Skip to main content
Erschienen in: Oral and Maxillofacial Surgery 4/2023

30.07.2022 | Case Report

Surgical and prosthetic rehabilitation of siblings with Witkop tooth and nail syndrome using zygomatic implants: a familial case series of 3 patients with up to 15-year follow-up

verfasst von: Kale B. McMillan, Dane C. McMillan, Kevin Arce, Thomas J. Salinas

Erschienen in: Oral and Maxillofacial Surgery | Ausgabe 4/2023

Einloggen, um Zugang zu erhalten

Abstract

Witkop tooth and nail syndrome is a rare, autosomal dominant type of ectodermal dysplasia that can have significant effects on dentition, including hypoplastic and malformed dentition and significantly atrophic maxillas. Endosseous implants have become one possible solution to replace missing teeth, although their use in areas where bone is sparse becomes challenging. Due to the severe atrophy of the maxillary alveolus, extensive preprosthetic surgeries including orthognathic surgery, extensive bone grafting, and sinus floor augmentations have been recommended prior to placement of endosseous dental implants. Although this treatment has shown favorable outcomes, it requires multiple surgical procedures, contributing to a prolonged treatment course and increased morbidity. An alternative treatment of atrophic maxillas in patients with ectodermal dysplasia includes the use of zygomatic implants. This familial case series discusses 3 siblings, all previously diagnosed with Witkop Syndrome, who underwent comprehensive preprosthetic surgery and prosthetic rehabilitation using zygomatic implants with a follow-up period up to 15 years.
Literatur
1.
Zurück zum Zitat Wynbrandt J, Ludman MD (1990) The encyclopedia of genetic disorders and birth defects. Facts On File, New York, pp 110–111 Wynbrandt J, Ludman MD (1990) The encyclopedia of genetic disorders and birth defects. Facts On File, New York, pp 110–111
2.
Zurück zum Zitat Witkop CJ (1965) Genetic disease of the oral cavity. In: Tiecke RW (ed) Oral pathology. New York, McGraw-Hill, pp 810–814 Witkop CJ (1965) Genetic disease of the oral cavity. In: Tiecke RW (ed) Oral pathology. New York, McGraw-Hill, pp 810–814
3.
Zurück zum Zitat Hudson CD, Witkop CJ (1975) Autosomal dominant hypodontia with nail dysgenesis. Report of twenty-nine cases in six families. Oral Surg Oral Med Oral Pathol. 39(3):409–23PubMedCrossRef Hudson CD, Witkop CJ (1975) Autosomal dominant hypodontia with nail dysgenesis. Report of twenty-nine cases in six families. Oral Surg Oral Med Oral Pathol. 39(3):409–23PubMedCrossRef
4.
Zurück zum Zitat Witkop CJ Jr, Brearley LJ, Gentry WC Jr (1975) Witkop CJ Jr, Brearley LJ, Gentry WC Jr. Hypoplastic enamel, onycholysis, and hypohidrosis inherited as an autosomal dominant trait. A review of ectodermal dysplasia syndromes. Oral Surg Oral Med Oral Pathol. 39(1):71–86PubMedCrossRef Witkop CJ Jr, Brearley LJ, Gentry WC Jr (1975) Witkop CJ Jr, Brearley LJ, Gentry WC Jr. Hypoplastic enamel, onycholysis, and hypohidrosis inherited as an autosomal dominant trait. A review of ectodermal dysplasia syndromes. Oral Surg Oral Med Oral Pathol. 39(1):71–86PubMedCrossRef
5.
Zurück zum Zitat Giansanti JS, Long SM, Rankin JL (1974) The “tooth and nail” type of autosomal dominant ectodermal dysplasia. Oral Surg Oral Med Oral Pathol 37(4):576–582PubMedCrossRef Giansanti JS, Long SM, Rankin JL (1974) The “tooth and nail” type of autosomal dominant ectodermal dysplasia. Oral Surg Oral Med Oral Pathol 37(4):576–582PubMedCrossRef
