Vertical distraction of the severely resorbed edentulous mandible: a clinical, histological and electron microscopic study of 10 treated cases.
Identifieur interne : 003115 ( PubMed/Corpus ); précédent : 003114; suivant : 003116Vertical distraction of the severely resorbed edentulous mandible: a clinical, histological and electron microscopic study of 10 treated cases.
Auteurs : Gerry M. Raghoebar ; Robert S B. Liem ; Arjan VissinkSource :
- Clinical oral implants research [ 0905-7161 ] ; 2002.
English descriptors
- KwdEn :
- Aged, Alveolar Ridge Augmentation (instrumentation), Alveolar Ridge Augmentation (methods), Biopsy, Bone Remodeling (physiology), Bone Resorption (diagnostic imaging), Bone Resorption (pathology), Bone Resorption (surgery), Calcification, Physiologic (physiology), Dental Implantation, Endosseous, Dental Implants, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture Retention, Denture, Complete, Lower, Denture, Overlay, Humans, Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (pathology), Jaw, Edentulous (surgery), Mandible (diagnostic imaging), Mandible (pathology), Mandible (surgery), Mandibular Diseases (diagnostic imaging), Mandibular Diseases (pathology), Mandibular Diseases (surgery), Microscopy, Electron, Middle Aged, Osteogenesis (physiology), Osteogenesis, Distraction (instrumentation), Radiography, Reproducibility of Results, Weight-Bearing, Wound Healing.
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Bone Resorption, Jaw, Edentulous, Mandible, Mandibular Diseases.
- instrumentation : Alveolar Ridge Augmentation, Osteogenesis, Distraction.
- methods : Alveolar Ridge Augmentation.
- pathology : Bone Resorption, Jaw, Edentulous, Mandible, Mandibular Diseases.
- physiology : Bone Remodeling, Calcification, Physiologic, Osteogenesis.
- surgery : Bone Resorption, Jaw, Edentulous, Mandible, Mandibular Diseases.
- Aged, Biopsy, Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture Retention, Denture, Complete, Lower, Denture, Overlay, Humans, Microscopy, Electron, Middle Aged, Radiography, Reproducibility of Results, Weight-Bearing, Wound Healing.
Abstract
The aim of this study was to evaluate the clinical and histomorphological results of distraction of the severely resorbed edentulous mandible. In a group of 10 edentulous patients suffering from insufficient retention of their mandibular denture related to a severely resorbed mandible, the anterior segment was augmented as a preimplant surgical procedure using the nonvoluminous Groningen Distraction Device (GDD). Two months after the last day of distraction, a bone biopsy was taken with a trephine, both distraction screws were replaced by endosseous implants and the guide screw was removed. The biopsies were examined by means of light microscopy (LM) and transmission electron microscopy (TEM). Radiographical and histomorphological examination of the biopsies revealed the presence of two cortical zones, one at each end of the biopsies, a poorly mineralized, fibrous interzone in the middle of the distraction gap, and two zones of mineralization between the central fibrous and the peripheral cortical zones. Formation of lamellar bone parallel to the distraction vector was clearly visible in the mineralization zone as well as signs of remodelling at the borderline between the native cortical bone and the generate. Clinical examination showed in all patients that the anterior segment distracted from the mandible body was sufficiently enlarged to enable insertion of endosseous implants with a length of at least 12 mm. One implant was lost during the healing phase, but was successfully replaced thereafter. Implant retained overdentures were fabricated 3 months after implantation. All patients have good function 11.2 +/- 4.3 months after the end of treatment. From this study it is concluded that the GDD has proven to be a reliable tool for augmentation of the anterior segment of a severely resorbed edentulous mandible enabling osseointegration of endosseous load-bearing implants.
