{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T12:54:15Z","timestamp":1740142455722,"version":"3.37.3"},"reference-count":25,"publisher":"FapUNIFESP (SciELO)","issue":"3","license":[{"start":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T00:00:00Z","timestamp":1559347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T00:00:00Z","timestamp":1559347200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T00:00:00Z","timestamp":1559347200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Braz. Dent. J."],"abstract":"<jats:p>Abstract Severely resorbed mandibles with only cortical bone remaining can fracture during or after implant placement. This case series presents a technique to reduce the risk or the consequences of mandibular fracture. Seven patients with only cortical mandibular bone remaining were treated with the fixation of a titanium plate in the frontal surface previously to implant placement, during the same surgical procedure. Immediate complete-arch implant supported prosthesis were installed. Patient\u2019s systemic and local conditions that could influence implant survival were registered previously to surgery and during the follow up period. Biological and biomechanical complications were recorded. The condition of peri-implant tissues was evaluated. The follow-ups ranged from 12 to 84 months. Twenty-nine implants were placed and no implant failure or other biological complication was observed. The peri-implant tissue evaluation demonstrated most implants was surrounded by keratinized tissue (89.5%). No marginal recession (implant platform cervical to gingival margin) was observed. Probing depth was normal, ranging from 0 to 3 mm. Low scores of plaque index or bleeding on probing were recorded. Biomechanical complications evolved loosening of 4 prosthetic screws and 1 fractured. The use of a titanium plate for the fixation of severely resorbed mandibles with only cortical bone remaining was a safe treatment procedure, avoiding biological and major biomechanical complications in the treatment with immediate complete-arch implant-supported prosthesis.<\/jats:p>","DOI":"10.1590\/0103-6440201902397","type":"journal-article","created":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T15:47:14Z","timestamp":1559404034000},"page":"244-251","source":"Crossref","is-referenced-by-count":3,"title":["Treatment of Resorbed Mandibles with Titanium Plate and Immediate Implant-Supported Prosthesis - Case Series"],"prefix":"10.1590","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8626-790X","authenticated-orcid":false,"given":"Vinicius","family":"Fabris","sequence":"first","affiliation":[{"name":"IMED - Faculdade Meridional,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5728-1868","authenticated-orcid":false,"given":"Vagner Flavio","family":"Reginato","sequence":"additional","affiliation":[{"name":"IMED - Faculdade Meridional,  Brazil; UNICAMP - Universidade Estadual de Campinas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6102-4458","authenticated-orcid":false,"given":"Carolina","family":"Smaniotto","sequence":"additional","affiliation":[{"name":"IMED - Faculdade Meridional,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9913-8290","authenticated-orcid":false,"given":"Atais","family":"Bacchi","sequence":"additional","affiliation":[{"name":"IMED - Faculdade Meridional,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4122-9234","authenticated-orcid":false,"given":"Rafael Leonardo Xediek","family":"Consani","sequence":"additional","affiliation":[{"name":"UNICAMP - Universidade Estadual de Campinas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2019,6]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1111\/j.1365-2842.2010.02170.x","article-title":"Current challenges in successful rehabilitation with oral implants","volume":"38","author":"Wennerberg A","year":"2011","journal-title":"J Oral Rehabil"},{"key":"ref2","first-page":"399","article-title":"Comparison of masticatory function between subjects with three types of dentition","volume":"22","author":"Mendonca DBS","year":"2009","journal-title":"Int J Prosthodont"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1016\/S0022-3913(96)90455-2","article-title":"A review of residual ridge resorption and bone density","volume":"75","author":"Klemetti E","year":"1996","journal-title":"J Prosthet Dent"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1016\/j.ijom.2012.01.004","article-title":"Fracture of the anterior segment of the atrophic mandible related to dental implants","volume":"41","author":"Almasri M","year":"2010","journal-title":"Int J Oral Maxillofac Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1007\/s10006-009-0171-7","article-title":"Mandibular fractures associated with endosteal implants","volume":"13","author":"Chrcanovic BR","year":"2009","journal-title":"Oral Maxillofac Surg"},{"key":"ref6","first-page":"239","article-title":"Intraoperative complications during oral implantology","volume":"13","author":"Lamas-Pelayo J","year":"2008","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"ref7","first-page":"1093","article-title":"An inventory of mandibular fractures associated with implants in atrophic edentulous mandibles: A survey of Dutch oral and maxillofacial surgeons","volume":"1087","author":"Soehardi A","year":"2011","journal-title":"Int J Oral Maxillofac Implant"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1111\/j.1399-302X.1987.tb00298.x","article-title":"The microbiota associated with successful or failing osseointegrated titanium implants","volume":"2","author":"Mombelli A","year":"1987","journal-title":"Oral Microbiol Immunol"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1111\/clr.12772","article-title":"Risk indicators for peri-implantitis. 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