The extremely resorbed mandible: a comparative, prospective study of three treatment strategies

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1 The extremely resorbed mandible: a comparative, prospective study of three treatment strategies

2 The research project described in this thesis was performed at the Department of Oral and Maxillofacial Surgery & Maxillofacial Prosthetics of the Groningen University Hospital. This research project was supported by: Van Straten Medical, Divisie Orale Implantologie, Nieuwegein Dentsply Friadent, Mannheim M+R Haren b.v., Haren Tandtechnisch en Maxillofaciaal Laboratorium Gerrit van Dijk, Groningen University Hospital Groningen Publication of this thesis was financially supported by: 3i - Titamed Nederland b.v. Straumann Nederland b.v. Nobel Biocare Benelux b.v. Nederlandse Vereniging voor Orale Implantologie Nederlandse Vereniging voor Gnathologie en Prothetische Tandheelkunde Nederlandse Vereniging voor Mondziekten en Kaakchirurgie INTERNET: GRAPHIC DESIGN: Studio van Stralen BNO, Groningen COVER: Sandro Kortekaas BNO, Groningen DRAWING COVER: Three female heads, Michelangelo Buanorotti ( ), collection Teylers Museum, Haarlem PRINTING: Grafische Industrie De Marne, Leens PUBLISHER: Studio van Stralen BNO, Noorderstationsstraat 40, 9717 KP Groningen, cs@studiovanstralen.nl ISBN Copyright 2004 Studio van Stralen BNO and Kees Stellingsma, Groningen All rights reserved. No part of this publication may be reproduced, stored in retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying,or otherwise, without the prior written permission of the publisher.

sie Orale Implantologie, Nieuwegein Dentsply Friadent, Mannheim M+R Haren b.v.

3 Rijksuniversiteit Groningen The extremely resorbed mandible: a comparative, prospective study of three treatment strategies Proefschrift ter verkrijging van het doctoraat in de Medische Wetenschappen aan de Rijksuniversiteit Groningen op gezag van de Rector Magnificus, dr. F. Zwarts, in het openbaar te verdedigen op woensdag 12 mei 2004 om uur door Cornelis Stellingsma geboren op 1 juli 1959 te Sneek

de Rijksuniversiteit Groningen op gezag van de Rector Magnificus, dr. F.

4 PROMOTOR: Prof. dr. L.G.M. de Bont COPROMOTORES: Dr. G.M. Raghoebar Dr. H.J.A. Meijer Prof. dr. B. Stegenga BEOORDELINGSCOMMISSIE: Prof. dr. W. Kalk Prof. dr. F. Khoury Prof. dr. P.J.W. Stoelinga ISBN

5 Rijksuniversiteit Groningen The extremely resorbed mandible: a comparative, prospective study of three treatment strategies Cornelis Stellingsma

7 PARANIMFEN Drs. T. Muller Drs. H. Stellingsma, M. Phil. Al ware het, dat ik profetische gaven had, en alle geheimenissen en alles wat te weten is, wist, en al het geloof had, zodat ik bergen verzette, maar ik had de liefde niet, ik ware niets. I Corinthiërs 13: 2

en alles wat te weten is, wist, en al het geloof had, zodat ik

8 VOOR DORIEN,HIDDE,GIJS EN ROOS

9 Contents 1 General introduction and aims of the study. 2 Implantology and the severely resorbed edentulous mandible. A review of the literature. 3 Reconstruction of the extremely resorbed mandible with interposed bone grafts and placement of endosseous implants. A preliminary report on treatment outcome and patient satisfaction. 4 The oblique radiographic technique for bone height measurements on edentulous mandibles. A preclinical study and an introduction to the clinical use. 5 Use of short endosseous implants and an overdenture in the extremely resorbed mandible: a five-year retrospective study. 6 The extremely resorbed mandible: two-year results of a comparative, prospective study of three treatment strategies. Part I: clinical results. 7 The extremely resorbed mandible: two-year results of a comparative, prospective study of three treatment strategies. Part II: radiographic results. 8 Satisfaction and psychosocial aspects of patients with an extremely resorbed mandible treated with implant-retained overdentures. A comparative, prospective study. 9 Masticatory function in patients with an extremely resorbed mandible with mandibular implant-retained overdentures. Comparison of three types of treatment protocols. 10 General discussion and conclusions. Summary Samenvatting Nawoord Curriculum vitae

4 The oblique radiographic technique for bone height measurements on edentulous mandibles. A preclinical study and an introduction to the clinical use.

10 10

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