6.
Zurück zum Zitat Witkop CJ (1990) Hypodontia-nail dysgenesis. In: Buyse ML (ed) Birth defects encyclopedia: the comprehensive, systematic, illustrated reference source for the diagnosis, delineation, etiology, biodynamics, occurrence, prevention, and treatment of human anomalies of clinical relevance. Blackwell Scientific Publications, Inc., Dover, p 920 Witkop CJ (1990) Hypodontia-nail dysgenesis. In: Buyse ML (ed) Birth defects encyclopedia: the comprehensive, systematic, illustrated reference source for the diagnosis, delineation, etiology, biodynamics, occurrence, prevention, and treatment of human anomalies of clinical relevance. Blackwell Scientific Publications, Inc., Dover, p 920
7.
Zurück zum Zitat Jumlongras D, Bei M, Stimson JM, Wang WF, DePalma SR, Seidman CE, Felbor U, Maas R, Seidman JG, Olsen BR (2001) A nonsense mutation in MSX1 causes Witkop syndrome. Am J Hum Genet 69(1):67–74PubMedPubMedCentralCrossRef Jumlongras D, Bei M, Stimson JM, Wang WF, DePalma SR, Seidman CE, Felbor U, Maas R, Seidman JG, Olsen BR (2001) A nonsense mutation in MSX1 causes Witkop syndrome. Am J Hum Genet 69(1):67–74PubMedPubMedCentralCrossRef
8.
Zurück zum Zitat Chen P, Yu S, Zhu G (2012) The psychosocial impacts of implantation on the dental aesthetics of missing anterior teeth patients. Br Dent J 213(11):E20PubMedCrossRef Chen P, Yu S, Zhu G (2012) The psychosocial impacts of implantation on the dental aesthetics of missing anterior teeth patients. Br Dent J 213(11):E20PubMedCrossRef
9.
Zurück zum Zitat Yu SJ, Chen P, Zhu GX (2013) Relationship between implantation of missing anterior teeth and oral health-related quality of life. Qual Life Res 22(7):1613–1620PubMedCrossRef Yu SJ, Chen P, Zhu GX (2013) Relationship between implantation of missing anterior teeth and oral health-related quality of life. Qual Life Res 22(7):1613–1620PubMedCrossRef
10.
Zurück zum Zitat Sahyoun NR, Lin CL, Krall E (2003) Nutritional status of the older adult is associated with dentition status. J Am Diet Assoc 103(1):61–66PubMedCrossRef Sahyoun NR, Lin CL, Krall E (2003) Nutritional status of the older adult is associated with dentition status. J Am Diet Assoc 103(1):61–66PubMedCrossRef
11.
Zurück zum Zitat Chauncey HH, Muench ME, Kapur KK, Wayler AH (1984) The effect of the loss of teeth on diet and nutrition. Int Dent J 34(2):98–104PubMed Chauncey HH, Muench ME, Kapur KK, Wayler AH (1984) The effect of the loss of teeth on diet and nutrition. Int Dent J 34(2):98–104PubMed
12.
Zurück zum Zitat Budtz-Jørgensen E, Chung JP, Rapin CH (2001) Nutrition and oral health. Best Pract Res Clin Gastroenterol 15(6):885–896PubMedCrossRef Budtz-Jørgensen E, Chung JP, Rapin CH (2001) Nutrition and oral health. Best Pract Res Clin Gastroenterol 15(6):885–896PubMedCrossRef
13.
Zurück zum Zitat Jansson L, Lavstedt S, Frithiof L (2002) Relationship between oral health and mortality rate. J Clin Periodontol 29(11):1029–1034PubMedCrossRef Jansson L, Lavstedt S, Frithiof L (2002) Relationship between oral health and mortality rate. J Clin Periodontol 29(11):1029–1034PubMedCrossRef
14.
