著者
秦 正樹 宮前 真 塩入 重彰 村上 和裕 中林 晋也 大山 哲生 原口 美穂子 服部 麻里子 中島 純子 皆木 祥伴 藤原 茂弘 小野 高裕
出版者
一般社団法人 日本顎顔面補綴学会
雑誌
顎顔面補綴 (ISSN:03894045)
巻号頁・発行日
vol.42, no.1, pp.33-38, 2019 (Released:2020-03-12)
参考文献数
31

Background: The aim of this review was to elucidate the effectiveness of prostheses with implant therapy for patients with mandibular defects.Methods: A systematic literature survey was conducted by the Japan Medical Library Association based on keywords for PubMed and Ichushi-web presented by the Clinical Practice Guideline Committee of Japanese Academy of Maxillofacial Prosthetics. After the secondary screening, related articles were extracted and their structured abstracts were described for discussion.Results: Although randomized controlled trials and meta-analyses were not found, 28 papers were extracted after screening. Overall, objective and subjective measures (e.g. occlusal force, masticatory efficiency and food acceptability questionnaires) were significantly increased with implant-supported mandibular prostheses. However, speech and swallowing function were not improved in cases with tongue or oral floor resection. Success and survival rates of implant therapy were ninety percent or more on mandibular reconstruction with autogenous bone grafts.Conclusions: These results suggest that implant-supported mandibular prostheses that can secure the stability of the upper fixed/removable structure are more effective for recovering masticatory function compared with conventional mandibular prostheses.
著者
指出 豊 塩入 重彰 百瀬 文雄 宮本 貴夫 長谷川 明子 塩田 重利 岡田 憲彦
出版者
Japanese Society of Oral and Maxillofacial Surgeons
雑誌
日本口腔外科学会雑誌 (ISSN:00215163)
巻号頁・発行日
vol.35, no.7, pp.1982-1987, 1989

We present a case of large complex odontoma of the mandible of an 8-year-old female that showed interesting radiographic features and remarkable radioisotope uptake.<BR>The patient visited our hospital with a complaint of delayed eruption of the left mandibular first molar. Radiographic features showed a large radioopaque lesion of the left mandibular body. The tumor was successfully removed by surgical procedure and the mandibular base of the mandible and the mandibular canal were preserved without any functional disorder.<BR>The histopathological specimens suggested that maturing process of odontogenesis was occurring.<BR>We have regarded this case as an immature odontoma or developing odontoma of early stage and discussed the considerations of the clinical diagnosis, radiographic features, histopathological findings and the relationship between the usual odontoma and the other odontogenic tumors such as ameloblastic fibroma or ameloblastic fibro-odontoma and so on.