Outcome of Treatment of Implant-Retained Overdenture in Patients With Extreme Mandibular Bone Resorption Treated With Bone Grafts Using a Modified Tent Pole Technique Ritva Kuoppala, DDS, Vesa T. Kainulainen, DDS, PhD, Jarkko T. Korpi, MD, DDS, PhD, George K. Sándor, MD, DDS, PhD, Kyösti S. Oikarinen, DDS, PhD, Aune Raustia, DDS, PhD Journal of Oral and Maxillofacial Surgery Volume 71, Issue 11, Pages 1843-1851 (November 2013) DOI: 10.1016/j.joms.2013.06.204 Copyright © 2013 American Association of Oral and Maxillofacial Surgeons Terms and Conditions
Figure 1 A 72-year-old man at the time of surgical operation, A,B. Preoperative radiographs show a severely resorbed mandible. Journal of Oral and Maxillofacial Surgery 2013 71, 1843-1851DOI: (10.1016/j.joms.2013.06.204) Copyright © 2013 American Association of Oral and Maxillofacial Surgeons Terms and Conditions
Figure 1 A 72-year-old man at the time of surgical operation, A,B. Preoperative radiographs show a severely resorbed mandible. Journal of Oral and Maxillofacial Surgery 2013 71, 1843-1851DOI: (10.1016/j.joms.2013.06.204) Copyright © 2013 American Association of Oral and Maxillofacial Surgeons Terms and Conditions
Figure 2 A, Postoperative panoramic radiograph after implant installation and grafting with a modified tent pole technique. B, Panoramic radiograph taken at follow-up after 5 years. Journal of Oral and Maxillofacial Surgery 2013 71, 1843-1851DOI: (10.1016/j.joms.2013.06.204) Copyright © 2013 American Association of Oral and Maxillofacial Surgeons Terms and Conditions
Figure 2 A, Postoperative panoramic radiograph after implant installation and grafting with a modified tent pole technique. B, Panoramic radiograph taken at follow-up after 5 years. Journal of Oral and Maxillofacial Surgery 2013 71, 1843-1851DOI: (10.1016/j.joms.2013.06.204) Copyright © 2013 American Association of Oral and Maxillofacial Surgeons Terms and Conditions
Figure 3 A 75-year-old woman at the time of the follow-up examination; by then, the prostheses had been in use for 7.5 years. A to C, The patient's lip support is adequately corrected by the prostheses and the incision scar underneath the tip of the mandible is unnoticeable. Journal of Oral and Maxillofacial Surgery 2013 71, 1843-1851DOI: (10.1016/j.joms.2013.06.204) Copyright © 2013 American Association of Oral and Maxillofacial Surgeons Terms and Conditions
Figure 4 Patients' perceptions of the social impact of oral disorders on their well-being according to the (OHIP-14) questionnaire.12 A, Functional limitation: “trouble pronouncing words because of problems with teeth, mouth, or dentures” (OHIP-1) and “sense of taste has worsened because of problems with teeth, mouth, or dentures” (OHIP-2). B, Physical pain: “painful aching in the mouth” (OHIP-3) and “uncomfortable to eat any foods because of problems with teeth, mouth, or dentures” (OHIP-4). C, Psychological discomfort: “have been self-conscious because of teeth, mouth, or dentures” (OHIP-5) and “have felt tense because of problems with teeth, mouth, or dentures” (OHIP-6). D, Physical disability: “diet has been unsatisfactory because of problems with teeth, mouth, or dentures (OHIP-7) and “have had to interrupt meals because of problems with teeth, mouth, or dentures” (OHIP-8). E, Psychological disability: “difficult to relax because of problems with teeth, mouth, or dentures” (OHIP-9) and “have been embarrassed because of problems with teeth, mouth, or dentures” (OHIP-10). F, Social disability: “have been a bit irritable with other people because of problems with teeth, mouth, or dentures” (OHIP-11) and “have had difficulty doing usual jobs because of problems with teeth, mouth, or dentures” (OHIP-12). G, Handicap: “have felt that life in general is less satisfying because of problems with teeth, mouth, or dentures” (OHIP-13) and “have been totally unable to function because of problems with teeth, mouth, or dentures” (OHIP-14). OHIP, Oral Health Impact Profile. Journal of Oral and Maxillofacial Surgery 2013 71, 1843-1851DOI: (10.1016/j.joms.2013.06.204) Copyright © 2013 American Association of Oral and Maxillofacial Surgeons Terms and Conditions
Figure 4 Patients' perceptions of the social impact of oral disorders on their well-being according to the (OHIP-14) questionnaire.12 A, Functional limitation: “trouble pronouncing words because of problems with teeth, mouth, or dentures” (OHIP-1) and “sense of taste has worsened because of problems with teeth, mouth, or dentures” (OHIP-2). B, Physical pain: “painful aching in the mouth” (OHIP-3) and “uncomfortable to eat any foods because of problems with teeth, mouth, or dentures” (OHIP-4). C, Psychological discomfort: “have been self-conscious because of teeth, mouth, or dentures” (OHIP-5) and “have felt tense because of problems with teeth, mouth, or dentures” (OHIP-6). D, Physical disability: “diet has been unsatisfactory because of problems with teeth, mouth, or dentures (OHIP-7) and “have had to interrupt meals because of problems with teeth, mouth, or dentures” (OHIP-8). E, Psychological disability: “difficult to relax because of problems with teeth, mouth, or dentures” (OHIP-9) and “have been embarrassed because of problems with teeth, mouth, or dentures” (OHIP-10). F, Social disability: “have been a bit irritable with other people because of problems with teeth, mouth, or dentures” (OHIP-11) and “have had difficulty doing usual jobs because of problems with teeth, mouth, or dentures” (OHIP-12). G, Handicap: “have felt that life in general is less satisfying because of problems with teeth, mouth, or dentures” (OHIP-13) and “have been totally unable to function because of problems with teeth, mouth, or dentures” (OHIP-14). OHIP, Oral Health Impact Profile. Journal of Oral and Maxillofacial Surgery 2013 71, 1843-1851DOI: (10.1016/j.joms.2013.06.204) Copyright © 2013 American Association of Oral and Maxillofacial Surgeons Terms and Conditions