Definitive CAD/CAM-guided prosthesis for immediate loading of bone-grafted maxilla: a case report.
Identifieur interne : 002817 ( PubMed/Curation ); précédent : 002816; suivant : 002818Definitive CAD/CAM-guided prosthesis for immediate loading of bone-grafted maxilla: a case report.
Auteurs : Herman K. Kupeyan [États-Unis] ; Matt Shaffner ; Joseph ArmstrongSource :
- Clinical implant dentistry and related research [ 1523-0899 ] ; 2006.
Descripteurs français
- KwdFr :
- Bouche édentée (), Bouche édentée (rééducation et réadaptation), Conception assistée par ordinateur, Conception d'appareil de prothèse dentaire, Femelle, Humains, Implants dentaires, Mandibule (), Maxillaire (), Overdenture, Piliers dentaires, Pose d'implant dentaire endo-osseux (), Pose d'implant dentaire endo-osseux (instrumentation), Prothèse dentaire complète, Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire (), Résorption osseuse (), Rétention d'appareil de prothèse dentaire, Sujet âgé, Tomodensitométrie, Transplantation osseuse.
- MESH :
- rééducation et réadaptation : Bouche édentée.
- Bouche édentée, Conception assistée par ordinateur, Conception d'appareil de prothèse dentaire, Femelle, Humains, Implants dentaires, Mandibule, Maxillaire, Overdenture, Piliers dentaires, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète, Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire, Résorption osseuse, Rétention d'appareil de prothèse dentaire, Sujet âgé, Tomodensitométrie, Transplantation osseuse.
English descriptors
- KwdEn :
- Aged, Alveolar Ridge Augmentation (methods), Bone Resorption (surgery), Bone Transplantation, Computer-Aided Design, Dental Abutments, Dental Implantation, Endosseous (instrumentation), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Denture Design, Denture Retention, Denture, Complete, Denture, Overlay, Female, Humans, Mandible (surgery), Maxilla (surgery), Mouth, Edentulous (rehabilitation), Mouth, Edentulous (surgery), Tomography, X-Ray Computed.
- MESH :
- chemical : Dental Implants.
- instrumentation : Dental Implantation, Endosseous.
- methods : Alveolar Ridge Augmentation, Dental Implantation, Endosseous.
- rehabilitation : Mouth, Edentulous.
- surgery : Bone Resorption, Mandible, Maxilla, Mouth, Edentulous.
- Aged, Bone Transplantation, Computer-Aided Design, Dental Abutments, Dental Prosthesis, Implant-Supported, Denture Design, Denture Retention, Denture, Complete, Denture, Overlay, Female, Humans, Tomography, X-Ray Computed.
Abstract
The reconstruction of a functional occlusion in the presence of severe residual ridge resorption remains a significant challenge for maxillofacial surgeons and prosthodontists. Removable appliances are unsuccessful in severely resorbed cases and the advanced degree of bone loss precludes conventional implant-retained prostehesis. In recent years, bone graft reconstruction of the maxilla and the mandible has been advocated to reverse the debilitating effects of alveolar ridge resorption.
DOI: 10.1111/j.1708-8208.2006.00018.x
PubMed: 16919024
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pubmed:16919024Le document en format XML
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<affiliation wicri:level="1"><nlm:affiliation>University of Michigan, Ann Arbor, USA. dr.k@smileandbody.com</nlm:affiliation>
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<author><name sortKey="Shaffner, Matt" sort="Shaffner, Matt" uniqKey="Shaffner M" first="Matt" last="Shaffner">Matt Shaffner</name>
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<term>Alveolar Ridge Augmentation (methods)</term>
<term>Bone Resorption (surgery)</term>
<term>Bone Transplantation</term>
<term>Computer-Aided Design</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture Retention</term>
<term>Denture, Complete</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Humans</term>
<term>Mandible (surgery)</term>
<term>Maxilla (surgery)</term>
<term>Mouth, Edentulous (rehabilitation)</term>
<term>Mouth, Edentulous (surgery)</term>
<term>Tomography, X-Ray Computed</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Bouche édentée ()</term>
<term>Bouche édentée (rééducation et réadaptation)</term>
<term>Conception assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule ()</term>
<term>Maxillaire ()</term>
<term>Overdenture</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résorption osseuse ()</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Sujet âgé</term>
<term>Tomodensitométrie</term>
<term>Transplantation osseuse</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term>
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Mouth, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Bouche édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Bone Resorption</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Mouth, Edentulous</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Bone Transplantation</term>
<term>Computer-Aided Design</term>
<term>Dental Abutments</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture Retention</term>
<term>Denture, Complete</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Humans</term>
<term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Bouche édentée</term>
<term>Conception assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Overdenture</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption osseuse</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Sujet âgé</term>
<term>Tomodensitométrie</term>
<term>Transplantation osseuse</term>
</keywords>
</textClass>
