Dental Implants for Patients with Periodontitis

2019 ◽  
Vol 8 (4) ◽  
pp. 54-61
Author(s):  
Rajiv M. Patel
Keyword(s):  
Treatment Planning ◽  
Dental Implants ◽  
Dental Implant ◽  
Narrative Review ◽  
Professional Support ◽  
Implant Therapy ◽  
Plaque Control ◽  
Partially Dentate ◽  
Implant Treatment

This article provides a narrative review of the use of dental implants in patients with periodontitis. Using clinical examples where possible, consideration is given to the survival and success of implants, peri-implantitis, comparison of periodontally compromised teeth to implants and to treatment planning to help achieve favourable outcomes. The challenges associated with restoring an edentulous arch or partially dentate dentition with implants where significant alveolar atrophy has occurred can be considerable. Compromised outcomes may be commonplace. Dental implant treatment is more likely to be successful for those patients who attain and maintain excellent plaque control. Professional support should focus on managing underlying periodontitis prior to commencing implant therapy and providing long term, regular supportive periodontal care upon completion of treatment.

scholarly journals Statistic study regarding mandibular canal in dentate human specimens

2015 ◽  
Vol 61 (4) ◽  
pp. 300-303
Author(s):  
Victor Nimigean ◽  
◽  
Valentin Daniel Sîrbu ◽  
Vanda Roxana Nimigean ◽  
Lavinia Buţincu ◽  
...  
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Mandibular Canal ◽  
Precise Location ◽  
Oral Rehabilitation ◽  
Statistic Study ◽  
Long Term Performance ◽  
Term Performance ◽  
Implant Treatment

The major risk of dental implant treatment in the mandible is represented by the mandibular canal. Precise location of the mandibular canal is essential for oral rehabilitation with dental implants. The aim of this study was to analyze the topography of the mandibular canal in order to increase the long-term performance of oral rehabilitation with dental implants in „poor areas“. The topography of the mandibular canal was statistically studied on 11 human mandibles. The results obtained show similarities but also differences with data reported in other specialized references.

scholarly journals Are patients referred for NHS-funded dental implant treatment being selected in accordance with national guidelines and subsequently funded by their primary care trust?

2010 ◽  
Vol 92 (6) ◽  
pp. 512-514 ◽  
Author(s):  
Karen V Andrews ◽  
Jonathan R Penny ◽  
Paul A King
Keyword(s):  
Primary Care ◽  
Dental Implants ◽  
Dental Implant ◽  
Primary Care Trust ◽  
National Guidelines ◽  
Dental Surgery ◽  
Retrospective Audit ◽  
Dental Hospital ◽  
Partially Dentate ◽  
Implant Treatment

INTRODUCTION The Faculty of Dental Surgery, The Royal College of Surgeons of England (RCSE), published a national guideline document in 1997 detailing specific selection criteria for National Health Service (NHS) funded dental implant treatment. The aim of this audit was to assess whether patients selected for NHS-funded dental implants at Bristol Dental Hospital (BDH) met the RCSE national criteria for treatment and received funding from their primary care trust (PCT). PATIENTS AND METHODS A retrospective audit over a period of 2 years was undertaken using medical records and an existing Microsoft Excel database. All patients who had an application submitted to their local PCT for NHS-funded dental implants by BDH were included in this audit. RESULTS A total of 82 applications for dental implant funding were made by BDH and 100% met the RCSE criteria. Fifty-one patients (62.2%) in total had their application for funding approved. Thirty-one patients (37.8%) that met the RCSE guidelines for NHS-funded dental implant treatment had their applications refused. Twenty-five (49%) out of 51 cases in the partially dentate category and six (27.3%) cases in the edentulous group were unsuccessful in their application for NHS-funded dental implants. However, all applications for patients with acquired maxillofacial defects were successful. CONCLUSIONS Patient selection by the BDH for NHS-funded implants complied with the RCSE guidelines. However, there was significant variation in funding between PCTs for those patients who apparently fulfilled the RCSE guidelines. NHS resources are not being allocated equitably for dental implant ‘high-priority’ patients and it would appear that a so-called ‘postcode lottery’ exists between PCTs.

