Source:http://linkedlifedata.com/resource/pubmed/id/17538330
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
3
|
| pubmed:dateCreated |
2007-5-31
|
| pubmed:abstractText |
Bone grafting of maxillary alveolus cleft defect followed by insertion of dental implant may be a good alternative to conventional prosthetic treatment. The principle is the formation of stable alveolar crest with a sufficient three-dimensional volume. The problems are lack and quality of mucoperiosteum for the reconstruction of shell and bone gap characteristics for bone graft intake. The procedure was carried out by a single surgeon (MD) in 45 patients between 29 August 2001 and 30 June 2006, with an 86.7% success rate. The success was defined as completed process with dental implant insertion and its loading by a prosthetic suprastructure without a failure for at least 15 months from that last step. The success rate mainly depends on 1) good alveolar arch flow of maxilla segments in both horizontal and vertical planes; 2) the height of osseous poles of at least 12 mm and onlay augmentation of built-up section does not work; 3) adequate volume of cancellous bone graft, 3.7 cm on average. On the basis of histologic verification and clinical findings, the bone graft is matured enough to ensure a primary stability of a fixture in 12.5 weeks after reconstruction. Early load may prevent bone resorption. Prediction of complications are as follows: 1) graft resorption increases according to gap size and low possibility of revascularization; 2) a higher number of complications are linked to presence of oronasal fistula and to scarring of soft tissues; 3) because of more gracile skeleton and female metabolism, the risk is higher in women.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
D
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
May
|
| pubmed:issn |
1049-2275
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
18
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
630-8
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| pubmed:meshHeading |
pubmed-meshheading:17538330-Adolescent,
pubmed-meshheading:17538330-Adult,
pubmed-meshheading:17538330-Alveolar Ridge Augmentation,
pubmed-meshheading:17538330-Bone Resorption,
pubmed-meshheading:17538330-Bone Transplantation,
pubmed-meshheading:17538330-Cleft Lip,
pubmed-meshheading:17538330-Cleft Palate,
pubmed-meshheading:17538330-Dental Arch,
pubmed-meshheading:17538330-Dental Implantation, Endosseous,
pubmed-meshheading:17538330-Dental Implants,
pubmed-meshheading:17538330-Dental Prosthesis, Implant-Supported,
pubmed-meshheading:17538330-Dental Restoration Failure,
pubmed-meshheading:17538330-Female,
pubmed-meshheading:17538330-Follow-Up Studies,
pubmed-meshheading:17538330-Graft Survival,
pubmed-meshheading:17538330-Humans,
pubmed-meshheading:17538330-Male,
pubmed-meshheading:17538330-Maxilla,
pubmed-meshheading:17538330-Nose Diseases,
pubmed-meshheading:17538330-Oral Fistula,
pubmed-meshheading:17538330-Reconstructive Surgical Procedures,
pubmed-meshheading:17538330-Respiratory Tract Fistula,
pubmed-meshheading:17538330-Stress, Mechanical,
pubmed-meshheading:17538330-Treatment Outcome
|
| pubmed:year |
2007
|
| pubmed:articleTitle |
Bone reconstruction of the maxillary alveolus for subsequent insertion of a dental implant in patients with cleft lip and palate.
|
| pubmed:affiliation |
Department of Plastic Surgery, Charles University, Prague, Czech Republic. duskova@fnkv.cz
|
| pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|