The International journal of oral & maxillofacial implants</title>
<idno type="ISSN">0882-2786</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Alveolar Bone Loss (diagnostic imaging)</term>
<term>Alveolar Bone Loss (etiology)</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Humans</term>
<term>Incisor</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible (diagnostic imaging)</term>
<term>Mandible (surgery)</term>
<term>Middle Aged</term>
<term>Oral Surgical Procedures (methods)</term>
<term>Osteogenesis, Distraction (adverse effects)</term>
<term>Osteogenesis, Distraction (instrumentation)</term>
<term>Osteogenesis, Distraction (methods)</term>
<term>Radiography</term>
<term>Treatment Outcome</term>
<term>Vertical Dimension</term>
</keywords>
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<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Osteogenesis, Distraction</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Alveolar Bone Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Osteogenesis, Distraction</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Oral Surgical Procedures</term>
<term>Osteogenesis, Distraction</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Humans</term>
<term>Incisor</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiography</term>
<term>Treatment Outcome</term>
<term>Vertical Dimension</term>
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<front>
<div type="abstract" xml:lang="en">To assess the treatment outcome (implant survival, surgical complications, patient satisfaction) of vertical distraction of the severely resorbed edentulous mandible.</div>
</front>
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<PMID Version="1">18548927</PMID>
<DateCompleted>
<Year>2008</Year>
<Month>08</Month>
<Day>11</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>24</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Print">0882-2786</ISSN>
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<Volume>23</Volume>
<Issue>2</Issue>
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<MedlineDate>2008 Mar-Apr</MedlineDate>
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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>Vertical distraction of the severely resorbed edentulous mandible: an assessment of treatment outcome.</ArticleTitle>
<Pagination>
<MedlinePgn>299-307</MedlinePgn>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To assess the treatment outcome (implant survival, surgical complications, patient satisfaction) of vertical distraction of the severely resorbed edentulous mandible.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Forty-six patients with severe resorption of the edentulous mandible (bone height 5 to 8 mm, median 6 mm) participated in this study. The anterior segment of the mandible was vertically augmented using the Groningen distraction device. One or 2 months after the last day of distraction, 2 implants (n = 92) were placed. Standardized clinical and radiographic assessments were performed annually, and patient satisfaction was scored on a 10-point rating scale (0 = completely dissatisfied; 10 = completely satisfied).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Three implants were lost during the healing phase, but none were lost for the rest of the follow-up period (72 +/- 10.3 months), resulting in an implant survival rate of 97%. One patient developed a fracture of the mandible 3 days after the last day of distraction; it healed uneventfully. The mean mandibular bone resorption during follow-up as measured on radiographs in the midline and distal of the implants was 9.8% +/- 0.6% and 10.2% +/- 0.8%, respectively. In 4 patients radiolucency in the distracted area persisted during the follow-up period. Four patients reported a slight sensory disturbance at the final evaluation visit. All patients functioned well with their prostheses. The mean patient satisfaction score after treatment was 8.1 +/- 1.2.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Vertical distraction of the anterior segment of a severely resorbed alveolar ridge of the mandible can provide a proper basis for insertion and osseointegration of endosseous load-bearing implants with good implant survival, few surgical complications, and good patient satisfaction.</AbstractText>
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