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<front><div type="abstract" xml:lang="en">The reconstruction of a functional occlusion in the presence of severe residual ridge resorption remains a significant challenge for maxillofacial surgeons and prosthodontists. Removable appliances are unsuccessful in severely resorbed cases and the advanced degree of bone loss precludes conventional implant-retained prostehesis. In recent years, bone graft reconstruction of the maxilla and the mandible has been advocated to reverse the debilitating effects of alveolar ridge resorption.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16919024</PMID>
<DateCompleted><Year>2006</Year>
<Month>11</Month>
<Day>09</Day>
</DateCompleted>
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<Month>08</Month>
<Day>21</Day>
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<JournalIssue CitedMedium="Print"><Volume>8</Volume>
<Issue>3</Issue>
<PubDate><Year>2006</Year>
</PubDate>
</JournalIssue>
<Title>Clinical implant dentistry and related research</Title>
<ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation>
</Journal>
<ArticleTitle>Definitive CAD/CAM-guided prosthesis for immediate loading of bone-grafted maxilla: a case report.</ArticleTitle>
<Pagination><MedlinePgn>161-7</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The reconstruction of a functional occlusion in the presence of severe residual ridge resorption remains a significant challenge for maxillofacial surgeons and prosthodontists. Removable appliances are unsuccessful in severely resorbed cases and the advanced degree of bone loss precludes conventional implant-retained prostehesis. In recent years, bone graft reconstruction of the maxilla and the mandible has been advocated to reverse the debilitating effects of alveolar ridge resorption.</AbstractText>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The surgical objective was the reconstruction of the osseous platform of the jaws, thereby allowing implant-retained definitive prosthetic rehabilitation utilizing the Teeth-in-an-Hour concept within 4 months.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">A completely edentulous patient received bone grafts from the posterior iliac crest to augment both the maxillary and mandibular alveolar ridges. The manmandible was augmented using Marx's "soft issue matrix expansion procedure" and was restored in the conventional manor using an impression and a milled framework. The maxilla underwent "inlay/onlay" bone graft augmentation of the right and left maxilla at the same time as the mandiblular procedure. Implant placement was at 4 months post-bone graft reconstruction. Immediate loading of implants into a bone graft using Nobel Biocare's Teeth-in-an-Hour protocol prelaunch was implemented. This included CT-based implant planning, simultaneous CAD/CAM fabrication of a surgical guide, a CNC-milled framework, flapless surgical placement of the implants, and immediate placement of a pre-fabricated definitive prosthesis. This approach reduced the time necessary for an edentulous patient to transform from severely atrophic alveolar support to implant-retained maxillary and mandibular prosthetic restorations. Immediate loading with an implant retained definitive prosthesis using a bone graft-reconstructed osseous platform was also performed.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The Teeth-in-an-Hour concept was utilized to restore bone grafted augmentation of the maxilla with immediate loading of a definitive prosthesis within 4 months. The remarkable accuracy of the software, minimally invasive and short surgery and treatment time, uneventful quick recovery with minimal discomfort is a benefit not only to the patient, also to the treating team.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kupeyan</LastName>
<ForeName>Herman K</ForeName>
<Initials>HK</Initials>
<AffiliationInfo><Affiliation>University of Michigan, Ann Arbor, USA. dr.k@smileandbody.com</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Shaffner</LastName>
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<Author ValidYN="Y"><LastName>Armstrong</LastName>
<ForeName>Joseph</ForeName>
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<MeshHeading><DescriptorName UI="D000540" MajorTopicYN="N">Alveolar Ridge Augmentation</DescriptorName>
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<MeshHeading><DescriptorName UI="D000044" MajorTopicYN="N">Dental Abutments</DescriptorName>
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<MeshHeading><DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
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<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
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<MeshHeading><DescriptorName UI="D019094" MajorTopicYN="Y">Dental Prosthesis, Implant-Supported</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003779" MajorTopicYN="Y">Denture Design</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003781" MajorTopicYN="N">Denture Retention</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003824" MajorTopicYN="N">Denture, Complete</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003828" MajorTopicYN="N">Denture, Overlay</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<MeshHeading><DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<MeshHeading><DescriptorName UI="D009066" MajorTopicYN="N">Mouth, Edentulous</DescriptorName>
<QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<MeshHeading><DescriptorName UI="D014057" MajorTopicYN="N">Tomography, X-Ray Computed</DescriptorName>
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