Esthetic and functional reconstruction of patient with maxillary and mandibular bone loss

Öz

Bone and soft tissue loss are common problems after lose of tooth and that can lead to excessive length of clinical crowns. In large amount of bone loss, a number of graft materials have been used in vertical and horizontal ridge augmentation to enable implantplacement in optimal positions. Autogenous block grafts from intraoral or extraoral regions have been used with positive results. Allograft blocks with cortical bone are also used for ridge augmentation. In this case report a 21-year-old male patient with maxillary and mandibular bone loss due to traffic accident was rehabilated. An allograft block was used for horizontal and vertical augmentation of the maxilla and mandibula. The observed increase in ridge width allowed subsequent implant placement after a 5 month healing period. After 4 months from placement of the implants, implant-retained fixed prosthesis was performed

Anahtar Kelimeler

• Implant, traffic acccident, bone loss

Esthetic and functional reconstruction of patient with maxillary and mandibular bone loss

Öz

Diş kaybından sonra kemik ve yumuşak doku kaybı en sık görülen sorunlardan biridir ve yapay dişlerin boyunun normalden uzun yapılmasına neden olur. Büyük miktarda kemik kaybında, implantı uygun poziyonda yerleştirmek için vertikal ve horizontal sırtların yükseltilmesinde bir miktar greft kullanılabilir. Ağız içi ve ağız dışı bölgelerden alınan otojen blok greftler olumlu sonuçlar vermektedir. Allogreftler ise genellikle, kemik sırtı yükseltme amacı ile kullanılır. Bu vakada trafik kazası sonucu maksiller ve mandibular kemik kaydına uğramış 21 yaşında erkek hastanın tedavisi anlatılmaktadır. Maksilla ve mandibulayı yükseltmek için bir allograft kullanılmıştır. 5 aylık iyileşme sürecinden sonra kemikte yeterli oluşum sağlanmış ve implantlar yerleştirilmiştir. 4 ay sonrada implant üstü protezler yapılmıştır.

Anahtar Kelimeler

• İmplant, trafik kazası, kemik kaybı

Kaynakça

1. Hickey AJ, Salter M. Prosthodontic and psychological factors in treating patients with congenital and craniofacial defects. J Prosthet Dent 2006;95:392-6.
2. Stegersjo G, Kahnberg KE. Prosthetic restoration following maxillary' resection without an oroantral defect: a case report. IntJ Prosthodont 1999;12:391-4.
3. Mericske-Stern RD, Taylor TD, Belser U. Management of the edentulous patient, Clin Oral Implants Res 2000;11:108 25.
4. Branemark P-I. Introduction to osseointegration. In: Branemark P-I, Zarb GA, Albrektsson T, editors. Tissue-integrated prostheses: osseointegration in clinical dentistry. Chicago: Quintessence; 1985: p. 11-76.
5. Lekholm U, Van Steenberghe D, Hermann I, Bolender C, Folmer T, Gunne J, et al. Osseointegrated implants in the treatment of partially edentulous jaws. A prospective 5-year multicenter study. Int J Oral Maxillofac Implants 1994; 9: 627-35.
6. Landes CA. Zygoma implant-supported midfacial prosthetic rehabilitation: a 4-year follow-up study including assessment of quality of life. Clin Oral Implants Res 2005; 16: 313-25.
7. Tjellstrom A, Jansson K, Branemark P-I. Craniofacial defects in advanced osseointegration surgery. In: Worthington P, Branemark P-I, editors. Advanced osseointegration surgery: maxillofacial applications. Chicago: Quintessence; 19 p. 263-312. Weischer T, Mohr C. Ten-year experience in oral implant rehabilitation of cancer patients: Treatment concept and proposed criteria for success. Int J Oral Maxillofac Implants 1999; 14: 521Wallace S, Gelin R. Clinical Evaluation of a Cancellous Block Allograft for Ridge Augmentation and Implant Placement: A Case Report Implant Dentistry 2008;17:151-5. van Waas MA. The influence of clinical variables on patients' satisfaction with complete dentures. J Prosthet Dent 1990;63:307-l0.
8. Aydın M, Yılmaz A, Katiboglu B, Tunç EP. ITI implants and Dolder bars in the treatment of large traumatic defect of mandibula: a clinical report. Dent Traumatol 2004;20:348-52.

9. Cakan U, Anil N, Aslan Y. Prosthetic rehabilitation of a mandibular gunshot defect with an implantsupported fixed partial denture: A clinical report . J Prosthet Dent 2006;95:274-9.
10. Tideman H, Samman N, Cheung LK. Functional reconstruction of the mandibula: a modified titanium mesh system. Int J Oral Maxillofac Surg 1998;27:339-45.
11. Leung AC, Cheung LK. Dental implants in reconstructed jaws: patients’ evaluation of functional and quality-of-life outcomes. Int J Oral Maxillofac Implants 2003;18:127-34.
12. Van SteenbergheD, LekholmU, Bolender C, Folmer T, Henry P,Hermann I, et al. The applicability of osseointegrated implants in the rehabilitation of partial edentulism. A prospective multicenter study on 558 fixtures. Int J Oral Maxillofac Implants 1990;5:272-81.
13. Anibard AJ, Fanchiang JC, Mueninghoff L, Dasanayake AP. Cleansability of and patients' satisfaction with implant-retained overdenture: a retrospective comparison of two attachment methods. J Am Dent Assoe 2002; 133:1237-42 . Feine JS, de Grandmont P, Boudrias P, Brien N, LaMarche C, Tache R, et al. Within-subject comparisons of implant-supported mandibular prostheses: choice of prosthesis. J Dent Res 1994;73:1105-11.
14. Vanlıoğlu B, Özkan Y, Kulak Özkan Y. İmplant destekli restorasyonlarda okluzyon. Atatürk Üniv Diş Hek Fak Derg 2011; 4:57-64. Yazışma Adresi
15. Yrd. Doç. Dr. Emine Göncü Başaran Dicle Üniversitesi Diş Hekimliği Fakültesi Protetik Diş Tedavisi Anabilim Dalı DİYARBAKIR Telefon: [phone]
16. Mail: [e-mail]