scholarly journals Implant-Retained Obturator for an Edentulous Patient with a Hemimaxillectomy Defect Complicated with Microstomia

2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Pravinkumar G. Patil ◽  
Smita Nimbalkar-Patil
Keyword(s):  
Oral Cavity ◽  
Dental Implant ◽  
Prosthetic Rehabilitation ◽  
Edentulous Patient ◽  
Maximum Width ◽  
Scar Contracture ◽  
Implant Placement ◽  
Oral Opening ◽  
Implant Retention ◽  
Edentulous Patients

Patient. A 68-year-old man was operated on for squamous cell carcinoma (T3N3M0) of the maxilla creating the hemimaxillary surgical defect on right side. The remaining arch was completely edentulous. There was remarkable limitation in the oral opening with reduced perimeter of the oral cavity due to radiation and surgical scar contracture. This article describes prosthetic rehabilitation by modifying the design of the obturator and achieving the retention with dental implant.Discussion. Severe limitation in the oral opening may occur in clinical situations following the postsurgical management of oral and maxillofacial defects. The prosthetic rehabilitation of the surgical defect in such patients becomes a challenging task due to limited access to the oral cavity. This challenge becomes even more difficult if the patient is edentulous and there are no teeth to gain the retention, stability, and support.Conclusion. In severe microstomia prosthesis insertion and removal can be achieved with modification of the maximum width of the prosthesis. Dental implant retention is useful treatment option in edentulous patients with maxillary surgical defect provided that sufficient bone volume and accessibility are there for implant placement.

Assessment of Patients Referred to Specialty Dental Hospitals for Dental Implant Procedure: A Retrospective Cohort Analysis

2016 ◽  
Vol 17 (6) ◽  
pp. 470-475
Author(s):  
Rishi Thukral ◽  
MC Prasant ◽  
Krunal M Punjabi ◽  
Aparna Paliwal ◽  
Kunal Patel
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Failure Rate ◽  
Retrospective Cohort ◽  
Cohort Analysis ◽  
Prosthetic Rehabilitation ◽  
Implant Placement ◽  
Retrospective Cohort Analysis ◽  
Edentulous Patients ◽  
Augmentation Procedure

ABSTRACT Introduction One of the most common and effective ways of replacing missing teeth is by dental implants. Both quality and quantity of bone along with the area of implant placement govern the prognosis of the implant procedure. Certain risk factors predispose the implant treatment to high failure rate. Hence, we assessed the implant patients who were referred from private practitioners to the specialty hospitals from 2010 to 2014. Materials and methods All the patients being referred from private clinics to the specialty dental hospital for the purpose of prosthetic rehabilitation by dental implants from June 2010 to July 2014 were included in the present study. Skilled oral and maxillofacial surgeons were appointed for performing the implant surgical procedures. Prosthetic rehabilitation was done after 6 to 8 weeks and after 10 to 14 weeks in implant cases without and with bone augmentation procedures respectively. Distribution of dental implants based on the indications, location, dimension of augmentation procedure, and complication of implants was analyzed and assessed for the level of significance. Results Of the patients, 712 were females, while the remaining were males. Most of the patients were in the age group of 50 to 59 years. As compared with completely edentulous patients, most of the patients required rehabilitation by a single implant. Maximum dental implants were placed in maxillary premolar region and mandibular first molar region. Over 1,000 cases in this study required rehabilitation by augmentation procedure. Conclusion Partially edentulous patients are most commonly referred to specialized dental hospitals for prosthetic rehabilitation by dental implants, mostly with the purpose of implant placement. Failure rate can be minimized by following strict patient selection protocols along with following a standard surgical criterion. Clinical significance Following standard surgical protocols and strict treatment planning, prognosis of the dental implant procedures can be improved to a greater extent, thereby increasing its clinical success rate. How to cite this article Thukral R, Kumar A, Prasant MC, Punjabi KM, Paliwal A, Patel K. Assessment of Patients Referred to Specialty Dental Hospitals for Dental Implant Procedure: A Retrospective Cohort Analysis. J Contemp Dent Pract 2016;17(6):470-475.

scholarly journals The importance of implant-supported overdentures in a bimaxillary complete edentulous patient – case report

