A Modified Crestal Ridge Expansion Technique for Immediate Placement of Implants: A Report of Three Cases

2008 ◽  
Vol 34 (6) ◽  
pp. 319-324 ◽  
Author(s):  
Mario Santagata ◽  
Luigi Guariniello ◽  
Alfredo D'Andrea ◽  
Gianpaolo Tartaro
Keyword(s):  
Dental Implants ◽  
Treatment Time ◽  
Oral Rehabilitation ◽  
Ridge Augmentation ◽  
Receptor Sites ◽  
Patient Morbidity ◽  
Immediate Placement ◽  
Expansion Technique ◽  
Edentulous Jaws

Abstract Atrophic edentulous jaws can pose a significant challenge to successful oral rehabilitation with endosseous dental implants. Although ridge augmentation can help to restore ridge volume, grafting procedures can significantly increase patient morbidity, costs, and treatment time, depending on the case, before dental implants can be placed. This article reports on an alternative technique used in 3 patients to expand ridge volume and place dental implants in a single procedure. A partial-thickness flap was elevated to expose the alveolar crest, and conventional implant osteotomies were partially prepared. Along the crest of the ridge, a furrow with terminal vertical releases 1 to 3 mm deep were created, and a bone chisel was used to deepen the furrow. Osteotomes were used to complete preparation of the implant receptor sites, and the implants were placed. Bony plates were stabilized through the use of resorbable sutures. Furrows more than 2 mm deep between the plates were augmented with a xenograft. Collegen membranes were placed over the sites, and soft tissue was sutured. Healing was unremarkable, and all implants were successfully restored. For these patients, the ridge expansion technique resulted in substantial bone reconstruction with little or no grafting. Long-term, prospective studies on this procedure are required before definitive conclusions can be drawn.

Overdenture as a Restorative Option for Hypocalcified-hypoplastic Amelogenesis imperfecta: A Case Report

2009 ◽  
Vol 10 (3) ◽  
pp. 67-73 ◽  
Author(s):  
Valentim Adelino Ricardo Baräo ◽  
Wirley Gonçalves Assunção ◽  
Claudia Misue Kanno ◽  
Célia Tomiko Matida Hamata Saito ◽  
Juliana Aparecida Delben
Keyword(s):  
Case Report ◽  
Treatment Time ◽  
Amelogenesis Imperfecta ◽  
Oral Rehabilitation ◽  
Noninvasive Treatment ◽  
Minimal Invasiveness ◽  
Restorative Treatment ◽  
Time Required ◽  
Term Maintenance

Abstract Aim The aim of this report is to describe the restorative treatment of an 18-year-old patient diagnosed with autossomal recessive hypocalcified-hypoplastic amelogenesis imperfect (AI). Background Esthetic and functional rehabilitations in AI cases are challenging and should consider individual aspects, such as age, socioeconomic status, AI type, and intraoral condition. Report AI was diagnosed in an 18-year-old patient. Summary Considering the short length of crowns and roots, patient life expectancy, minimal invasiveness, amount of treatment time required, and lower costs, oral rehabilitation with overdentures provided an adequate functional and esthetic rehabilitation of the patient. Clinical Significance This report demonstrated overdentures to be a viable, relatively inexpensive, and noninvasive treatment choice of a patient with AI with concerns about treatment longevity, invasiveness, cost, esthetics, and long-term maintenance. Citation Assunção WG, Barão VAR, Kanno CM, Saito CTMH, Delben JA. Overdenture as a Restorative Option for Hypocalcified-hypoplastic Amelogenesis imperfecta: A Case Report. J Contemp Dent Pract 2009 May; (10)3:067-073.

scholarly journals Implant Prosthodontic Rehabilitation after Surgical Treatment for an Oropharyngeal Malignant Tumour Using Tantalum Dental Implants

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Marko Vuletić ◽  
Ivica Pelivan ◽  
Dragana Gabrić
Keyword(s):  
Head And Neck ◽  
Dental Implants ◽  
Oral Surgery ◽  
Trabecular Metal ◽  
Tobacco Exposure ◽  
Implant Surface ◽  
Oral Rehabilitation ◽  
Porous Tantalum ◽  
Oncologic Patients

