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Maxillary "All-On-Four" treatment using zygomatic implants. A mechanical analysis.

Identifieur interne : 000197 ( PubMed/Curation ); précédent : 000196; suivant : 000198

Maxillary "All-On-Four" treatment using zygomatic implants. A mechanical analysis.

Auteurs : P H De Moraes [Brésil] ; S. Olate [Chili] ; M De Arruda N Bilo [Brésil] ; L. Asprino [Brésil] ; M. De Moraes [Brésil] ; J De Albergaría Barbosa [Brésil]

Source :

RBID : pubmed:26809594

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English descriptors

Abstract

Zygomatic implants may be used for dental rehabilitation in atrophic maxillae. The aim of this study was to establish experimentally the areas of stress distribution using 2 kinds of "All-On-Four" maxillary procedures.

DOI: 10.1016/j.revsto.2015.11.009
PubMed: 26809594

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pubmed:26809594

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<title level="j">Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale</title>
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<term>Biomechanical Phenomena</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported (adverse effects)</term>
<term>Humans</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Materials Testing (methods)</term>
<term>Maxilla (surgery)</term>
<term>Stress, Mechanical</term>
<term>Zygoma (surgery)</term>
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<term>Conception de prothèse dentaire</term>
<term>Contrainte mécanique</term>
<term>Humains</term>
<term>Maxillaire ()</term>
<term>Mâchoire édentée ()</term>
<term>Os zygomatique ()</term>
<term>Phénomènes biomécaniques</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Prothèse dentaire implanto-portée (effets indésirables)</term>
<term>Test de matériaux ()</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Dental Prosthesis, Implant-Supported</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Prothèse dentaire implanto-portée</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Materials Testing</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
<term>Zygoma</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Biomechanical Phenomena</term>
<term>Dental Prosthesis Design</term>
<term>Humans</term>
<term>Stress, Mechanical</term>
</keywords>
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<term>Conception de prothèse dentaire</term>
<term>Contrainte mécanique</term>
<term>Humains</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Os zygomatique</term>
<term>Phénomènes biomécaniques</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Test de matériaux</term>
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<div type="abstract" xml:lang="en">Zygomatic implants may be used for dental rehabilitation in atrophic maxillae. The aim of this study was to establish experimentally the areas of stress distribution using 2 kinds of "All-On-Four" maxillary procedures.</div>
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<Volume>117</Volume>
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<Title>Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale</Title>
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<ArticleTitle>Maxillary "All-On-Four" treatment using zygomatic implants. A mechanical analysis.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Zygomatic implants may be used for dental rehabilitation in atrophic maxillae. The aim of this study was to establish experimentally the areas of stress distribution using 2 kinds of "All-On-Four" maxillary procedures.</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">The best position to insert the implants was selected using polyurethane craniomaxillary models and surgical guides were made. Group 1 was designed with two posterior zygomatic implants and two conventional anterior implants, and group 2 with two posterior zygomatic implants and two anterior zygomatic implants. A titanium bar was built to link the 4 implants in both groups. Photoelastic replicas of these models were made and the implants were inserted using the surgical guides. An Instrom 4411 testing machine was used to perform a unilateral compressive loading at the level of the right first molar until 2mm of displacement was obtained.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Group 1 showed a high strain concentration in the right lateral orbital region at the level of the apex of the zygomatic implant. Less strain was noticed at the apical levels of the conventional implants in the anterior sector and of the contralateral zygomatic implant. Group 2 showed high strains in the lateral inferior orbital area. The load was low in the alveolar bone sector.</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Zygomatic bone and paranasal structures are loaded at high levels when zygomatic implants are used to stabilize a full maxillary prosthodontic rehabilitation on 4 implants. The use of 4 zygomatic implants loads the alveolar bone to a lower extent and seems better suited from a mechanical point of view than the use of 2 zygomatic implants.</AbstractText>
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