Palabras clave
Displasia ectodérmica; Implante cigomático; Implante dental; Cirugía guiada por computadora; Carga inmediata.
Cómo citar
Resumen
La displasia ectodérmica (DE) es una enfermedad genética que afecta las estructuras anatómicas de origen ectodérmico. Las consiguientes anomalías del hueso alveolar y la anodoncia requieren un planteamiento multidisciplinario para rehabilitar la función y la estética de los pacientes. Para evitar procedimientos de injerto óseo se sugirió la aplicación de implantes cigomáticos para el tratamiento del maxilar superior. Los avances en radiología tridimensional (3D) y la introducción de software de planificación de implantes digitales podrían mejorar el enfoque de los implantes cigomáticos en los pacientes con displasia ectodérmica. El presente reporte de caso describe el tratamiento con implantes cigomáticos en el maxilar superior edéntulo de un paciente con displasia ectodérmica mediante cirugía de implantes guiada por ordenador. El paciente refirió fracaso de procedimientos de injerto óseo en el maxilar superior. Los implantes se cargaron inmediatamente con una prótesis de resina de arcada completa. El paciente ha sido incluido en un programa de control postoperatorio por 1 año, sin reportarse complicaciones ni biológicas ni mecánicas, siendo el único problema encontrado una ligera reabsorción ósea en la zona anterior. Los implantes cigomáticos podrían ser un posible tratamiento alternativo al injerto óseo en el maxilar superior y la planificación de implantes digitales podría mejorar el procedimiento quirúrgico.
Citas
Pinheiro M., Freire-Maia N. Ectodermal Dysplasias: A Clinical Classification and a Causal Review. Am J Med Genet. 1994; 53 (2): 153-162.
Clarke A. Hypohidrotic ectodermal dysplasia. J Med genet. 1987; 24 (11): 659-63.
Pigno M.A., Blackman R.B., Cronin R.J., Cavazos E. Prosthodontic management of ectodermal dysplasia: a review of the literature. J Prosthet Dent. 1996; 76 (5): 541-545.
Bergendal B. The role of prosthodontists in habilitation and rehabilitation in rare disorders: the ectodermal dysplasia experience. Int J Prosthodont. 2001; 14 (5): 466-470.
Alcan T., Basa S., Kargül B. Growth analysis of a patient with ectodermal dysplasia treated with endosseous implants: 6-year follow-up. J Oral Rehabilitation. 2006; 33 (3): 175-182.
García-Martín P., Hernández-Martín A., Torrelo A. Ectodermal dysplasias: a clinical and molecular review. Actas Dermosifiliogr. 2013; 104 (6): 451-470.
Wang Y., He J., Decker A.M., Hu J.C., Zou D. Clinical outcomes of implant therapy in ectodermal dysplasia patients: a systematic review. Int J Oral Maxillofac Surg. 2016; 45 (8): 1035-43.
Stern J.K., Hansen T., Frankel J., Evian C. Implant-supported fixed prosthesis in a hypohidrotic ectodermal dysplasia patient: a case report with 3 years follow-up and review of the literature. Implant Dent. 2014; 23 (4): 394-400.
Holbrook K.A. Structural abnormalities of the epidermally derived appendages in skin from patients with ectodermal dysplasia: insight into developmental errors. Birth defects Orig Artic Ser. 1988; 24 (2): 15-44.
Kearns G., Sharma A., Perrott D., Schmidt B., Kaban L., Vargervik K. Placement of endosseous implants in children and adolescents with hereditary ectodermal dysplasia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999; 88 (1): 5-10.
Itthagarun A., King N.M. Ectodermal dysplasia: a review and case report. Quintessence Int. 1997; 28 (9): 595-602.
Guckes A.D., Roberts M.W., McCarthy G.R. Pattern of permanent teeth present in individuals with ectodermal dysplasia and severe hypodontia suggests treatment with dental implants. Pediatr Dent. 1998; 20 (4): 278-280.
Yap A.K.W., Klineberg I. Dental implants in patients with ectodermal dysplasia and tooth agenesis: a critical review of the literature. Int J Prosthodont. 2009; 22 (3): 268-276.
