The fixed mandibular implant: A 6-year review

Small, Irwin A.

doi:10.1016/s0278-2391(10)80290-3

Cited by 11 publications

(4 citation statements)

References 17 publications

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“…(1) augmentation of the atrophied mandible with autologous bone to restore the height of the mandible prior to implant insertion, and (2) a nonaugmentation technique with the application of shorter implants . In the past, transmandibular implants were also used for such cases . Nowadays, transmandibular implant systems are not used anymore because of the high frequency of severe complications .…”

Section: Introductionmentioning

confidence: 99%

“…14,15 In the past, transmandibular implants were also used for such cases. 16,17 Nowadays, transmandibular implant systems are not used anymore because of the high frequency of severe complications. 18 As a result of these complications, most transmandibular implant systems are lost with time and are meanwhile replaced by endosseous implant-retained overdentures.…”

Section: Introductionmentioning

confidence: 99%

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A 15‐Year Comparative Prospective Study of Surgical and Prosthetic Care and Aftercare of Overdenture Treatment in the Atrophied Mandible: Augmentation Versus Nonaugmentation

Visser

Stellingsma

Raghoebar

et al. 2015

Clin Implant Dent Rel Res

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A 15‐Year Comparative Prospective Study of Surgical and Prosthetic Care and Aftercare of Overdenture Treatment in the Atrophied Mandible: Augmentation Versus Nonaugmentation

Visser

Stellingsma

Raghoebar

et al. 2015

Clin Implant Dent Rel Res

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“…The mandibular staple bone implant has been evaluated in several retrospective studies that have reported survival rates of between 86% and 100% (Small and Misiek, 1986;Small, 1993;Meijer et al, 1998). The most common complications are gingival hyperplasia, crestal bone loss, and infections around the transmucosal part of the transosseous pins.…”

Section: Staple Bone Implant Systemmentioning

confidence: 99%

Implantology and the Severely Resorbed Edentulous Mandible

Stellingsma

Vissink

Meijer

et al. 2004

Critical Reviews in Oral Biology & Medicine

138

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ABSTRACT:Patients with a severely resorbed edentulous mandible often suffer from problems with the lower denture. These problems include: insufficient retention of the lower denture, intolerance to loading by the mucosa, pain, difficulties with eating and speech, loss of soft-tissue support, and altered facial appearance. These problems are a challenge for the prosthodontist and surgeon. Dental implants have been shown to provide a reliable basis for fixed and removable prostheses. This has resulted in a drastic change in the treatment concepts for management of the severely resorbed edentulous mandible. Reconstructive, preprosthetic surgery has changed from surgery aimed to provide a sufficient osseous and mucosal support for a conventional denture into surgery aimed to provide a sufficient bone volume enabling implants to be placed at the most optimal positions from a prosthetic point of view. The aim of this paper is to review critically the literature on procedures related to the severely resorbed edentulous mandible and dental implant treatment. The study includes the transmandibular implant, (short) endosseous implants, and reconstructive procedures such as distraction osteogenesis, augmentation of the mandibular ridge with autogenous bone, and bone substitutes followed by the placement of implants. The number of patients participating in a study, the follow-up period, the design of the study, the degree of mandibular resorption, and the survival rate of the dental implants all are considered evaluation parameters. Although numerous studies have described the outcome results of dental implants in the edentulous mandible, there have been few prospective studies designed as randomized clinical trials that compare different treatment modalities to restore the severely resorbed mandible. Therefore, it is not yet possible to select an evidence-based treatment modality. Future research has to be focused on long-term, detailed follow-up clinical trials before scientificaly based decisions in treating these patients can be made. This will contribute to a higher level of care in this field.

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“…1,2 Early in the implant era, transmandibular implant systems (ie, systems in which the posts are inserted through instead of in the mandible) were commonly applied in severely resorbed mandibles. [3][4][5] These systems have been reported to have a high risk of developing severe peri-implant-related complications. [6][7][8] Owing to this relatively high complication rate and insertion, 6-9 the use of transmandibular implants has been abandoned.…”

mentioning

confidence: 99%