scholarly journals Ultrasonography for noninvasive and real-time evaluation of peri-implant soft and hard tissue: a case series

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Miriam Thöne-Mühling ◽  
Oliver D. Kripfgans ◽  
Reiner Mengel

Abstract Background The diagnosis of soft and hard tissue at dental implants will be challenging in the future, as high prevalence of mucositis and peri-implantitis were described in the population. Ultrasonography is a promising non-invasive, inexpensive, painless, and radiation-free method for imaging hard and soft tissue at implants, especially an ultrasound device with a 25-MHz probe demonstrating a high correlation between ultrasound, clinical, and radiological measurements. Case presentation The following case series demonstrates the use of ultrasonography with high spatial resolution probe in patients with dental implants affected by soft tissue recession and/or crestal bone loss. Conclusion These ultrasound images can provide valuable additional information for the assessment of peri-implant soft and hard tissue.

2017 ◽  
Vol 10 (2) ◽  
pp. 188-192 ◽  
Author(s):  
Ferah Rehman ◽  
Vivek Chaturvedy

ABSTRACT Soft tissue laser, such as diode and Nd:YAG lasers were initially used in soft tissue lesions because of its increased success rate. It was because of the fact that these lasers were well-absorbed by chromophores, such as hemoglobin and melanin which are found abundant in the oral mucosa. The introduction of erbium family in 1990 comprising the Er:YAG and Er,Cr:YSGG lasers made the hard tissue laser a boon for dentistry. Erbium, chromium-doped yttrium, scandium, gallium and garnet (Er,Cr:YSGG) was introduced in 1997 for the surgical needs of clinical dentistry in general practice. The erbium belongs to the rare earth which is embedded in a host crystal. The actual lasing process takes place in the Er ion Er3+. Two host crystals consisting of yttrium, aluminum, and garnet (Y3A5O12) and yttrium, scandium, gallium, and garnet (Y3Sc2Ga3O12) are added to the erbium. The interest to use these hard tissue laser in the treatment of soft tissue lesion was because of the properties of these lasers which are well-absorbed by chromophore water apart from hydroxy appetite crystals. Erbium laser energy is absorbed by collagen, hydroxyapatite, and water components. It allows the laser to cut soft tissue, tooth structure, and bone. In the noncontact mode, the incision is scalpel-like, with very little hemostasis. In contact mode, it performs soft tissue sculpting with adequate hemostasis. The Er,Cr:YSGG is the world's most advanced dental laser, which is ideal all-tissue laser because all dental tissues contain water, for the multidisciplinary dentist who performs a broad spectrum of procedures. It delivers the highest level of clinician control, operating efficiency, flexibility in tip, and accessory selection. For optimal clinical results and patient comfort in hard and soft tissue procedures, the erbium lasers have set a new standard of clinical performance. The present case series aims to highlight the various soft tissue applications of Er,Cr:YSGG (Waterlase Biolase®, Biolase, Inc, San Clemente, California, USA) in pediatric patients. How to cite this article Kumar G, Rehman F, Chaturvedy V. Soft Tissue Applications of Er,Cr:YSGG Laser in Pediatric Dentistry. Int J Clin Pediatr Dent 2017;10(2):188-192.


2020 ◽  
Vol 10 (3) ◽  
pp. 62-65
Author(s):  
Nilesh Mote ◽  
N G Toshniwal ◽  
Shubhangi Mani ◽  
Ashwini Nalkar ◽  
Vishal Dhanjani

Introduction: In past few years, there is huge improvement in orthodontics. Different innovation in orthodontics made the procedure easier and less time consuming. Application of laser is one of them. Many types of dental lasers are currently available that can be efficiently used for soft and hard tissue applications in the field of orthodontics. Two types of lasers are there. One is hard tissue laser, and another is soft tissue laser. Laser therapy is advantageous because it often avoids bleeding, can be pain free, is non‑invasive and is relatively quick. The high cost is its primary disadvantage. The purpose of this article is to provide an overview regarding safe and proper use of soft-tissue lasers in orthodontics


2016 ◽  
Vol 28 (9) ◽  
pp. 1046-1053 ◽  
Author(s):  
Aliye Akcalı ◽  
Anna Trullenque-Eriksson ◽  
Chuanming Sun ◽  
Aviva Petrie ◽  
Luigi Nibali ◽  
...  