Oropharyngeal cancer (OPC) represents a significant portion of head and neck cancers. In most cases, it is localised in the soft palate, lingual and palatine tonsils, base of the tongue, and the surrounding tissues. Alcohol and tobacco exposure are well-known evidence-based risk factors for developing OPC; however, over the last decade, there has been a rapid increase in OPC linked to human papillomavirus (HPV). Dental implant therapy faces many challenges related to immediate and long-term success, and patients who are rehabilitated with implant prosthodontic therapy often have numerous comorbidities. Tantalum is a rare transitional metal element which has high corrosion resistance and is extremely inert. Porous tantalum trabecular metal (PTTM) has high volumetric porosity, a low modulus of elasticity, and very high friction. PTTM implant surface enhancement allows “osseoincorporation,” which means the neovascularisation and formation of new bone directly onto the implant. A 65-year-old patient presented to the Department of Oral Surgery of Clinical Hospital Centre Zagreb after resection of the mandible due to OPC had oral rehabilitation. Three Zimmer Biomet Trabecular Metal™ implants ( 4.1 × 10   mm ) were inserted in the area of lower left first incisor, lower left second premolar, and lower right second premolar, and after four months, a new upper partial denture and the bar-retained mandibular overdenture were made. Implant prosthodontic rehabilitation of head and neck cancer patients is usually challenging in terms of achieving an improvement in its main aim, quality of life; however, today it is a safe and reliable therapy. Although radiation therapy may negatively affect the patient’s oral condition and influence the short- and long-term success of the implant, the presented case report showed that the excellent properties of PTTM-enhanced dental implants may give great basis for future comparative researches of using these implants in the treatment of oncologic patients.

Implant Installation With Simultaneous Ridge Augmentation. Report of Three Cases

2011 ◽  
Vol 37 (5) ◽  
pp. 595-603 ◽  
Author(s):  
Jun-Beom Park
Keyword(s):  
Dental Implants ◽  
Alveolar Bone ◽  
Treatment Time ◽  
Clinical Results ◽  
Graft Material ◽  
Ridge Augmentation ◽  
Dental Implantation ◽  
Probing Depth ◽  
Staged Approach ◽  
Adequate Quantity

The anatomic limitations of the residual alveolar bone may cause problems for the insertion of dental implants because implant placement requires an adequate quantity and quality of bone. Ridge augmentation has been performed to reconstruct alveolar ridges as support for the placement of dental implants with a high success rate. However, a staged approach requires multiple surgeries and more treatment time. In this report, the patients were treated with dental implantation with simultaneous ridge augmentation in both submerged and nonsubmerged cases. The prostheses were well in function without any probing depth or gingival inflammation up to final evaluation. It may be suggested that dental implantation with simultaneous bone grafting may be an option when the graft material can be well stabilized around the implants. Further evaluations over long periods of time are needed to monitor the clinical results.

Vitamin D deficiency as a suspected causative factor in the failure of an immediately placed dental implant: a case report

2014 ◽  
Vol 100 (3) ◽  
pp. 328-332 ◽  
Author(s):  
G Bryce ◽  
N MacBeth
Keyword(s):  
Vitamin D ◽  
Case Report ◽  
Vitamin D Deficiency ◽  
Dental Implants ◽  
Dental Implant ◽  
Causative Factor ◽  
Improvised Explosive Device ◽  
Immediate Placement ◽  
Improvised Explosive

AbstractAimTo discuss the influence of Vitamin D defi ciency in the osseointegration process of a dental implant by way of a case report.SummaryA 29-year-old soldier attended clinic with a fractured mandibular premolar (tooth 44) that was traumatised following head trauma related to the detonation of an Improvised Explosive Device (IED) whilst serving on operational duty. The tooth was deemed unsalvageable and was extracted with immediate placement of a dental implant. The patient experienced no problems but at assessment, five months post-operatively, no osseo-integration of the implant was found. Concurrent medical investigations revealed that he was severely Vitamin D deficient and that this may have contributed to the implant failure.ConclusionVitamin D deficiency may play a role in the failure of osseointegration in dental implants. The assessment of vitamin D status in patients who have been in long-term hospital care or rehabilitation should be considered, prior to the placement of dental implants.

