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Surgical and prosthodontic treatment of a patient with significant trauma to the middle and lower face secondary to a gunshot wound: a clinical report.

Identifieur interne : 001C05 ( PubMed/Curation ); précédent : 001C04; suivant : 001C06

Surgical and prosthodontic treatment of a patient with significant trauma to the middle and lower face secondary to a gunshot wound: a clinical report.

Auteurs : Paul Kelly [États-Unis] ; Carl J. Drago

Source :

RBID : pubmed:19515164

Descripteurs français

English descriptors

Abstract

Large defects of dentofacial structures may result from trauma, disease (including neoplasms), and congenital anomalies. The location and size of the defects are related to difficulties that patients report relative to speech, mastication, swallowing, facial esthetics, and self-image. This article reports on the evaluation and treatment of a patient who suffered significant trauma to the lower and mid-face secondary to a gunshot injury. It describes the initial presentation, life-saving procedures, and subsequent bone grafts, implant placement, and prosthetic treatments required to rehabilitate the patient to a condition that closely approximated his preoperative condition. This clinical report confirms that no matter the degree of complexity involved in treating the results of significant facial trauma, successful treatment is dependent on thorough physical and radiographic examinations, development of the appropriate diagnoses, and treatment based on sound prosthodontic and surgical principles.

DOI: 10.1111/j.1532-849X.2009.00483.x
PubMed: 19515164

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pubmed:19515164

Le document en format XML

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<title xml:lang="en">Surgical and prosthodontic treatment of a patient with significant trauma to the middle and lower face secondary to a gunshot wound: a clinical report.</title>
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<name sortKey="Kelly, Paul" sort="Kelly, Paul" uniqKey="Kelly P" first="Paul" last="Kelly">Paul Kelly</name>
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<nlm:affiliation>Arizona Maxillofacial Surgeons PC, Mesa, AZ, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Arizona Maxillofacial Surgeons PC, Mesa, AZ</wicri:regionArea>
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<name sortKey="Drago, Carl J" sort="Drago, Carl J" uniqKey="Drago C" first="Carl J" last="Drago">Carl J. Drago</name>
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<title xml:lang="en">Surgical and prosthodontic treatment of a patient with significant trauma to the middle and lower face secondary to a gunshot wound: a clinical report.</title>
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<term>Adolescent</term>
<term>Alveolar Ridge Augmentation</term>
<term>Bone Transplantation</term>
<term>Cephalometry</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Overlay</term>
<term>Facial Bones (injuries)</term>
<term>Facial Injuries (rehabilitation)</term>
<term>Facial Injuries (surgery)</term>
<term>Fracture Fixation (methods)</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Mandibular Injuries (rehabilitation)</term>
<term>Mandibular Injuries (surgery)</term>
<term>Maxilla (injuries)</term>
<term>Maxilla (surgery)</term>
<term>Orthognathic Surgical Procedures (methods)</term>
<term>Patient Care Planning</term>
<term>Reconstructive Surgical Procedures (methods)</term>
<term>Treatment Outcome</term>
<term>Wounds, Gunshot (rehabilitation)</term>
<term>Wounds, Gunshot (surgery)</term>
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<term>Adolescent</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Céphalométrie</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Lésions traumatiques de la face ()</term>
<term>Lésions traumatiques de la face (rééducation et réadaptation)</term>
<term>Maxillaire ()</term>
<term>Maxillaire (traumatismes)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Os de la face (traumatismes)</term>
<term>Ostéosynthèse ()</term>
<term>Overdenture</term>
<term>Plaies par arme à feu ()</term>
<term>Plaies par arme à feu (rééducation et réadaptation)</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Procédures de chirurgie orthognathique ()</term>
<term>Procédures de chirurgie reconstructive ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résultat thérapeutique</term>
<term>Transplantation osseuse</term>
<term>Traumatismes mandibulaires ()</term>
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<term>Dental Implants</term>
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<term>Facial Bones</term>
<term>Maxilla</term>
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<term>Dental Implantation, Endosseous</term>
<term>Fracture Fixation</term>
<term>Orthognathic Surgical Procedures</term>
<term>Reconstructive Surgical Procedures</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Facial Injuries</term>
<term>Jaw, Edentulous, Partially</term>
<term>Mandibular Injuries</term>
<term>Wounds, Gunshot</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Lésions traumatiques de la face</term>
<term>Mâchoire partiellement édentée</term>
<term>Plaies par arme à feu</term>
<term>Traumatismes mandibulaires</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Facial Injuries</term>
<term>Jaw, Edentulous, Partially</term>
<term>Mandibular Injuries</term>
<term>Maxilla</term>
<term>Wounds, Gunshot</term>
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<keywords scheme="MESH" qualifier="traumatismes" xml:lang="fr">
<term>Maxillaire</term>
<term>Os de la face</term>
</keywords>
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<term>Adolescent</term>
<term>Alveolar Ridge Augmentation</term>
<term>Bone Transplantation</term>
<term>Cephalometry</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Overlay</term>
<term>Humans</term>
<term>Male</term>
<term>Patient Care Planning</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" xml:lang="fr">
<term>Adolescent</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Céphalométrie</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Lésions traumatiques de la face</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Ostéosynthèse</term>
<term>Overdenture</term>
<term>Plaies par arme à feu</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Procédures de chirurgie orthognathique</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résultat thérapeutique</term>
<term>Transplantation osseuse</term>
<term>Traumatismes mandibulaires</term>
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<front>
<div type="abstract" xml:lang="en">Large defects of dentofacial structures may result from trauma, disease (including neoplasms), and congenital anomalies. The location and size of the defects are related to difficulties that patients report relative to speech, mastication, swallowing, facial esthetics, and self-image. This article reports on the evaluation and treatment of a patient who suffered significant trauma to the lower and mid-face secondary to a gunshot injury. It describes the initial presentation, life-saving procedures, and subsequent bone grafts, implant placement, and prosthetic treatments required to rehabilitate the patient to a condition that closely approximated his preoperative condition. This clinical report confirms that no matter the degree of complexity involved in treating the results of significant facial trauma, successful treatment is dependent on thorough physical and radiographic examinations, development of the appropriate diagnoses, and treatment based on sound prosthodontic and surgical principles.</div>
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<Title>Journal of prosthodontics : official journal of the American College of Prosthodontists</Title>
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