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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Laster, Zvi Reem, Younis Nagler, Rafael |
| Description | Country affiliation: Israel Author Affiliation: Laster Z ( Department of Oral & Maxillofacial Surgery, Baruch Padeh Medical Center, Poriya, Tiberias, Israel.) |
| Abstract | PURPOSE: Full fixed dental rehabilitation, including attachment based over denture (to dental implants) is the optimal solution for edentulous patients, although the insertion of implants will be impossible when the alveolar ridge has been horizontally and severely absorbed. A full arch narrow ('knife-edge') alveolar crest creates a 'borderline' condition. Dental implants cannot be inserted into a narrow ridge, which is also at risk of rapid absorption, especially under the pressure of a full denture. Current clinical solutions have been limited. In bone augmentation, the bone absorption rate has been approximately 50%, requiring 6-month therapy prolongation for the grafted bone to consolidate. MATERIALS AND METHODS: We have described an edentulous patient whose 'knife-edge' maxillary alveolar crest was widened with crest expanders (horizontal distractors). RESULTS: Only 6 weeks after initiation of the distraction, a wide enough ridge had been created, allowing bilateral insertion of implants, followed by attachment-based full dental rehabilitation. Bone augmentation was avoided, and the implants were placed in the correct lateral position, with sufficient attached gingiva obtained. CONCLUSIONS: Horizontal crest expanding in narrow-alveolar edentulous patients can significantly reduce both morbidity and the therapeutic period and substantially increase the therapeutic success rate, based on both soft tissue and bone distraction. With this technique, our patient was without the denture for only 6 weeks. |
| File Format | HTM / HTML |
| ISSN | 02782391 |
| Issue Number | 2 |
| Volume Number | 69 |
| e-ISSN | 15315053 |
| Journal | Journal of Oral and Maxillofacial Surgery |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2011-02-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Medicine__semicolon__otorhinolaryngology__semicolon__surgery Alveoloplasty Methods Jaw, Edentulous Surgery Maxilla Osteogenesis, Distraction Adult Alveolar Bone Loss Instrumentation Dental Implantation, Endosseous Dental Implants Dental Prosthesis, Implant-supported Denture, Complete, Upper Denture, Overlay Equipment Design Female Follow-up Studies Humans Rehabilitation Case Reports Journal Article |
| Content Type | Text |
| Resource Type | Article Case study |
| Subject | Oral Surgery Otorhinolaryngology Surgery |
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