PDF herunterladen
CC BY-NC-ND 4.0 · Eur J Dent 2008; 02(03): 224-228
DOI: 10.1055/s-0039-1697384
Original Article
Dental Investigation Society

Styloid Process Elongation or Eagle’s Syndrome: Is There Any Role for Ectopic Calcification?

Cumali Gokce
a   Dr., Department of Endocrinology and Metabolism, Kayseri Training and Research Hospital, Kayseri, Turkey
,
Yildiray Sisman
b   Assistant Professor, Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Erciyes University, Kayseri, Turkey
,
Murat Sipahioglu
c   Assistant Professor, Department of Internal Diseases, Faculty of Medicine, Erciyes University, Kayseri, Turkey
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
15. Oktober 2019 (online)

  als PDF herunterladen Lizenzen und Reprints

ABSTRACT

Due to the angulation of maxillary bone as the maxillary bone resorption occurs from a buccal to palatal direction, bucco-lingually tilted implant placement is more likely especially in the posterior maxilla. The aim of this paper was to present a case restored by using a maxillary hybrid denture using Cresco method. A 59-year-old woman with an edentulous maxilla and five missing mandibular teeth was referred for implant treatment. Six months after sinus lift operation, four mandibular implants and six maxillary implants were placed. Due to the bucco-lingual tilt of two implants, the Cresco method was chosen to fabricate the metal framework for the maxillary hybrid denture that was delivered four months after implant placement. The main advantages of the Cresco method are a perfectly passive framework fit and corrected screw access holes. All ten implants placed were considered successful at 1-year recall, and no screw access holes were seen in the buccal part of the maxillary acrylic teeth.It was concluded that such screw-retained maxillary hybrid denture using the Cresco method met the esthetic expectations of a highly demanding patient. (Eur J Dent 2008;2:220-223)

Key Words:

