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Immediate loading of dental implants placed in revascularized fibula free flaps: a clinical report on 2 consecutive patients.

Identifieur interne : 002B18 ( PubMed/Curation ); précédent : 002B17; suivant : 002B19

Immediate loading of dental implants placed in revascularized fibula free flaps: a clinical report on 2 consecutive patients.

Auteurs : Matteo Chiapasco [Italie] ; Claudio Gatti

Source :

RBID : pubmed:15623070

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English descriptors

Abstract

The objective of this study was to report the clinical outcome of dental implants placed in revascularized fibula flaps for the reconstruction of severely atrophied edentulous maxillae and immediately loaded with full-arch implant-supported prostheses.

PubMed: 15623070

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Le document en format XML

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<title xml:lang="en">Immediate loading of dental implants placed in revascularized fibula free flaps: a clinical report on 2 consecutive patients.</title>
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<name sortKey="Chiapasco, Matteo" sort="Chiapasco, Matteo" uniqKey="Chiapasco M" first="Matteo" last="Chiapasco">Matteo Chiapasco</name>
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<nlm:affiliation>Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan, Italy. matteo.chiapasco@unimi.it</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Medicine, Surgery, and Dentistry, San Paolo Hospital, University of Milan</wicri:regionArea>
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<title xml:lang="en">Immediate loading of dental implants placed in revascularized fibula free flaps: a clinical report on 2 consecutive patients.</title>
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<term>Alveolar Ridge Augmentation (methods)</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental Stress Analysis</term>
<term>Female</term>
<term>Fibula (surgery)</term>
<term>Humans</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (rehabilitation)</term>
<term>Reoperation</term>
<term>Surgical Flaps (blood supply)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Analyse du stress dentaire</term>
<term>Bouche édentée (rééducation et réadaptation)</term>
<term>Femelle</term>
<term>Fibula ()</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Lambeaux chirurgicaux ()</term>
<term>Maxillaire ()</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Réintervention</term>
<term>Transplantation osseuse</term>
<term>Échec de restauration dentaire</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="blood supply" xml:lang="en">
<term>Surgical Flaps</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Dental Implantation, Endosseous</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Mouth, Edentulous</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Bouche édentée</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Fibula</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Bone Transplantation</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental Stress Analysis</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Reoperation</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse du stress dentaire</term>
<term>Femelle</term>
<term>Fibula</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Lambeaux chirurgicaux</term>
<term>Maxillaire</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Réintervention</term>
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<term>Échec de restauration dentaire</term>
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<div type="abstract" xml:lang="en">The objective of this study was to report the clinical outcome of dental implants placed in revascularized fibula flaps for the reconstruction of severely atrophied edentulous maxillae and immediately loaded with full-arch implant-supported prostheses.</div>
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<Year>2005</Year>
<Month>01</Month>
<Day>19</Day>
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<Year>2004</Year>
<Month>12</Month>
<Day>29</Day>
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<ISSN IssnType="Print">0882-2786</ISSN>
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<Volume>19</Volume>
<Issue>6</Issue>
<PubDate>
<MedlineDate>2004 Nov-Dec</MedlineDate>
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<Title>The International journal of oral & maxillofacial implants</Title>
<ISOAbbreviation>Int J Oral Maxillofac Implants</ISOAbbreviation>
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<ArticleTitle>Immediate loading of dental implants placed in revascularized fibula free flaps: a clinical report on 2 consecutive patients.</ArticleTitle>
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<MedlinePgn>906-12</MedlinePgn>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The objective of this study was to report the clinical outcome of dental implants placed in revascularized fibula flaps for the reconstruction of severely atrophied edentulous maxillae and immediately loaded with full-arch implant-supported prostheses.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Two patients, a 55-year-old woman and a 59-year-old woman, who presented with severely atrophied edentulous maxillae and local anatomy incompatible with rehabilitation with conventional complete removable dentures and insufficient bone volume for placement of implants of adequate dimensions were selected for reconstruction with revascularized fibula free flaps. Three months after the reconstructive procedure, Brånemark System dental implants (8 in the 55-year-old patient, 7 in the 59-year-old patient) were placed in the reconstructed areas and immediately loaded with implant-supported full-arch prostheses. The mean follow-up period of implants after the start of prosthetic loading was 24 months. Radiographic peri-implant bone level changes and peri-implant clinical parameters (Plaque Index, Bleeding Index, and probing depth) were evaluated.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">No implants were lost during the follow-up period. Implant survival and success rates were 100% and 93.3%, respectively. Peri-implant clinical parameters presented values consistent with those obtained for implants placed in native nonreconstructed bone and allowed to heal before loading.</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">To the authors' knowledge, this is the first time that the successful immediate loading of implants placed in fibula free flaps for the rehabilitation of totally edentulous patients with severely resorbed maxillae or mandibles has been described.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Despite the limited number of patients and the short follow-up period, immediate loading of implants placed in revascularized fibula free flaps appears to be a reliable method for the dental rehabilitation of these patients.</AbstractText>
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