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Definitive CAD/CAM-guided prosthesis for immediate loading of bone-grafted maxilla: a case report.

Identifieur interne : 002817 ( PubMed/Curation ); précédent : 002816; suivant : 002818

Definitive CAD/CAM-guided prosthesis for immediate loading of bone-grafted maxilla: a case report.

Auteurs : Herman K. Kupeyan [États-Unis] ; Matt Shaffner ; Joseph Armstrong

Source :

RBID : pubmed:16919024

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English descriptors

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:16919024

Le document en format XML

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<title xml:lang="en">Definitive CAD/CAM-guided prosthesis for immediate loading of bone-grafted maxilla: a case report.</title>
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<name sortKey="Kupeyan, Herman K" sort="Kupeyan, Herman K" uniqKey="Kupeyan H" first="Herman K" last="Kupeyan">Herman K. Kupeyan</name>
<affiliation wicri:level="1">
<nlm:affiliation>University of Michigan, Ann Arbor, USA. dr.k@smileandbody.com</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Michigan, Ann Arbor</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Shaffner, Matt" sort="Shaffner, Matt" uniqKey="Shaffner M" first="Matt" last="Shaffner">Matt Shaffner</name>
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<author>
<name sortKey="Armstrong, Joseph" sort="Armstrong, Joseph" uniqKey="Armstrong J" first="Joseph" last="Armstrong">Joseph Armstrong</name>
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<title xml:lang="en">Definitive CAD/CAM-guided prosthesis for immediate loading of bone-grafted maxilla: a case report.</title>
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<name sortKey="Armstrong, Joseph" sort="Armstrong, Joseph" uniqKey="Armstrong J" first="Joseph" last="Armstrong">Joseph Armstrong</name>
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<title level="j">Clinical implant dentistry and related research</title>
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<term>Aged</term>
<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>
</keywords>
<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>
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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>
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<DateCompleted>
<Year>2006</Year>
<Month>11</Month>
<Day>09</Day>
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<DateRevised>
<Year>2006</Year>
<Month>08</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print">
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<ISSN IssnType="Print">1523-0899</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>8</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2006</Year>
</PubDate>
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<Title>Clinical implant dentistry and related research</Title>
<ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation>
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<ArticleTitle>Definitive CAD/CAM-guided prosthesis for immediate loading of bone-grafted maxilla: a case report.</ArticleTitle>
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<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>
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<LastName>Kupeyan</LastName>
<ForeName>Herman K</ForeName>
<Initials>HK</Initials>
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<DescriptorName UI="D003781" MajorTopicYN="N">Denture Retention</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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