scholarly journals Maxillary Implant Placement in a Limited Residual Bone Height

2021 ◽  
Vol 28 (2) ◽  
Author(s):  
Calvin Kurnia ◽  
◽  
Jane Amelia V. Wibisono ◽  
Dominica Dian S. Sumantri ◽  
◽  
...  

The limitation of residual bone height (RBH) and vital structures such as sinuses in the maxillary often make the implant placement procedure becomes complicated. Clinicians may perform sinus elevation prior to implant placement to accommodate the length of the implant fixture. Sinus elevation is an invasive procedure and complication may occur during the surgery including the most frequent complication is perforation of Schneiderian membrane. Objectives: To discuss a comprehensive management of implant placement and its complication step by step from surgical procedures to crown placement Case Report: 67-year-old female patient with partial edentulism in the right maxillary region, presence of sinus septum, and RBH was 4mm. The patient was planned to do sinus elevation surgery prior to implant placement, perforation of the Schneiderian membrane occurred while surgery performed and pericardium membrane was attached around the perforation site. Sinus re-entry and implant placement were performed after 3 months followed by prosthetics procedures in the next 6 month. Conclusion: Dental implant is a complicated treatment and complication may occur during the placement, thus a comprehensive management is very essential to minimize the risk of complications.

2009 ◽  
Vol 10 (3) ◽  
pp. 81-88 ◽  
Author(s):  
Shilpa Kolhatkar ◽  
Leyvee Cabanilla ◽  
Monish Bhola

Abstract Aim The purpose of this report is to provide a brief literature review of the bone-added osteotome sinus floor elevation (BAOSFE) procedure and to present a case utilizing this technique. Background Implant placement in the posterior maxillary region is often compromised due to anatomic limitations. In clinical situations where there is inadequate vertical bone dimension, the BAOSFE technique can be employed to increase bone height and allow placement of implants with an appropriate length dimension. Case Report A case of a 60-year-old female with inadequate vertical bone dimension in the area of an extracted #13 is presented. The BAOSFE technique was performed which facilitated the placement of a 3.75 X 13 mm implant. Summary Anatomic limitations such as inadequate vertical bone dimension in the posterior maxillary region may result in placement of shorter implants. Sinus floor elevation (SFE) procedures using a crestal approach such as the BAOSFE, in certain selected cases, can effectively and predictably increase bone height. Clinical Significance The BAOSFE technique is an excellent procedure that can overcome limitations associated with the posterior maxillary region. Citation Kolhatkar S, Cabanilla L, Bhola M. Inadequate Vertical Bone Dimension Managed by Bone-added Osteotome Sinus Floor Elevation (BAOSFE): A Literature Review and Case Report. J Contemp Dent Pract 2009 May; (10)3:081-088.


Author(s):  
Manoj Shetty ◽  
Nikhila Thulasidas ◽  
Rakshith Hegde ◽  
Chethan Hegde

Implant placement becomes complicated when the height and width of the bone is compromised especially in the posterior maxillary region due to the presence of sinus. This case report presents the rehabilitation of the left maxillary premolar region by using indirect sinus lift and ridge splitting followed by immediate implant placement where the bone height and bone width was compromised. It helps in reducing the treatment time and increases the patient comfort.


2004 ◽  
Vol 30 (5) ◽  
pp. 325-329 ◽  
Author(s):  
Marco A. B. Pontual ◽  
JoséN. O. Freire ◽  
Dircilene C. Souza ◽  
Cimara F. Ferreira ◽  
Marco A. Bianchini ◽  
...  

Abstract This article describes a newly designed surgical template that was used to facilitate dental implant placement. The implants were planned to function by loading them immediately. A case report describing the device and the benefits of its use for a patient with an edentulous mandible is presented. Four implants were placed in the anterior region of the mandible to support an immediately fixed prosthesis. Clinical and radiographic analyses were conducted postoperatively to evaluate bone loss and peri-implant soft-tissue healing. The salutary results demonstrated the positive value of this therapeutic approach and presented the advantages of shorter treatment times, fewer patient visits, lower costs, and elimination of secondary surgical procedures.


2016 ◽  
Vol 05 (03) ◽  
pp. 172-175
Author(s):  
Smitha S Nair ◽  
K Jayasree ◽  
Ashalatha PR ◽  
Jenish Joy

AbstractRectus sternalis muscle, either unilateral or bilateral is an uncommon anatomical variant among the anterior chest wall muscles. During the routine dissection as a part of undergraduate medical teaching in the department of Anatomy, a unilateral rectus sternalis muscle was noticed on the right hemi thorax in one cadaver, located adjacent to the sternum between the pectoralis major muscle and the superficial fascia of the region. Though rare in occurrence, when present, rectus sternalis muscle demands proper awareness and attention by the clinicians especially radiologists and surgeons, as the ignorance of the existence of this muscle may lead to misinterpretation, incorrect diagnosis and unnecessary clinical interventions. Such anatomical variations should be borne in mind while doing radiological investigations, radiotherapy and surgical procedures in the chest region.