Tilted implant - Hybrid - Maxilla - Early loading
 

  • REFERENCES

  • 1 Carter L. Soft tissue calcification and ossification. In: White SC, Pharoah MJ. eds. Oral radiology, principles and interpretation. Missouri: Mosby; 2004: 597-614
    Google Scholar
  • 2 Neville BW, Damm DD, Allen CM, Bouquot JE. Developmental defects of the oral and maxillofacial region. In: Neville BW, Damm DD, Allen CM, Bouquot JE. eds. Oral and maxillofacial pathology. Philadelphia: W.B. Saunders company; 1996: 1-43
    Google Scholar
  • 3 Gokce C, Sisman Y, Tarim Ertas E, Akgunlu F, Ozturk A. Prevalence of styloid process elongation on panoramic radiography in the Turkey population from Cappodocia region. Eur J Dent 2008; 2: 18-22
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 4 Sisman Y, Gokce C, Sipahioglu M, Tarim Ertas E, Oymak O, Utas C. Bilateral elongated styloid process in an end-stage renal disease patient with peritoneal dialysis: is there any role for ectopic calcification?. Eur J Dent 2008 (In press)
    PubMedGoogle Scholar
  • 5 Gözil R, Yener N, Calgüner E, Araç M, Tunç E, Bahcelioḡlu M. Morphological characteristics of styloid process evaluated by computerized axial tomography. Ann Anat 2001; 183: 527-535
    CrossrefPubMedGoogle Scholar
  • 6 Krennmair G, Piehslinger E. Variants of ossification in the stylohyoid chain. Cranio 2003; 21: 31-37
    PubMedGoogle Scholar
  • 7 Camarda AJ, Deschamps C, Forest D. II. Stylohyoid chain ossification: a discussion of etiology. Oral Surg Oral Med Oral Pathol 1989; 67: 515-520
    CrossrefPubMedGoogle Scholar
  • 8 Prasad KC, Kamath MP, Reddy KJ, Raju K, Agarwal S. Elongated styloid process (Eagle’s syndrome): a clinical study. J Oral Maxillofac Surg 2002; 60: 171-175
    CrossrefPubMedGoogle Scholar
  • 9 Monsour PA, Young WG. Variability of the styloid process and stylohyoid ligament in panoramic radiographs. Oral Surg Oral Med Oral Pathol 1986; 61: 522-526
    CrossrefPubMedGoogle Scholar
  • 10 Ilgüy M, Ilgüy D, Güler N, Bayirli G. Incidence of the type and calcification patterns in patients with elongated styloid process. J Int Med Res 2005; 33: 96-102
    CrossrefPubMedGoogle Scholar
  • 11 Kursoglu P, Unalan F, Erdem T. Radiological evaluation of the styloid process in young adults resident in Turkey’s Yeditepe University faculty of dentistry. Oral Surg Oral Med Oral Pathol Oral Radiol Oral Endod 2005; 100: 491-494
    Google Scholar
  • 12 Jung T, Tschernitschek H, Hippen H, Schneider B, Borchers L. Elongated styloid process: when is it really elongated?. Dentomaxillofac Radiol 2004; 33: 119-124
    CrossrefPubMedGoogle Scholar
  • 13 Zaki HS, Greco CM, Rudy TE, Kubinski JA. Elongated styloid process in a temporomandibular disorder sample: prevalence and treatment outcome. J Prosthet Dent 1996; 75: 399-405
    CrossrefPubMedGoogle Scholar
  • 14 Ferreira de Albuquerque Jr R, Muller K, Hotta TH, Goncalves M. Temporomandibular disorder or Eagle’s syndrome? A clinical report. J Prosthet Dent 2003; 90: 317-320
    CrossrefPubMedGoogle Scholar
  • 15 Lee S, Hillel A. Three-dimensional computed tomography imaging of Eagle’s syndrome. Am J Otolaryngol 2004; 25: 109
    CrossrefPubMedGoogle Scholar
  • 16 Keur JJ, Campbell JP, McCarthy JF. The clinical significance of the elongated styloid process. Oral Surg Oral Med Oral Pathol 1986; 61: 399-404
    CrossrefPubMedGoogle Scholar
  • 17 Murtagh RD, Caracciolo JT, Fernandez G. CT findings associated with Eagle syndrome. Am J Neuroradiol 2001; 22: 1401-1402
    PubMedGoogle Scholar
  • 18 Bozkir MG, Boga H, Dere F. The evaluation of elongated styloid process in panoramic radiographs in edentulous patients. Tr J Medical Science 1999; 29: 481-485
    Google Scholar
  • 19 Grossman JR, Tarsitano JJ. The styloid-stylohyoid syndrome. J Oral Surg 1977; 35: 555-560
    Google Scholar
  • 20 Erol B. Radiological assessment of elongated styloid process and ossified stylohyoid ligament. Journal of Marmara University Dental Faculty 1996; 2: 554-556
    PubMedGoogle Scholar
  • 21 Eagle WW. Elongated styloid process. Report of two cases. Arch Otolaryngol 1937; 25: 548-587
    Google Scholar
  • 22 Eagle WW. Elongated styloid process, further observations and a new syndrome. Arch Otolaryngol 1948; 47: 630-640
    CrossrefPubMedGoogle Scholar
  • 23 Cernea CR, Hojaij FC, De Carlucci Jr D. et al. First-bite syndrome after resection of the styloid process. Laryngoscope 2007; 117: 181-182
    CrossrefPubMedGoogle Scholar
  • 24 Aral IL, Karaca I, Güngör N. Eagle’s syndrome masquerading as pain of dental origin. Case report. Aust Dent J 1997; 42: 18-19
    CrossrefPubMedGoogle Scholar
  • 25 Bafaqeeh SA. Eagle syndrome: classic and carotid artery types. J Otolaryngol 2000; 29: 88-94
    PubMedGoogle Scholar
  • 26 Chuang WC, Short JH, McKinney AM, Anker L, Knoll B, McKinney ZJ. Reversible left hemispheric ischemia secondary to carotid compression in Eagle syndrome: surgical and CT angiographic correlation. Am J Neuroradiol 2007; 28: 143-145
    PubMedGoogle Scholar