Osseous Remodeling Around Dental Implants

2019 ◽  
Vol 45 (3) ◽  
pp. 239-246
Author(s):  
Dennis Flanagan
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Mechanical Load ◽  
Science Research ◽  
Load Resistance ◽  
Minimum Thickness ◽  
Primary Parameter ◽  
And Function ◽  
Implant Treatment

Adequate bone remodeling may be a primary parameter for long-term successful complication-free dental implant treatment. A 1.8-mm osseous thickness around dental implants is thought to be the minimum thickness for adequate vasculature for osteocyte nutrition and function. A dental implant does not provide progenitor cells or angiogenic or osteogenic factors. Thus, the surrounding bone may need to have a 1.8-mm thickness to accommodate the vasculature necessary for nutrients for appropriate remodeling. Additionally, the 1.8-mm dimension may provide for mechanical load resistance. There is no evidence to illustrate the physiologic need for the 1.8-mm dimension. This dimension requirement is based on clinical outcome observations. Basic science research for bone survival around dental implants is needed.

scholarly journals The Dental Implant Maintenance

2021 ◽  
Author(s):  
Gayathri Krishnamoorthy ◽  
Aparna I. Narayana ◽  
Dhanasekar Balakrishnan
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Oral Hygiene ◽  
Paradigm Shift ◽  
Maintenance Phase ◽  
Primary Stability ◽  
Implant Treatment ◽  
Office Procedures

As dental implant treatment has become a part of mainstream dental therapy, it is imperative to implement dental implant maintenance guidelines to achieve the long-term success of implant prostheses. Earlier, the success of a dental implant was mainly focused on the surgical phase to achieve good primary stability, with time, this belief has taken a major paradigm shift towards implementing and ensuring a periodic recall and following a maintenance phase for dental implants to achieve long-term success. As the dental team strives to attain and maintain the long-term success of implant prostheses, the patient should also recognize that their contribution towards the success of implant prostheses is also equally indispensable. This chapter highlights the importance of maintaining oral hygiene in implant rehabilitated patients and enumerates the implant maintenance protocol to be followed along with the different in-home and in-office procedures which can be implemented to achieve long-term success of the implant and peri-implant structures.

Development of Antiresorptive Agent-Related Osteonecrosis of the Jaw After Dental Implant Removal: A Case Report

2018 ◽  
Vol 44 (5) ◽  
pp. 359-364
Author(s):  
Shinsuke Yamamoto ◽  
Keigo Maeda ◽  
Izumi Kouchi ◽  
Yuzo Hirai ◽  
Naoki Taniike ◽  
...  
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Osteonecrosis Of The Jaw ◽  
Japanese Woman ◽  
Implant Removal ◽  
Antiresorptive Agent ◽  
Oral Bisphosphonate ◽  
Antiresorptive Agents ◽  
The Right ◽  
Implant Treatment

Dental implant treatment is a highly predictable therapy, but when potentially lethal symptoms or complications occur, dentists must remove the implant fixture. Recently, reports on antiresorptive agent-related osteonecrosis of the jaw have increased in the field of dental implants, although the relationship between dental implant treatment and antiresorptive agents remains unclear. Here, we report a case of antiresorptive agent-related osteonecrosis of the jaw that developed after dental implant removal. A 67-year-old Japanese woman with a medical history of osteoporosis and 7 years of oral bisphosphonate treatment was referred to our hospital with a chief complaint of painful right mandibular bone exposure. A family dentist removed the dental implants from the right mandible using a trephine drill without flap elevation in August 2016. However, the healing was impaired; she was referred to our hospital 3 months after the procedure. We performed a sequestrectomy of the mandible under general anesthesia. In conclusion, this patient's course has two important implications: First, the removal of dental implants from patients who are prescribed oral bisphosphonates for long durations can cause antiresorptive agent-related osteonecrosis of the jaw. Second, meticulous procedures are required to prevent and treat the development of antiresorptive agent-related osteonecrosis of the jaw after dental implant removal.

scholarly journals Clinical Management of a Peri-Implant Giant Cell Granuloma

2015 ◽  
Vol 2015 ◽  
pp. 1-7
Author(s):  
A. Pacifici ◽  
D. Carbone ◽  
R. Marini ◽  
G. L. Sfasciotti ◽  
L. Pacifici
Keyword(s):  
Giant Cell ◽  
Dental Implant ◽  
Correct Diagnosis ◽  
Excisional Biopsy ◽  
Giant Cell Granuloma ◽  
Peripheral Giant Cell Granuloma ◽  
Natural Teeth ◽  
Implant Therapy

