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 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.

Inferior Alveolar Nerve Injury in Implant Dentistry: Diagnosis, Causes, Prevention, and Management

2010 ◽  
Vol 36 (5) ◽  
pp. 401-407 ◽  
Author(s):  
Ahmed Ali Alhassani ◽  
Ali Saad Thafeed AlGhamdi
Keyword(s):  
Treatment Planning ◽  
Nerve Injury ◽  
Local Anesthesia ◽  
Surgical Procedures ◽  
Inferior Alveolar Nerve ◽  
Proper Treatment ◽  
Proper Understanding ◽  
Implant Placement ◽  
Implant Dentistry ◽  
Inferior Alveolar Nerve Injury

Abstract Inferior alveolar nerve injury is one of the most serious complications in implant dentistry. This nerve injury can occur during local anesthesia, implant osteotomy, or implant placement. Proper understanding of anatomy, surgical procedures, and implant systems and proper treatment planning is the key to reducing such an unpleasant complication. This review discusses the causes of inferior alveolar nerve injury and its diagnosis, prevention, and management.

scholarly journals Prepectoral Breast Reconstruction

2019 ◽  
Vol 33 (04) ◽  
pp. 236-239
Author(s):  
Jordan Kaplan ◽  
Ryan D. Wagner ◽  
Tara L. Braun ◽  
Carrie Chu ◽  
Sebastian J. Winocour
Keyword(s):  
Breast Reconstruction ◽  
Patient Selection ◽  
Breast Implant ◽  
Evidence Based ◽  
Complication Rates ◽  
Implant Placement ◽  
Technological Advances ◽  
Operative Planning ◽  
Initial Results

AbstractPrepectoral breast reconstruction was first done in the early 1960s; however, while initial results were promising, high complication rates led surgeons to move toward submuscular implant placement. We soon came to find that submuscular implant placement was not without its own set of drawbacks. Surgeons have since revisited the efficacy of prepectoral breast reconstruction in light of new surgical and technological advances. Following these advancements, complication profiles for prepectoral breast reconstruction have drastically improved. Despite this change, surgeons recognize that prepectoral implant placement is not for everyone and patient selection is critical to success. As increasing numbers of these procedures continue to be done, we must now look to conduct direct comparisons between submuscular and prepectoral breast implant placement so that surgeons can make evidence-based decisions on patient selection and operative planning.

Removable Prosthodontics for the Management of Severe Toothwear

Dental Update ◽  
2020 ◽  
Vol 47 (5) ◽  
pp. 396-404
Author(s):  
Liam Addy ◽  
Matthew Thomas ◽  
Carly Cummings ◽  
Elizabeth King
Keyword(s):  
Dental Implants ◽  
Treatment Modality ◽  
Clinical Relevance ◽  
Missing Teeth ◽  
Dental Problem ◽  
Adhesive Dentistry

Toothwear is becoming increasingly more common for dentists to manage as the population is maintaining its teeth for longer. A large proportion of cases can be managed by means of adhesive dentistry in conjunction with preventive advice. There are, however, patients with severe toothwear alone, or toothwear in conjunction with missing teeth, which would be best served with a removable prosthodontic approach. This is particularly the case where dental implants are not indicated or appropriate. This article illustrates the use of removable prosthodontics for the management of toothwear and highlights the importance of these restorations in certain cases. It also considers the supportive programme required to ensure success of this treatment modality. CPD/Clinical Relevance: Toothwear is a prevalent dental problem that cannot always be addressed with an adhesive restorative or fixed prosthodontic approach, particularly when the toothwear is severe and or in combination with existing missing teeth.

