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KMID : 1025720160350020064
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Journal of Dental Implant Research
2016 Volume.35 No. 2 p.64 ~ p.67
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Treatment of mandibular fractures after implant surgery in patients with a severe atrophic mandibular recession: case report
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Kang Dong-Woo
Kim Young-Kyun
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Abstract
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Dental implant surgery may cause many complications. In particular, for patients who have a systemic disease or severe mandibular atrophy, we need to be more careful. We present a case with mandibular fracture and osteomyelitis which was occurred after implant placement in patient with severe mandibular atrophy. During 10 months, we performed three types of surgery under general anesthesia. 1. Osteomyelitis treatment and open reduction & internal fixation 2. Iliac bone graft reconstruction, 3. Vestibuloplasty with palatal mucosa graft. Although the mandibular posterior vestibular depth was deepened, the gain was still not enough. In order to prevent mandibular fracture, two short implant surgery and overdenture treatment are recommended.
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KEYWORD
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Atrophic mandible, Fracture, Iliac bone graft, Open reduction, Vestibuloplasty
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