scholarly journals A guide to implant dentistry part 1: treatment planning

Dental Update ◽  
2019 ◽  
Vol 46 (5) ◽  
pp. 412-425
Author(s):  
Despoina Chatzistavrianou ◽  
Paul HR Wilson ◽  
Philip Taylor
Keyword(s):  
Treatment Planning ◽  
Survival Rates ◽  
Evidence Based ◽  
High Survival ◽  
Implant Placement ◽  
Careful Treatment ◽  
Operative Planning ◽  
Implant Dentistry ◽  
Term Maintenance

Implant rehabilitation is considered a predictable treatment modality to replace single and multiple missing units, with high survival rates. Technical and biological complications are commonly encountered and careful treatment planning, restorative-driven implant placement and long-term maintenance are prerequisites of a successful implant rehabilitation. The aim of this two-part series is to provide an evidence-based overview regarding the sequence of treatment planning and the treatment stages of a successful implant rehabilitation. The first part of the series will focus on new patient assessment and pre-operative planning. The second part of the series will discuss the surgical and prosthodontic considerations and maintenance of implant-supported restorations. CPD/Clinical Relevance: To provide the dental practitioner with an evidence-based overview regarding treatment planning, surgical and prosthodontic considerations and maintenance of implant-supported restorations.

scholarly journals A guide to implant dentistry part 2: surgical and prosthodontic considerations

Dental Update ◽  
2019 ◽  
Vol 46 (6) ◽  
pp. 514-523
Author(s):  
Despoina Chatzistavrianou ◽  
Paul HR Wilson ◽  
Philip Taylor
Keyword(s):  
Treatment Planning ◽  
Treatment Modality ◽  
Clinical Relevance ◽  
Evidence Based ◽  
Patient Assessment ◽  
Missing Teeth ◽  
Implant Placement ◽  
Careful Treatment ◽  
Operative Planning ◽  
Implant Dentistry

Implant rehabilitation is a successful treatment modality for the replacement of missing teeth, but careful treatment planning, restoratively-driven implant placement and individualized maintenance are prerequisites for success in order to control and minimize technical and biologic complications. The first part of the series focused on new patient assessment and pre-operative planning. The second part of the series will discuss the surgical and prosthodontic considerations and maintenance of implant-supported restorations. CPD/Clinical Relevance: To provide the dental practitioner with an evidence-based overview regarding treatment planning, surgical and prosthodontic considerations and maintenance of implant-supported restorations.

scholarly journals Errors in Implant Positioning Due to Lack of Planning: A Clinical Case Report of New Prosthetic Materials and Solutions

Materials ◽  
2020 ◽  
Vol 13 (8) ◽  
pp. 1883 ◽  
Author(s):  
Marco Tallarico ◽  
Roberto Scrascia ◽  
Marco Annucci ◽  
Silvio Mario Meloni ◽  
Aurea Immacolata Lumbau ◽  
...  
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Survival Rates ◽  
Primary Treatment ◽  
High Survival ◽  
Adequate Treatment ◽  
Implant Position ◽  
Implant Positioning ◽  
Implant Placement

The achievement of the optimal implant position is a critical consideration in implant surgery, as it can facilitate the ideal prosthesis design and allow adequate oral hygiene maintenance. The switch from bone-driven to prosthetic-driven implant placement, through a comprehensive diagnosis and adequate treatment plan, is a prerequisite for long-term successful implant-based therapy. The aim of the present case report is to describe a step-by-step prosthetic retreatment of a patient with primary treatment failure due to incorrect dental implant placement. Although dental implants achieve high survival rates, the success of implant prosthetic therapy significantly relies on an appropriate implant position. Malpositioned implants can cause damage to vital structures, like nerves or vessels. Moreover, improper implant positioning can result in esthetic, biological, and technical complications and can, in extreme situations, render the desired prosthetic rehabilitation impossible to achieve.

scholarly journals Clinical long-term and patient-reported outcomes of dental implants in oral cancer patients

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Eik Schiegnitz ◽  
Lena Katharina Müller ◽  
Keyvan Sagheb ◽  
Lisa Theis ◽  
Vahide Cagiran ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Oral Cancer ◽  
Cancer Patients ◽  
Dental Implants ◽  
Survival Rates ◽  
Implant Survival ◽  
Implant Placement ◽  
Patient Reported ◽  
Oral Cancer Patients

