The transgingival approach for placement of distraction implants
Purpose: Since 1997, distraction implants have been clinically used for alveolar ridge distraction and, later, for prosthetic treatment. While 63 patients have been treated by the authors by alveolar ridge distraction with distraction implants with an open approach, the aim of this study was to demo...
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Veröffentlicht in: | Journal of oral and maxillofacial surgery 2002-07, Vol.60 (7), p.793-796 |
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description | Purpose: Since 1997, distraction implants have been clinically used for alveolar ridge distraction and, later, for prosthetic treatment. While 63 patients have been treated by the authors by alveolar ridge distraction with distraction implants with an open approach, the aim of this study was to demonstrate a minimally invasive technique of distractor placement via a transgingival approach. Patients and Methods: Twelve patients were treated with a modified surgical incision using distraction implants. A tissue punch was used to remove transgingival mucosa, and a segmental osteotomy was performed using a vestibular incision. The distracted segment was pedicled at the lingual and crestal mucoperiosteum. Distraction was carried out for 0.5 mm per day, divided into 2 to 4 turns per day. A distraction of 5 to 7 mm was performed. At the end of distraction, the distraction insert was changed into a definitive stable implant insert. Prosthetic treatment was performed 4 months after the distraction period with fixed superstructures. The follow-up was performed with the aid of dental radiographs, evaluation of peri-implant probing depths, and Periotest values (Siemans, Bensheim, Germany). Results: The outcome of this technique showed minimal scarring of the gingiva with good aesthetic results, the clinical and radiologic findings were satisfying, and the Periotest values were negative at every examination. The rate of complications was low. Conclusion: Minimal scarring and good aesthetic and functional outcome resulted in patients with alveolar ridge distraction performed with a transgingival approach. © 2002 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 60:793-796, 2002 |
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While 63 patients have been treated by the authors by alveolar ridge distraction with distraction implants with an open approach, the aim of this study was to demonstrate a minimally invasive technique of distractor placement via a transgingival approach. Patients and Methods: Twelve patients were treated with a modified surgical incision using distraction implants. A tissue punch was used to remove transgingival mucosa, and a segmental osteotomy was performed using a vestibular incision. The distracted segment was pedicled at the lingual and crestal mucoperiosteum. Distraction was carried out for 0.5 mm per day, divided into 2 to 4 turns per day. A distraction of 5 to 7 mm was performed. At the end of distraction, the distraction insert was changed into a definitive stable implant insert. Prosthetic treatment was performed 4 months after the distraction period with fixed superstructures. The follow-up was performed with the aid of dental radiographs, evaluation of peri-implant probing depths, and Periotest values (Siemans, Bensheim, Germany). Results: The outcome of this technique showed minimal scarring of the gingiva with good aesthetic results, the clinical and radiologic findings were satisfying, and the Periotest values were negative at every examination. The rate of complications was low. Conclusion: Minimal scarring and good aesthetic and functional outcome resulted in patients with alveolar ridge distraction performed with a transgingival approach. © 2002 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 60:793-796, 2002</description><identifier>ISSN: 0278-2391</identifier><identifier>EISSN: 1531-5053</identifier><identifier>DOI: 10.1053/joms.2002.33248</identifier><identifier>PMID: 12089695</identifier><identifier>CODEN: JOMSDA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Alveolar Bone Loss - surgery ; Alveolar Process - diagnostic imaging ; Alveolar Process - injuries ; Alveolar Process - pathology ; Alveolar Ridge Augmentation - methods ; Atrophy ; Biological and medical sciences ; Cicatrix - pathology ; Dental Implants ; Dental Prosthesis, Implant-Supported ; Dentistry ; Esthetics, Dental ; Female ; Follow-Up Studies ; Gingiva - pathology ; Gingivectomy - methods ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Male ; Maxillofacial surgery. Dental surgery. Orthodontics ; Medical sciences ; Minimally Invasive Surgical Procedures ; Osteogenesis, Distraction - instrumentation ; Osteogenesis, Distraction - methods ; Osteotomy ; Periodontitis - etiology ; Periosteum - surgery ; Radiography ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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While 63 patients have been treated by the authors by alveolar ridge distraction with distraction implants with an open approach, the aim of this study was to demonstrate a minimally invasive technique of distractor placement via a transgingival approach. Patients and Methods: Twelve patients were treated with a modified surgical incision using distraction implants. A tissue punch was used to remove transgingival mucosa, and a segmental osteotomy was performed using a vestibular incision. The distracted segment was pedicled at the lingual and crestal mucoperiosteum. Distraction was carried out for 0.5 mm per day, divided into 2 to 4 turns per day. A distraction of 5 to 7 mm was performed. At the end of distraction, the distraction insert was changed into a definitive stable implant insert. Prosthetic treatment was performed 4 months after the distraction period with fixed superstructures. The follow-up was performed with the aid of dental radiographs, evaluation of peri-implant probing depths, and Periotest values (Siemans, Bensheim, Germany). Results: The outcome of this technique showed minimal scarring of the gingiva with good aesthetic results, the clinical and radiologic findings were satisfying, and the Periotest values were negative at every examination. The rate of complications was low. Conclusion: Minimal scarring and good aesthetic and functional outcome resulted in patients with alveolar ridge distraction performed with a transgingival approach. © 2002 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 60:793-796, 2002</description><subject>Alveolar Bone Loss - surgery</subject><subject>Alveolar Process - diagnostic imaging</subject><subject>Alveolar Process - injuries</subject><subject>Alveolar Process - pathology</subject><subject>Alveolar Ridge Augmentation - methods</subject><subject>Atrophy</subject><subject>Biological and medical sciences</subject><subject>Cicatrix - pathology</subject><subject>Dental Implants</subject><subject>Dental Prosthesis, Implant-Supported</subject><subject>Dentistry</subject><subject>Esthetics, Dental</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gingiva - pathology</subject><subject>Gingivectomy - methods</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Male</subject><subject>Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Medical sciences</subject><subject>Minimally Invasive Surgical Procedures</subject><subject>Osteogenesis, Distraction - instrumentation</subject><subject>Osteogenesis, Distraction - methods</subject><subject>Osteotomy</subject><subject>Periodontitis - etiology</subject><subject>Periosteum - surgery</subject><subject>Radiography</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><issn>0278-2391</issn><issn>1531-5053</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1PwzAURS0EoqUws6EssKW14zixN1DFl1SJpcyW4zy3rpK42CkS_x6HRurE9IZ73tXVQeiW4DnBjC52rg3zDONsTmmW8zM0JYySlMXsHE1xVvI0o4JM0FUIO4wJYWVxiSYkw1wUgk3R43oLSe9VFza229hv1SRqv_dO6W1inE_2jdLQQtcnziS1DRHVvXVdYtsYdX24RhdGNQFuxjtDny_P6-Vbuvp4fV8-rVJNS9qnTCkoTV7xnGagciaIjltyornAQquqZrwAXGmNRU0ozmsjVJUTI1guaM2AztDDsTeO-zpA6GVrg4YmjgB3CLIkvOCc0QgujqD2LgQPRu69bZX_kQTLQZocpMlBmvyTFj_uxupD1UJ94kdLEbgfARW0akzUpW04cbQsC8aHInHkIIr4tuBl0BY6DbX1oHtZO_vviF8-SokI</recordid><startdate>20020701</startdate><enddate>20020701</enddate><creator>Gaggl, Alexander</creator><creator>Schultes, Günter</creator><creator>Rainer, Heribert</creator><creator>Kärcher, Hans</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20020701</creationdate><title>The transgingival approach for placement of distraction implants</title><author>Gaggl, Alexander ; Schultes, Günter ; Rainer, Heribert ; Kärcher, Hans</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-5aae7f4b8432ea4591c15741c8909cabd586e0bcc09d1304df9ab41f95493d5e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Alveolar Bone Loss - surgery</topic><topic>Alveolar Process - diagnostic imaging</topic><topic>Alveolar