Guarnieri R., Miccoli G., Reda R., Mazzoni A., Di Nardo D., Testasrelli L. Sulcus fluid volume, IL-6, and Il-1b concentrations in periodontal and peri-implant tissues comparing machined and laser-microtextured collar/abutment surfaces during 12 weeks of healing: A split-mouth RCT. Clinical Oral Implants ResearchVolume 33, Issue 1, Pages 94-104 January 2022
Guarnieri R., Di Nardo D., Gaimari G., Miccoli G., Testarelli L. Short vs. Standard Laser-Microgrooved Implants Supporting Single and Splinted Crowns: A Prospective Study with 3 Years Follow-Up. Journal of Prosthodontics. 2019; 28 (2): pp. e771-e779.
Guarnieri R., Zanza A., D’angelo M., Reda R., Testarelli L. Correlation between Peri-Implant Marginal Bone Loss Progression and Peri-Implant Sulcular Fluid Levels of Metalloproteinase-8L. Journal of Personalized Medicine. 2022; 12 (1): 58.
Pozzi A., Mura P. Clinical and radiologic experience with moderately rough oxidized titanium implants: up to 10 years of retrospective follow-up. International journal of oral and maxillofacial implants. 2014; 29 (1): 152-161.
Guckes A.D., Scurria M.S., King T.S., McCarthy G.R., Brahim J.S. Prospective clinical trial of dental implants in persons with ectodermal dysplasia. J Prosthet Dent. 2002; 88 (1): 21-25.
Guckes A.D., Brahim J.S., McCarthy G.R., Rudy S.F., Cooper L.F. Using endosseous dental implants for patients with ectodermal dysplasia. J Am Dent Assoc. 1991; 122 (10): 59-62.
Lypka M., Yarmand D., Burstein J., Tso V., Yamashita D.D. Dental implant reconstruction in a patient with ectodermal dysplasia using multiple bone grafting techniques. J Oral Maxillofac Surg. 2008; 66 (6): 1241-1244.
Finnema K.J., Raghoebar G.M., Meijer H.J.A., Vissink A. Oral rehabilitation with dental implants in oligodontia patients. Int J Prosthodont. 2005; 18 (3): 203-209.
Sclar A.G., Kannikal J., Ferreira C.F., Kaltman S.I., Parker W.B. Treatment planning and surgical considerations in implant therapy for patients with agenesis, oligodontia, and ectodermal dysplasia: review and case presentation. J Oral Maxillofac Surg. 2009; 67 (11): 2-12.
Lamazza L., Cerulli G.M., Favaretti F., De Biase A.D. Implant-prosthetic partial-arch restoration in a patient with ectodermal dysplasia characterized by oligodontia and localized bone deficiency: a case report. Int J oral Maxillofac Implants. 2009; 24 (1): 147-150.
Rasmusson L., Meredith N., Cho I.H., Sennerby L. The influence of simultaneous versus delayed placement on the stability of titanium implants in onlay bone grafts. A Histologic and biomechanic study in the rabbit. Int J Oral Maxillofac Surg. 1999; 28 (3): 224-231.
Widmark G. Andersson B., Carlsson G.E., Lindvall A.M., Ivanoff C.J. Rehabilitation of patients with severely resorbed maxillae by means of implants with or without bone grafts: A 3- to 5-year follow-up clinical report. Int J Oral Maxillofac Implants. 2001; 16 (1): 73-79.
Piattelli M., Favero G.A., Scarano A., Orsini G., Piattelli A. Bone reactions to anorganic bovine bone (Bio-Oss) used in sinus augmentation procedures: a histologic long-term report of 20 cases in humans. Int J Oral Maxillofac Implants. 1999; 14 (6): 835-840.
Bahat O., Fontanesi F.V. Complications of grafting in the atrophic edentulous or partially edentulous jaw. Int J periodontics Restorative Dent. 2001; 21 (5): 487-495.
Durstberger G., Celar A., Watzek G. Implant-surgical and prosthetic rehabilitation of patients with multiple dental aplasia: a clinical report. Int J Oral Maxillofac Implants. 1999; 14 (3): 417-423.
Wang H., Hung K., Zhao K., Wang Y., Wang F., Wu Y. Anatomical analysis of zygomatic bone in ectodermal dysplasia patients with oligodontia. Clin Implant Dent Relat Res. 2019; 21 (2): 310-316.
Balshi T.J., Wolfinger G.J. Treatment of congenital ectodermal dysplasia with zygomatic implants: a case report. Int J Oral Maxillofac Implants. 2002; 17 (2): 277-281.
