Implant Plastic Surgery: A Review and Rationale

2004 ◽  
Vol 30 (4) ◽  
pp. 240-254 ◽  
Author(s):  
Christopher E. Kazor ◽  
Khalaf Al-Shammari ◽  
David P. Sarment ◽  
Carl E. Misch ◽  
Hom-Lay Wang
Keyword(s):  
Soft Tissue ◽  
Plastic Surgery ◽  
Surgical Procedures ◽  
Treatment Modality ◽  
Clinical Success ◽  
Clinical Applications ◽  
Success Rates ◽  
Case Selection ◽  
Implant Dentistry

Abstract Implant dentistry has been established as a predictable treatment modality with high clinical success rates. Esthetic considerations of implant restorations have been gaining increased interest over the years. The role of periodontal plastic surgical procedures in the creation and maintenance of peri-implant soft tissue heights to facilitate better esthetics has become more popular. The available plastic surgery procedures and their clinical applications are reviewed in this article. Emphasis is placed on factors to consider for proper case selection and ideal treatment planning.

scholarly journals Soft Tissue Surgical Procedures for Optimizing Anterior Implant Esthetics

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Andreas L. Ioannou ◽  
Georgios A. Kotsakis ◽  
Michelle G. McHale ◽  
Donald E. Lareau ◽  
James E. Hinrichs ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Surgical Procedures ◽  
Soft Tissues ◽  
Clinical Success ◽  
Functional Restoration ◽  
Successful Outcome ◽  
Implant Crown ◽  
Implant Dentistry ◽  
Natural Tooth ◽  
Implant Reconstruction

Implant dentistry has been established as a predictable treatment with excellent clinical success to replace missing or nonrestorable teeth. A successful esthetic implant reconstruction is predicated on two fundamental components: the reproduction of the natural tooth characteristics on the implant crown and the establishment of soft tissue housing that will simulate a healthy periodontium. In order for an implant to optimally rehabilitate esthetics, the peri-implant soft tissues must be preserved and/or augmented by means of periodontal surgical procedures. Clinicians who practice implant dentistry should strive to achieve an esthetically successful outcome beyond just osseointegration. Knowledge of a variety of available techniques and proper treatment planning enables the clinician to meet the ever-increasing esthetic demands as requested by patients. The purpose of this paper is to enhance the implant surgeon’s rationale and techniques beyond that of simply placing a functional restoration in an edentulous site to a level whereby an implant-supported restoration is placed in reconstructed soft tissue, so the site is indiscernible from a natural tooth.

scholarly journals Soft tissue coverage types for complex limb trauma in children

2015 ◽  
Vol 10 (4) ◽  
pp. 348-354
Author(s):  
Ileana-Carmen MATLAC ◽  
◽  
Dan Mircea ENESCU ◽  
◽  
Keyword(s):  
Soft Tissue ◽  
Plastic Surgery ◽  
Surgical Procedures ◽  
Upper Limb ◽  
Soft Tissue Coverage ◽  
Local Flaps ◽  
Affected Area ◽  
Children's Hospital ◽  
Limb Trauma ◽  
Minimum Age

Objective. The analysis of the soft tissue coverage types employed in complex limb trauma in children towards a potential subsequent optimization of their management. Materials and methods. Data regarding the children admitted to the Burns and Plastic Surgery Clinic of ‘Grigore Alexandrescu’ children’s hospital, between 2005 and 2013 with complex limb trauma requiring soft tissue coverage was obtained from the surgical protocols. Information was gathered regarding patients’ sex and age, the type of incident, the mode of occurence, the region in need of coverage, the number and type of surgical procedures, as well as regarding the type of coverage employed. Results. A number of 80 children required soft tissue coverage in complex limb trauma. Boys accounted for approximately two thirds of all cases. The pacients had a minimum age of 1 year and a maximum one of 16 years. There were approximately 50% more trauma of this type affecting the upper limb than the lower one. The fingers required coverage in the majority of cases (77.5%). In the majority of cases at this level (77%) split-level thickness grafts and local flaps were applied. Conclusions. The majority of the complex pediatric soft tissue limb coverage cases were boys. Fingers were the predominantly affected area and most often the usage of split-level thickness grafts or of local flaps was required. The accidents were predominantly home related. The cases had an uncomplicated evolution, the coverage solutions employed being successful in over 90% of the situations.

