Serveur d'exploration sur le patient édenté

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A method using vestibulo-sulcoplasty combining a split-thickness skin graft and a palatal keratinized mucosa graft for peri-implant tissue secondary to oral cancer surgery.

Identifieur interne : 002A82 ( PubMed/Curation ); précédent : 002A81; suivant : 002A83

A method using vestibulo-sulcoplasty combining a split-thickness skin graft and a palatal keratinized mucosa graft for peri-implant tissue secondary to oral cancer surgery.

Auteurs : Shou-Yen Kao [République populaire de Chine] ; Man-Tin Lui ; Jenny Fong ; Dmsc Che-Wei Wu ; Cheng-Hsien Wu ; Hsi-Feng Tu ; Kai-Feng Hung ; Tze-Cheung Yeung

Source :

RBID : pubmed:16145846

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English descriptors

Abstract

Twelve patients presented with oral submucosal fibrosis and loss of keratinized gingiva in a compromised vestibule of a severely deficient mandibular edentulous ridge secondary to oral cancer surgery. They received implant rehabilitation with a total of 49 fixtures without major bone graft augmentation. To overcome vestibular compromise, soft tissue management consisting of simultaneous vestibulo-sulcoplasty, split-thickness skin graft (STSG), and palatal keratinized mucosa graft (KMG) was performed as a second stage when healing abutment was transferred to replace the cover screw of the dental implant. Postoperative follow-up of all patients consisted of clinical and radiographic examinations for an average of 4 years, revealing good stability of implant fixtures with a 91.8% success rate and generally healthy peri-implant tissue, the latter with an average sulcus depth of 2.9 +/- 0.6 mm. Satisfactory results were also demonstrated regarding improved morphology of the vestibule, cosmetics, and prosthetic functionality. Vestibulo-sulcoplasty combining STSG and palatal KMG offers a stable and convenient method for rebuilding peri-implant tissue without need for bone grafting in selected patients who have compromised atrophic ridges secondary to cancer surgery.

DOI: 10.1563/1548-1336(2005)31[186:AMUVCA]2.0.CO;2
PubMed: 16145846

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pubmed:16145846

Le document en format XML

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<term>Carcinoma, Squamous Cell (surgery)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Female</term>
<term>Humans</term>
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<term>Jaw, Edentulous (rehabilitation)</term>
<term>Male</term>
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<term>Mouth Neoplasms (surgery)</term>
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<term>Oral Submucous Fibrosis (rehabilitation)</term>
<term>Oral Surgical Procedures (adverse effects)</term>
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<term>Vestibuloplasty (methods)</term>
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<term>Adulte d'âge moyen</term>
<term>Carcinome épidermoïde ()</term>
<term>Carcinome épidermoïde (rééducation et réadaptation)</term>
<term>Femelle</term>
<term>Fibrose buccale sous-muqueuse (rééducation et réadaptation)</term>
<term>Fibrose buccale sous-muqueuse (étiologie)</term>
<term>Humains</term>
<term>Mandibule ()</term>
<term>Muqueuse de la bouche (transplantation)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâchoire édentée (étiologie)</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Procédures de chirurgie maxillofaciale et buccodentaire (effets indésirables)</term>
<term>Résorption alvéolaire (rééducation et réadaptation)</term>
<term>Résorption alvéolaire (étiologie)</term>
<term>Transplantation de peau</term>
<term>Tumeurs de la bouche ()</term>
<term>Tumeurs de la bouche (rééducation et réadaptation)</term>
<term>Vestibuloplastie ()</term>
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<term>Oral Surgical Procedures</term>
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<term>Oral Submucous Fibrosis</term>
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<term>Alveolar Bone Loss</term>
<term>Carcinoma, Squamous Cell</term>
<term>Jaw, Edentulous</term>
<term>Mouth Neoplasms</term>
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<term>Résorption alvéolaire</term>
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<term>Humains</term>
<term>Mandibule</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
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<div type="abstract" xml:lang="en">Twelve patients presented with oral submucosal fibrosis and loss of keratinized gingiva in a compromised vestibule of a severely deficient mandibular edentulous ridge secondary to oral cancer surgery. They received implant rehabilitation with a total of 49 fixtures without major bone graft augmentation. To overcome vestibular compromise, soft tissue management consisting of simultaneous vestibulo-sulcoplasty, split-thickness skin graft (STSG), and palatal keratinized mucosa graft (KMG) was performed as a second stage when healing abutment was transferred to replace the cover screw of the dental implant. Postoperative follow-up of all patients consisted of clinical and radiographic examinations for an average of 4 years, revealing good stability of implant fixtures with a 91.8% success rate and generally healthy peri-implant tissue, the latter with an average sulcus depth of 2.9 +/- 0.6 mm. Satisfactory results were also demonstrated regarding improved morphology of the vestibule, cosmetics, and prosthetic functionality. Vestibulo-sulcoplasty combining STSG and palatal KMG offers a stable and convenient method for rebuilding peri-implant tissue without need for bone grafting in selected patients who have compromised atrophic ridges secondary to cancer surgery.</div>
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<AbstractText>Twelve patients presented with oral submucosal fibrosis and loss of keratinized gingiva in a compromised vestibule of a severely deficient mandibular edentulous ridge secondary to oral cancer surgery. They received implant rehabilitation with a total of 49 fixtures without major bone graft augmentation. To overcome vestibular compromise, soft tissue management consisting of simultaneous vestibulo-sulcoplasty, split-thickness skin graft (STSG), and palatal keratinized mucosa graft (KMG) was performed as a second stage when healing abutment was transferred to replace the cover screw of the dental implant. Postoperative follow-up of all patients consisted of clinical and radiographic examinations for an average of 4 years, revealing good stability of implant fixtures with a 91.8% success rate and generally healthy peri-implant tissue, the latter with an average sulcus depth of 2.9 +/- 0.6 mm. Satisfactory results were also demonstrated regarding improved morphology of the vestibule, cosmetics, and prosthetic functionality. Vestibulo-sulcoplasty combining STSG and palatal KMG offers a stable and convenient method for rebuilding peri-implant tissue without need for bone grafting in selected patients who have compromised atrophic ridges secondary to cancer surgery.</AbstractText>
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