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Content Provider | World Health Organization (WHO)-Global Index Medicus |
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Author | Boven, G. C. Meijer, H. J. A. Vissink, A. Raghoebar, G. M. |
Description | Country affiliation: Netherlands Author Affiliation: Boven GC ( Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.); Meijer HJ ( Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands); Vissink A ( Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.); Raghoebar GM ( Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands. Electronic address: g.m.raghoebar@umcg.nl.) |
Abstract | Treatment outcomes of implant-retained lower dentures on two endosseous implants placed in severely atrophied mandibles after reconstruction with iliac crest onlay grafts were assessed in a retrospective observational study. All consecutive patients treated between 2000 and 2007 were recalled in 2012 (n=40). Survival of the implants, the condition of hard and soft peri-implant tissues, and patient satisfaction were scored. One implant was lost after 5.5 years. The mean mandibular symphysis height was 8.9±2.2, 16.4±2.7, 15.7±2.7, and 15.4±2.5mm at intake, after augmentation, after implantation, and at the last recall visit, respectively. Mean radiographic peri-implant bone loss was 0.6±0.7mm. Mean clinical index scores were very low. Patient satisfaction was high. Surgical complications related to the donor site were seroma (n=1), haematoma (n=2), and sensory disturbance of the lateral femoral cutaneous nerve (n=1); all had resolved before placement of the implants. Eleven patients reported postsurgical sensory disturbances of the mental nerve, of whom five still experienced some sensory disturbance at the last recall visit. Augmentation of the extremely resorbed mandible with an iliac crest onlay graft followed by placement of two implants 4 months later provides a solid basis for a bar-retained overdenture with favourable clinical and radiographic results. |
File Format | HTM / HTML |
ISSN | 09015027 |
Issue Number | 5 |
Volume Number | 43 |
e-ISSN | 13990020 |
Journal | International Journal of Oral and Maxillofacial Surgery |
Language | English |
Publisher | Elsevier |
Publisher Date | 2014-05-01 |
Publisher Place | Denmark |
Access Restriction | Subscribed |
Subject Keyword | Discipline Dentistry Alveolar Ridge Augmentation Methods Dental Implantation, Endosseous Dental Implants Dental Prosthesis, Implant-supported Denture, Overlay Ilium Transplantation Mandible Surgery Aged Female Follow-up Studies Humans Male Pathology Middle Aged Patient Satisfaction Radiography, Panoramic Retrospective Studies Treatment Outcome Journal Article Observational Study |
Content Type | Text |
Resource Type | Article |
Subject Domain (in MeSH) | Musculoskeletal System Eukaryota Biomedical and Dental Materials Diagnosis Surgical Procedures, Operative Investigative Techniques Dentistry Persons Health Services Administration |
Subject | Oral Surgery Otorhinolaryngology Surgery |
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