Peñarrocha-Diago M., Uribe-Origone R., Rambla-Ferrer J., Guarinos-Carbó J. Fixed rehabilitation of a patient with hypohidrotic ectodermal dysplasia using zygomatic implants. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 98 (2): 161-165.
Rajan G., Mariappan S., Ramasubramanian H., Somasundaram S., Natarajarathinam G. Restoration of atrophic edentulous maxilla of a patient with ectodermal dysplasia using quadruple zygomatic implants: a case report. J Maxillofac Oral Surg. 2015; 14 (3): 848-852.
Chrcanovic B.R., Albrektsson T., Wennerberg A. Survival and complications of zygomatic implants: an updated systematic review. J Oral Maxillofac Surg. 2016; 74 (10): 1949-1964.
Garagiola U., Umberto G., Maiorana C., Ghiglione V., Marzo G., Santoro F., Szabò G. Osseointegration and guided bone regeneration in ectodermal dysplasia patients. J Craniofac Surg. 2007; 18 (6): 1296-1304.
Davarpanah M., Moon J.W., Yang L.R., Celletti R., Martínez H. Dental implants in the oral rehabilitation of a teenager with hypohidrotic ectodermal dysplasia: report of a case. Int J Oral Maxillofac Implants. 1997; 12 (2): 252-258.
Singer S.L., Henry P.J., Liddelow G., Rosenberg I. Long-term follow-up of implant treatment for oligodontia in an actively growing individual: a clinical report. J Prosthet Dent 2012; 108 (5): 279-285.
Smith R.A., Vargervik K., Kearns G., Bosch C., Koumjian J. Placement of an endosseous implant in a growing child with ectodermal dysplasia. Oral Surg Oral Med Oral Pathol. 1993; 75 (6): 669-673.
Sennerby L., Ödman J., Lekholm U., Thilander B. Tissue reactions towards titanium implants inserted in growing jaws. A histological study in the pig. Clin Oral Implant Res. 1993; 4 (2): 65-75.
Kramer F., Baethge C., Tschernitschek H. Implants in children with ectodermal dysplasia: a case report and literature review. Clin Oral Implant Res. 2007; 18 (1): 140-146.
Cronin R.J., Oesterle L.J. Implant use in growing patients. Treatment planning concerns. Dent Clin North Am. 1998; 42 (1): 1-34.
Skieller V., Björk A., Linde-Hansen T. Prediction of mandibular growth rotation evaluated from a longitudinal implant sample. Am J Orthod. 1984; 86 (5): 359-370.
Becktor K.B., Becktor J.P., Keller E.E. Growth analysis of a patient with ectodermal dysplasia treated with endosseous implants: a case report. Int J oral Maxillofac Implants. 2001; 16 (6): 864-874.
Grecchi F., Zingari F., Bianco R., Zollino I.., Casadio C, Carinci F. Implant rehabilitation in grafted and native bone in patients affected by ectodermal dysplasia: evaluation of 78 implants inserted in 8 patients. Implant Dent. 2010; 19 (5): 400-408.
Bayat M., Khobyari M.M., Dalband M., Momen-Heravi F. Full mouth implant rehabilitation of a patient with ectodermal dysplasia after orthognathic surgery, sinus and ridge augmentation: a clinical report. J Adv Prosthodont. 2011; 3 (2): 96-100.
D’Ambrosio A., Cioffi A., Cirillo A., Sammartino G. Immediate loading in ectodermal dysplasia: clinical case. J Oral Maxillofac Surg. 2011; 69 (9): 2351-2356.
Pjetursson B.E., Tan K., Lang N.P., Brägger U., Egger M., Zwahlen M. A Systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. Clin Oral Implant Res. 2004; 15 (6): 625-642.
Deshpande S.N., Kumar V. Ectodermal dysplasia-maxillary and mandibular alveolar reconstruction with dental rehabilitation: a case report and review of the literature. Indian J Plast Surg. 2010; 43 (1): 92-96.
Worsaae N., Jensen B.N., Holm B., Holsko J. Treatment of severe hypodontia-oligodontia--an interdisciplinary concept. Int J Oral Maxillofac Surg. 2007; 36 (6): 473-480.
Salinas T.J., Sheridan P.J., Castellon P., Block M.S. 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. 2005; 63 (9): 45-58.