Abstract Background and purpose The aim of this clinical study was to investigate the clinical long-term and patient-reported outcome of dental implants in patients with oral cancer. In addition, analysis of the influence of radiation therapy, timing of implant insertion, and augmentation procedures on implant survival was performed. Material and methods This retrospective study investigated the clinical outcome of 711 dental implants in 164 oral cancer patients, inserted by experienced surgeons of the Department of Oral and Maxillofacial Surgery, University Medical Center Mainz, Germany. Oral health-related quality of life (OHRQoL) was evaluated. Results Cumulative 5-year and 10-year implant survival rates for all included implants were 87.3% and 80.0%. Implants placed straight after ablative surgery (primary implant placement) and implants placed after completing the oncologic treatment (secondary implant placement) showed a comparable implant survival (92.5% vs. 89.5%; p = 0.635). Irradiation therapy had no significant influence on implant survival of secondary placed implants (p = 0.929). However, regarding implant site (native bone vs. augmented bone) and radiation therapy (non-irradiated bone vs. irradiated bone), implants inserted in irradiated bone that received augmentation procedures showed a statistically significant lower implant survival (p < 0.001). Patients reported a distinct improvement in OHRQoL. Conclusions Promising long-term survival rates of dental implants in patients after treatment of oral cancer were seen. In addition, patients benefit in form of an improved OHRQoL. However, bone augmentation procedures in irradiated bone may result in an impaired implants’ prognosis.

Dual-Mobility Cups in Primary Total Hip Arthroplasty

2021 ◽  
Author(s):  
Petri Bellova ◽  
Jens Goronzy ◽  
Roman Riedel ◽  
Tim Grothe ◽  
Albrecht Hartmann ◽  
...  
Keyword(s):  
Hip Arthroplasty ◽  
Neuromuscular Disorders ◽  
Survival Rates ◽  
High Survival ◽  
Dual Mobility ◽  
Advantages And Disadvantages ◽  
Large Head ◽  
Dual Mobility Cups ◽  
Primary Hip Arthroplasty

AbstractDual-mobility cups (DMCs) were introduced in France more than 40 years ago and are increasingly used not only in hip revision but also primary hip arthroplasty. Due to a simulated large-head articulation and increased jumping distance, DMCs can contribute to a high range of motion in the hip joint and reduce the risk of instability. Numerous studies have reported low dislocation rates and high survival rates in the mid-term follow-up. Nevertheless, long-term data, especially on primary hip replacement, remain limited, and the effect of recent designs and material innovations is still unclear. Therefore, primary DMCs are mainly proposed in patients at high risk for dislocation (i.e. pelvitrochanteric insufficiency, compromised spinopelvic mobility, neuromuscular disorders, obesity and femoral neck fractures). Based on a review of recently published studies referring to these indications, the current study discusses the advantages and disadvantages of DMCs.

scholarly journals Prospective evaluation of multitarget treatment of pediatric patients with helical intensity-modulated radiotherapy

2020 ◽  
Vol 196 (12) ◽  
pp. 1103-1115
Author(s):  
Maria-Elena A. Salfelder ◽  
Kerstin A. Kessel ◽  
Uwe Thiel ◽  
Stefan Burdach ◽  
Severin Kampfer ◽  
...  
Keyword(s):  
Survival Rate ◽  
Side Effects ◽  
Survival Rates ◽  
Young Patients ◽  
Intensity Modulated Radiotherapy ◽  
High Survival ◽  
Single Target ◽  
Number Of Patients ◽  
Grade 3

Abstract Background and purpose Radiotherapy (RT) is persistently gaining significance in the treatment of pediatric tumors. However, individual features of a growing body and multifocal stages complicate this approach. Tomotherapy offers advantages in the treatment of anatomically complex tumors with low risks of side effects. Here we report on toxicity incidence and outcome of tomotherapy with a focus on multitarget RT (mtRT). Materials and methods From 2008 to 2017, 38 children diagnosed with sarcoma were treated with tomotherapy. The median age was 15 years (6–19 years). Toxicity was graded according to the Common Terminology Criteria for Adverse Events v.4.03 and classified into symptoms during RT, acutely (0–6 months) and late (>6 months) after RT, and long-term sideeffects (>24 months). Results The main histologies were Ewing sarcoma (n = 23 [61%]) and alveolar rhabdomyosarcoma (n = 5 [13%]). RT was performed with a median total dose of 54 Gy (40.5–66.0 Gy) and a single dose of 2 Gy (1.80–2.27 Gy). Twenty patients (53%) received mtRT. Median follow-up was 29.7 months (95% confidence interval 15.3–48.2 months) with a 5-year survival of 55.2% (±9.5%). The 5‑year survival rate of patients with mtRT (n = 20) was 37.1 ± 13.2%, while patients who received single-target RT (n = 18) had a 5-year survival rate of 75 ± 10.8%. Severe toxicities (grade 3 and 4) emerged in 14 patients (70%) with mtRT and 7 patients (39%) with single-target RT. Two non-hematological grade 4 toxicities occurred during RT: one mucositis and one radiodermatitis. After mtRT 5 patients had grade 3 toxicities acute and after single-target RT 4 patients. One patient had acute non-hematological grade 4 toxicities (gastritis, pericarditis, and pericardial effusion) after mtRT. Severe late effects of RT occurred in 2 patients after mtRT and in none of the single-target RT patients. No severe long-term side effects appeared. Conclusion Our results showed acceptable levels of acute and late toxicities, considering the highly advanced diseases and multimodal treatment. Hence, tomotherapy is a feasible treatment method for young patients with anatomically complex tumors or multiple targets. Especially mtRT is a promising and innovative treatment approach for pediatric sarcomas, delivering unexpectedly high survival rates for patients with multifocal Ewing sarcomas in this study, whereby the limited number of patients should invariably be considered in the interpretation.

