Management of deficient anterior maxillary alveolus with mandibular parasymphyseal bone graft for implants.
Identifieur interne : 003290 ( PubMed/Corpus ); précédent : 003289; suivant : 003291Management of deficient anterior maxillary alveolus with mandibular parasymphyseal bone graft for implants.
Auteurs : S M BalajiSource :
- Implant dentistry [ 1056-6163 ] ; 2002.
English descriptors
- KwdEn :
- Adult, Alveolar Ridge Augmentation (methods), Alveoloplasty, Bone Density, Bone Transplantation (methods), Crowns, Dental Abutments, Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Female, Follow-Up Studies, Graft Survival, Humans, Jaw, Edentulous, Partially (surgery), Male, Mandible, Maxilla (surgery), Middle Aged, Osseointegration, Transplantation, Autologous, Treatment Outcome, Wound Healing.
- MESH :
- chemical : Dental Implants.
- methods : Alveolar Ridge Augmentation, Bone Transplantation, Dental Implantation, Endosseous.
- surgery : Jaw, Edentulous, Partially, Maxilla.
- Adult, Alveoloplasty, Bone Density, Crowns, Dental Abutments, Dental Prosthesis, Implant-Supported, Female, Follow-Up Studies, Graft Survival, Humans, Male, Mandible, Middle Aged, Osseointegration, Transplantation, Autologous, Treatment Outcome, Wound Healing.
Abstract
This paper discusses the use of autogenous bone graft from the symphyseal region of the mandible to widen the deficient anterior maxilla. Compressing short or narrow implants into deficient ridges is a poor technique that often fails to correctly replace ridge anatomy or afford stable restorations. Patients who were missing a maxillary incisor, and exhibiting a loss of supporting bone in the area, were found suitable for this technique. Ten patients were included in the study. In the anterior maxilla, the thin cortices can be split, and a corticocancellous bone graft from the mandibular symphyseal region can be positioned on the labial-buccal cortex. This surgical procedure enables implant placement in previously deficient bone within the maxilla. In comparison with other techniques, the use of a mandibular symphysis graft technique offers ease of access, good bone quantity for localized repair, a corticocancellous block graft morphology, low morbidity, decreased complaints of postoperative sensory disturbances and discomfort, and minimal graft resorption. An improved bone density results along with a shorter healing time as compared with other methods for bone repair. A success rate of 81.2% was obtained after a mean follow-up period of 3 years.
PubMed: 12518704
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pubmed:12518704Le document en format XML
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<author><name sortKey="Balaji, S M" sort="Balaji, S M" uniqKey="Balaji S" first="S M" last="Balaji">S M Balaji</name>
<affiliation><nlm:affiliation>Madras Institute of Oral and Maxillofacial Surgery, Dr. M.G.R. Medical University, Madras, India. smbalaji@md2.vsnl.net.in</nlm:affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Management of deficient anterior maxillary alveolus with mandibular parasymphyseal bone graft for implants.</title>
<author><name sortKey="Balaji, S M" sort="Balaji, S M" uniqKey="Balaji S" first="S M" last="Balaji">S M Balaji</name>
<affiliation><nlm:affiliation>Madras Institute of Oral and Maxillofacial Surgery, Dr. M.G.R. Medical University, Madras, India. smbalaji@md2.vsnl.net.in</nlm:affiliation>
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<series><title level="j">Implant dentistry</title>
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<imprint><date when="2002" type="published">2002</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Alveoloplasty</term>
<term>Bone Density</term>
<term>Bone Transplantation (methods)</term>
<term>Crowns</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Graft Survival</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Mandible</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Transplantation, Autologous</term>
<term>Treatment Outcome</term>
<term>Wound Healing</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Alveoloplasty</term>
<term>Bone Density</term>
<term>Crowns</term>
<term>Dental Abutments</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Graft Survival</term>
<term>Humans</term>
<term>Male</term>
<term>Mandible</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Transplantation, Autologous</term>
<term>Treatment Outcome</term>