  • 27 Ramadan SU, Gokharman D, Tuncbilek I, Kacar M, Kosar P, Kosar U. Assessment of the stylohoid chain by 3D-CT. Surg Radiol Anat 2007; 29: 583-588
    CrossrefPubMedGoogle Scholar
  • 28 Rechtweg JS, Wax MK. Eagle’s syndrome: a review. Am J Otolaryngol 1998; 19: 316-321
    CrossrefPubMedGoogle Scholar
  • 29 Lurie AG. Panoramic imaging. In: White SC, Pharoah MJ. eds Oral radiology, principles and interpretation. Missouri: Mosby; 2004: 191-209
    Google Scholar
  • 30 Sisman Y, Tarim Ertas E, Gokce C, Menku A, Ulker M, Akgunlu F. The prevalence of carotid artery calcification on the panoramic radiographs in Cappadocia region population. Eur J Dent 2007; 1: 132-138
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 31 Gokce C, Sisman Y, Sipahioglu M. et al. The prevalence of carotid artery calcification on the panoramic radiographs of end-stage renal disease patients with peritoneal dialysis: do incidental findings provide life-saving information?. J Int Med Res 2008; 36: 47-53
    Google Scholar
  • 32 Sisman Y, Uysal T, Gelgor IE. Hypodontia. Does the prevalence and distribution pattern differ in orthodontic patients?. Eur J Dent 2007; 1: 167-173
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 33 Okabe S, Morimoto Y, Ansai T. et al. Clinical significance and variation of the advanced calcified stylohyoid complex detected by panoramic radiographs among 80-year-old subjects. Dentomaxillofac Radiol 2006; 35: 191-199
    CrossrefPubMedGoogle Scholar
  • 34 Baçekim CC, Mutlu H, Güngör A. et al. Evaluation of styloid process by three dimensional computed tomography. Eur Radiol 2005; 15: 134-139
    CrossrefPubMedGoogle Scholar
  • 35 Onbas O, Kantarci M, Murat Karasen R. et al. Angulation, length, and morphology of the styloid process o the temporal bone analyzed by multidetector computed tomography. Acta Radiol 2005; 46: 881-886
    CrossrefPubMedGoogle Scholar
  • 36 Mirza N, Crumley R. Facial paralysis in a benign osseous parotid tumor: a case report. Otolaryngol Head Neck Surg 1993; 108: 367-371
    CrossrefPubMedGoogle Scholar
  • 37 Elgazzar HA, Silberstein EB. Skeletal scintigraphy in non-neoplastic osseous disorders. In: Henkin RE, Bova D, DiUehay GL. et al. eds. Nuclear medicine. Philadelhia, Pennsylvania: Mosby Elsevier Inc.; 2006: 1121-1181
    Google Scholar
  • 38 Atsu SS, Tekdemir I, Elhan A. The coexistence of temporomandibular disorders and styloid process fracture: a clinical report. Prosthet Dent 2006; 95: 417-420
    Google Scholar
  • 39 Balbuena Jr L, Hayes D, Ramirez SG, Johnson R. Eagle’s syndrome (elongated styloid process). South Med J 1997; 90: 331-334
    CrossrefPubMedGoogle Scholar
  • 40 Fini G, Gasparini G, Filippini F, Becelli R, Marcotullio D. The long styloid process syndrome or Eagle’s syndrome. J Craniomaxillofac Surg 2000; 28: 123-127
    CrossrefPubMedGoogle Scholar
  • 41 Favus MJ, Vokes TJ. Paget disease and other dysplasias of bone. In: Jameson JL. ed. Harrison’s endocrinology. USA: McGraw-Hill Companies; 2006: 485-498
    Google Scholar
  • 42 Luke RG. Chronic renal failure. In: Goldman L, Ausiello D. eds. Cecil textbook of medicine. Philadelphia, Pennsylvania: Saunders; 2004: 708-716
    Google Scholar
  • 43 Slatopolsky E. The role of calcium, phosphorus and vitamin D metabolism in the development of secondary hyperparathyroidism. Nephrol Dial Transplant 1998; 13: 3-8
    PubMedGoogle Scholar
  • 44 Hruska KA, Teitelbaum SL. Renal osteodystrophy. N Engl J Med 1995; 333: 166-174
    CrossrefPubMedGoogle Scholar
  • 45 Cunningham J. Achieving therapeutic targets in the treatment of secondary hyperparathyroidism. Nephrol Dial Transplant 2004; 19 Suppl (Suppl. 05) V9-14
    CrossrefPubMedGoogle Scholar
  • 46 Locatelli F, Cannata-Andia JB, Drüeke TB. et al. Management of disturbances of calcium and phosphate metabolism in chronic renal insufficiency, with emphasis on the control of hyperphosphataemia. Nephrol Dial Transplant 2002; 17: 723-731
    CrossrefPubMedGoogle Scholar
  • 47 Goodman WG. Medical management of secondary hyperparathyroidism in chronic renal failure. Nephrol Dial Transplant 2003; 18 Suppl (Suppl. 03) iii2-8
    CrossrefPubMedGoogle Scholar
  • 48 Drüeke TB. Renal osteodystrophy: management of hyperphosphataemia. Nephrol Dial Transplant 2000; 15 Suppl (Suppl. 05) 32-33
    CrossrefPubMedGoogle Scholar
  • 49 Fukagawa M, Kazama JJ, Kurokawa K. Renal osteodystrophy and secondary hyperparathyroidism. Nephrol Dial Transplant 2002; 17 Suppl (Suppl. 10) 2-5
    PubMedGoogle Scholar
  • 50 Weinreich T. Prevention of renal osteodystrophy in peritoneal dialysis. Kidney Int 1998; 54: 2226-2233
    CrossrefPubMedGoogle Scholar
  • 51 Hörl WH. The clinical consequences of secondary hyperparathyroidism: focus on clinical outcomes. Nephrol Dial Transplant 2004; 19 Suppl (Suppl. 05) V2-8
    Google Scholar
  • 52 Guérin AP, London GM, Marchais SJ, Metivier F. Arterial stiffening and vascular calcifications in end-stage renal disease. Nephrol Dial Transplant 2000; 15: 1014-1021
    CrossrefPubMedGoogle Scholar