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Segmental osteotomy for mobilization of dental implant

  • Olate, Sergio (Department of Oral Implantology, Dental School, Universidad de La Frontera) ;
  • Weber, Benjamin (Department of Oral Implantology, Dental School, Universidad de La Frontera) ;
  • Marin, Alvaro (Department of Oral Implantology, Dental School, Universidad de La Frontera)
  • Received : 2013.09.06
  • Accepted : 2013.09.27
  • Published : 2013.10.31

Abstract

Purpose: The aim of this work is to evaluate a surgical technique for mobilization of mal posed dental implant in anterior area. Methods: A 38-year-old patient consulted our unit for esthetic dissatisfaction with the implant treatment of a central incisor. An implant was observed in 11 and 21, where 11 was 3 mm above the ideal limit, with excessive vestibular angulation. The choice was made to perform a segmental osteotomy and mobilize the bone block and the implant down and forward; a bone block extracted from the mandibular ramus was installed between the implant block and the bed to stabilize the segment. Results: After 4 months, a conventional fixed prosthesis was created and the esthetic result achieved was close to what the patient wanted, with no need for further surgery. The surgical condition was stabilized and maintained for the long-time and no complications how necrosis, infection or bone defects was present. Conclusions: It was concluded that the procedure is efficient, and the biological arguments in favor of the procedure are discussed.

Keywords

References

  1. Scacchi M. The development of the ITI dental implant system. Part 1: a review of the literature. Clin Oral Implants Res 2000;11 Suppl 1:8-21. https://doi.org/10.1034/j.1600-0501.2000.011S1008.x
  2. Scacchi M, Merz BR, Schar AR. The development of the ITI dental implant system. Part 2: 1998-2000: steps into the next millennium. Clin Oral Implants Res 2000;11 Suppl 1:22-32. https://doi.org/10.1034/j.1600-0501.2000.011S1022.x
  3. Buser D, Martin W, Belser UC. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. Int J Oral Maxillofac Implants 2004;19 Suppl:43-61.
  4. Higginbottom F, Belser U, Jones JD, Keith SE. Prosthetic management of implants in the esthetic zone. Int J Oral Maxillofac Implants 2004;19 Suppl:62-72.
  5. Grunder U, Gracis S, Capelli M. Influence of the 3-D bone-to-implant relationship on esthetics. Int J Periodontics Restorative Dent 2005;25:113-9.
  6. Zechner W, Bernhart T, Zauza K, Celar A, Watzek G. Multidimensional osteodistraction for correction of implant malposition in edentulous segments. Clin Oral Implants Res 2001;12:531-8. https://doi.org/10.1034/j.1600-0501.2001.120515.x
  7. Kassolis JD, Baer ML, Reynolds MA. The segmental osteotomy in the management of malposed implants: a case report and literature review. J Periodontol 2003;74:529-36. https://doi.org/10.1902/jop.2003.74.4.529
  8. Olate S, Kluppel LE, de Miranda Chaves Netto HD, Stabile GA, Mazzonetto R, de Albergaria-Barbosa JR. Sitios donantes mandibulares en implantologia: Una evaluacion clinica. Int J Odontostomatol 2007;1:121-7.
  9. Bell WH, You ZH, Finn RA, Fields RT. Wound healing after multisegmental Le Fort I osteotomy and transection of the descending palatine vessels. J Oral Maxillofac Surg 1995;53:1425-33. https://doi.org/10.1016/0278-2391(95)90670-3
  10. Mazzonetto R, Allais M, Maurette PE, Moreira RW. A retrospective study of the potential complications during alveolar distraction osteogenesis in 55 patients. Int J Oral Maxillofac Surg 2007;36:6-10. https://doi.org/10.1016/j.ijom.2006.06.014
  11. Puleo DA, Thomas MV. Implant surfaces. Dent Clin North Am 2006;50:323-38. https://doi.org/10.1016/j.cden.2006.03.001
  12. Martin RJ, Goupil MT, Goldschmidt M. Single-implant segmental osteotomy: a case report. Int J Oral Maxillofac Implants 1998;13:710-2.
  13. Raghoebar GM, Visser A, Vissink A. Correction of a malpositioned endosseous implant by a segmental osteotomy: a case report. Int J Oral Maxillofac Implants 2005;20:627-31.
  14. Kao SY, Fong JH, Chou SJ, Wu JH, Tu HF, Yeung TC. Segmental osteotomy to reposition multiple osseointegrated dental implants in the anterior maxilla in a trauma patient. Dent Traumatol 2007;23:56-9.
  15. Netto HD, Olate S, Mazzonetto R. Surgical repositioning of osseointegrated malposed dental implant with segmental osteotomy. J Craniofac Surg 2012;23:1540-2. https://doi.org/10.1097/SCS.0b013e31824e2624
  16. Adolfi D, de Freitas AJ, Groisman M. Achieving aesthetic success with an immediate-function implant and customized abutment and coping. Pract Proced Aesthet Dent 2005;17:649-54.

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  1. Management of a malposed dental implant in the esthetic zone vol.24, pp.1, 2020, https://doi.org/10.4103/jisp.jisp_733_18