关键词: Anodontia Bone transplantation Dental implants Dental prosthesis Hypodontia Oligodontia Tooth agenesis

Mesh : Humans Dental Implants Dental Implantation, Endosseous / methods Retrospective Studies Dental Prosthesis, Implant-Supported Anodontia / epidemiology surgery rehabilitation

来  源:   DOI:10.1016/j.jormas.2023.101425

Abstract:
the aim of this study was to report and assess the management and implant rehabilitation of oligodontia patients since its recognition in 2012 by french authorities in the nomenclature.
we conducted a retrospective study in the Maxillofacial Surgery and Stomatology Department of the Lille University Hospital between January 2012 and May 2022. Patients had to present an oligodontia recognized under the ALD31 in adulthood, and to have benefited from a pre-implant/implant surgical treatment in the unit.
a total of 106 patients were included in the study. The mean number of agenesis was 12 per patient. The most missing teeth are the ones at the end of the series. After a pre-implant surgery phase including orthognathic surgery and/or bone grafting, 97 patients benefited from implant placements. The mean age for this phase was 19.38. A total of 688 implants were placed. The median number of implants placed was 6 per patient and 5 patients presented implant failures after or during the osseointegration phase (16 implants lost). The implant success rate was 97.6%. 78 patients benefited from rehabilitations by fixed implant-supported prostheses and 3 by implant-supported mandibular removable prostheses.
The described care pathway seems to us adapted to the patients followed in our department, with good functional and esthetic results. It would be necessary to evaluate on a national scale to adapt the management process.
摘要:
背景:这项研究的目的是报告和评估自2012年法国当局在命名法中认可寡头患者的管理和植入物康复。
方法:我们于2012年1月至2022年5月在里尔大学医院颌面外科和口腔科进行了一项回顾性研究。患者必须在成年期呈现ALD31认可的寡头病,并受益于单元中的植入前/植入手术治疗。
结果:共有106名患者被纳入研究。每个患者的平均发育不全数为12。最缺少的牙齿是系列结尾的牙齿。在植入前手术阶段,包括正颌手术和/或植骨之后,97名患者受益于植入物放置。此阶段的平均年龄为19.38岁。总共放置了688个植入物。植入植入物的中位数为每位患者6个,5名患者在骨整合阶段之后或期间出现植入物失败(16个植入物丢失)。植入成功率为97.6%。78例患者受益于固定的植入物支撑假体的康复,3例受益于植入物支撑的下颌可移动假体的康复。
结论:在我们看来,所描述的护理途径似乎适合我们科室随访的患者,具有良好的功能和美学效果。有必要在全国范围内进行评估,以适应管理过程。
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