Solutions for implants placed with prosthetic inconvenience

Dental Update ◽  
2019 ◽  
Vol 46 (11) ◽  
pp. 1003-1014
Author(s):  
Graeme Bryce ◽  
Nicholas Diessner ◽  
Ken Hemmings ◽  
Neil MacBeth
Keyword(s):  
Treatment Planning ◽  
Dental Implants ◽  
Dental Implant ◽  
Clinical Relevance ◽  
Prosthetic Reconstruction ◽  
Local Factors ◽  
Implant Placement

A prosthetically-driven approach for dental implant placement offers the most predictable means of achieving a biologically stable and aesthetic implant-supported restoration. Optimal dental implant placement may be limited by local factors and complicate the prosthetic reconstruction. This article aims to offer guidance on the surgical and prosthetic options available to manage suboptimally-positioned dental implants. CPD/Clinical Relevance: This article is relevant to dental clinicians placing and restoring dental implants, and those who are considering them in treatment planning.

Managing the Transition to Edentulousness Using Partial Transitional Dentures for First Time Prosthodontic Patients: Addressing Unrealistic Expectations – A Case Report

2017 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Case Report ◽  
Treatment Outcomes ◽  
Treatment Planning ◽  
Clinical Relevance ◽  
Treatment Plan ◽  
Sequential Treatment ◽  
Aesthetic Result ◽  
Abutment Teeth ◽  
First Time ◽  
Unrealistic Expectations

Aim: The aim of this report is to describe the management of a prosthodontic patient expressing unrealistic expectations with respect to the transition to edentulousness. Objectives: To outline (1) the diagnosis and explicit expectations of the patient on presentation (2) considerations made during treatment planning to address the wishes of the first time prosthodontic patient (3) a sequential treatment plan utilizing transitional partial removable dentures to manage the change to edentulousness (4) functional and aesthetic result achieved. Results: Delivery of immediate removable partial dentures retaining key abutment teeth in upper and lower arches was a viable prosthodontic solution in the transition to edentulousness of a patient expecting unrealistic treatment outcomes. Conclusions: Addressing impractical expectations and devising a treatment plan amenable to both clinician and patient is difficult. Strategies to manage these wishes in prosthodontic dentistry can include transitional partial dentures. Clinical relevance: Practitioners who encounter similar situations may consider this report valuable.

Clinical practice guidelines for comprehensive patient assessment in emergency care: A quality evaluation study

2021 ◽  
pp. 205715852110069
Author(s):  
Åsa Falchenberg ◽  
Ulf Andersson ◽  
Birgitta Wireklint Sundström ◽  
Anders Bremer ◽  
Henrik Andersson
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Emergency Care ◽  
Quality Evaluation ◽  
Evaluation Study ◽  
Evidence Based ◽  
Patient Assessment ◽  
Care Needs ◽  
Home Based

Emergency care nurses (ECNs) face several challenges when they assess patients with different symptoms, signs, and conditions to determine patients’ care needs. Patients’ care needs do not always originate from physical or biomedical dysfunctions. To provide effective patient-centred care, ECNs must be sensitive to patients’ unique medical, physical, psychological, social, and existential needs. Clinical practice guidelines (CPGs) provide guidance for ECNs in such assessments. The aim of this study was to evaluate the quality of CPGs for comprehensive patient assessments in emergency care. A quality evaluation study was conducted in Sweden in 2017. Managers from 97 organizations (25 emergency medical services and 72 emergency departments) were contacted, covering all 20 Swedish county councils. Fifteen guidelines were appraised using the validated Appraisal of Guidelines for Research & Evaluation II (AGREE II) tool. The results revealed that various CPGs are used in emergency care, but none of the CPGs support ECNs in performing a comprehensive patient assessment; rather, the CPGs address parts of the assessment primarily related to biomedical needs. The results also demonstrate that the foundation for evidence-based CPGs is weak and cannot confirm that an ECN has the prerequisites to assess patients and refer them to treatment, such as home-based self-care. This may indicate that Swedish emergency care services utilize non-evidence-based guidelines. This implies that ECN managers and educators should actively seek more effective ways of highlighting and safeguarding patients’ various care needs using more comprehensive guidelines.

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