Zurück zum Zitat Salinas TJ, Sheridan PJ, Castellon P, Block MS (2005) Treatment planning for multiunit restorations–the use of diagnostic planning to predict implant and esthetic results in patients with congenitally missing teeth. J Oral Maxillofac Surg 63(9 Suppl 2):45–58PubMedCrossRef Salinas TJ, Sheridan PJ, Castellon P, Block MS (2005) Treatment planning for multiunit restorations–the use of diagnostic planning to predict implant and esthetic results in patients with congenitally missing teeth. J Oral Maxillofac Surg 63(9 Suppl 2):45–58PubMedCrossRef
15.
Zurück zum Zitat Pigno MA, Blackman RB, Cronin RJ Jr, Cavazos E (1996) Prosthodontic management of ectodermal dysplasia: a review of the literature. J Prosthet Dent 76(5):541–545PubMedCrossRef Pigno MA, Blackman RB, Cronin RJ Jr, Cavazos E (1996) Prosthodontic management of ectodermal dysplasia: a review of the literature. J Prosthet Dent 76(5):541–545PubMedCrossRef
16.
Zurück zum Zitat Alsayed HD, Alqahtani NM, Levon JA, Morton D (2017) Prosthodontic rehabilitation of an ectodermal dysplasia patient with implant telescopic crown attachments. J Prosthodont 26(7):622–627PubMedCrossRef Alsayed HD, Alqahtani NM, Levon JA, Morton D (2017) Prosthodontic rehabilitation of an ectodermal dysplasia patient with implant telescopic crown attachments. J Prosthodont 26(7):622–627PubMedCrossRef
17.
Zurück zum Zitat Rad AS, Siadat H, Monzavi A, Mangoli AA (2007) Full mouth rehabilitation of a hypohidrotic ectodermal dysplasia patient with dental implants: a clinical report. J Prosthodont 16(3):209–213PubMedCrossRef Rad AS, Siadat H, Monzavi A, Mangoli AA (2007) Full mouth rehabilitation of a hypohidrotic ectodermal dysplasia patient with dental implants: a clinical report. J Prosthodont 16(3):209–213PubMedCrossRef
18.
Zurück zum Zitat Zou D, Wu Y, Wang XD, Huang W, Zhang Z, Zhang Z (2014) A retrospective 3- to 5-year study of the reconstruction of oral function using implant-supported prostheses in patients with hypohidrotic ectodermal dysplasia. J Oral Implantol 40(5):571–580PubMedCrossRef Zou D, Wu Y, Wang XD, Huang W, Zhang Z, Zhang Z (2014) A retrospective 3- to 5-year study of the reconstruction of oral function using implant-supported prostheses in patients with hypohidrotic ectodermal dysplasia. J Oral Implantol 40(5):571–580PubMedCrossRef
19.
Zurück zum Zitat Schnabl D, Grunert I, Schmuth M, Kapferer-Seebacher I (2018) Prosthetic rehabilitation of patients with hypohidrotic ectodermal dysplasia: a systematic review. J Oral Rehabil 45(7):555–570PubMedCrossRef Schnabl D, Grunert I, Schmuth M, Kapferer-Seebacher I (2018) Prosthetic rehabilitation of patients with hypohidrotic ectodermal dysplasia: a systematic review. J Oral Rehabil 45(7):555–570PubMedCrossRef
20.
Zurück zum Zitat Wicomb GM, Stephen LX, Beighton P (2004) Dental implications of tooth-nail dysplasia (Witkop syndrome): a report of an affected family and an approach to dental management. J Clin Pediatr Dent 28(2):107–112PubMedCrossRef Wicomb GM, Stephen LX, Beighton P (2004) Dental implications of tooth-nail dysplasia (Witkop syndrome): a report of an affected family and an approach to dental management. J Clin Pediatr Dent 28(2):107–112PubMedCrossRef
21.
