[PMID]: | 29310359 |
[Au] Autor: | Xing H; Wu J; Zhou L; Yang S |
[Ad] Endereço: | Department of Stomatology, Chinese People's Liberation Army General Hospital. |
[Ti] Título: | Natural teeth-retained splint based on a patient-specific 3D-printed mandible used for implant surgery and vestibuloplasty: A case report. |
[So] Source: | Medicine (Baltimore);96(48):e8812, 2017 Dec. |
[Is] ISSN: | 1536-5964 |
[Cp] País de publicação: | United States |
[La] Idioma: | eng |
[Ab] Resumo: | RATIONALE: With respect to improving the quality of oral rehabilitation, the management of keratinized mucosa is as important as bone condition for implant success. To enhance this management, a natural teeth-retained splint based on a patient-specific 3-dimensional (3D) printed mandible was used in vestibuloplasty to provide sufficient keratinized mucosa around dental implants to support long-term implant maintenance. PATIENT CONCERNS: A 28-year-old male patient had a fracture of the anterior andible 1 year ago, and the fracture was treated with titanium. DIAGNOSES: The patient had lost mandibular incisors on both the sides and had a shallow vestibule and little keratinized mucosa. INTERVENTIONS: In the first-stage implant surgery, 2 implants were inserted and the titanium fracture fixation plates and screws were removed at the same time. During second-stage implant surgery, vestibuloplasty was performed, and the natural teeth-retained splint was applied. The splint was made based upon a patient-specific 3D-printed mandible. At 30-day follow-up, the splint was modified and reset. The modified splint was removed after an additional 60 days, and the patient received prosthetic treatment. OUTCOMES: After prosthetic treatment, successful oral rehabilitation was achieved. Within 1 year and 3 years after implant prosthesis finished, the patient exhibited a good quantity of keratinized gingiva. LESSONS SUBSECTIONS: The proposed splint is a simple and time-effective technique for correcting soft tissue defects in implant dentistry that ensures a good quantity of keratinized mucosa. |
[Mh] Termos MeSH primário: |
Implantação Dentária Endo-Óssea/métodos Implantes Dentários Fraturas Mandibulares/cirurgia Placas Oclusais Impressão Tridimensional Perda de Dente/cirurgia Vestibuloplastia/métodos
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[Mh] Termos MeSH secundário: |
Adulto Placas Ósseas Parafusos Ósseos Desenho de Equipamento Seres Humanos Masculino Titânio
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[Pt] Tipo de publicação: | CASE REPORTS; JOURNAL ARTICLE |
[Nm] Nome de substância:
| 0 (Dental Implants); D1JT611TNE (Titanium) |
[Em] Mês de entrada: | 1801 |
[Cu] Atualização por classe: | 180115 |
[Lr] Data última revisão:
| 180115 |
[Sb] Subgrupo de revista: | AIM; IM |
[Da] Data de entrada para processamento: | 180110 |
[St] Status: | MEDLINE |
[do] DOI: | 10.1097/MD.0000000000008812 |
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