2019 ◽  
Vol 2 (2) ◽  
pp. 229-234
Author(s):  
Valentin Melchner ◽  
Edwin Sever Bechir ◽  
Florentin Daniel Berneanu
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Implant Stability ◽  
Prosthetic Rehabilitation ◽  
Edentulous Patient ◽  
Patient Case ◽  
Oral Rehabilitation ◽  
Case Presentation ◽  
Edentulous Patients

AbstractIntroduction. Complete edentulism is escorted by various comorbidities, which affect an individual. The management of edentulous patients was approached since the early days of dentistry.The aim of this case report was to present the implanto-prosthetic rehabilitation of a bimaxillary complete edentulous patient with implant-supported overdentures, by using Straumann dental implants.Case presentation. This case report presents the applied treatment to a bimaxillary complete edentulous patient, where the predictable osseointegration and implant stability after the placement of implants was possible, with the purpose to support the overdentures.Conclusions. The oral rehabilitation of complete bimaxillary edentulism through implant-supported overdentures is a procedure with a predictive treatment that presents beneficial aspects in the quality of life of the patients.

scholarly journals Radiographic Assessment of Anatomy of Nasopalatine Canal for Dental Implant Placement: A Cone Beam Computed Tomographic Study

2018 ◽  
Vol 19 (3) ◽  
pp. 301-305 ◽  
Author(s):  
Pramod Tatuskar ◽  
Jaligama B Rao ◽  
Ashwini Pulla ◽  
Swati C Patil ◽  
Ila Tiwari
Keyword(s):  
Dental Implant ◽  
Cone Beam ◽  
Cortical Plate ◽  
Radiographic Assessment ◽  
Nasopalatine Canal ◽  
Computed Tomographic ◽  
Exact Location ◽  
Implant Placement ◽  
Oral Opening ◽  
Males And Females

ABSTRACT Aim The aim of this study is to assess the morphology of nasopalatine canal (NPC) with cone beam computed tomo-graphy (CBCT). Materials and methods A total of 460 subjects of both genders were subjected to CBCT with NewTom machine, and sagittal and coronal sections were used for evaluation of the shape of NPC and width of buccal cortical plate. Types of NPC were also assessed. Results Of 460 subjects, males were 210 and females were 250. The difference was nonsignificant (p = 0.1). Type III canals were mostly seen in both males and females, followed by types I and II. The mean length of NPC in males and females showed statistical significant difference (p < 0.05). Males showed significantly higher diameter of nasal opening, oral opening, and width of the buccal bone plate over the oral opening as compared with females. Conclusion The exact location, morphology, and dimensions of NPC can be well visualized with CBCT. All findings were higher in males as compared with females. Clinical significance The success of dental implant in maxillary anterior region may be affected by the approximation with NPC. The exact location and morphology play an important role for the correct placement of implant. Cone beam computed tomography is a useful tool providing three-dimensional images in all sections. How to cite this article Rao JB, Tatuskar P, Pulla A, Kumar N, Patil SC, Tiwari I. Radiographic Assessment of Anatomy of Nasopalatine Canal for Dental Implant Placement: A Cone Beam Computed Tomographic Study. J Contemp Dent Pract 2018;19(3):301-305.

scholarly journals Rehabilitasi Prostetik Paska Hemimaksilektomi pada Pasien Edentulos

2012 ◽  
Vol 19 (2) ◽  
pp. 150
Author(s):  
Novi Tenripada ◽  
M.Th Esti Tjahjanti ◽  
Erwan Sugiatno
Keyword(s):  
Oral Cancer ◽  
Anatomical Structure ◽  
Cancer Surgery ◽  
Treatment Modalities ◽  
Prosthetic Rehabilitation ◽  
Edentulous Patient ◽  
Patient Case ◽  
Maxillary Defect ◽  
Oral Reconstruction ◽  
Edentulous Patients

