Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Research Article Volume 7 Issue 4

Implant Supported Dental Prosthesis for the Early Management of Dentoalveolar Defect Associated with Maxillofacial Injuries

Seidu Adebayo BELLO1,2*, Nathan U IKIMI1 and Ifeoluwa OKETADE1,2

1QH Specialist Dental Clinics and Research Centre/International Craniofacial Academy, Gwarinpa, Abuja, Nageria
2Cedarcrest Hospitals Ltd, Abuja, Nigeria

*Corresponding Author: Seidu Adebayo BELLO, QH Specialist Dental Clinics and Research Centre/International Craniofacial Academy, Gwarinpa, Abuja, Nageria.

Received: February 28, 2023; Published: March 20, 2023

Abstract

Aim: Few clinical studies have reported the use of implant supported dental prosthesis for the management of posttraumatic dentoalveolar defects sustained during maxillofacial injuries. This is a presentation of our experience of such patients with the view of adding to the evidence on the subject matter.

Materials and Methods: This is retrospective study of patients seen at Cedarcrest Hospitals and QH Specialist Dental Clinics and Research Centre, in Abuja, over a period of nine years (2013 to 2022). Following standard maxillofacial fracture management, dentoalveolar defects were rehabilitated with implant supported prosthesis. Information extracted from the case files included demographics, case history, associated injuries, number of missing teeth and record of implant treatment done. Data obtained were analysed with SPSS version 20.

Results: There were 19 patients with 13 (68.4%) male and 6 (31.6%) female. Gunshot was the cause of injuries in 9 (47.4/%) patients, Road Traffic Crashes in 8 (42.1%) and fall from a height in 2 (10.5%). Associated injuries sustained included soft tissue in 17 (90.0%) patients and fractures of the following bones: maxillary 11 (57.9%), mandibular 5(26.1%), orbital 3 (15.8%) and zygomatic bone in 1(5.3%) patient. Implant rehabilitation was done using 92 implants for a total of 119 missing teeth. Augmentative surgery achieved with autologous bone grafts in 4 (21.1%) patients and synthetic bone grafts in 13 (78.9%) patients. Rehabilitation was achieved with cemented crowns and bridges in most cases and ball retained removable denture in 2 (10.5%) patients. Implant survival rate of 98.9% and crown survival rate of 98.3% was recorded with a follow-up of 50.6 +26.8. months.

Conclusion: Early implant supported rehabilitation of post-traumatic dentoalveolar defects using osteointegrated implants and bone augmentation was successful with few complications, holistic planning at the onset of management is key.

Clinical Significance: This article is an experience of holistic implant management of patients that sustained dentoalveolar defects in addition to maxillofacial injuries. It highlights the peculiarities of immediate management as well as its advantages and challenges. It will therefore provide a knowledge base that many clinicians may learn from.

