Univ. Lille, CHU Lille, Department of oral and maxillofacial surgery, URL 2694 - METRICS, F-59000 Lille, France.
Univ. Lille, CHU Lille, INSERM, Department of oral and maxillofacial surgery, U1008 - Controlled Drug Delivery Systems and Biomaterial, F-59000 Lille, France.
J Stomatol Oral Maxillofac Surg. 2023 Sep;124(4):101425. doi: 10.1016/j.jormas.2023.101425. Epub 2023 Feb 15.
INTRODUCTION: 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. MATERIAL AND METHODS: 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. RESULTS: 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. DISCUSSION: 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.
简介:本研究旨在报告和评估自 2012 年法国当局在命名法中承认少牙症以来,对少牙症患者的管理和种植修复情况。
材料和方法:我们在里尔大学附属医院的颌面外科和口腔医学系进行了一项回顾性研究,时间为 2012 年 1 月至 2022 年 5 月。患者必须在成年时表现出在 ALD31 下识别出的少牙症,并在该单位接受过种植/种植前手术治疗。
结果:共有 106 名患者纳入研究。每位患者的平均缺失牙数为 12 颗。最缺失的牙齿是牙列末端的牙齿。在包括正颌手术和/或骨移植的种植前手术阶段后,97 名患者受益于种植体植入。该阶段的平均年龄为 19.38 岁。共放置了 688 个种植体。中位数为每位患者放置 6 个种植体,5 名患者在骨整合阶段出现或期间出现种植体失败(16 个种植体丢失)。种植体成功率为 97.6%。78 名患者受益于固定种植体支持的修复体,3 名患者受益于种植体支持的下颌可摘局部义齿修复体。
讨论:我们认为所描述的护理途径适合我们科室所随访的患者,具有良好的功能和美观效果。有必要在全国范围内进行评估,以调整管理流程。
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