Zurück zum Zitat Devadas S, Varma B, Mungara J, Joseph T, Saraswathi TR (2005) Witkop tooth and nail syndrome: a case report. Int J Paediatr Dent 15(5):364–369PubMedCrossRef Devadas S, Varma B, Mungara J, Joseph T, Saraswathi TR (2005) Witkop tooth and nail syndrome: a case report. Int J Paediatr Dent 15(5):364–369PubMedCrossRef
22.
Zurück zum Zitat Hodges SJ, Harley KE (1999) Witkop tooth and nail syndrome: report of two cases in a family. Int J Paediatr Dent 9(3):207–211PubMedCrossRef Hodges SJ, Harley KE (1999) Witkop tooth and nail syndrome: report of two cases in a family. Int J Paediatr Dent 9(3):207–211PubMedCrossRef
23.
Zurück zum Zitat Mikulás K, Kivovics P, Nagy G, Márton K, Madléna M (2008) Complex oral rehabilitation of a patient with Witkop’s syndrome: an interdisciplinary approach. Oral health Dent Manage Black Sea Ctries 7:56–60 Mikulás K, Kivovics P, Nagy G, Márton K, Madléna M (2008) Complex oral rehabilitation of a patient with Witkop’s syndrome: an interdisciplinary approach. Oral health Dent Manage Black Sea Ctries 7:56–60
24.
Zurück zum Zitat Guckes AD, Roberts MW, McCarthy GR (1998) Pattern of permanent teeth present in individuals with ectodermal dysplasia and severe hypodontia suggests treatment with dental implants. Pediatr Dent 20(4):278–280PubMed Guckes AD, Roberts MW, McCarthy GR (1998) Pattern of permanent teeth present in individuals with ectodermal dysplasia and severe hypodontia suggests treatment with dental implants. Pediatr Dent 20(4):278–280PubMed
25.
Zurück zum Zitat Guckes AD, Scurria MS, King TS, McCarthy GR, Brahim JS (2002) Prospective clinical trial of dental implants in persons with ectodermal dysplasia. J Prosthet Dent 88(1):21–25PubMedCrossRef Guckes AD, Scurria MS, King TS, McCarthy GR, Brahim JS (2002) Prospective clinical trial of dental implants in persons with ectodermal dysplasia. J Prosthet Dent 88(1):21–25PubMedCrossRef
26.
Zurück zum Zitat Sweeney IP, Ferguson JW, Heggie AA, Lucas JO (2005) Treatment outcomes for adolescent ectodermal dysplasia patients treated with dental implants. Int J Paediatr Dent 15(4):241–248PubMedCrossRef Sweeney IP, Ferguson JW, Heggie AA, Lucas JO (2005) Treatment outcomes for adolescent ectodermal dysplasia patients treated with dental implants. Int J Paediatr Dent 15(4):241–248PubMedCrossRef
27.
Zurück zum Zitat Rad AS, Siadat H, Monzavi A, Mangoli AA (2007) Full mouth rehabilitation of a hypohidrotic ectodermal dysplasia patient with dental implants: a clinical report. J Prosthodont 16(3):209–213PubMedCrossRef Rad AS, Siadat H, Monzavi A, Mangoli AA (2007) Full mouth rehabilitation of a hypohidrotic ectodermal dysplasia patient with dental implants: a clinical report. J Prosthodont 16(3):209–213PubMedCrossRef
28.
Zurück zum Zitat Wallace SS, Froum SJ (2003) Effect of maxillary sinus augmentation on the survival of endosseous dental implants A systematic review. Ann Periodontol 8(1):328–343PubMedCrossRef Wallace SS, Froum SJ (2003) Effect of maxillary sinus augmentation on the survival of endosseous dental implants A systematic review. Ann Periodontol 8(1):328–343PubMedCrossRef
29.
Zurück zum Zitat Del Fabbro M, Rosano G, Taschieri S (2008) Implant survival rates after maxillary sinus augmentation. Eur J Oral Sci 116(6):497–506PubMedCrossRef Del Fabbro M, Rosano G, Taschieri S (2008) Implant survival rates after maxillary sinus augmentation. Eur J Oral Sci 116(6):497–506PubMedCrossRef
30.