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Anabelle Dias Ribeiro ◽  
Julliana Cariry Palhano Freire ◽  
Jaqueline Oliveira Barreto ◽  
Eduardo Dias Ribeiro ◽  
Ronaldo Lira Júnior ◽  
...  

A anatomia do tecido mole peri-implantar é semelhante à do dente natural, uma vez que apresenta epitélio juncional e tecido conjuntivo. O selamento peri-implantar é estabelecido pela mucosa ceratinizada que previne a migração apical da margem gengival, mantendo a arquitetura tecidual e estética vermelha ao redor dos implantes osseointegráveis. O presente trabalho objetivou relatar um caso clínico de reconstrução de tecido mole previamente a cirurgia óssea reconstrutiva para a instalação de implante osseointegrável. Após a reconstrução do tecido mole observou-se que houve um satisfatório ganho de altura e espessura tecidual. Foi obtido um volume tecidual suficiente para regularização do zênite gengival e considerável volume de mucosa ceratinizada foi obtida previamente a cirurgia reconstrutiva.Descritores: Implantes Dentários; Periodontia; Reabilitação Bucal.ReferênciasMutthineni RB, Dudala RB, Ramisetty A. Esthetic root coverage with double papillary subepithelial connective tissue graft: a case report. Case Rep Dent. 2014;2014:509319.Peñarrocha MA, Carrillo C, Boronat A,Martí EM. Level of satisfaction in patients with maxillary mull-arch fixed protheses: zigomatic versus convencional implants. Int J Oral Maxillofac Implants. 2007;22(5):769-73.Ponsi J, Lahti S, Rissanen H, Oikarinen K. Change in subjective oral health after single dental implant treatment. Int J Oral Maxillofac Implants. 2011;26(3):571-77.Man Y, Wang Y, Qu Y, Wang P, Gong P. A palatal roll envelope technique for peri-implant mucosa reconstruction: a prospective case series study. Int J Oral Maxillofac Surg. 2013;42(5):660-65.Schneider D, Grunder U, Ender A, Hämmerle CH, Jung RE. Volume gain and stability of peri-implant tissue following bone and soft tissue augmentation: 1-year results from a prospective cohort study. Clin Oral Implants Res. 2011;22(1):28-37.Evans CD, Chen ST. Esthetic outcomes of immediate implant placements. Clin Oral Implants Res. 2008;19(1):73-80.Grover HS, Yadav A, Yadav P, Nanda P. Free gingival grafting to increase the zone of Keratinized tissue around implants. Int J Oral Implant Clinical Res. 2011;2(2):117-20.Almeida JM, Novaes VN, Faleiros PL, Macarimi VC, Bosco AF, Theodoro LH et al. Aumento de gengiva ceratinizada em mucosa peri-implantar. Rev odontol UNESP. 2012;41(5):365-69.Langer B, Langer L. Overlapped flap: a surgical modification for implant fixture installation. Int J Periodontics Restorative Dent. 1990;10(3):208-15.Raghoebar GM, Meijer HJA, van Minnen B, Vissink A. Immediate Reconstruction of Failed Implants in the Esthetic Zone Using a Flapless Technique and Autogenous Composite Tuberosity Graft. J Oral Maxillofac Surg. 2018;76(3):528-33.Chung DM, Oh TJ, Shotwell JL, Misch CE, Wang HL. Significance of keratinized mucosa in maintenance of dental implants with different surfaces. J Periodontol. 2006;77(8):1410-20.Park JC , Yang KB, Choi Y , Kim YT , Jung UW , Kim CS et al. A simple approach to preserve keratinized mucosa around implants using a pre-fabricated implant-retained stent: a report of two cases. J Periodontal Implant Sci. 2010; 40(4):194-200.Wennström JL, Bengazi F, Lekholm U. The influence of the masticatory mucosa on the peri-implant soft tissue condition. Clin Oral Implants Res. 1994;5(1):1-8. Bengazi F, Wennström JL, Lekholm U. Recession of the soft tissue margin at oral implants. A 2-year longitudinal prospective study. Clin Oral Implants Res. 1996;7(4):303-10.Bouri A Jr, Bissada N, Al-Zahrani MS, Faddoul F, Nouneh I. Width of keratinized gingiva and the health status of the supporting tissues around dental implants. Int J Oral Maxillofac Implants. 2008;23(2):323-26.Fu JH, Su CY, Wang HL. Esthetic soft tissue management for teeth and implants. J Evid Based Dent Pract. 2012;12(3 Suppl):129-42.Marquez IC. The role of keratinized tissue and attached gingiva in maintaining periodontal/peri-implant health. Gen Dent. 2004;52(1):74-9.


