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Mandibular fracture caused by peri-implant bone loss: report of a case.

Identifieur interne : 002E90 ( PubMed/Corpus ); précédent : 002E89; suivant : 002E91

Mandibular fracture caused by peri-implant bone loss: report of a case.

Auteurs : Henny J A. Meijer ; Gerry M. Raghoebar ; Anita Visser

Source :

RBID : pubmed:12931771

English descriptors

Abstract

A major complication related to excessive bone loss around implants is fracture of the mandible. This complication is most likely to occur in a very atrophic mandible. A 57-year-old woman presented with progressive pain and swelling that had been present for 5 days in the right frontal region of the mandible. An intraoral radiograph revealed a radiolucency around one of the implants in the interforaminal region.

DOI: 10.1902/jop.2003.74.7.1067
PubMed: 12931771

Links to Exploration step

pubmed:12931771

Le document en format XML

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<title xml:lang="en">Mandibular fracture caused by peri-implant bone loss: report of a case.</title>
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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>
<affiliation>
<nlm:affiliation>Department of Oral & Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, The Netherlands. h.j.a.meijer@kchir.azg.nl</nlm:affiliation>
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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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<name sortKey="Visser, Anita" sort="Visser, Anita" uniqKey="Visser A" first="Anita" last="Visser">Anita Visser</name>
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<nlm:affiliation>Department of Oral & Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, The Netherlands. h.j.a.meijer@kchir.azg.nl</nlm:affiliation>
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<author>
<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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<name sortKey="Visser, Anita" sort="Visser, Anita" uniqKey="Visser A" first="Anita" last="Visser">Anita Visser</name>
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<title level="j">Journal of periodontology</title>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Alveolar Bone Loss (complications)</term>
<term>Atrophy</term>
<term>Dental Implants</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (pathology)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Mandible (pathology)</term>
<term>Mandible (surgery)</term>
<term>Mandibular Fractures (etiology)</term>
<term>Middle Aged</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Alveolar Bone Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Mandibular Fractures</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Mandible</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Atrophy</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
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<front>
<div type="abstract" xml:lang="en">A major complication related to excessive bone loss around implants is fracture of the mandible. This complication is most likely to occur in a very atrophic mandible. A 57-year-old woman presented with progressive pain and swelling that had been present for 5 days in the right frontal region of the mandible. An intraoral radiograph revealed a radiolucency around one of the implants in the interforaminal region.</div>
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<DateCompleted>
<Year>2003</Year>
<Month>11</Month>
<Day>12</Day>
</DateCompleted>
<DateRevised>
<Year>2004</Year>
<Month>11</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0022-3492</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>74</Volume>
<Issue>7</Issue>
<PubDate>
<Year>2003</Year>
<Month>Jul</Month>
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<Title>Journal of periodontology</Title>
<ISOAbbreviation>J. Periodontol.</ISOAbbreviation>
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<ArticleTitle>Mandibular fracture caused by peri-implant bone loss: report of a case.</ArticleTitle>
<Pagination>
<MedlinePgn>1067-70</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">A major complication related to excessive bone loss around implants is fracture of the mandible. This complication is most likely to occur in a very atrophic mandible. A 57-year-old woman presented with progressive pain and swelling that had been present for 5 days in the right frontal region of the mandible. An intraoral radiograph revealed a radiolucency around one of the implants in the interforaminal region.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Ten years earlier, 4 hollow-screw implants of 10 mm length had been inserted in the interforaminal region of the edentulous mandible. Throughout the 10-year postoperative period, no adverse clinical events were seen; however, during the last 7 years, no radiographic follow-up was performed. Mobility was tested after removal of the bar, on which one of the implants appeared to be mobile. The mobile implant was removed together with the fibrous tissue.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">At a recall visit 2 weeks later, a radiograph revealed a fracture of the mandible at the explantation site. Characteristic features of the hollow-screw implant are the hollow body and the transverse openings in the side walls of the implant. It has been reported that these characteristic features can enhance infection and rapid bone loss, but a case of mandibular fracture has never been described.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Radiographs should be taken on a regular and perhaps more frequent basis to diagnose excessive bone loss, so that measures can be taken to prevent the risk of mandibular fracture.</AbstractText>
</Abstract>
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