PubMed: 12453135
Links to Exploration step
pubmed:12453135Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Vertical distraction of the severely resorbed edentulous mandible: a clinical, histological and electron microscopic study of 10 treated cases.</title><author><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 Hospital Groningen, The Netherlands. g.m.raghoebar@kchir.azg.nl</nlm:affiliation></affiliation></author><author><name sortKey="Liem, Robert S B" sort="Liem, Robert S B" uniqKey="Liem R" first="Robert S B" last="Liem">Robert S B. Liem</name></author><author><name sortKey="Vissink, Arjan" sort="Vissink, Arjan" uniqKey="Vissink A" first="Arjan" last="Vissink">Arjan Vissink</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2002">2002</date><idno type="RBID">pubmed:12453135</idno><idno type="pmid">12453135</idno><idno type="wicri:Area/PubMed/Corpus">003115</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003115</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Vertical distraction of the severely resorbed edentulous mandible: a clinical, histological and electron microscopic study of 10 treated cases.</title><author><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 Hospital Groningen, The Netherlands. g.m.raghoebar@kchir.azg.nl</nlm:affiliation></affiliation></author><author><name sortKey="Liem, Robert S B" sort="Liem, Robert S B" uniqKey="Liem R" first="Robert S B" last="Liem">Robert S B. Liem</name></author><author><name sortKey="Vissink, Arjan" sort="Vissink, Arjan" uniqKey="Vissink A" first="Arjan" last="Vissink">Arjan Vissink</name></author></analytic><series><title level="j">Clinical oral implants research</title><idno type="ISSN">0905-7161</idno><imprint><date when="2002" type="published">2002</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Alveolar Ridge Augmentation (instrumentation)</term><term>Alveolar Ridge Augmentation (methods)</term><term>Biopsy</term><term>Bone Remodeling (physiology)</term><term>Bone Resorption (diagnostic imaging)</term><term>Bone Resorption (pathology)</term><term>Bone Resorption (surgery)</term><term>Calcification, Physiologic (physiology)</term><term>Dental Implantation, Endosseous</term><term>Dental Implants</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Denture Retention</term><term>Denture, Complete, Lower</term><term>Denture, Overlay</term><term>Humans</term><term>Jaw, Edentulous (diagnostic imaging)</term><term>Jaw, Edentulous (pathology)</term><term>Jaw, Edentulous (surgery)</term><term>Mandible (diagnostic imaging)</term><term>Mandible (pathology)</term><term>Mandible (surgery)</term><term>Mandibular Diseases (diagnostic imaging)</term><term>Mandibular Diseases (pathology)</term><term>Mandibular Diseases (surgery)</term><term>Microscopy, Electron</term><term>Middle Aged</term><term>Osteogenesis (physiology)</term><term>Osteogenesis, Distraction (instrumentation)</term><term>Radiography</term><term>Reproducibility of Results</term><term>Weight-Bearing</term><term>Wound Healing</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Bone Resorption</term><term>Jaw, Edentulous</term><term>Mandible</term><term>Mandibular Diseases</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Osteogenesis, Distraction</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Bone Resorption</term><term>Jaw, Edentulous</term><term>Mandible</term><term>Mandibular Diseases</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Bone Remodeling</term><term>Calcification, Physiologic</term><term>Osteogenesis</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Bone Resorption</term><term>Jaw, Edentulous</term><term>Mandible</term><term>Mandibular Diseases</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Biopsy</term><term>Dental Implantation, Endosseous</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Denture Retention</term><term>Denture, Complete, Lower</term><term>Denture, Overlay</term><term>Humans</term><term>Microscopy, Electron</term><term>Middle Aged</term><term>Radiography</term><term>Reproducibility of Results</term><term>Weight-Bearing</term><term>Wound Healing</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study was to evaluate the clinical and histomorphological results of distraction of the severely resorbed edentulous mandible. In a group of 10 edentulous patients suffering from insufficient retention of their mandibular denture related to a severely resorbed mandible, the anterior segment was augmented as a preimplant surgical procedure using the nonvoluminous Groningen Distraction Device (GDD). Two months after the last day of distraction, a bone biopsy was taken with a trephine, both distraction screws were replaced by endosseous implants and the guide screw was removed. The biopsies were examined by means of light microscopy (LM) and transmission electron microscopy (TEM). Radiographical and histomorphological examination of the biopsies revealed the presence of two cortical zones, one at each end of the biopsies, a poorly mineralized, fibrous interzone in the middle of the distraction gap, and two zones of mineralization between the central fibrous and the peripheral cortical zones. Formation of lamellar bone parallel to the distraction vector was clearly visible in the mineralization zone as well as signs of remodelling at the borderline between the native cortical bone and the generate. Clinical examination showed in all patients that the anterior segment distracted from the mandible body was sufficiently enlarged to enable insertion of endosseous implants with a length of at least 12 mm. One implant was lost during the healing phase, but was successfully replaced thereafter. Implant retained overdentures were fabricated 3 months after implantation. All patients have good function 11.2 +/- 4.3 months after the end of treatment. From this study it is concluded that the GDD has proven to be a reliable tool for augmentation of the anterior segment of a severely resorbed edentulous mandible enabling osseointegration of endosseous load-bearing implants.