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Bone level changes in patients with transmandibular implants

J M Kwakman1, M A Van Waas, M Hagens

  • 1Department of Oral and Maxillofacial Surgery, University Hospital Nijmegen, The Netherlands.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|January 1, 1997
PubMed
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This study evaluated mandibular bone height in edentulous patients with transmandibular implants after prosthetic modifications. A slight bone increase was observed, but less than previously reported.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Implantology
  • Prosthodontics

Background:

  • Transmandibular implants are used to treat edentulous patients.
  • Prosthetic protocols evolve, necessitating re-evaluation of implant outcomes.
  • Mandibular bone height is a critical factor in implant stability and longevity.

Purpose of the Study:

  • To evaluate changes in mandibular bone height in edentulous patients treated with transmandibular implants.
  • To assess the impact of a modified prosthetic protocol on bone height.
  • To compare current findings with previous reports on bone augmentation.

Main Methods:

  • A cohort of 36 edentulous patients with transmandibular implants was studied.
  • Mandibular bone height was measured using radiographs at three time points: implant insertion, pre-latest protocol, and 1 year post-protocol.

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  • Radiographic measurements focused on lateral posts and cortical screws.
  • Main Results:

    • A minor increase in bone height was observed around the lateral posts and mesial cortical screws.
    • No significant bone increase was detected superior to the lateral cortical screw.
    • The measured bone increase was less substantial than reported in earlier studies.

    Conclusions:

    • The modified prosthetic protocol resulted in a modest bone increase around transmandibular implants.
    • Findings suggest that the extent of bone augmentation may be less pronounced than previously documented.
    • Further research is needed to understand long-term bone response to evolving prosthetic protocols.