Process - injuries</topic><topic>Alveolar Process - pathology</topic><topic>Alveolar Ridge Augmentation - methods</topic><topic>Atrophy</topic><topic>Biological and medical sciences</topic><topic>Cicatrix - pathology</topic><topic>Dental Implants</topic><topic>Dental Prosthesis, Implant-Supported</topic><topic>Dentistry</topic><topic>Esthetics, Dental</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gingiva - pathology</topic><topic>Gingivectomy - methods</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Male</topic><topic>Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Medical sciences</topic><topic>Minimally Invasive Surgical Procedures</topic><topic>Osteogenesis, Distraction - instrumentation</topic><topic>Osteogenesis, Distraction - methods</topic><topic>Osteotomy</topic><topic>Periodontitis - etiology</topic><topic>Periosteum - surgery</topic><topic>Radiography</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gaggl, Alexander</creatorcontrib><creatorcontrib>Schultes, Günter</creatorcontrib><creatorcontrib>Rainer, Heribert</creatorcontrib><creatorcontrib>Kärcher, Hans</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gaggl, Alexander</au><au>Schultes, Günter</au><au>Rainer, Heribert</au><au>Kärcher, Hans</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The transgingival approach for placement of distraction implants</atitle><jtitle>Journal of oral and maxillofacial surgery</jtitle><addtitle>J Oral Maxillofac Surg</addtitle><date>2002-07-01</date><risdate>2002</risdate><volume>60</volume><issue>7</issue><spage>793</spage><epage>796</epage><pages>793-796</pages><issn>0278-2391</issn><eissn>1531-5053</eissn><coden>JOMSDA</coden><abstract>Purpose: Since 1997, distraction implants have been clinically used for alveolar ridge distraction and, later, for prosthetic treatment. While 63 patients have been treated by the authors by alveolar ridge distraction with distraction implants with an open approach, the aim of this study was to demonstrate a minimally invasive technique of distractor placement via a transgingival approach. Patients and Methods: Twelve patients were treated with a modified surgical incision using distraction implants. A tissue punch was used to remove transgingival mucosa, and a segmental osteotomy was performed using a vestibular incision. The distracted segment was pedicled at the lingual and crestal mucoperiosteum. Distraction was carried out for 0.5 mm per day, divided into 2 to 4 turns per day. A distraction of 5 to 7 mm was performed. At the end of distraction, the distraction insert was changed into a definitive stable implant insert. Prosthetic treatment was performed 4 months after the distraction period with fixed superstructures. The follow-up was performed with the aid of dental radiographs, evaluation of peri-implant probing depths, and Periotest values (Siemans, Bensheim, Germany). Results: The outcome of this technique showed minimal scarring of the gingiva with good aesthetic results, the clinical and radiologic findings were satisfying, and the Periotest values were negative at every examination. The rate of complications was low. Conclusion: Minimal scarring and good aesthetic and functional outcome resulted in patients with alveolar ridge distraction performed with a transgingival approach. © 2002 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 60:793-796, 2002</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>12089695</pmid><doi>10.1053/joms.2002.33248</doi><tpages>4</tpages></addata></record> |
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subjects | Alveolar Bone Loss - surgery Alveolar Process - diagnostic imaging Alveolar Process - injuries Alveolar Process - pathology Alveolar Ridge Augmentation - methods Atrophy Biological and medical sciences Cicatrix - pathology Dental Implants Dental Prosthesis, Implant-Supported Dentistry Esthetics, Dental Female Follow-Up Studies Gingiva - pathology Gingivectomy - methods Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans Male Maxillofacial surgery. Dental surgery. Orthodontics Medical sciences Minimally Invasive Surgical Procedures Osteogenesis, Distraction - instrumentation Osteogenesis, Distraction - methods Osteotomy Periodontitis - etiology Periosteum - surgery Radiography Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome |
title | The transgingival approach for placement of distraction implants |
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