Goker F., Grecchi E., Mancini E.G., Fabbro M.D., Grecchi F. Zygomatic implant survival in 9 ectodermal dysplasia patients with 3.5-to 7-year follow-up. Oral Dis. 2020; 26 (8): 1803-1809.
Brånemark P., Gröndahl K., Öhrnell L., Nilsson P., Petruson B., Svensson B., Engstrand P., Nannmark U. Zygoma fixture in the management of advanced atrophy of the maxilla: technique and long-term results. Scand J Plast Reconstr Surg Hand Surg. 2004; 38 (2): 70-85.
Maló P., Nobre M. de A., Lopes I. A new approach to rehabilitate the severely atrophic maxilla using extramaxillary anchored implants in immediate function: a pilot study. J Prosthet Dent. 2008; 100 (5): 354-366.
Aparicio C., Ouazzani W., Garcia R., Arevalo X., Muela R., Fortes V. A prospective clinical study on titanium implants in the zygomatic arch for prosthetic rehabilitation of the atrophic edentulous maxilla with a follow-up of 6 months to 5 years. Clin Implant Dent Relat Res. 2006; 8 (3): 114-122.
Aparicio C., Manresa C., Francisco K., Ouazzani W., Claros P., Potau J.M., Aparicio A. The long-term use of zygomatic implants: a 10-year clinical and radiographic report: zygomatic implants 10-year report. Clin Implant Dent Relat Res. 2012; 16 (3): 447-459.
Chana H., Smith G., Bansal H., Zahra D. A retrospective cohort study of the survival rate of 88 zygomatic implants placed over an 18-year period. Int J Oral Maxillofac Implants. 2019; 34 (2): 461-470.
Candel-Martí E., Carrillo-García C., Peñarrocha-Oltra D., Peñarrocha-Diago M. Rehabilitation of atrophic posterior maxilla with zygomatic implants: review. J Oral Implantol. 2012; 38 (5): 653-657.
Chrcanovic B.R., Abreu M.H.N.G. Survival and complications of zygomatic implants: a systematic review. Oral Maxillofac Surg. 2013; 17 (2): 81-93.
Yates J.M., Brook I.M., Patel R.R., Wragg P.F., Atkins S.A., El-Awa A., Bakri I., Bolt R. Treatment of the edentulous atrophic maxilla using zygomatic implants: evaluation of survival rates over 5-10 years. Int J Oral Maxillofac Surg. 2014; 43 (2): 237-242.
D’Agostino A., Trevisiol L., Favero V., Pessina M., Procacci P., Nocini P.F. Are zygomatic implants associated with maxillary sinusitis? J Oral Maxillofac Surg. 2016; 74 (8): 1562-1573.
Goker F., Grecchi E., Fabbro M.D., Grecchi F. Clinical outcome of 302 zygomatic implants in 110 patients with a follow-up between 6 months and 7 years. Clin Implant Dent Relat Res. 2020; 22 (3): 415-423.
Nobre M. de A., Maló P., Gonçalves I. Evaluation of clinical soft tissue parameters for extramaxillary zygomatic implants and conventional implants in all-on-4 hybrid rehabilitations. Implant Dent. 2015; 24 (3): 267-74.
Filho H.N., Amaral W.S., Curra C., Santos P.L. dos, Cardoso C.L. Zygomatic implant: late complications in a period of 12 years of experience. Rev Clin Periodoncia Implantol Rehabil Oral. 2017; 10 (3): 176-179 .
Lombardo G., D’Agostino A., Trevisiol L., Romanelli M.G., Mascellaro A., Gomez-Lira M., Pardo A., Favero V., Nocini P.F. Clinical, microbiologic and radiologic assessment of soft and hard tissues surrounding zygomatic implants: a retrospective study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016; 122 (5): 537-546.
Jung R.E., Schneider D., Ganeles J., Wismeijer D., Zwahlen M., Hämmerle C.H.F., Tahmaseb A. Computer technology applications in surgical implant dentistry: a systematic review. Int J oral Maxillofac Implants. 2009; 24 Suppl: 25-42.
Dorweiler B., Baqué P.E., Chaban R., Ghazy A., Salem O. Quality control in 3D printing: accuracy analysis of 3D-printed models of patient-specific anatomy. Materials. 2021; 14 (4): 1021.
Comentarios
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.
Derechos de autor 2023 CC-BY-NC-SA 4.0