Dentofacial rehabilitation by osteodistraction, augmentation and implantation despite osteogenesis imperfecta.
Identifieur interne : 002726 ( PubMed/Curation ); précédent : 002725; suivant : 002727Dentofacial rehabilitation by osteodistraction, augmentation and implantation despite osteogenesis imperfecta.
Auteurs : T. Binger [Allemagne] ; M. Rücker ; W J SpitzerSource :
- International journal of oral and maxillofacial surgery [ 0901-5027 ] ; 2006.
Descripteurs français
- KwdFr :
- Adulte, Femelle, Humains, Implants dentaires, Maladies du maxillaire supérieur (), Maxillaire (), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Ostéogenèse imparfaite (), Ostéogenèse par distraction, Ostéotomie de Le Fort, Overdenture, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire, Transplantation osseuse.
- MESH :
- rééducation et réadaptation : Mâchoire édentée.
- Adulte, Femelle, Humains, Implants dentaires, Maladies du maxillaire supérieur, Maxillaire, Mâchoire édentée, Ostéogenèse imparfaite, Ostéogenèse par distraction, Ostéotomie de Le Fort, Overdenture, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire, Transplantation osseuse.
English descriptors
- KwdEn :
- Adult, Alveolar Ridge Augmentation, Bone Transplantation, Dental Implantation, Endosseous, Dental Implants, Dental Prosthesis, Implant-Supported, Denture, Overlay, Female, Humans, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Maxilla (surgery), Maxillary Diseases (surgery), Osteogenesis Imperfecta (surgery), Osteogenesis, Distraction, Osteotomy, Le Fort.
- MESH :
- chemical : Dental Implants.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous, Maxilla, Maxillary Diseases, Osteogenesis Imperfecta.
- Adult, Alveolar Ridge Augmentation, Bone Transplantation, Dental Implantation, Endosseous, Dental Prosthesis, Implant-Supported, Denture, Overlay, Female, Humans, Osteogenesis, Distraction, Osteotomy, Le Fort.
Abstract
Osteogenesis imperfecta-- a heritable systemic disorder characterized by enhanced bone fragility-- is frequently associated with a Class III malocclusion and distinct dental disorders. This patient, suffering from a late form of osteogenesis imperfecta, displayed early loss of teeth and severe maxillary hypoplasia. Bone grafting of the alveolar ridge was assumed not to guarantee a neutral basal relation before dental implantation. Due to the risk of atypical fractures conventional orthognathic surgery was excluded in the atrophic maxilla. In contrast to a conventional Le Fort I osteotomy, osteodistraction of the maxilla can be performed omitting the precarious down-fracture procedure. Despite a lack of reports on this technique in patients with osteogenesis imperfecta, dysgnathia was corrected by osteodistraction of the upper jaw. The loss of teeth was treated by augmentation of the alveolar crest using autogenous bone from the iliac crest followed by placement of dental implants. Stable normocclusion of the implant-supported overdentures was achieved without any detectable relapse over 4 years. For the first time it has been demonstrated that advanced surgical techniques like osteodistraction, alveolar crest augmentation and dental implantation can successfully be combined for dentofacial rehabilitation even in patients suffering from osteogenesis imperfecta.
DOI: 10.1016/j.ijom.2006.01.014
PubMed: 16520021
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pubmed:16520021Le document en format XML
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<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
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<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire</term>
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<front><div type="abstract" xml:lang="en">Osteogenesis imperfecta-- a heritable systemic disorder characterized by enhanced bone fragility-- is frequently associated with a Class III malocclusion and distinct dental disorders. This patient, suffering from a late form of osteogenesis imperfecta, displayed early loss of teeth and severe maxillary hypoplasia. Bone grafting of the alveolar ridge was assumed not to guarantee a neutral basal relation before dental implantation. Due to the risk of atypical fractures conventional orthognathic surgery was excluded in the atrophic maxilla. In contrast to a conventional Le Fort I osteotomy, osteodistraction of the maxilla can be performed omitting the precarious down-fracture procedure. Despite a lack of reports on this technique in patients with osteogenesis imperfecta, dysgnathia was corrected by osteodistraction of the upper jaw. The loss of teeth was treated by augmentation of the alveolar crest using autogenous bone from the iliac crest followed by placement of dental implants. Stable normocclusion of the implant-supported overdentures was achieved without any detectable relapse over 4 years. For the first time it has been demonstrated that advanced surgical techniques like osteodistraction, alveolar crest augmentation and dental implantation can successfully be combined for dentofacial rehabilitation even in patients suffering from osteogenesis imperfecta.</div>
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<Abstract><AbstractText>Osteogenesis imperfecta-- a heritable systemic disorder characterized by enhanced bone fragility-- is frequently associated with a Class III malocclusion and distinct dental disorders. This patient, suffering from a late form of osteogenesis imperfecta, displayed early loss of teeth and severe maxillary hypoplasia. Bone grafting of the alveolar ridge was assumed not to guarantee a neutral basal relation before dental implantation. Due to the risk of atypical fractures conventional orthognathic surgery was excluded in the atrophic maxilla. In contrast to a conventional Le Fort I osteotomy, osteodistraction of the maxilla can be performed omitting the precarious down-fracture procedure. Despite a lack of reports on this technique in patients with osteogenesis imperfecta, dysgnathia was corrected by osteodistraction of the upper jaw. The loss of teeth was treated by augmentation of the alveolar crest using autogenous bone from the iliac crest followed by placement of dental implants. Stable normocclusion of the implant-supported overdentures was achieved without any detectable relapse over 4 years. For the first time it has been demonstrated that advanced surgical techniques like osteodistraction, alveolar crest augmentation and dental implantation can successfully be combined for dentofacial rehabilitation even in patients suffering from osteogenesis imperfecta.</AbstractText>
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