Zurück zum Zitat Barone A, Santini S, Sbordone L, Crespi R, Covani U (2006) A clinical study of the outcomes and complications associated with maxillary sinus augmentation. Int J Oral Maxillofac Implants 21(1):81–85PubMed Barone A, Santini S, Sbordone L, Crespi R, Covani U (2006) A clinical study of the outcomes and complications associated with maxillary sinus augmentation. Int J Oral Maxillofac Implants 21(1):81–85PubMed
31.
Zurück zum Zitat Calori GM, Colombo M, Mazza EL, Mazzola S, Malagoli E, Mineo GV (2014) Incidence of donor site morbidity following harvesting from iliac crest or RIA graft. Injury 45(Suppl 6):S116–S120PubMedCrossRef Calori GM, Colombo M, Mazza EL, Mazzola S, Malagoli E, Mineo GV (2014) Incidence of donor site morbidity following harvesting from iliac crest or RIA graft. Injury 45(Suppl 6):S116–S120PubMedCrossRef
32.
Zurück zum Zitat Joshi A, Kostakis GC (2004) An investigation of post-operative morbidity following iliac crest graft harvesting. Br Dent J. 196(3):167–71. discussion 155 Joshi A, Kostakis GC (2004) An investigation of post-operative morbidity following iliac crest graft harvesting. Br Dent J. 196(3):167–71. discussion 155
33.
Zurück zum Zitat Barone A, Ricci M, Mangano F, Covani U (2011) Morbidity associated with iliac crest harvesting in the treatment of maxillary and mandibular atrophies: a 10-year analysis. J Oral Maxillofac Surg 69(9):2298–2304PubMedCrossRef Barone A, Ricci M, Mangano F, Covani U (2011) Morbidity associated with iliac crest harvesting in the treatment of maxillary and mandibular atrophies: a 10-year analysis. J Oral Maxillofac Surg 69(9):2298–2304PubMedCrossRef
34.
Zurück zum Zitat Sàndor GK, Nish IA, Carmichael RP (2003) Comparison of conventional surgery with motorized trephine in bone harvest from the anterior iliac crest. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 95(2):150–155PubMedCrossRef Sàndor GK, Nish IA, Carmichael RP (2003) Comparison of conventional surgery with motorized trephine in bone harvest from the anterior iliac crest. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 95(2):150–155PubMedCrossRef
35.
Zurück zum Zitat Rawashdeh MA (2008) Morbidity of iliac crest donor site following open bone harvesting in cleft lip and palate patients. Int J Oral Maxillofac Surg 37(3):223–227PubMedCrossRef Rawashdeh MA (2008) Morbidity of iliac crest donor site following open bone harvesting in cleft lip and palate patients. Int J Oral Maxillofac Surg 37(3):223–227PubMedCrossRef
36.
Zurück zum Zitat Kirmeier R, Gluhak C, Marada P, Wegscheider WA, Eskici A, Jakse N (2009) Oral rehabilitation of adult twins with severe lack of bone due to hypohidrotic ectodermal dysplasia–a 12-month follow-up. J Oral Maxillofac Surg 67(1):189–194PubMedCrossRef Kirmeier R, Gluhak C, Marada P, Wegscheider WA, Eskici A, Jakse N (2009) Oral rehabilitation of adult twins with severe lack of bone due to hypohidrotic ectodermal dysplasia–a 12-month follow-up. J Oral Maxillofac Surg 67(1):189–194PubMedCrossRef
37.
Zurück zum Zitat Pombo Castro M, Luaces Rey R, Arenaz Búa J, Santana-Mora U, López-Cedrún Cembranos JL (2013) Prosthodontic rehabilitation in patient with ectodermal dysplasia combining preprosthetic techniques: a case report. Implant Dent 22(5):460–464PubMedCrossRef Pombo Castro M, Luaces Rey R, Arenaz Búa J, Santana-Mora U, López-Cedrún Cembranos JL (2013) Prosthodontic rehabilitation in patient with ectodermal dysplasia combining preprosthetic techniques: a case report. Implant Dent 22(5):460–464PubMedCrossRef
