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Mandibular fracture in conjunction with bicortical penetration, using wide-diameter endosseous dental implants.

Identifieur interne : 001762 ( PubMed/Curation ); précédent : 001761; suivant : 001763

Mandibular fracture in conjunction with bicortical penetration, using wide-diameter endosseous dental implants.

Auteurs : Won-Suk Oh [États-Unis] ; Eleni D. Roumanas ; John Beumer

Source :

RBID : pubmed:21054640

Descripteurs français

English descriptors

Abstract

Prosthodontic rehabilitation of a patient with an atrophic edentulous mandible presents a significant challenge in restoring esthetics and function. The purpose of this clinical report is to describe fracture of an atrophic edentulous mandible opposing maxillary natural dentition in association with endosseous dental implants. The patient received two wide-diameter implants in the anterior mandible for an implant-assisted mandibular overdenture, in which the implants penetrated the inferior border of the mandible for bicortical stabilization. Three months following implant placement surgery, the patient experienced pain, swelling, and intraoral purulent drainage around the right implant. Panoramic radiograph revealed a fracture of the mandible through the right implant site and signs of infection around the left implant. The implants were removed surgically, and open reduction and fixation of the fracture site were undertaken using a titanium bone fixation plate. This clinical report demonstrates that placement of wide-diameter implants in conjunction with bicortical penetration in a severely atrophic edentulous mandible can risk fracture of the mandible.

DOI: 10.1111/j.1532-849X.2010.00646.x
PubMed: 21054640

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pubmed:21054640

Le document en format XML

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<title xml:lang="en">Mandibular fracture in conjunction with bicortical penetration, using wide-diameter endosseous dental implants.</title>
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<name sortKey="Oh, Won Suk" sort="Oh, Won Suk" uniqKey="Oh W" first="Won-Suk" last="Oh">Won-Suk Oh</name>
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<nlm:affiliation>Division of Prosthodontics, Department of Biologic and Materials Sciences, University of Michigan School of Dentistry, Ann Arbor, MI 48109-1078, USA. ohws@umich.edu</nlm:affiliation>
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<term>Dental Implants (adverse effects)</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Lower</term>
<term>Denture, Overlay</term>
<term>Device Removal</term>
<term>Edema (etiology)</term>
<term>Follow-Up Studies</term>
<term>Fracture Fixation, Internal (instrumentation)</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Mandibular Fractures (etiology)</term>
<term>Middle Aged</term>
<term>Pain, Postoperative (etiology)</term>
<term>Surgical Wound Infection (etiology)</term>
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<term>Ablation de dispositif</term>
<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Conception de prothèse dentaire</term>
<term>Douleur postopératoire (étiologie)</term>
<term>Fractures mandibulaires (étiologie)</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Infection de plaie opératoire (étiologie)</term>
<term>Mandibule ()</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Oedème (étiologie)</term>
<term>Ostéosynthèse interne (instrumentation)</term>
<term>Overdenture</term>
<term>Plaques orthopédiques</term>
<term>Pose d'implant dentaire endo-osseux (effets indésirables)</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Études de suivi</term>
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<term>Dental Implants</term>
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<term>Dental Implantation, Endosseous</term>
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<term>Implants dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Edema</term>
<term>Mandibular Fractures</term>
<term>Pain, Postoperative</term>
<term>Surgical Wound Infection</term>
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<term>Fracture Fixation, Internal</term>
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<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Douleur postopératoire</term>
<term>Fractures mandibulaires</term>
<term>Infection de plaie opératoire</term>
<term>Oedème</term>
<term>Ostéosynthèse interne</term>
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<term>Atrophy</term>
<term>Bone Plates</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Lower</term>
<term>Denture, Overlay</term>
<term>Device Removal</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Ablation de dispositif</term>
<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Conception de prothèse dentaire</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Plaques orthopédiques</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Études de suivi</term>
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<front>
<div type="abstract" xml:lang="en">Prosthodontic rehabilitation of a patient with an atrophic edentulous mandible presents a significant challenge in restoring esthetics and function. The purpose of this clinical report is to describe fracture of an atrophic edentulous mandible opposing maxillary natural dentition in association with endosseous dental implants. The patient received two wide-diameter implants in the anterior mandible for an implant-assisted mandibular overdenture, in which the implants penetrated the inferior border of the mandible for bicortical stabilization. Three months following implant placement surgery, the patient experienced pain, swelling, and intraoral purulent drainage around the right implant. Panoramic radiograph revealed a fracture of the mandible through the right implant site and signs of infection around the left implant. The implants were removed surgically, and open reduction and fixation of the fracture site were undertaken using a titanium bone fixation plate. This clinical report demonstrates that placement of wide-diameter implants in conjunction with bicortical penetration in a severely atrophic edentulous mandible can risk fracture of the mandible.</div>
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<AbstractText>Prosthodontic rehabilitation of a patient with an atrophic edentulous mandible presents a significant challenge in restoring esthetics and function. The purpose of this clinical report is to describe fracture of an atrophic edentulous mandible opposing maxillary natural dentition in association with endosseous dental implants. The patient received two wide-diameter implants in the anterior mandible for an implant-assisted mandibular overdenture, in which the implants penetrated the inferior border of the mandible for bicortical stabilization. Three months following implant placement surgery, the patient experienced pain, swelling, and intraoral purulent drainage around the right implant. Panoramic radiograph revealed a fracture of the mandible through the right implant site and signs of infection around the left implant. The implants were removed surgically, and open reduction and fixation of the fracture site were undertaken using a titanium bone fixation plate. This clinical report demonstrates that placement of wide-diameter implants in conjunction with bicortical penetration in a severely atrophic edentulous mandible can risk fracture of the mandible.</AbstractText>
<CopyrightInformation>© 2010 by The American College of Prosthodontists.</CopyrightInformation>
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