scholarly journals Effectiveness of coral relocation as a mitigation strategy in Kāne‘ohe Bay, Hawai‘i

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3346 ◽  
Author(s):  
Ku’ulei S. Rodgers ◽  
Koi Lorance ◽  
Angela Richards Donà ◽  
Yuko Stender ◽  
Claire Lager ◽  
...  
Keyword(s):  
Coral Cover ◽  
Donor Site ◽  
Survival Rates ◽  
Mitigation Strategies ◽  
High Survival ◽  
Reef Restoration ◽  
Restoration Technique ◽  
Long Term Monitoring ◽  
Term Monitoring

Coral reef restoration and management techniques are in ever-increasing demand due to the global decline of coral reefs in the last several decades. Coral relocation has been established as an appropriate restoration technique in select cases, particularly where corals are scheduled for destruction. However, continued long-term monitoring of recovery of transplanted corals is seldom sustained. Removal of coral from a navigation channel and relocation to a similar nearby dredged site occurred in 2005. Coral recovery at the donor site and changes in fish populations at the receiving site were tracked periodically over the following decade. Coral regrowth at the donor site was rapid until a recent bleaching event reduced coral cover by more than half. The transplant of mature colonies increased spatial complexity at the receiving site, immediately increasing fish biomass, abundance, and species that was maintained throughout subsequent surveys. Our research indicates that unlike the majority of historical accounts of coral relocation in the Pacific, corals transplanted into wave-protected areas with similar conditions as the original site can have high survival rates. Data on long-term monitoring of coral transplants in diverse environments is central in developing management and mitigation strategies.

scholarly journals Current trends in pediatric aggressive B-cell lymphomas treatment

2021 ◽  
Vol 16 (2) ◽  
pp. 21-27
Author(s):  
Yu. S. Korkina ◽  
T. T. Valiev
Keyword(s):  
B Cell ◽  
Survival Rates ◽  
High Survival ◽  
B Cell Lymphomas ◽  
Multicenter Studies ◽  
Treatment Protocols ◽  
Chemotherapy Drugs ◽  
Current Trends

Nowadays due to modern risk-adapted treatment protocols high survival rates have been achieved in patients with aggressive B-cell lymphomas, even at stages III–IV these indicators overrun 90 %. Mainly these successes were associated with the inclusion of rituximab in the standard chemotherapy regimens. As the follow up period of the patients is lengthened, it has become clear that ongoing treatment is associated with the development of immediate and long-term adverse effects of chemoimmunotherapy. In Russia and the world, there are multicenter studies aimed at studying prognostic factors that make it possible to reduce single and/or total doses of chemotherapy drugs, and therefore, to reduce chemotherapy toxicity. The obtained data allow considering the early complete antitumor effect (after 2 courses of therapy) as an advantage factor, so it is possible to reduce program chemoimmunotherapy intensity without reducing high patients survival rates.

scholarly journals Long-term outcomes following lateral alveolar ridge augmentation using a collagenated xenogeneic bone block: a monocenter, prospective single-arm clinical study

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Frank Schwarz ◽  
Didem Sahin ◽  
Sara Civale-Schweighöfer ◽  
Jürgen Becker
Keyword(s):  
Survival Rates ◽  
Bone Block ◽  
Clinical Parameters ◽  
Alveolar Ridge ◽  
Alveolar Ridge Augmentation ◽  
Pocket Depth ◽  
Ridge Augmentation ◽  
Probing Pocket Depth ◽  
Implant Placement

