Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/198969
Type: Artigo de periódico
Title: Reconstruction Of Severely Resorbed Maxilla With Biodegradable Polylactide Screws: Case Series.
Author: Mazzonetto, Renato
Klüppel, Leandro Eduardo
Neto, Henrique Duque Chaves de Miranda
Chessa, Jamie Giuseppe Rodriguez
Nascimento, Frederico Felipe Antonio de Oliveira
Abstract: After the loss of natural teeth, bone changes in the jaws begin to take place immediately. Because the alveolar bone no longer responds to stresses placed in this area by teeth and periodontal ligaments, the bone begins to resorb. In such cases, alveolar bone reconstruction followed by implant-prosthetic treatment must be considered to reestablish esthetics and function. The present study was designed to compare and evaluate the effectiveness of titanium screws and absorbable fixation systems for the fixation of autogenous onlay bone grafts in maxillary reconstruction. A total of 10 consecutive patients with severely resorbed maxillae were referred to the Oral and Maxillofacial Surgery Department at Piracicaba Dental School, Campinas State University (Sao Paulo, Brazil), for oral rehabilitation through implant placement. The bone defects were treated by autologous bone grafting from the iliac crest, which was fixed with absorbable screws. The patients were followed for a minimum of 6 months after prosthodontic work was concluded. The average age of the patients in this study was 46.9 years. Two dental implants were lost during the healing period. Four absorbable screws showed an unusual tissue reaction and were lost, and 90% of patients received the planned fixed prostheses. The implant success rate was 97% at 1 year after prosthesis placement. Fixation with absorbable screws has been shown to be safe and predictable. The absorbable screws did not interfere with bone graft healing and dental implant osseointegration.
Subject: Absorbable Implants
Adult
Alveolar Bone Loss
Alveolar Ridge Augmentation
Biocompatible Materials
Bone Resorption
Bone Screws
Bone Transplantation
Dental Implants
Dental Prosthesis, Implant-supported
Dental Restoration Failure
Equipment Failure
Female
Follow-up Studies
Humans
Jaw, Edentulous
Male
Maxilla
Middle Aged
Osseointegration
Polyesters
Reconstructive Surgical Procedures
Titanium
Treatment Outcome
Rights: fechado
Identifier DOI: 
Address: http://www.ncbi.nlm.nih.gov/pubmed/20657880
Date Issue: -1-Uns- -1
Appears in Collections:Unicamp - Artigos e Outros Documentos

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