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">12453135</PMID><DateCompleted><Year>2003</Year><Month>04</Month><Day>22</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0905-7161</ISSN><JournalIssue CitedMedium="Print"><Volume>13</Volume><Issue>5</Issue><PubDate><Year>2002</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Clinical oral implants research</Title><ISOAbbreviation>Clin Oral Implants Res</ISOAbbreviation></Journal><ArticleTitle>Vertical distraction of the severely resorbed edentulous mandible: a clinical, histological and electron microscopic study of 10 treated cases.</ArticleTitle><Pagination><MedlinePgn>558-65</MedlinePgn></Pagination><Abstract><AbstractText>The aim of this study was to evaluate the clinical and histomorphological results of distraction of the severely resorbed edentulous mandible. In a group of 10 edentulous patients suffering from insufficient retention of their mandibular denture related to a severely resorbed mandible, the anterior segment was augmented as a preimplant surgical procedure using the nonvoluminous Groningen Distraction Device (GDD). Two months after the last day of distraction, a bone biopsy was taken with a trephine, both distraction screws were replaced by endosseous implants and the guide screw was removed. The biopsies were examined by means of light microscopy (LM) and transmission electron microscopy (TEM). Radiographical and histomorphological examination of the biopsies revealed the presence of two cortical zones, one at each end of the biopsies, a poorly mineralized, fibrous interzone in the middle of the distraction gap, and two zones of mineralization between the central fibrous and the peripheral cortical zones. Formation of lamellar bone parallel to the distraction vector was clearly visible in the mineralization zone as well as signs of remodelling at the borderline between the native cortical bone and the generate. Clinical examination showed in all patients that the anterior segment distracted from the mandible body was sufficiently enlarged to enable insertion of endosseous implants with a length of at least 12 mm. One implant was lost during the healing phase, but was successfully replaced thereafter. Implant retained overdentures were fabricated 3 months after implantation. All patients have good function 11.2 +/- 4.3 months after the end of treatment. From this study it is concluded that the GDD has proven to be a reliable tool for augmentation of the anterior segment of a severely resorbed edentulous mandible enabling osseointegration of endosseous load-bearing implants.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Raghoebar</LastName><ForeName>Gerry M</ForeName><Initials>GM</Initials><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, The Netherlands. g.m.raghoebar@kchir.azg.nl</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Liem</LastName><ForeName>Robert S B</ForeName><Initials>RS</Initials></Author><Author ValidYN="Y"><LastName>Vissink</LastName><ForeName>Arjan</ForeName><Initials>A</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Denmark</Country><MedlineTA>Clin Oral Implants Res</MedlineTA><NlmUniqueID>9105713</NlmUniqueID><ISSNLinking>0905-7161</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance></Chemical></ChemicalList><CitationSubset>D</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000540" MajorTopicYN="N">Alveolar Ridge Augmentation</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001706" MajorTopicYN="N">Biopsy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016723" MajorTopicYN="N">Bone Remodeling</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001862" MajorTopicYN="N">Bone Resorption</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="D002113" MajorTopicYN="N">Calcification, Physiologic</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015921" MajorTopicYN="N">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="D003781" MajorTopicYN="N">Denture Retention</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="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="D008334" MajorTopicYN="N">Mandible</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="D008336" MajorTopicYN="N">Mandibular Diseases</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008854" MajorTopicYN="N">Microscopy, Electron</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010012" MajorTopicYN="N">Osteogenesis</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019857" MajorTopicYN="Y">Osteogenesis, Distraction</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011859" MajorTopicYN="N">Radiography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015203" MajorTopicYN="N">Reproducibility of Results</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016474" MajorTopicYN="N">Weight-Bearing</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014945" MajorTopicYN="N">Wound Healing</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2002</Year><Month>11</Month><Day>28</Day><Hour>4</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2003</Year><Month>4</Month><Day>23</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2002</Year><Month>11</Month><Day>28</Day><Hour>4</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">12453135</ArticleId><ArticleId IdType="pii">clr130517</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/PubMed/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 003115 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/PubMed/Corpus/biblio.hfd -nk 003115 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV2
|flux= PubMed
|étape= Corpus
|type= RBID
|clé= pubmed:12453135
|texte= Vertical distraction of the severely resorbed edentulous mandible: a clinical, histological and electron microscopic study of 10 treated cases.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Corpus/RBID.i -Sk "pubmed:12453135" \
| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a EdenteV2
| This area was generated with Dilib version V0.6.32. |  |