Abstract Objectives To assess the long-term clinical outcomes following lateral alveolar ridge augmentation using a collagenated xenogeneic bone block (CXBB) and staged implant placement. Material and methods A total of n = 9 patients (9 implants) were available for the analysis. Each subject had received lateral ridge augmentation using a size-adapted rigidly fixed CXBB and contour augmentation at single-tooth gaps. Implant placement was performed after 24 weeks of submerged healing. Clinical parameters (e.g., bleeding on probing (BOP), probing pocket depth (PD), mucosal recession (MR)) were recorded at 16 to 20 weeks after the cementation of the crown (baseline) and scheduled for 0.5 (visit 1 (V1)), 1.5 (V2), 2.5 (V3), 3.5 (V4), and 4.5 (V5) years after implant loading. Results Changes in clinical parameters commonly remained low throughout the entire observation period. Significant changes to baseline were merely noted for mean BOP scores at V4 (19.14 ± 17.75%; n = 7; P = 0.029) and mean PD scores at V2 (0.78 ± 0.98 mm; n = 9; P = 0.044) and V3 (1.33 ± 1.05 mm; n = 9; P = 0.009), respectively. Conclusion CXBB was associated with high clinical implant success and survival rates on the long-term.

Features of clinical course, morphological diagnosis and prognosis factors for neuroendocrine neoplasms of rare localizations

2020 ◽  
pp. 54-60
Author(s):  
D. V. Abbasova ◽  
S. B. Polikarpova ◽  
N. A. Kozlov ◽  
Ye. V. Artamonova ◽  
V. Yu. Kirsanov ◽  
...  
Keyword(s):  
Prostate Gland ◽  
Survival Rates ◽  
Long Term Results ◽  
Neuroendocrine Neoplasms ◽  
High Survival ◽  
Diagnosis And Prognosis ◽  
National Medical ◽  
Static Data ◽  
Morphological Diagnosis

Currently, neuroendocrine neoplasms (NENs) of the gastroenteropancreat-ic and bronchopulmonary systems are well studied and the most common, the share of which is 73 and 25 % of cases, respectively. The remaining 2 % of cases are attributed to NEN of more rare localizations, the static registration of which is difficult due to their rarity, and clinical cases are presented by episodic descriptions of single observations. Such tumors include NEN of the prostate gland from 0.5 to 1.0 %, NEN of ovaries 0.5 %, NEN of the mammary gland from 0.3 to 0.5 %, NEN of the kidney (practically devoid of static data), bladder 0.48-1.00 %. The retrospective study included 92 patients with NEN of rare localizations who were examined and treated of the N. N. Blochin National Medical Research Center of Oncology from 1990 to 2019. Currently, there are no generally accepted methods of treatment for this group of patients due to the rarity of the pathology, and it is carried out according to the NEN of other localizations. NEN of rare localizations have high survival rates (the observation period was from a month to 14 years), both general and without progression and require long-term monitoring and observation. At the time of assessment of long-term results, 20 (21.8 %) patients died of progression, 12 (13.1 %) patients dropped out of observation. The rest were alive at the date of the last control.

Retrospective Study of Tapered One-Piece Implants Placed Over a Ten-Year Period in a Single Private Practice

2018 ◽  
Vol 44 (2) ◽  
pp. 115-121 ◽  
Author(s):  
John C. Minichetti ◽  
Joseph C. D'Amore ◽  
Anna Y-J Hong
Keyword(s):  
Retrospective Study ◽  
Private Practice ◽  
Treatment Modalities ◽  
Success Rates ◽  
Implant Survival ◽  
Minor Complication ◽  
Implant Placement ◽  
Implant Dentistry

Today, clinicians have a variety of treatment modalities available to address the increasing number of implant procedures performed each year. Single-stage implant surgery is now commonly used in implant dentistry. With patients' demands for immediate restoration, the utilization of 1-piece implants is gaining acceptance. This article reports the results of tapered 1-piece implants (Zimmer Biomet) placed in a single practice over a 10-year period. A total of 33 1-piece dental implants were placed in 24 patients and provisionally restored out of occlusion at the time of surgery. All 33 implants were definitively restored with ceramometal crowns after 3 months of provisionalization. Implant survival and success rates were 100% after 2.6–10 years of follow-up. Only 1 minor complication of crestal bone remodeling occurred among the 33 implants placed. Adequately stabilized tapered 1-piece implants can be successfully restored out of occlusion at the time of implant placement and definitively loaded in occlusion 3 months without adversely affecting function or esthetics. Additional long-term controlled studies are recommended to further understand these findings.

Sign in / Sign up

Export Citation Format

Share Document