2019 ◽  
Vol 29 (2) ◽  
pp. 61-64
Author(s):  
Saulius Žukauskas ◽  
Algirdas Puišys ◽  
Paulius Andrijauskas ◽  
Linas Zaleckas ◽  
Tomas Linkevičius

Stability of crestal bone around dental implants is a major concern for oral surgeons and dentists. It is a key factor for success of dental implant treatment. Crestal bone is more prevented from resorption when surrounding tissues are thicker. Aim of the study – to find out the mean of crestal bone loss around supracrestally placed dental implants with matching platform in vertically thick soft tissues. The final patient sample included 34 patients (17 female and 17 male), who received 34 two piece dental implants in total. All 34 implants integrated successfully as evaluation under implant success criteria was applied. Implants were restored by single-unit crowns, using metal-ceramic prostheses. After 1 year thick soft tissues maintain stable crestal bone around dental implants in lower jaw. Minor bone resorption of 0.28 ± 0.36 mm mm could be seen during early bone remodelling phase.


2021 ◽  
Author(s):  
Eduardo Henrique Loreti ◽  
Giovanna Fernandes dos Reis ◽  
Alisson Alexandre da Silva ◽  
Marcelo Gonçalves da Silva

Background: The gestational period is a period of high prevalence of mental disorders, including depression, requiring effective therapeutic measures. Objectives: systematize the effects of Transcranial Direct Current Stimulation (tDCS) and Transcranial Magnetic Stimulation (TMS) in the treatment of depression during pregnancy. Design and setting: Systematic review with bibliometric. Methods: Articles were searched in the databases: MEDLINE/PubMed, Web of Science and Scopus. Randomized clinical trials, case-control studies and case series, published between 2011 and 2020, that used tDCS and TMS to treat depression in pregnant patients were included. Studies that used transcranial electrostimulation associated with another technique (except the pharmacological one) were excluded. The quality of studies was evaluated independently by the reviewers according to the Cochrane Handbook for Systematic Reviews for Interventions for assessing bias. Software R was used to perform bibliometrics. Results: Seven studies were included, totaling 102 participants. The stimulated area was the dorsalateral prefrontal cortex (CPFDL). Two studies used tDCS with an intensity of 2 mA and application for 20 minutes and 30 minutes. Five studies used TMS, of which 2 used a frequency of 1 Hz, 2 used 25 Hz and 1 used 10 Hz. The University of Pennsylvania sets up the research center with the most affiliated articles, 8 in total. The author with the greatest impact was Kin, D.R. (index h: 6, index g: 7, index m: 0.462, total of publications 7, beginning: 2009). Conclusions: tDCS and TMS proved to be effective for the treatment of symptoms of depression during pregnancy. Systematic Review Registration: The review was registered in PROSPERO with protocol: CRD42021235355.


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