Keywords: Dentoalveolar Injuries; Post-Traumatic; Osteointegration; Implants

References

  1. Zarb GA and Schmitt A. “Osseointegration and the edentulous predicament. The 10-year-old Toronto study”. British Dental Journal 170 (1991): 439-444.
  2. Schnitman PA and Shulman LB. “Recommendations of the consensus development conference on dental implants”. The Journal of the American Dental Association 98 (1979): 373-377.
  3. Tosun Tosun and Koray Meltem. “Dental Implants and Trauma (2018).
  4. Gandhi N., et al. “Rehabilitation of maxillofacial trauma patient with dental implants: A case report”. CHRISMED Journal of Health and Research 5 (2018): 80-83.
  5. Nissan J., et al. “Post-traumatic implant supported restoration of the anterior maxillary teeth using cancellous bone block allografts”. Journal of Oral and Maxillofacial Surgery12 (2011): e513-e518.
  6. Brauner Edoardo., et al. “Maxillofacial Prosthesis in Dentofacial Traumas: A Retrospective Clinical Study and Introduction of New Classification Method”. BioMed Research International (2017): 1-8.
  7. Nícoli LG., et al. “Multidisciplinary approach to oral rehabilitation with dental implants after gunshot injury: A clinical report”. Journal of Prosthetic Dentistry 3 (2018): 329-333.
  8. Pae A., et al. “The prosthetic rehabilitation of a panfacial fracture patient after reduction: A clinical report”. The Journal of Prosthetic Dentistry2 (2012): 123-128.
  9. Wang W., et al. “Complex reconstruction of facial deformity and function after severe gunshot injury: One case report”. International Journal of Clinical and Experimental Medicine1 (2015): 1427-1433.
  10. Pelin Ozkan., et al. “Surgical and aesthetic rehabilitation for traumatic maxilla”. Clinical Case Reports and Reviews6 (2017): 1-4.
  11. Balla V. “A five year follow-up clinical report”. Journal of Clinical and Diagnostic Research9 (2016): ZD06-ZD08.
  12. Sharma MC and Swamy MM. “Rehabilitation of a gunshot wound with dental implants”. Medical Journal Armed Forces India1 (2015): S160-S162.
  13. Kamoi H. “A case of recovery of oral function with dental implants following facial bone trauma”. Journal of Nippon Medical School6 (2012): 484-488.
  14. Robinson FG and Cunningham LL. “Oral rehabilitation of severe dentoalveolar trauma: A clinical report”. The Journal of Oral Implantology6 (2012): 757-761.
  15. Bello SA., et al. “Concomitant injuries associated with maxillofacial fractures in Abuja, Nigeria”. Nigerian Quarterly Journal of Hospital Medicine 23 (2013): 33-38.
  16. Seymour DW., et al. “The management of traumatic tooth loss with dental implants: Part 2. Severe trauma”. British Dental Journal12 (2014): 667-671.
  17. Zerman N and Cavalleri G. “Traumatic injuries to permanent incisors”. Endodontics and Dental Traumatology2 (2003): 61-64.
  18. Petersen Frej Nørgaard., et al. “Implant treatment after traumatic tooth loss: A systematic review”. Dental Traumatology 38 (2022): 105-116.
  19. Schwartz-Arad D., et al. “Treatment options of untreatable traumatized anterior maxillary teeth for future use of dental implantation”. Implant Dentistry2 (2004): 120-128.
  20. Raghoebar GM., et al. “Morbidity of chin bone harvesting”. Clinical Oral Implants Research 12 (2001): 503.
  21. Keith JD Jr., et al. “Clinical and histologic evaluation of a mineralized block allograft: Results from the developmental period (2001-2004)”. International Journal of Periodontics and Restorative Dentistry 26 (2006): 321.
  22. Lundgren S., et al. “Strategies in reconstruction of the atrophic maxilla with autogenous bone grafts and endosseous implants”. Periodontology 2000 47 (2008): 143.
  23. Cranin NA., et al. “A statistical evaluation of 952 endosteal implants in humans”. Journal of the American Dental Association 94 (1977): 315-320.
  24. Adell R., et al. “A 15-year study of osseointegrated implants in the treatment of the edentulous jaw”. International Journal of Oral Surgery 10 (1981): 387-416.
  25. , et al. “Cement-retained versus screw-retained implant restorations: Achieving optimal occlusion and esthetics in implant dentistry”. The Journal of Prosthetic Dentistry 77.1 (1997): 28-35.
  26. Kaufman EG., et al. “Factors influencing the retention of cemented gold castings”. The Journal of Prosthetic Dentistry 11 (1961): 487-502.
  27. Bidez MW and Mischb CEK. “Force transfer in implant dentistry: basic concepts and principles”. Journal of Oral Implantology 18 (1992): 264-274.
  28. Wittneben Julia-Gabriela., et al. “Screw retained vs. cement retained implant-supported fixed dental prosthesis”. Periodontology 2000 73 (2017): 141-151.
  29. Chee W., et al. “Cemented versus screw-retained implant prostheses: which is better?” The International Journal of Oral and Maxillofacial Implants 14 (1999): 137-141.
  30. Chee WW., et al. “Retrievable cemented implant restorations”. Journal of Prosthodontics 7 (1998): 120-125.

Citation

Citation: Seidu Adebayo BELLO., et al. “Implant Supported Dental Prosthesis for the Early Management of Dentoalveolar Defect Associated with Maxillofacial Injuries".Acta Scientific Dental Sciences 7.4 (2023): 58-65.

Copyright

Copyright: © 2023 Seidu Adebayo BELLO., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.278

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is December 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"

Contact US









ff

© 2024 Acta Scientific, All rights reserved.