Latar belakang. Hemimaksilektomi adalah reseksi sebagian maksila pada satu sisi. Defek yang dihasilkan setelah hemimaksilektomi akan menyebabkan kecacatan pada wajah serta akan menimbulkan gangguan stomatognatik. Rehabilitasi prostetik merupakan suatu bagian yang penting dalam rekonstruksi rongga mulut pasien pasca pembedahan kanker rongga mulut. Upaya rehabilitasi ini mencakup bentuk perawatan yang melibatkan kerjasama multidisipliner dengan bagian ilmu penyakit mulut, bedah onkologi dan prostodonsi. Tujuan. Penulisan laporan kasus ini bertujuan untuk menginformasikan rehabilitasi prostetik pasca hemimaksilektomi untuk pasien edentulous. Kasus dan penanganan. Pasien laki-laki berumur 65 tahun datang ke RSGM Prof Soedomo dengan diagnose kanker di palatum dan akan dilakukan hemimaksilektomi di RSUP Dr Sardjito Yogyakarta. Protesa yang digunakan dalam rehabilitasi prostetik ini adalah obturator imidiat, obturator interim dan obturator definitive. Obturator definitif pada pasien edentulous berupa gigi tiruan lengkap dengan bulb pada sisi defek. Bentuk obturator dibuat dengan mengoptimalisasi retensi dari struktur anatomi yang tersisa. Kesimpulan. Rehabilitasi prostodontik pada pasien edentulous pasca hemimaksilektomi adalah dengan obturator imidiat, obturator interim dan obturator definitive berupa gigi tiruan lengkap dengan bulb. Background. Hemimaxillectomy is resection on unilateral side of maxilla. Maxillary defect that occurred after hemimaxillectomy result in facial deformities and stomatognatic disfunction. Prosthetic rehabilitation is essential part in oral reconstruction after patient undergone oral cancer surgery. Rehabilitative efforts involve treatment modalities involving multidiscipliner teamwork with oral pathologist, oncologist and prosthodontist. Purpose. Purpose of the report was to inform the prosthetic rehabilitation after hemimaxillectomy in completely edentulous patient. Case and treatment. A 65 years male diagnosed cancer on palatal referred to RSGM Prof Soedomo in order to prepare prosthodontic rehabilitation after hemimaxillectomy in RSUP Dr Sardjito, Yogyakarta. Prosthesis used in this rehabilitation were immediate obturator, interim obturator and definitive obturator. Obturator for completely edentulous patients is complete denture with the bulb on defect side. The shape of obturator was designed to optimalize retention from the remaining anatomical structure. Conclusion. Prosthetic rehabilitation for hemimaxillectomy edentulous patient were immediate obturator, interim obturator and definitive obturator.

scholarly journals Esthetic Rehabilitation Using Magnet-Retained Cheek Plumper Prosthesis

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Alisha Rewari ◽  
Nupur Dabas ◽  
Reshu Sanan ◽  
Shefali Phogat ◽  
Sumit Singh Phukela ◽  
...  
Keyword(s):  
Negative Impact ◽  
Well Being ◽  
Clinical Report ◽  
Prosthetic Rehabilitation ◽  
Missing Teeth ◽  
Edentulous Patient ◽  
Long Span ◽  
Facial Musculature ◽  
Edentulous Patients ◽  
Additional Support

Summary. Prosthetic rehabilitation of a completely edentulous patient is no more confined to replacement of missing teeth. Long span of edentulism and ageing leads to loss of support of the facial musculature, which is of great concern in treating completely edentulous patients. Flaccid facial musculature eventually leads to sunken cheeks and unesthetic appearance, causing a negative impact on psychological well-being of the patient. The use of conventional complete dentures can restore the loss to some extent, but in some cases, additional support is required. The present clinical report exemplifies the use of magnet-retained detachable maxillary cheek plumper prosthesis in a completely edentulous patient with sunken cheeks.

scholarly journals Prosthetic Rehabilitation on Edentulous Patients with Microstomia: About Three Cases

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Oumaima Tayari ◽  
Jamila Jaouadi ◽  
Safa Jemli ◽  
Hela Haloui ◽  
Ali Ben Rahma
Keyword(s):  
Quality Of Life ◽  
Treatment Options ◽  
Clinical Treatment ◽  
Clinical Report ◽  
Prosthetic Rehabilitation ◽  
Oral Aperture ◽  
Oral Opening ◽  
Abnormal Condition ◽  
Edentulous Patients

Limited oral opening is an acquired or congenital abnormal condition that compromises patient esthetics, nutrition, and quality of life. In addition, it may hinder conventional prosthetic procedures of edentulous patients, make it challenging, and present difficulties at all its stages. This clinical report presents different clinical treatment options suitable to be chosen by the prosthodontic carer in the case of reduced oral aperture.

Is perioperative antibiotic necessary in straightforward implant placement procedures?