Lasers in Periodontics: An Overview

2010 ◽  
Vol 4 (Spl) ◽  
pp. 29-34 ◽  
Author(s):  
Vivek K Bains ◽  
Rhythm Bains
Keyword(s):  
Soft Tissue ◽  
Surgical Procedures ◽  
Er:Yag Laser ◽  
Root Surface ◽  
Clinical Applications ◽  
Laser Device ◽  
Implant Surface ◽  
Thermal Change ◽  
Procedural Cost ◽  
Subgingival Calculus

ABSTRACT Among commonly used lasers in dentistry viz CO2, Nd:YAG, Ho:YAG, Er: YAG, Er, Cr:YSGG, Nd:YAP, GaAs (diode) and argon, Er:YAG laser, at appropriate settings, possesses the best property for selective subgingival calculus removal without a thermal change of the root surface, soft tissue surgical procedures, root surface alterations, degranulation and implant surface decontamination alongwith proposed application in osseous surgery. Epithelial exclusion using CO2 laser has been suggested to retard its downward growth. Waterlase® and PeriowaveTM systems are recent devices that have further revolutionised the laser techonology for its favourable clinical applications; however, the procedural cost with the laser device still constitutes an obstacle for its routine application.

scholarly journals Outcomes of Endoscopic-Ultrasound-Guided Cholangiopancreatography: A Literature Review

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Shahzad Iqbal ◽  
David M. Friedel ◽  
James H. Grendell ◽  
Stavros N. Stavropoulos
Keyword(s):  
Endoscopic Ultrasound ◽  
Clinical Success ◽  
Percutaneous Transhepatic Cholangiography ◽  
Pancreatic Ducts ◽  
Efficacy And Safety ◽  
Success Rates ◽  
Ultrasound Guided ◽  
Endoscopic Retrograde ◽  
Pancreatic Duct Drainage

Endoscopic retrograde cholangiopancreatography (ERCP) can fail in 3–10% of the cases even in experienced hands. Although percutaneous transhepatic cholangiography (PTC) and surgery are the traditional alternatives, there are morbidity and mortality associated with both. In this paper, we have discussed the efficacy and safety of endoscopic-ultrasound-guided cholangiopancreatography (EUS-CP) in decompression of biliary and pancreatic ducts. The overall technical and clinical success rates are around 90% for biliary and 70% for pancreatic duct drainage. The overall EUS-CP complication rate is around 15%. EUS-CP is, however, a technically challenging procedure and should be performed by an experienced endoscopist skilled in both EUS and ERCP. Same session EUS-CP as failed initial ERCP is practical and may result in avoidance of additional procedures. With increasing availability of endoscopists trained in both ERCP and EUS, the role of EUS-CP is likely to grow in clinical practice.

Use of Integra in a case of extensive upper extremity avulsion

2011 ◽  
Vol 152 (36) ◽  
pp. 1443-1446 ◽  
Author(s):  
Csaba Halmy ◽  
Pál Pesthy ◽  
Zoltán Nádai ◽  
Zsuzsanna Juhász
Keyword(s):  
Soft Tissue ◽  
Treatment Modality ◽  
Functional Results ◽  
Wound Coverage ◽  
Mesh Graft ◽  
Avulsion Injury ◽  
Dermal Regeneration Template ◽  
Skin Replacement ◽  
Dermal Regeneration

Authors performed successful skin replacement with Integra, a dermal regeneration template, on a patient with circumferential avulsion injury including the elbow region and the dorsum of the hand. The take rate of Integra was 97%, followed by a 98% take rate of the split thickness mesh graft used for final wound coverage. Treatment modality provided excellent aesthetic and functional results, underlining the role of Integra in cases of extensive traumatic skin and soft tissue deficit, such as the treatment of avulsion injury. Orv. Hetil., 2011, 152, 1443–1446.

Is Septoplasty Alone Adequate for the Treatment of Chronic Rhinosinusitis with Septal Deviation?

