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Augmentation of the mandible via a "tent-pole" procedure and implant treatment in a patient with type III osteogenesis imperfecta: clinical and histologic considerations
Örebro University, School of Health and Medical Sciences. (MedTek)
2009 (English)In: International Journal of Oral & Maxillofacial Implants, ISSN 0882-2786, E-ISSN 1942-4434, Vol. 24, no 6, 1144-1148 p.Article in journal (Refereed) Published
Abstract [en]

The present report describes the oral rehabilitation of a female patient suffering from type III osteogenesis imperfecta. Agenesis of the mandibular anterior teeth and malocclusion caused partly by heavily worn teeth made dental rehabilitation necessary. Before a decision to use implants following a grafting procedure, the osseointegration of microimplants was tested. After 4 and 12 months, bone plugs containing two microimplants were retrieved from the patient. Histologic evaluation showed very sparse/poor osseointegration, and the healing time seemed to be much longer than normal. A decision was made to use the "tent-pole" procedure described by Marx et al, followed by prolonged healing. Surgery was uneventful, and the patient was provided with four implants that were partly covered with bone obtained from the iliac crest. Platelet-rich plasma was used to accelerate bone healing. After 9 months, the implants were uncovered and the prosthetic construction was completed. The implant-supported metal-ceramic restoration was serving well at the 1-year and 3-year follow-ups. Minimal resorption of marginal bone was detected during the first year.

Place, publisher, year, edition, pages
Quintessence Publishing Co., Inc. , 2009. Vol. 24, no 6, 1144-1148 p.
National Category
Dentistry
Research subject
Medicine
Identifiers
URN: urn:nbn:se:oru:diva-11355ISI: 000273295800021PubMedID: 20162121Scopus ID: 2-s2.0-77949894170OAI: oai:DiVA.org:oru-11355DiVA: diva2:328740
Available from: 2010-07-06 Created: 2010-07-06 Last updated: 2017-12-12Bibliographically approved

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Johansson, Carina B.

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