Horse-shoe sandwich osteotomy of the edentulous maxilla as a preprosthetic procedure. 1986

M Farmand

A preprosthetic procedure for treatment of severe atrophy of the maxilla is reported. By means of the horse-shoe sandwich osteotomy of the edentulous maxilla with interposition of iliac crest or ribs in combination with a modified submucous vestibuloplasty there is the possibility of increasing the vestibular and palatal height and improving the mucosal contour in one surgical session. The method, which is described in details, avoids the disadvantages of the earlier operation methods of direct osseous augmentation and the Le Fort-I-osteotomy of the edentulous maxilla. The satisfactory results of 15 operated cases in the observation period of 3 to 15 months are reported. There is only little bone resorption. The horse-shoe sandwich osteotomy might therefore be the method of choice in cases of extreme atrophy of the maxilla.

UI MeSH Term Description Entries
D007575 Jaw, Edentulous The total absence of teeth from either the mandible or the maxilla, but not both. Total absence of teeth from both is MOUTH, EDENTULOUS. Partial absence of teeth in either is JAW, EDENTULOUS, PARTIALLY. Edentulous Jaw,Edentulous Jaws,Jaws, Edentulous
D008437 Maxilla One of a pair of irregularly shaped bones that form the upper jaw. A maxillary bone provides tooth sockets for the superior teeth, forms part of the ORBIT, and contains the MAXILLARY SINUS. Maxillae,Maxillary Bone,Bone, Maxillary,Bones, Maxillary,Maxillary Bones,Maxillas
D010027 Osteotomy The surgical cutting of a bone. (Dorland, 28th ed) Osteotomies
D001862 Bone Resorption Bone loss due to osteoclastic activity. Bone Loss, Osteoclastic,Osteoclastic Bone Loss,Bone Losses, Osteoclastic,Bone Resorptions,Loss, Osteoclastic Bone,Losses, Osteoclastic Bone,Osteoclastic Bone Losses,Resorption, Bone,Resorptions, Bone
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000540 Alveolar Ridge Augmentation Preprosthetic surgery involving rib, cartilage, or iliac crest bone grafts, usually autologous, or synthetic implants for rebuilding the alveolar ridge. Mandibular Ridge Augmentation,Maxillary Ridge Augmentation,Alveolar Ridge Augmentations,Augmentation, Alveolar Ridge,Augmentation, Mandibular Ridge,Augmentation, Maxillary Ridge,Augmentations, Alveolar Ridge,Augmentations, Mandibular Ridge,Augmentations, Maxillary Ridge,Mandibular Ridge Augmentations,Maxillary Ridge Augmentations,Ridge Augmentation, Alveolar,Ridge Augmentation, Mandibular,Ridge Augmentation, Maxillary,Ridge Augmentations, Alveolar,Ridge Augmentations, Mandibular,Ridge Augmentations, Maxillary
D001284 Atrophy Decrease in the size of a cell, tissue, organ, or multiple organs, associated with a variety of pathological conditions such as abnormal cellular changes, ischemia, malnutrition, or hormonal changes. Atrophies
D014716 Vertical Dimension The length of the face determined by the distance of separation of jaws. Occlusal vertical dimension (OVD or VDO) or contact vertical dimension is the lower face height with the teeth in centric occlusion. Rest vertical dimension (VDR) is the lower face height measured from a chin point to a point just below the nose, with the mandible in rest position. (From Jablonski, Dictionary of Dentistry, 1992, p250) Mandibular Rest Position,Rest Vertical Dimension,Vertical Dimension at Rest,Vertical Dimension of Occlusion,Dimension, Rest Vertical,Dimension, Vertical,Dimensions, Rest Vertical,Dimensions, Vertical,Mandibular Rest Positions,Occlusion Vertical Dimension,Occlusion Vertical Dimensions,Position, Mandibular Rest,Positions, Mandibular Rest,Rest Position, Mandibular,Rest Positions, Mandibular,Rest Vertical Dimensions,Vertical Dimension, Rest,Vertical Dimensions,Vertical Dimensions, Rest
D014727 Vestibuloplasty Those procedures designed to widen the zone of attached gingiva and deepen the vestibular depth which will facilitate the clearance of the area for natural food passage, and provide access for toothbrushing and interdental stimulation. Vestibuloplasties
D016025 Bone Transplantation The grafting of bone from a donor site to a recipient site. Grafting, Bone,Transplantation, Bone,Bone Grafting

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