Purpose. Implant therapy plays an important role in contemporary dentistry with high rates of long-term success. However, in recent years, the incidence of peri-implantitis and implant failures has significantly increased. The peripheral giant cell granuloma (PGCG) rarely occurs in peri-implant tissues and it is clinically comparable to the lesions associated with natural teeth. Therefore, the study of possible diseases associated with dental implants plays an important role in order to be able to diagnose and treat these conditions.Materials and Methods. This report described a 60-year-old Caucasian male who presented a reddish-purple pedunculated mass, of about 2 cm in diameter, associated with a dental implant and the adjacent natural tooth.Results. An excisional biopsy was performed and the dental implant was not removed. Histological examination provided the diagnosis of PGCG. After 19-month follow-up, there were no signs of recurrence of peri-implantitis around the implant.Conclusion. The correct diagnosis and appropriate surgical treatment of peri-implant giant cell granuloma are very important for a proper management of the lesion in order to preserve the implant prosthetic rehabilitation and prevent recurrences.

scholarly journals Effects of Bisphosphonates on Osseointegration of Dental Implants in Rabbit Model

2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Ru Qing Yu ◽  
Jing Yi Wang ◽  
Nian Jing Rao ◽  
Lei Huo ◽  
Li Wu Zheng
Keyword(s):  
Zoledronic Acid ◽  
Dental Implants ◽  
Dental Implant ◽  
Growth Rates ◽  
Acid Treatment ◽  
Bone Growth ◽  
Rabbit Model ◽  
Short Term ◽  
Calvarial Bone

This study is to investigate the effect of bisphosphonates on the osseointegration of dental implants in a rabbit model. Twenty female New Zealand White rabbits were equally assigned into control and experiment groups which received saline or zoledronic acid treatment 4 weeks prior to surgery. Titanium dental implant was placed on the calvarial bone. Zoledronic acid or saline treatment continued after surgery for 4 weeks (short-term subgroup) or 8 weeks (long-term subgroup) until sacrifice. Three different fluorochrome labeling solutions were administrated for assessing bone growth rates. Samples of the calvarial bone and mandible were subjected to microcomputed tomography (micro-CT), confocal microscope, and histology analysis. Zoledronic acid treatment significantly reduced bone growth rates in the calvarial bone, but had no significant influence in bone mineral density and trabecular microarchitecture. Significantly lower bone-to-implant contact ratios were found in zoledronic acid-treated animals compared to controls at week 4 but not at week 8. Oncologic dose zoledronic acid suppresses the bone growth rates of the calvarial bone; ZA may have an adverse effect on osseointegration of dental implant in short term, but this effect tends to diminish in long term.

scholarly journals Awareness among Patients regarding Dental Implants as a Treatment Option for replacing Missing Teeth in Melmaruvathur Population

2016 ◽  
Vol 6 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Venkatesan Narayanan ◽  
Prabhu Karuppiah ◽  
Arunkumar Rajasekar ◽  
Lakshmi D Mayavan
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Treatment Option ◽  
Tamil Nadu ◽  
Dental Education ◽  
Education Programs ◽  
Missing Teeth ◽  
Oral Rehabilitation ◽  
Implant Therapy ◽  
Knowledge And Attitude

ABSTRACT Background Treatment with dental implants has become increasingly important in the range of prosthodontic treatment. Significant improvements in oral rehabilitation particularly in edentulous individuals have been seen. In Adhiparasakthi Dental College, Melmaruvathur, a survey was made to evaluate awareness among patients for dental implants, their level of knowledge, and attitude toward replacement of missing teeth by dental implants. Materials and methods A survey of 480 people was conducted through a printed questionnaire and completed by willing respondents. The questionnaires were prepared in English and Tamil language to enable better understanding and completion. Results Of the 510 people surveyed, 480 responses were retrieved, of which 331 were aware of dental implant treatment in Melmaruvathur, Tamil Nadu. Among them, 304 respondents were aware that implants could be used for replacement of missing teeth. Most of the respondents stated that dental implants were placed in the jawbone, followed by gums. Only 41% respondents assumed that implants last for a lifetime and only 35% of respondents believe that poor oral hygiene was the most common cause of implant failure. Conclusion More dental education programs are needed to improve understanding of the importance of restoration of missing teeth. General implant awareness levels are satisfactory. However, increased awareness of patients for restoration of missing tooth with dental implants is necessary. Dental education programs with special emphasis on advantages, treatment, maintenance, and postoperative care of dental implant therapy are needed. More than two-thirds of the surveyed population is interested in knowing about and being treated with dental implants. How to cite this article Narayanan V, Karuppiah P, Rajasekar A, Mayavan LD. Awareness among Patients regarding Dental Implants as a Treatment Option for replacing Missing Teeth in Melmaruvathur Population. Int J Prosthodont Restor Dent 2016;6(1):6-9.

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