2020 ◽  
Author(s):  
Elçin Bedeloğlu ◽  
Mustafa Yalçın ◽  
Cenker Zeki Koyuncuoğlu
Keyword(s):  
Clavulanic Acid ◽  
Dental Implant ◽  
Prophylactic Antibiotic ◽  
Antibiotic Use ◽  
Implant Failure ◽  
Control Group ◽  
Implant Placement ◽  
Significant Difference ◽  
Amoxicillin Clavulanic Acid ◽  
Experimental Group

The purpose of this non-random retrospective cohort study was to evaluate the impact of prophylactic antibiotic on early outcomes including postoperative pain, swelling, bleeding and cyanosis in patients undergoing dental implant placement before prosthetic loading. Seventy-five patients (45 males, 30 females) whose dental implant placement were completed, included to the study. Patients used prophylactic antibiotics were defined as the experimental group and those who did not, were defined as the control group. The experimental group received 2 g amoxicillin + clavulanic acid 1 h preoperatively and 1 g amoxicillin + clavulanic acid twice a day for 5 days postoperatively while the control group had received no prophylactic antibiotic therapy perioperatively. Data on pain, swelling, bleeding, cyanosis, flap dehiscence, suppuration and implant failure were analyzed on postoperative days 2, 7, and 14 and week 12. No statistically significant difference was detected between the two groups with regard to pain and swelling on postoperative days 2, 7, and 14 and week 12 ( p &gt;0.05), while the severity of pain and swelling were greater on day 2 compared to day 7 and 14 and week 12 in both groups ( p =0.001 and p &lt;0.05, respectively). Similarly, no significant difference was found between the two groups with regard to postoperative bleeding and cyanosis. Although flap dehiscence was more severe on day 7 in the experimental group, no significant difference was found between the two groups with regard to the percentage of flap dehiscence assessed at other time points. Within limitations of the study, it has been demonstrated that antibiotic use has no effect on implant failure rates in dental implant surgery with a limited number of implants. We conclude that perioperative antibiotic use may not be required in straightforward implant placement procedures. Further randomized control clinical studies with higher numbers of patients and implants are needed to substantiate our findings.

Dental Implant Placement in Patients with a History of Medications Related to Osteonecrosis of the Jaws: A Systematic Review

2020 ◽  
Author(s):  
Judd Sher ◽  
Kate Kirkham-Ali ◽  
Denny Luo ◽  
Catherine Miller ◽  
Dileep Sharma
Keyword(s):  
Systematic Review ◽  
At Risk ◽  
Drug Therapy ◽  
Dental Implant ◽  
Case Series ◽  
Cochrane Central Register ◽  
Bisphosphonate Treatment ◽  
Implant Placement ◽  
Increased Risk ◽  
History Of

The present systematic review evaluates the safety of placing dental implants in patients with a history of antiresorptive or antiangiogenic drug therapy. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines were followed. PubMed, Cochrane Central Register of Controlled Trials, Scopus, Web of Science, and OpenGrey databases were used to search for clinical studies (English only) to July 16, 2019. Study quality was assessed regarding randomization, allocation sequence concealment, blinding, incomplete outcome data, selective outcome reporting, and other biases using a modified Newcastle-Ottawa scale and the Joanna Briggs Institute critical appraisal checklist for case series. A broad search strategy resulted in the identification of 7542 studies. There were 28 studies reporting on bisphosphonates (5 cohort, 6 case control, and 17 case series) and one study reporting on denosumab (case series) that met the inclusion criteria and were included in the qualitative synthesis. The quality assessment revealed an overall moderate quality of evidence among the studies. Results demonstrated that patients with a history of bisphosphonate treatment for osteoporosis are not at increased risk of implant failure in terms of osseointegration. However, all patients with a history of bisphosphonate treatment, whether taken orally for osteoporosis or intravenously for malignancy, appear to be at risk of ‘implant surgery-triggered’ MRONJ. In contrast, the risk of MRONJ in patients treated with denosumab for osteoporosis was found to be negligible. In conclusion, general and specialist dentists should exercise caution when planning dental implant therapy in patients with a history of bisphosphonate and denosumab drug therapy. Importantly, all patients with a history of bisphosphonates are at risk of MRONJ, necessitating this to be included in the informed consent obtained prior to implant placement. The James Cook University College of Medicine and Dentistry Honours program and the Australian Dental Research Foundation Colin Cormie Grant were the primary sources of funding for this systematic review.

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