RECONSTRUCTION OF THE EXTREMELY RESORBED MANDIBLE WITH INTERPOSED BONE-GRAFTS AND PLACEMENT OF ENDOSSEOUS IMPLANTS - A PRELIMINARY-REPORT ON OUTCOME OF TREATMENT AND PATIENTS SATISFACTION

Citation
C. Stellingsma et al., RECONSTRUCTION OF THE EXTREMELY RESORBED MANDIBLE WITH INTERPOSED BONE-GRAFTS AND PLACEMENT OF ENDOSSEOUS IMPLANTS - A PRELIMINARY-REPORT ON OUTCOME OF TREATMENT AND PATIENTS SATISFACTION, British journal of oral & maxillofacial surgery, 36(4), 1998, pp. 290-295
Citations number
31
Categorie Soggetti
Dentistry,Oral Surgery & Medicine",Surgery
ISSN journal
02664356
Volume
36
Issue
4
Year of publication
1998
Pages
290 - 295
Database
ISI
SICI code
0266-4356(1998)36:4<290:ROTERM>2.0.ZU;2-Y
Abstract
During recent decades many surgical techniques have been developed to enlarge the denture-bearing area of the mandible. Most of these techni ques improved retention and stability of the lower dentures only tempo rarily. Since the advent of endosseous implants to stabilize overdentu res, combinations of augmentation procedures and placement of endosseo us implants have been introduced to restore the severely resorbed mand ible. Iri this study we describe the preliminary results of such a com bined approach using sandwich osteotomy with an autogenous bone graft (iliac crest) followed by placement of four endosseous implants in the interforaminal region in 10 women. After a mean follow-up period of 3 1 months (range 19-57) several variables were measured including condi tion of the peri-implant tissues, radiographic bone changes and patien t satisfaction. The first results indicate that the technique describe d offers a solid base for implant-stabilized overdentures: no implants were lost, the periimplant tissues were in good condition, bone loss was limited, and patients were satisfied. Future studies will evaluate the permanence of these results.