2021 ◽  
Vol 16 (Supp. 1) ◽  
pp. 67-72
Author(s):  
Paulus Budi Teguh ◽  
Chaterina Diyah Nanik

Currently dental implant treatment become popular. More clinicians are being presented with the opportunity to perform implant services in their own practice. The use of one-piece implant can be considered as treatment for the replacement of missing tooth in the areas of limited tooth-to-tooth spacing and would bring less trauma for the soft tissue. A 52-year-old female patient presented with difficulty in mastication due to the loss of teeth of 35 region with limitation mesio distal space. Radiology examination did not reveal any radiolucencies in 35 region. Radiograph revealed sufficient bone height from crestal to the floor of the mandible. A one-piece implant was placed in the 35 region. The present case used an endosteal implant, one stage surgery, and delayed loading. Restoration with porcelain fused to the metal crown had been delivered three months after the one-piece implant placement. The result of this treatment indicated that one-piece implant could be considered as an effective therapy choice for replacement of missing tooth in order to rehabilitate the masticatory function.


2014 ◽  
Vol 03 (04) ◽  
pp. 237-239
Author(s):  
Nirmala D. ◽  
Anjali Gupta

AbstractThe Vertebral artery is the first branch of subclavian artery. It is an important source of blood supply to the brain. During dissection of an adult male cadaver, a unilateral variation in the course of Vertebral artery was found. The right Vertebral artery took origin from the subclavian artery and entered foramen transversarium of fourth cervical vertebra. An understanding of the variability of the Vertebral artery remains most important in angiography & surgical procedures where an incomplete knowledge of its anatomy can lead to complications.


2021 ◽  
Vol 24 (1) ◽  
pp. 73-79
Author(s):  
Sivakumar Naina ◽  
Anjali Narwal ◽  
Anju Devi ◽  
Mala Kamboj ◽  
Deepak Pandiar

Primordial odontogenic tumor (POT) is a recently designated benign mixed epithelial and mesenchymal odontogenic tumor and only sixteen cases have been reported worldwide till now. Here we report an another case of POT in a 14–year old boy who presented with an asymptomatic buccal enlargement in the right maxillary region for past 4–5 months. A well-defined, unilocular, radiolucent lesion with impacted teeth was observed radiographically. A detailed account of clinico-radiographical and histolological differential diagnoses along with an updated literature review has been presented.


2020 ◽  
Vol 10 (3) ◽  
Author(s):  
Rola Shadid ◽  
Omar Kujan

Florid cemento-osseous dysplasia (FCOD) is a rare benign fibro-osseous lesion which affects multiple quadrants and predominantly the mandible. This case report presents a successful implant placement with 8-year of follow-up in a 44-yearold woman asking for a fixed restoration in mandibular right posterior edentulous area. Radiographic images showed lobular, irregularly shaped radiopacities and radiolucencies almost symmetrically observed in the premolar-molar area of the right and left regions of the mandible. The findings of Xray images were attributable to FCOD. Minimally invasive two-stage surgery with strict infection control was followed to place two implants in lower right posterior region. The implants demonstrated clinically rigid fixation and restored successfully after 6 months. A direct functional connection between dysplastic bone and the implant load bearing surface was evidenced by the lack of symptoms, and the lack of soft tissues inflammation or peri-implant bone loss up to 8 years follow-up.


Author(s):  
Kazuki Matsuura ◽  
Ryu Uotani ◽  
Yoshitsugu Inoue

Abstract Surgically induced scleritis (SIS) is a rare complication after a variety of ocular surgeries. Majority of the patients had had two or more surgical procedures before the onset of SIS. We report a patient who developed bilateral diffuse scleritis after unilateral cataract surgery. A 64-year-old man presented with red eye and tenderness in the right eye. An uneventful cataract surgery had been conducted in the right eye 5 months earlier. He had lost vision in the left eye 25 years ago, and there had been no ocular symptoms in both the eyes for the previous 20 years. Scleritis of the right eye appeared 5 months after cataract surgery, and scleritis of the left eye developed three months later. No previous reports referred to the possibility that the right eye surgery could induce scleritis in the left eye. Continuous...


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