38.
Zurück zum Zitat Bayat M, Khobyari MM, Dalband M, Momen-Heravi F (2001) Full mouth implant rehabilitation of a patient with ectodermal dysplasia after orthognathic surgery, sinus and ridge augmentation: a clinical report. J Adv Prosthodont 3(2):96–100CrossRef Bayat M, Khobyari MM, Dalband M, Momen-Heravi F (2001) Full mouth implant rehabilitation of a patient with ectodermal dysplasia after orthognathic surgery, sinus and ridge augmentation: a clinical report. J Adv Prosthodont 3(2):96–100CrossRef
39.
Zurück zum Zitat Chiapasco M, Brusati R, Ronchi P (2007) Le Fort I osteotomy with interpositional bone grafts and delayed oral implants for the rehabilitation of extremely atrophied maxillae: a 1-9-year clinical follow-up study on humans. Clin Oral Implants Res 18(1):74–85PubMedCrossRef Chiapasco M, Brusati R, Ronchi P (2007) Le Fort I osteotomy with interpositional bone grafts and delayed oral implants for the rehabilitation of extremely atrophied maxillae: a 1-9-year clinical follow-up study on humans. Clin Oral Implants Res 18(1):74–85PubMedCrossRef
40.
Zurück zum Zitat Brånemark PI (1998) Surgery and fixture installation. In: Zygomaticus fixture clinical procedures. Nobel Biocare, Göteborg, p 1 Brånemark PI (1998) Surgery and fixture installation. In: Zygomaticus fixture clinical procedures. Nobel Biocare, Göteborg, p 1
41.
Zurück zum Zitat Bedrossian E, Stumpel L 3rd, Beckely ML, Indresano T (2002) The zygomatic implant: preliminary data on treatment of severely resorbed maxillae. A clinical report. Int J Oral Maxillofac Implants. 17(6):861–5. Erratum in: Int J Oral Maxillofac Implants. (2003) 18(2):292 Bedrossian E, Stumpel L 3rd, Beckely ML, Indresano T (2002) The zygomatic implant: preliminary data on treatment of severely resorbed maxillae. A clinical report. Int J Oral Maxillofac Implants. 17(6):861–5. Erratum in: Int J Oral Maxillofac Implants. (2003) 18(2):292
42.
Zurück zum Zitat Maló P, Nobre Mde A, Lopes I (2008) A new approach to rehabilitate the severely atrophic maxilla using extramaxillary anchored implants in immediate function: a pilot study. J Prosthet Dent 100(5):354–366PubMedCrossRef Maló P, Nobre Mde A, Lopes I (2008) A new approach to rehabilitate the severely atrophic maxilla using extramaxillary anchored implants in immediate function: a pilot study. J Prosthet Dent 100(5):354–366PubMedCrossRef
43.
Zurück zum Zitat Davó R (2009) Zygomatic implants placed with a two-stage procedure: a 5-year retrospective study. Eur J Oral Implantol 2(2):115–124PubMed Davó R (2009) Zygomatic implants placed with a two-stage procedure: a 5-year retrospective study. Eur J Oral Implantol 2(2):115–124PubMed
44.
Zurück zum Zitat Aparicio C, Ouazzani W, Aparicio A, Fortes V, Muela R, Pascual A, Codesal M, Barluenga N, Franch M (2010) Immediate/Early loading of zygomatic implants: clinical experiences after 2 to 5 years of follow-up. Clin Implant Dent Relat Res 12(Suppl 1):e77-82PubMed Aparicio C, Ouazzani W, Aparicio A, Fortes V, Muela R, Pascual A, Codesal M, Barluenga N, Franch M (2010) Immediate/Early loading of zygomatic implants: clinical experiences after 2 to 5 years of follow-up. Clin Implant Dent Relat Res 12(Suppl 1):e77-82PubMed
