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Surgical treatment
Surgical treatment in patients with oligodontia.
Summary of observations.
The distribution of surgical techniques among
the 27 finished treatments are listed below.
| Type of treatment |
Number of patients |
% of total |
Number of procedures |
| Maxillary/mandibular osteotomy |
8 |
30 |
15 |
| Inferior alveolar nerve transposition |
7 |
26 |
11 |
| Sinus floor augmentation |
13 |
48 |
21 |
| Bone grafting |
20 |
74 |
50 |
| Implant placement |
27 |
100 |
184 |
| Alveolar distraction, vestibular plasty |
4 |
15 |
4 |
It is obvious from the figures above that the surgical treatment covers a wide spectrum. More over, the procedures involving bone augmentation, guided tissue regeneration and especially orthognatic surgery is more demanding in this group of patients than in general.
Maxillary osteotomy
| 1) |
With maxillary advancement and simultaneous transverse expansion of the maxilla there is a high risk of relapse. Surgical assisted rapid maxillary expansion (SARME) should therefore be considered. |
| 2) |
Relapse after inferior repositioning of maxilla can be reduced by the use of a Z-shaped osteotomy and grafting. |
| 3) |
Maxillary osteotomy should be performed after sinus floor augmentation, if a patient needs both procedures.
The mucosal lining of sinus is difficult to elevate without perforations,
if a maxillary osteotomy has been performed previously. |
| 4) |
Advancement of posterior segments (space - closing) is an alternative to sinus augmentation and implant placement. |
Mandibular osteotomy.
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