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<front><div type="abstract" xml:lang="en">This paper discusses the use of autogenous bone graft from the symphyseal region of the mandible to widen the deficient anterior maxilla. Compressing short or narrow implants into deficient ridges is a poor technique that often fails to correctly replace ridge anatomy or afford stable restorations. Patients who were missing a maxillary incisor, and exhibiting a loss of supporting bone in the area, were found suitable for this technique. Ten patients were included in the study. In the anterior maxilla, the thin cortices can be split, and a corticocancellous bone graft from the mandibular symphyseal region can be positioned on the labial-buccal cortex. This surgical procedure enables implant placement in previously deficient bone within the maxilla. In comparison with other techniques, the use of a mandibular symphysis graft technique offers ease of access, good bone quantity for localized repair, a corticocancellous block graft morphology, low morbidity, decreased complaints of postoperative sensory disturbances and discomfort, and minimal graft resorption. An improved bone density results along with a shorter healing time as compared with other methods for bone repair. A success rate of 81.2% was obtained after a mean follow-up period of 3 years.</div>
</front>
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<DateCompleted><Year>2003</Year>
<Month>03</Month>
<Day>28</Day>
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<DateRevised><Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Print">1056-6163</ISSN>
<JournalIssue CitedMedium="Print"><Volume>11</Volume>
<Issue>4</Issue>
<PubDate><Year>2002</Year>
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<Title>Implant dentistry</Title>
<ISOAbbreviation>Implant Dent</ISOAbbreviation>
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<ArticleTitle>Management of deficient anterior maxillary alveolus with mandibular parasymphyseal bone graft for implants.</ArticleTitle>
<Pagination><MedlinePgn>363-9</MedlinePgn>
</Pagination>
<Abstract><AbstractText>This paper discusses the use of autogenous bone graft from the symphyseal region of the mandible to widen the deficient anterior maxilla. Compressing short or narrow implants into deficient ridges is a poor technique that often fails to correctly replace ridge anatomy or afford stable restorations. Patients who were missing a maxillary incisor, and exhibiting a loss of supporting bone in the area, were found suitable for this technique. Ten patients were included in the study. In the anterior maxilla, the thin cortices can be split, and a corticocancellous bone graft from the mandibular symphyseal region can be positioned on the labial-buccal cortex. This surgical procedure enables implant placement in previously deficient bone within the maxilla. In comparison with other techniques, the use of a mandibular symphysis graft technique offers ease of access, good bone quantity for localized repair, a corticocancellous block graft morphology, low morbidity, decreased complaints of postoperative sensory disturbances and discomfort, and minimal graft resorption. An improved bone density results along with a shorter healing time as compared with other methods for bone repair. A success rate of 81.2% was obtained after a mean follow-up period of 3 years.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Balaji</LastName>
<ForeName>S M</ForeName>
<Initials>SM</Initials>
<AffiliationInfo><Affiliation>Madras Institute of Oral and Maxillofacial Surgery, Dr. M.G.R. Medical University, Madras, India. smbalaji@md2.vsnl.net.in</Affiliation>
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<MeshHeading><DescriptorName UI="D015519" MajorTopicYN="N">Bone Density</DescriptorName>
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<MeshHeading><DescriptorName UI="D016025" MajorTopicYN="N">Bone Transplantation</DescriptorName>
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<MeshHeading><DescriptorName UI="D003442" MajorTopicYN="N">Crowns</DescriptorName>
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<MeshHeading><DescriptorName UI="D000044" MajorTopicYN="N">Dental Abutments</DescriptorName>
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<MeshHeading><DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
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<MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
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<MeshHeading><DescriptorName UI="D006085" MajorTopicYN="N">Graft Survival</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName>
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<MeshHeading><DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
<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>
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<MeshHeading><DescriptorName UI="D014182" MajorTopicYN="N">Transplantation, Autologous</DescriptorName>
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<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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<MeshHeading><DescriptorName UI="D014945" MajorTopicYN="N">Wound Healing</DescriptorName>
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