45.
Zurück zum Zitat Goiato MC, Pellizzer EP, Moreno A, Gennari-Filho H, dos Santos DM, Santiago JF Jr, dos Santos EG (2014) Implants in the zygomatic bone for maxillary prosthetic rehabilitation: a systematic review. Int J Oral Maxillofac Surg 43(6):748–757PubMedCrossRef Goiato MC, Pellizzer EP, Moreno A, Gennari-Filho H, dos Santos DM, Santiago JF Jr, dos Santos EG (2014) Implants in the zygomatic bone for maxillary prosthetic rehabilitation: a systematic review. Int J Oral Maxillofac Surg 43(6):748–757PubMedCrossRef
46.
Zurück zum Zitat Peñarrocha-Diago M, Uribe-Origone R, Rambla-Ferrer J, Guarinos-Carbó J (2004) Fixed rehabilitation of a patient with hypohidrotic ectodermal dysplasia using zygomatic implants. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98(2):161–165PubMedCrossRef Peñarrocha-Diago M, Uribe-Origone R, Rambla-Ferrer J, Guarinos-Carbó J (2004) Fixed rehabilitation of a patient with hypohidrotic ectodermal dysplasia using zygomatic implants. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98(2):161–165PubMedCrossRef
47.
Zurück zum Zitat Gutiérrez Muñoz D, ObradorAldover C, Zubizarreta-Macho Á, González Menéndez H, Lorrio Castro J, Peñarrocha-Oltra D, Montiel-Company JM, Hernández Montero S (2021) Survival rate and prosthetic and sinus complications of zygomatic dental implants for the rehabilitation of the atrophic edentulous maxilla: a systematic review and meta-analysis. Biology (Basel) 10(7):601 PubMed Gutiérrez Muñoz D, ObradorAldover C, Zubizarreta-Macho Á, González Menéndez H, Lorrio Castro J, Peñarrocha-Oltra D, Montiel-Company JM, Hernández Montero S (2021) Survival rate and prosthetic and sinus complications of zygomatic dental implants for the rehabilitation of the atrophic edentulous maxilla: a systematic review and meta-analysis. Biology (Basel) 10(7):601 PubMed
Metadaten
Titel
Surgical and prosthetic rehabilitation of siblings with Witkop tooth and nail syndrome using zygomatic implants: a familial case series of 3 patients with up to 15-year follow-up
verfasst von
Kale B. McMillan
Dane C. McMillan
Kevin Arce
Thomas J. Salinas
Publikationsdatum
30.07.2022
Verlag
Springer Berlin Heidelberg
Erschienen in
Oral and Maxillofacial Surgery / Ausgabe 4/2023
Print ISSN: 1865-1550
Elektronische ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-022-01107-5

Weitere Artikel der Ausgabe 4/2023

Oral and Maxillofacial Surgery 4/2023 Zur Ausgabe

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

28.05.2024 Häusliche Gewalt Nachrichten

In der Notaufnahme wird die Chance, Opfer von häuslicher Gewalt zu identifizieren, von Orthopäden und Orthopädinnen offenbar zu wenig genutzt. Darauf deuten die Ergebnisse einer Fragebogenstudie an der Sahlgrenska-Universität in Schweden hin.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

TAVI versus Klappenchirurgie: Neue Vergleichsstudie sorgt für Erstaunen

21.05.2024 TAVI Nachrichten

Bei schwerer Aortenstenose und obstruktiver KHK empfehlen die Leitlinien derzeit eine chirurgische Kombi-Behandlung aus Klappenersatz plus Bypass-OP. Diese Empfehlung wird allerdings jetzt durch eine aktuelle Studie infrage gestellt – mit überraschender Deutlichkeit.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.