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[Implant-borne prosthesis for an edentulous maxilla with a large maxillectomy defect--a step-wise therapy concept].

Identifieur interne : 002291 ( PubMed/Curation ); précédent : 002290; suivant : 002292

[Implant-borne prosthesis for an edentulous maxilla with a large maxillectomy defect--a step-wise therapy concept].

Auteurs : Frank P. Nothdurft [Allemagne] ; Martin Propson ; Wolfgang J. Spitzer ; Peter R. Pospiech

Source :

RBID : pubmed:18846976

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English descriptors

Abstract

Due to the great variety of maxillectomy defects standardized restorative treatment protocols are rarely documented. For the practitioner it is from highest importance to consider the specific defect morphology and, even more important, the individual needs of affected patients. The presented case shows the planning and realization of the restoration of a maxilla with an extended resection defect following tumor surgery. Because the demanding patient remained edentulous after extraction of the residual teeth for periodontal reasons, an implant retained obturator prosthesis was inserted. Following interdisciplinary planning a treatment protocol with stepwise extraction, augmentation and implant insertion in the os zygomaticum as well as in the residual alveolar ridge was carried out, which make successive adjustment of the temporary obturator prosthesis possible. This procedure resulted in a long lasting treatment duration, but made also a sufficient temporary restoration during healing periods feasible. The definitive restoration was retained by a bar splinting four implants in the residual alveolar ridge and a special retentive anchoring abutment on two implants in the os zygomaticum.

PubMed: 18846976

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Le document en format XML

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<title xml:lang="en">[Implant-borne prosthesis for an edentulous maxilla with a large maxillectomy defect--a step-wise therapy concept].</title>
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<name sortKey="Nothdurft, Frank P" sort="Nothdurft, Frank P" uniqKey="Nothdurft F" first="Frank P" last="Nothdurft">Frank P. Nothdurft</name>
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<nlm:affiliation>Universitätsklinikum des Saarlandes, Klinik für Zahnärztliche Prothetik und Werkstoffkunde, Homburg/Saar. zmkfnot@uniklinikum-saarland.de</nlm:affiliation>
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<name sortKey="Propson, Martin" sort="Propson, Martin" uniqKey="Propson M" first="Martin" last="Propson">Martin Propson</name>
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<name sortKey="Spitzer, Wolfgang J" sort="Spitzer, Wolfgang J" uniqKey="Spitzer W" first="Wolfgang J" last="Spitzer">Wolfgang J. Spitzer</name>
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<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Neoplasms (rehabilitation)</term>
<term>Maxillary Neoplasms (surgery)</term>
<term>Maxillary Sinus (surgery)</term>
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<term>Time Factors</term>
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<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maxillaire ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Obturateurs palatins</term>
<term>Os zygomatique ()</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Sinus maxillaire ()</term>
<term>Sujet âgé</term>
<term>Tumeurs du maxillaire supérieur ()</term>
<term>Tumeurs du maxillaire supérieur (rééducation et réadaptation)</term>
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<term>Dental Implantation, Endosseous</term>
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<term>Jaw, Edentulous</term>
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<term>Mâchoire édentée</term>
<term>Tumeurs du maxillaire supérieur</term>
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<term>Maxilla</term>
<term>Maxillary Neoplasms</term>
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<term>Prothèse dentaire implanto-portée</term>
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<div type="abstract" xml:lang="en">Due to the great variety of maxillectomy defects standardized restorative treatment protocols are rarely documented. For the practitioner it is from highest importance to consider the specific defect morphology and, even more important, the individual needs of affected patients. The presented case shows the planning and realization of the restoration of a maxilla with an extended resection defect following tumor surgery. Because the demanding patient remained edentulous after extraction of the residual teeth for periodontal reasons, an implant retained obturator prosthesis was inserted. Following interdisciplinary planning a treatment protocol with stepwise extraction, augmentation and implant insertion in the os zygomaticum as well as in the residual alveolar ridge was carried out, which make successive adjustment of the temporary obturator prosthesis possible. This procedure resulted in a long lasting treatment duration, but made also a sufficient temporary restoration during healing periods feasible. The definitive restoration was retained by a bar splinting four implants in the residual alveolar ridge and a special retentive anchoring abutment on two implants in the os zygomaticum.</div>
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<AbstractText>Due to the great variety of maxillectomy defects standardized restorative treatment protocols are rarely documented. For the practitioner it is from highest importance to consider the specific defect morphology and, even more important, the individual needs of affected patients. The presented case shows the planning and realization of the restoration of a maxilla with an extended resection defect following tumor surgery. Because the demanding patient remained edentulous after extraction of the residual teeth for periodontal reasons, an implant retained obturator prosthesis was inserted. Following interdisciplinary planning a treatment protocol with stepwise extraction, augmentation and implant insertion in the os zygomaticum as well as in the residual alveolar ridge was carried out, which make successive adjustment of the temporary obturator prosthesis possible. This procedure resulted in a long lasting treatment duration, but made also a sufficient temporary restoration during healing periods feasible. The definitive restoration was retained by a bar splinting four implants in the residual alveolar ridge and a special retentive anchoring abutment on two implants in the os zygomaticum.</AbstractText>
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