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One-step oral rehabilitation by means of implants' insertion, Le Fort I, grafts, and immediate loading.

Identifieur interne : 001B66 ( PubMed/Curation ); précédent : 001B65; suivant : 001B67

One-step oral rehabilitation by means of implants' insertion, Le Fort I, grafts, and immediate loading.

Auteurs : Francesco Grecchi [Italie] ; Ilaria Zollino ; Antonina Parafioriti ; Giuseppe Mineo ; Alfonso Pricolo ; Francesco Carinci

Source :

RBID : pubmed:19884833

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English descriptors

Abstract

In the last decade, several investigators have reported that autologous and homologous fresh frozen bones are effective materials to restore alveolar ridges before insertion of dental implants. Recently, we have used femur homograft derived from living donors. Here, we reported a 1-step oral rehabilitation of the severely resorbed maxilla by means of implants' insertion, Le Fort I osteotomy for maxillary advancement, grafts, and immediate loading.

DOI: 10.1097/SCS.0b013e3181bf8487
PubMed: 19884833

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pubmed:19884833

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<title xml:lang="en">One-step oral rehabilitation by means of implants' insertion, Le Fort I, grafts, and immediate loading.</title>
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<name sortKey="Grecchi, Francesco" sort="Grecchi, Francesco" uniqKey="Grecchi F" first="Francesco" last="Grecchi">Francesco Grecchi</name>
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<nlm:affiliation>Maxillofacial Surgery, Orthopaedic Institute Galeazzi, Milan, Italy. crc@unife.it</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Maxillofacial Surgery, Orthopaedic Institute Galeazzi, Milan</wicri:regionArea>
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<author>
<name sortKey="Zollino, Ilaria" sort="Zollino, Ilaria" uniqKey="Zollino I" first="Ilaria" last="Zollino">Ilaria Zollino</name>
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<name sortKey="Parafioriti, Antonina" sort="Parafioriti, Antonina" uniqKey="Parafioriti A" first="Antonina" last="Parafioriti">Antonina Parafioriti</name>
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<name sortKey="Mineo, Giuseppe" sort="Mineo, Giuseppe" uniqKey="Mineo G" first="Giuseppe" last="Mineo">Giuseppe Mineo</name>
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<name sortKey="Pricolo, Alfonso" sort="Pricolo, Alfonso" uniqKey="Pricolo A" first="Alfonso" last="Pricolo">Alfonso Pricolo</name>
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<name sortKey="Carinci, Francesco" sort="Carinci, Francesco" uniqKey="Carinci F" first="Francesco" last="Carinci">Francesco Carinci</name>
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<name sortKey="Zollino, Ilaria" sort="Zollino, Ilaria" uniqKey="Zollino I" first="Ilaria" last="Zollino">Ilaria Zollino</name>
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<name sortKey="Mineo, Giuseppe" sort="Mineo, Giuseppe" uniqKey="Mineo G" first="Giuseppe" last="Mineo">Giuseppe Mineo</name>
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<term>Adult</term>
<term>Alveolar Bone Loss (etiology)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Bone Transplantation (methods)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental Stress Analysis</term>
<term>Female</term>
<term>Femur</term>
<term>Humans</term>
<term>Incisor</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Kaplan-Meier Estimate</term>
<term>Living Donors</term>
<term>Male</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Molar</term>
<term>Osteotomy, Le Fort</term>
<term>Proportional Hazards Models</term>
<term>Retrospective Studies</term>
<term>Time Factors</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse du stress dentaire</term>
<term>Donneur vivant</term>
<term>Estimation de Kaplan-Meier</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Fémur</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Incisive</term>
<term>Maxillaire ()</term>
<term>Modèles de hasards proportionnels</term>
<term>Molaire</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Ostéotomie de Le Fort</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résorption alvéolaire (étiologie)</term>
<term>Transplantation osseuse ()</term>
<term>Échec de restauration dentaire</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en">
<term>Dental Implants</term>
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<term>Implants dentaires</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Alveolar Bone Loss</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="rehabilitation" xml:lang="en">
<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>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Résorption alvéolaire</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental Stress Analysis</term>
<term>Female</term>
<term>Femur</term>
<term>Humans</term>
<term>Incisor</term>
<term>Kaplan-Meier Estimate</term>
<term>Living Donors</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Molar</term>
<term>Osteotomy, Le Fort</term>
<term>Proportional Hazards Models</term>
<term>Retrospective Studies</term>
<term>Time Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse du stress dentaire</term>
<term>Donneur vivant</term>
<term>Estimation de Kaplan-Meier</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Fémur</term>
<term>Humains</term>
<term>Incisive</term>
<term>Maxillaire</term>
<term>Modèles de hasards proportionnels</term>
<term>Molaire</term>
<term>Mâle</term>
<term>Ostéotomie de Le Fort</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Transplantation osseuse</term>
<term>Échec de restauration dentaire</term>
<term>Études rétrospectives</term>
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<front>
<div type="abstract" xml:lang="en">In the last decade, several investigators have reported that autologous and homologous fresh frozen bones are effective materials to restore alveolar ridges before insertion of dental implants. Recently, we have used femur homograft derived from living donors. Here, we reported a 1-step oral rehabilitation of the severely resorbed maxilla by means of implants' insertion, Le Fort I osteotomy for maxillary advancement, grafts, and immediate loading.</div>
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<DateCompleted>
<Year>2010</Year>
<Month>03</Month>
<Day>02</Day>
</DateCompleted>
<DateRevised>
<Year>2010</Year>
<Month>11</Month>
<Day>18</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1536-3732</ISSN>
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<Volume>20</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2009</Year>
<Month>Nov</Month>
</PubDate>
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<Title>The Journal of craniofacial surgery</Title>
<ISOAbbreviation>J Craniofac Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>One-step oral rehabilitation by means of implants' insertion, Le Fort I, grafts, and immediate loading.</ArticleTitle>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">In the last decade, several investigators have reported that autologous and homologous fresh frozen bones are effective materials to restore alveolar ridges before insertion of dental implants. Recently, we have used femur homograft derived from living donors. Here, we reported a 1-step oral rehabilitation of the severely resorbed maxilla by means of implants' insertion, Le Fort I osteotomy for maxillary advancement, grafts, and immediate loading.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Patients were treated with 1-step oral rehabilitation. Age, sex, implant length and diameter, tooth site, loading, and grafts were the investigated variables. Implant failure and peri-implant bone resorption were considered as predictors of clinical outcome. Kaplan-Meier algorithm and Cox regression were then performed to detect those variables statistically associated with the clinical outcome.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Eighty-four implants were inserted in 11 patients. Implants were inserted to replace 22 incisors, 21 cuspids, 20 premolars, and 21 molars. The mean follow-up was 17 months. Two of 84 implants were lost (ie, survival rate = 97.6%), and no differences were detected among the studied variables. By using the 82 fixtures processed with Kaplan-Meier and Cox regression, only implant site has an impact on clinical outcome, and molars have a worse outcome than incisors.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">One-step oral rehabilitation can be used in selected patients. It significantly shortened the time of rehabilitation without adverse effects. Femur homograft derived from living donors is a valuable material for grafting jaw: it is safer, cheap, and available in programmed amounts and avoids a second operation field.</AbstractText>
</Abstract>
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<MedlineTA>J Craniofac Surg</MedlineTA>
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<ISSNLinking>1049-2275</ISSNLinking>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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