ABSTRACT
A atrofia mandibular é uma doença universal caracterizada pela extensa reabsorção óssea com consequências graves aos pacientes. A instabilidade da prótese total devido à reabsorção mandibular leva a deficiência mastigatória, dores decorrrentes da compressão do nervo mentual, alterações estéticas, fonéticas e psicológicas. Durante décadas os cirurgiões maxilofaciais apresentaram inúmeros procedimentos cirúrgicos com vistas ao tratamento da atrofia mandibular. Entretanto o fenômeno das recidivas estava presente na quase totalidade das técnicas cirúrgicas empregadas. O tratamento atual alia modernas técnicas de enxertia óssea associada aos implantes osseointegrados permite a reabilitação protética ideal nestes pacientes, pois, devolve a forma e o contorno mandibular, além de permitir a confecção de próteses sobre implantes. Este artigo apresenta uma revisão de literatura sobre o tema atrofia da mandíbula, bem como relata o tratamento de um paciente com uma mandíbula severamente reabsorvida tratada pela técnica da enxertia óssea com expansão de tecidos moles e implantes imediatos.
The atrophy mandibular is an universal disease characterized by the extensive bone reabsorption with serious consequences to the patients. The instability of the total prosthesis due to the reabsorption mandibular takes the deficiency mastigatory, pains because of the compression of the nervementual, aesthetic alterations, phonetics and psychological. During decades the maxilo-facial surgeons presented countless surgical procedures with views to the treatment of the atrophy mandibular. However the phenomenon of the recurrences was present in the almost totality of the techniques surgical maids. The current treatment allies modern techniques of bone graft associated to the dental implants allows the ideal prosthetic rehabilitation in these patient ones because it returns the form and the outline mandibular, besides allowing the making of prostheses on implants. This article presents a revision of the literature on the theme atrophy of the jaw, as well as he/she tells a patients treatment severely with a jaw reabsorbed treated by the technique of the bone graft with expansion of soft tissue and immediate dental implants.
Subject(s)
Female , Adult , Middle Aged , Bone Transplantation , Dental Implants , Mandibular Diseases , Mouth RehabilitationABSTRACT
OBJECTIVES: The aim of this study was to compare the satisfaction and the quality of life in an elderly population using either mandibular conventional dentures or implant-retained overdentures. MATERIALS AND METHODS: A total of 34 patients were divided into two groups: group I - complete dentures users; group II - users of upper complete dentures opposed by implant-retained overdentures. The subjects were submitted to a questionnaire based on Oral Health Impact Profile and oral health related quality of life to evaluate their satisfaction levels and quality of life with their prostheses. Data were evaluated using a non-parametric statistical analysis (Fischer test) with significant difference at alpha = 0.05. RESULTS: There were no significant differences between the groups in relation to comfort, aesthetics, chewing ability, overall satisfaction, pain, functional, phonetic, social, and psychological limitations (p > 0.05). Comparing the stability of mandibular dentures, group II presented the better results (p < 0.05). CONCLUSION: Although the stability of the mandibular implant-retained overdenture was enhanced compared to a conventional denture, the quality of life and satisfaction levels were similar for both the groups.