2005 ◽  
Vol 19 (6) ◽  
pp. 612-616 ◽  
Author(s):  
Ünal Bayiz ◽  
Engin Dursun ◽  
Ahmet İslam ◽  
Hakan Korkmaz ◽  
Necmi Arslan ◽  
...  
Keyword(s):  
Prospective Study ◽  
Chronic Rhinosinusitis ◽  
Computerized Tomography ◽  
Surgical Procedures ◽  
Endoscopic Sinus Surgery ◽  
Septal Deviation ◽  
Sinus Surgery ◽  
Success Rates

Background The purpose of this study was to reveal the role of septoplasty in curing chronic rhinosinusitis (CRS) in patients with significant septal deviation. Methods This prospective study involved 26 patients with CRS and septal deviation. The patients were randomly divided into two groups according to the applied surgical procedures. In the first and second groups, septoplasty and septoplasty plus endoscopic sinus surgery were applied, respectively. Subjective (questionnaire) and objective (endoscopy and computerized tomography) success rates were used to analyze the results. Results Septoplasty alone and septoplasty plus endoscopic sinus surgery were applied in 57.7% (15/26) and 42.3% (11/ 26) of the patients, respectively. Success rates were 93.3% (14/15) and 81.8% (9/11), subjectively (p > 0.05), and 66.7% (10/15) and 54.5% (6/11), objectively (p > 0.05), respectively in each group. Conclusion We suggest that septoplasty alone can be adequate for the treatment of CRS with septal deviation.

The Role of Autologous Fibrin-Platelet Glue in Plastic Surgery: A Preliminary Report

2002 ◽  
Vol 25 (4) ◽  
pp. 334-338 ◽  
Author(s):  
M. Valbonesi ◽  
G. Giannini ◽  
F. Migliori ◽  
R. Dalla Costa ◽  
A. Galli
Keyword(s):  
Wound Healing ◽  
Soft Tissue ◽  
Hospital Stay ◽  
Plastic Surgery ◽  
Preliminary Report ◽  
Length Of Hospital Stay ◽  
Point Of View ◽  
General Point ◽  
Promote Wound Healing

To promote wound healing, we used autologous fibrin-platelet glue in 14 patients with skin and soft tissue losses caused by recent trauma or chronic pathology. The level of improvement was scored, arbitrarily, from 0 to 4. Very favourable results (score 3–4) were seen in 11 out of 14 patients. The glue preparation is very easy, inexpensive and creates excellent and stable hemostasis. From a general point of view, we have confirmed the utility of fibrin-platelet glue in terms of reduced infections and length of hospital stay.

scholarly journals Role of Plastic Surgeons in the Trauma Center: National Level I Trauma Center Startup Experience in South Korea 

2020 ◽  
Author(s):  
Il Jae Lee ◽  
Bo Hwan Cha ◽  
Hyung Min Hahn
Keyword(s):  
Soft Tissue ◽  
Surgical Procedures ◽  
Trauma Care ◽  
Trauma Center ◽  
Regional Level ◽  
Trauma Centers ◽  
Acute Trauma ◽  
Level I ◽  
Anatomical Area

Abstract Background: Although it is well-recognized that other surgical specialties perform various procedures related to trauma care, there is a lack of analyses focusing on the role of plastic surgical management in trauma centers in Korea. This retrospective study was designed to investigate the scope of plastic surgery services in acute trauma care, using clinical data obtained from a single, regional, level I, trauma center.Methods: This study included patients who presented to a single, regional, level I, trauma center in March 2016. Of them, patients with acute trauma to the facial soft tissue and skeleton, soft tissue of the upper and lower limbs, trunk and perineum, and other areas requiring plastic surgical procedures were included in the analysis. Data on patients’ demographics and detailed surgical procedures were acquired from electric medical records.Results: A total of 1,544 patients underwent surgery, and 2,217 procedures were recorded during the 2-year study period. In 2016, 1,062 procedures on 690 patients, and, in 2017, 1,155 procedures on 787 patients were registered. The head and neck region was the most commonly observed anatomical area that was operated on. The facial bone requiring the largest degree of surgical intervention was the mandible, followed by the zygomatic bone, nasal bones, orbital floor, and maxilla. Microsurgical procedures, such as flap surgery and microsurgery, were performed in 121 cases. Conclusion: Plastic surgeons work alongside experts from various specialties to restore the appearance and function of a specific anatomical area. Thus, plastic surgeons are an essential part of trauma centers.Trial registration: Not applicable.

Sign in / Sign up

Export Citation Format

Share Document