Immediate Placement and Temporization of Implants: Three- to Five-year Retrospective Results

2009 ◽  
Vol 35 (3) ◽  
pp. 136-142 ◽  
Author(s):  
Pierluigi Avvanzo ◽  
Domenico Ciavarella ◽  
Andrea Avvanzo ◽  
Nicola Giannone ◽  
Mauro Carella ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Dental Implants ◽  
Treatment Goal ◽  
Extraction Socket ◽  
Implant Placement ◽  
Immediate Placement ◽  
Immediate Function ◽  
Term Data

Abstract The immediate placement of dental implants in esthetic areas is a primary challenge for modern implantology. The underlying treatment goal is to preserve the natural periodontal architecture; in recent years, however, a concurrent goal has been to reduce the period between implant placement in the fresh extraction socket and delivery of the definitive restoration, but adequate long-term data are still lacking on the efficacy of this technique. A 3- to 5-year retrospective analysis of 282 dental implants immediately placed into extraction sockets, and temporized with nonoccluding provisional prostheses has been undertaken. All recorded outcomes and complications, as well as a proposed protocol for management of immediate function, are discussed.

scholarly journals Dental implants in patients with epidermolysis bullosa: a systematic review

2019 ◽  
Vol 23 (4) ◽  
pp. 389-394 ◽  
Author(s):  
Bruno Ramos Chrcanovic ◽  
Ricardo Santiago Gomez
Keyword(s):  
Dental Implants ◽  
Epidermolysis Bullosa ◽  
Oral Rehabilitation ◽  
Electronic Search ◽  
The Mean ◽  
Implant Treatment ◽  
Molar Region

Abstract Purpose To integrate the available data published on patients with epidermolysis bullosa (EB) rehabilitated with dental implants, as well as to review the recommendations for EB patients receiving implants. Methods An electronic search was undertaken in February 2019 in five databases. Results Sixteen publications were included, reporting 28 patients with EB, rehabilitated with 161 dental implants. The mean ± SD patients’ age at implant surgery was 34.7 ± 12.1 years (range, 13–56). Only one implant was placed in the molar region, all other implants were placed in the incisor, canine, and premolar regions. Patients received a mean ± SD of 5.8 ± 2.8 implants (range, 2–11). Most of the patients received implant-supported fixed prostheses (fixed partial 14.3%, fixed full-arch 60.7%, overdenture 25%). Implant and prosthesis failure rates were 1.3% and 0%, respectively. The two implant failures were detected before or at the abutment connection. The mean ± SD follow-up time was of 39.2 ± 24.5 months (range, 6–111). The EB patient quality-of-life improved considerably as a result of treatment with dental implants. There is a series of dental care considerations that should be followed to smooth the implant treatment in EB patients. Conclusions The dental implant failure rate in EB patients seems to be very low, although the few cases reported in the literature were followed up for a short mean period, i.e., just a little bit longer than 3 years. More cases followed up for a long period are needed in order to be able to make a more reliable prognosis for the long-term oral rehabilitation of EB patients with dental implants.

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 Splitting expansion and palatal approach technique for implant placement in severely resorpted maxilla

2021 ◽  
Vol 10 (8) ◽  
pp. e26710817214
Author(s):  
Mauricio Aguirre ◽  
Gabriel Fiorelli Bernini ◽  
Fernando Arciniegas ◽  
Karina Maria Salvatore de Freitas
Keyword(s):  
Donor Site ◽  
Donor Site Morbidity ◽  
Alveolar Ridge ◽  
Surgical Time ◽  
Oral Rehabilitation ◽  
Splitting Technique ◽  
Implant Placement ◽  
Immediate Placement ◽  
Expansion Technique ◽  
Implant Dentistry

The treatment of patients with atrophic maxillary alveolar ridge who need oral rehabilitation is a common problem in Implant Dentistry. One of the techniques used is the alveolar ridge splitting technique to expand alveolar ridges with a horizontal bone decrease. The palatal approach technique is also recommended in cases with an insufficient thickness of the alveolar ridge for the placement of implants in the bone envelope. The aim of this work is to describe the splitting expansion and palatal approach technique for the treatment of atrophic maxillary ridges with a horizontal bone deficit and rehabilitation with implant placement. This technique combines the alveolar ridge splitting/expansion technique and the palatal approach technique. It allows alveolar ridge expansion using piezosurgery and immediate placement of implants without thread exposure in the palatal aspect. With one surgical time, this technique avoids the fracture of the buccal bone plate due to the expansion, eliminates the need for bone graft and donor-site morbidity, is simple and effective, and shows great esthetic results and implant success.

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