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- W2598681736 abstract "Background: All clinicians are aware of several patients with broken mandibles after implant placement in whom the fractures occurred immediately after or several years following the initial implant treatment. Objectives: To make an inventory of the number of fractures, that occurred in conjunction with implants, placed in edentulous patients in the Dutch population, in a given time period and to calculate the incidence with which this might occur. Methods: questionnaires were send to all 198 oral and maxillofacial (OMF) surgeons, working in 56 hospitals with departments of OMF Surgery in the Netherlands. Results: A response was received from 53 (95%) departments. During the period 1980–2007, a total of 157 edentulous mandibles were fractured pertaining to implant treatment. All fractures occurred in mandibles of less than 10 mm high as measured in the symphysis. An incidence of 0.033% was calculated based on a total number of 475,000 patients treated with at least 2 implants in the same period to support an overdenture. Reasons for implants loss within one year (58%), included: ‘bone height too low, iatrogenic cause, non-integration and jaw too narrow. Peri-implantitis, trauma, explantation were related to fractures which occurred one year or later after implant placement. Conclusions: This study supports the view that mandibles with a height of 10 mm or less, as measured in the symphysis, are at risk for fractures with a fair chance of serious complications as a result of it. It also stresses the need for proper information about the advantages and disadvantages of implants in thin mandibles." @default.
- W2598681736 created "2017-04-07" @default.
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- W2598681736 date "2017-03-01" @default.
- W2598681736 modified "2023-10-05" @default.
- W2598681736 title "An inventory of mandibular fractures associated in atrophic edentulous mandibles" @default.
- W2598681736 doi "https://doi.org/10.1016/j.ijom.2017.02.358" @default.
- W2598681736 hasPublicationYear "2017" @default.
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