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Implant treatment without bone grafting in severely resorbed edentulous maxillae.

Identifieur interne : 003948 ( PubMed/Curation ); précédent : 003947; suivant : 003949

Implant treatment without bone grafting in severely resorbed edentulous maxillae.

Auteurs : T. Mattsson [Suède] ; P A Köndell ; G W Gynther ; U. Fredholm ; A. Bolin

Source :

RBID : pubmed:10077198

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English descriptors

Abstract

This article describes the surgical technique for implant treatment in severely resorbed edentulous maxillae without any alveolar reconstruction before or combined with implant placement.

PubMed: 10077198

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pubmed:10077198

Le document en format XML

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<title xml:lang="en">Implant treatment without bone grafting in severely resorbed edentulous maxillae.</title>
<author>
<name sortKey="Mattsson, T" sort="Mattsson, T" uniqKey="Mattsson T" first="T" last="Mattsson">T. Mattsson</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Huddinge University Hospital, Karolinska Institute, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, Huddinge University Hospital, Karolinska Institute</wicri:regionArea>
</affiliation>
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<name sortKey="Kondell, P A" sort="Kondell, P A" uniqKey="Kondell P" first="P A" last="Köndell">P A Köndell</name>
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<author>
<name sortKey="Gynther, G W" sort="Gynther, G W" uniqKey="Gynther G" first="G W" last="Gynther">G W Gynther</name>
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<author>
<name sortKey="Fredholm, U" sort="Fredholm, U" uniqKey="Fredholm U" first="U" last="Fredholm">U. Fredholm</name>
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<author>
<name sortKey="Bolin, A" sort="Bolin, A" uniqKey="Bolin A" first="A" last="Bolin">A. Bolin</name>
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<title xml:lang="en">Implant treatment without bone grafting in severely resorbed edentulous maxillae.</title>
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<term>Adult</term>
<term>Aged</term>
<term>Alveolar Bone Loss (rehabilitation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Maxilla</term>
<term>Maxillary Sinus (surgery)</term>
<term>Middle Aged</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maxillaire</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résorption alvéolaire (rééducation et réadaptation)</term>
<term>Résultat thérapeutique</term>
<term>Sinus maxillaire ()</term>
<term>Sujet âgé</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire édentée</term>
<term>Résorption alvéolaire</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Maxillary Sinus</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Maxilla</term>
<term>Middle Aged</term>
<term>Treatment Outcome</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résultat thérapeutique</term>
<term>Sinus maxillaire</term>
<term>Sujet âgé</term>
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<div type="abstract" xml:lang="en">This article describes the surgical technique for implant treatment in severely resorbed edentulous maxillae without any alveolar reconstruction before or combined with implant placement.</div>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">This article describes the surgical technique for implant treatment in severely resorbed edentulous maxillae without any alveolar reconstruction before or combined with implant placement.</AbstractText>
<AbstractText Label="PATIENTS AND MATERIAL" NlmCategory="METHODS">Fifteen patients with severely resorbed edentulous maxillae were treated with osseointegrated implants and fixed dental prostheses. All patients were initially considered to be treated with bone grafting because of a lack of sufficient bone volume for conventional treatment. Preoperative radiographic examinations showed that the height of the alveolar crest was on average 7.4 mm at the 4-mm-width level (Classes V to VI).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">By fenestration of the maxillary sinus and uncovering the nasal floor, the maxillary bone could be visualized and used maximally for installation of implants. By angulation of the implants and permitting two to five uncovered fixture threads on the palatal aspect, implants of optimal length could be installed. Eighty-six implants were placed (four to six implants in every patient). One implant was lost during the observation time (range, 36 to 54 months; mean, 45 months). All patients had stable fixed prostheses at the end of the observation time.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This cost-effective surgical technique may be considered as an alternative to more resource-demanding techniques such as bone grafting in patients with severely resorbed edentulous maxillae. However, further prospective comparative studies are necessary for full evaluation.</AbstractText>
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