[Mandibular fractures due to implant management--incidence, mechanism of injury and therapeutic characteristics].
Identifieur interne : 004129 ( PubMed/Corpus ); précédent : 004128; suivant : 004130[Mandibular fractures due to implant management--incidence, mechanism of injury and therapeutic characteristics].
Auteurs : F R Carls ; G. Pajarola ; H F SailerSource :
- Fortschritte der Kiefer- und Gesichts-Chirurgie [ 0071-7916 ] ; 1996.
English descriptors
- KwdEn :
- Bone Plates, Bone Transplantation, Dental Implantation, Fracture Fixation, Internal, Fracture Healing (physiology), Humans, Mandibular Fractures (diagnostic imaging), Mandibular Fractures (surgery), Mouth, Edentulous (diagnostic imaging), Mouth, Edentulous (surgery), Osseointegration, Postoperative Complications (diagnostic imaging), Postoperative Complications (surgery), Prospective Studies, Radiography, Panoramic, Reoperation.
- MESH :
- diagnostic imaging : Mandibular Fractures, Mouth, Edentulous, Postoperative Complications.
- physiology : Fracture Healing.
- surgery : Mandibular Fractures, Mouth, Edentulous, Postoperative Complications.
- Bone Plates, Bone Transplantation, Dental Implantation, Fracture Fixation, Internal, Humans, Osseointegration, Prospective Studies, Radiography, Panoramic, Reoperation.
Abstract
We report of 5 of 337 patients (1.48%), in whom a fracture of the edentulous atrophied mandible occurred after dental implants had been inserted. In 79 patients a sandwich osteotomy (anterior and/or lateral mandible) had been carried out together with the insertion of implants. The reason for a fracture was infection in 3 patients and weakening of the atrophied mandible by the additional osteotomies in 2 patients. One of the latter two was seen intraoperatively and fixed immediately using miniplates. The other occurred about 4 weeks postoperatively and was not discovered until callus had been developed. Consequently only 4 of the 5 patients were treated by osteosynthesis. In two patients no implants were lost. The application of bone morphogenetic protein (BMP) helped to avoid the loss of implants because it accelerated ossification of the fracture and the integration of the implants.
PubMed: 8755415
Links to Exploration step
pubmed:8755415Le document en format XML
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<author><name sortKey="Carls, F R" sort="Carls, F R" uniqKey="Carls F" first="F R" last="Carls">F R Carls</name>
<affiliation><nlm:affiliation>Klinik und Poliklinik für Kiefer- und Gesichtschirurgie, Universitätsspital Zürich.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Pajarola, G" sort="Pajarola, G" uniqKey="Pajarola G" first="G" last="Pajarola">G. Pajarola</name>
</author>
<author><name sortKey="Sailer, H F" sort="Sailer, H F" uniqKey="Sailer H" first="H F" last="Sailer">H F Sailer</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">[Mandibular fractures due to implant management--incidence, mechanism of injury and therapeutic characteristics].</title>
<author><name sortKey="Carls, F R" sort="Carls, F R" uniqKey="Carls F" first="F R" last="Carls">F R Carls</name>
<affiliation><nlm:affiliation>Klinik und Poliklinik für Kiefer- und Gesichtschirurgie, Universitätsspital Zürich.</nlm:affiliation>
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<author><name sortKey="Pajarola, G" sort="Pajarola, G" uniqKey="Pajarola G" first="G" last="Pajarola">G. Pajarola</name>
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<author><name sortKey="Sailer, H F" sort="Sailer, H F" uniqKey="Sailer H" first="H F" last="Sailer">H F Sailer</name>
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<series><title level="j">Fortschritte der Kiefer- und Gesichts-Chirurgie</title>
<idno type="ISSN">0071-7916</idno>
<imprint><date when="1996" type="published">1996</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bone Plates</term>
<term>Bone Transplantation</term>
<term>Dental Implantation</term>
<term>Fracture Fixation, Internal</term>
<term>Fracture Healing (physiology)</term>
<term>Humans</term>
<term>Mandibular Fractures (diagnostic imaging)</term>
<term>Mandibular Fractures (surgery)</term>
<term>Mouth, Edentulous (diagnostic imaging)</term>
<term>Mouth, Edentulous (surgery)</term>
<term>Osseointegration</term>
<term>Postoperative Complications (diagnostic imaging)</term>
<term>Postoperative Complications (surgery)</term>
<term>Prospective Studies</term>
<term>Radiography, Panoramic</term>
<term>Reoperation</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Mandibular Fractures</term>
<term>Mouth, Edentulous</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Fracture Healing</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Mandibular Fractures</term>
<term>Mouth, Edentulous</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Bone Plates</term>
<term>Bone Transplantation</term>
