下顎骨切除症例に対するブローネマルクインプラントの応用

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  • Use of Branemark Implant System to the Resected Mandible.

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Recently many graft materials have been advocated for mandibular reconstruction. Aluminous ceramics and hydroxyapatite are representative of the artificial bone. However, with these kinds of materials, we can not reestablish sufficient occlusal function because the prosthodontic appliances are not applied firmly enough. Endosseous implant rehabilitation of edentulous and partially edentulous jaws is currently an accepted and wide spread treatment modality. The high success rate experienced in clinical practice with endosseous implant is largely the result of the works done by Bthnemark and his co-workers whose research led to the concept of osseointegration. Reestablishment of mandibular continuity with corticocancellous autogenous bone grafts from the ilium should allow dental rehabilitation with osseointegrated implants and prostheses.<BR>The mandibular reconstruction with autogenous iliac bone graft and Branemark implant is a predictable treatment of mandibular discontinuity defects. Occlusal reconstruction has been attained by using fixed or removable prostheses supported by endosseous titanium implants. This treatment technique provides the optimal cosmetic and functional rehabilitation for patients who have sustained disablingdeformity.

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