口唇・口蓋裂患者の顎裂部へのＯｓｓｅｏｉｎｔｅｇｒａｔｅｄ　Ｉｍｐｌａｎｔの応用　顎裂骨移植部へのＢｒａｎｅｍａｒｋ　Ｉｍｐｌａｎｔの植立

• 高橋 哲

  秋田大学医学部歯科口腔外科

• 福田 雅幸

  東北大学歯学部口腔外科学第二講座

• 山口 泰

  国立仙台病院歯科口腔外科

• 幸地 省子

  東北大学歯学部顎口腔機能治療部

• 松井 桂子

  東北大学歯学部口腔外科学第二講座

• 越後 成志

  東北大学歯学部口腔外科学第二講座

• 手島 貞一

  東北大学歯学部口腔外科学第二講座

• 稲井 哲司

  東北大学歯学部補綴学第二講座

• 渡辺 誠

  東北大学歯学部同高齢者歯科学講座

書誌事項

タイトル別名

• Use of Osseointegrated Impalnt to the Cleft Lip and/or Palate Patients. Placement of Branemark Implant to the Grafted Alveolus.
• Placement of Brånemark Implant to the Grafted Alveolus
• 顎裂骨移植部へのBrånemark Implantの植立

抄録

Alveolar cleft is the major problem during the formation of the ideal dental arch in cleft lip and/or palate patients. Since 1982, we have been treating patients with secondary alveolar bone grafting using autogenous particulate marrow and cancellous bone obtained from the iliac crest. Subsequently, teeth adjacent to the cleft into the grafted sites were repositioned orthodontically without any prosthesis. Sometimes, however, it is very difficult to achive the orthodontical closure of the arch without any prosthesis because of a too long orthodontical treatment period or a too wide cleft accompanied with congenitally missing teeth. Conventionally, prosthesis like denture or bridgework has been used for the dental reconstruction in these cases. Since 1993, we have applied Branemark Implant to the bone grafted alveolus in these cases. All patients with alveolar clefts received grafts of autogenous particulate cancellous bone obtained from the iliac crest except one case with periosteoplasty. After the bone bridge formation, orthodontical treatment and preparation for the implant placement were carried out. Seventeen Branemark fixtures were inlayed in 16 grafted alveoli. In 4 cases, in which the alveolar bone height was insufficient, chin bone grafts were used for the fixture placement. Free-standing final prosthesis was successfully applied in all cases.<BR>This is the first report of a systemical application of osseointegrated implant in cleft lip and/or palate patients, and this treatment procedure is one of the optional methods for the dental rehabilitation of patients with alveolar clefts after secondary alveolar bone grafting.

収録刊行物

• 日本口腔科学会雑誌

  日本口腔科学会雑誌 44 (3), 399-407, 1995

  特定非営利活動法人 日本口腔科学会

キーワード

• 口唇・口蓋裂
• オッセオインテグレーテドインプラント
• ブローネマルクインプラント
• 顎裂
• 自家骨移植

詳細情報

• CRID: 1390001206436997760
• NII論文ID: 130004335584
• NII論文ID: 10006612753
• NII書誌ID: AN00189050
• DOI: 10.11277/stomatology1952.44.399
• ISSN: 21850461
• ISSN: 00290297
• Web Site: https://search.jamas.or.jp/link/ui/1996023854
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可