<term>Dental Implantation</term>
<term>Fracture Fixation, Internal</term>
<term>Humans</term>
<term>Osseointegration</term>
<term>Prospective Studies</term>
<term>Radiography, Panoramic</term>
<term>Reoperation</term>
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<front><div type="abstract" xml:lang="en">We report of 5 of 337 patients (1.48%), in whom a fracture of the edentulous atrophied mandible occurred after dental implants had been inserted. In 79 patients a sandwich osteotomy (anterior and/or lateral mandible) had been carried out together with the insertion of implants. The reason for a fracture was infection in 3 patients and weakening of the atrophied mandible by the additional osteotomies in 2 patients. One of the latter two was seen intraoperatively and fixed immediately using miniplates. The other occurred about 4 weeks postoperatively and was not discovered until callus had been developed. Consequently only 4 of the 5 patients were treated by osteosynthesis. In two patients no implants were lost. The application of bone morphogenetic protein (BMP) helped to avoid the loss of implants because it accelerated ossification of the fracture and the integration of the implants.</div>
</front>
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<DateCompleted><Year>1996</Year>
<Month>10</Month>
<Day>23</Day>
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<DateRevised><Year>2016</Year>
<Month>11</Month>
<Day>23</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Print">0071-7916</ISSN>
<JournalIssue CitedMedium="Print"><Volume>41</Volume>
<PubDate><Year>1996</Year>
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<Title>Fortschritte der Kiefer- und Gesichts-Chirurgie</Title>
<ISOAbbreviation>Fortschr Kiefer Gesichtschir</ISOAbbreviation>
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<ArticleTitle>[Mandibular fractures due to implant management--incidence, mechanism of injury and therapeutic characteristics].</ArticleTitle>
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<Abstract><AbstractText>We report of 5 of 337 patients (1.48%), in whom a fracture of the edentulous atrophied mandible occurred after dental implants had been inserted. In 79 patients a sandwich osteotomy (anterior and/or lateral mandible) had been carried out together with the insertion of implants. The reason for a fracture was infection in 3 patients and weakening of the atrophied mandible by the additional osteotomies in 2 patients. One of the latter two was seen intraoperatively and fixed immediately using miniplates. The other occurred about 4 weeks postoperatively and was not discovered until callus had been developed. Consequently only 4 of the 5 patients were treated by osteosynthesis. In two patients no implants were lost. The application of bone morphogenetic protein (BMP) helped to avoid the loss of implants because it accelerated ossification of the fracture and the integration of the implants.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Carls</LastName>
<ForeName>F R</ForeName>
<Initials>FR</Initials>
<AffiliationInfo><Affiliation>Klinik und Poliklinik für Kiefer- und Gesichtschirurgie, Universitätsspital Zürich.</Affiliation>
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<Author ValidYN="Y"><LastName>Pajarola</LastName>
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<Author ValidYN="Y"><LastName>Sailer</LastName>
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<VernacularTitle>Unterkieferfrakturen infolge Implantatversorgung--Inzidenz, Verletzungsmechanismen und therapeutische Besonderheiten.</VernacularTitle>
</Article>
<MedlineJournalInfo><Country>Germany</Country>
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<MeshHeading><DescriptorName UI="D016025" MajorTopicYN="N">Bone Transplantation</DescriptorName>
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<MeshHeading><DescriptorName UI="D003757" MajorTopicYN="Y">Dental Implantation</DescriptorName>
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<MeshHeading><DescriptorName UI="D005593" MajorTopicYN="Y">Fracture Fixation, Internal</DescriptorName>
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<MeshHeading><DescriptorName UI="D017102" MajorTopicYN="N">Fracture Healing</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008337" MajorTopicYN="N">Mandibular Fractures</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<MeshHeading><DescriptorName UI="D009066" MajorTopicYN="N">Mouth, Edentulous</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016348" MajorTopicYN="N">Osseointegration</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011862" MajorTopicYN="N">Radiography, Panoramic</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012086" MajorTopicYN="N">Reoperation</DescriptorName>
</MeshHeading>
</MeshHeadingList>
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