Multidisciplinary Treatment for a Young Patient With Severe Maxillofacial Trauma From a Snowmobile Accident: A Case Report

2010 ◽  
Vol 36 (2) ◽  
pp. 141-144 ◽  
Author(s):  
Seiichi Yamano ◽  
Mark Nissenbaum ◽  
Thomas B. Dodson ◽  
German O. Gallucci ◽  
Cortino Sukotjo
Keyword(s):  
Alveolar Bone ◽  
Multidisciplinary Treatment ◽  
Mandibular Fractures ◽  
Rigid Fixation ◽  
Clinical Report ◽  
Oral Rehabilitation ◽  
Implant Placement ◽  
Corticocancellous Bone Grafting ◽  
Maxilla And Mandible ◽  
Condylar Fractures

Abstract This clinical report describes the oral rehabilitation of a 15-year-old male patient who was involved in a snowmobile accident and suffered multiple mid-face and mandibular fractures. Consequences of the accident included avulsion of teeth numbers 5 to 10 and 21 to 26, and a significant amount of maxillary and mandibular anterior alveolar bone loss. The patient underwent open reduction and rigid fixation of the fractured left zygoma, comminuted LeFort I maxillary fracture, and left body of the mandible; closed reduction of the bilateral condylar fractures; autologous corticocancellous bone grafting to the maxilla and mandible; implant placement; and prosthesis fabrication. This multidisciplinary approach successfully restored function and esthetics.

Prosthetic Rehabilitation of Edentulous Ridges Following Alveolar Distraction Osteogenesis: Clinical Report of Three Cases

2011 ◽  
Vol 37 (sp1) ◽  
pp. 183-191 ◽  
Author(s):  
Gulfem Ergun ◽  
Isil Cekic Nagas ◽  
Dervis Yilmaz ◽  
Mustafa Ozturk
Keyword(s):  
Dental Implant ◽  
Distraction Osteogenesis ◽  
Alveolar Bone ◽  
Case Reports ◽  
Clinical Report ◽  
Oral Rehabilitation ◽  
Radiologic Findings ◽  
Implant Placement ◽  
Dental Practitioners ◽  
Alveolar Distraction Osteogenesis

Patients with complete edentulism who have insufficient bone for endosseous dental implant treatment present a challenge for dental practitioners. Distraction osteogenesis of the edentulous alveolar ridges is a process for augmentation of atrophic alveolar bone before dental implant placement. This clinical report describes the use of distraction osteogenesis and rehabilitation of patients with a fixed or removable implant-supported prosthesis to treat mandibular defects. Two female patients with segmental alveolar atrophy at the posterior regions of mandible and one female patient with defect at the anterior region of mandible were treated using distraction devices. However, lingual tipping of the distraction vector occurred during the distraction phase in patient 1. The morphology of the alveolar bone was also analyzed in relation to the planned implant position. After a consolidation period of 12 weeks on average, radiologic observation suggested that there was sufficient bone formation for implant installation. In all patients, implant-supported fixed or removable prosthetic oral rehabilitation was successfully performed, and the clinical and radiologic findings were satisfactory. After 4 years of follow-up, no functional or esthetic difficulties with the implants and restorations were noted. These case reports suggest that although alveolar distraction osteogenesis seems to be an effective technique for augmenting atrophic alveolar bone for creating bone and soft tissue, complications may occur after surgical procedures.

scholarly journals Implant Supported Prosthesıs in a Patıent wıth Progerıa: Case Report

2009 ◽  
Vol 9 (3) ◽  
pp. 210-214
Author(s):  
Gözlem Ceylan ◽  
Nergiz Yılmaz ◽  
Özgün Şenyurt ◽  
Göknil Ergün Kunt
Keyword(s):  
Treatment Planning ◽  
Alveolar Bone ◽  
Dental Treatment ◽  
Dental Health ◽  
Multidisciplinary Treatment ◽  
Clinical Findings ◽  
Medical Problems ◽  
Dental Patients ◽  
History Of ◽  
Maxilla And Mandible

Prosthodontic rehabilitation can be accomplished with fixed, overdenture, complete, or implant-retained prostheses. Dental treatment overcomes the patient’s functional, psychological, esthetic and phonation problems. Remaining healthy teeth may allow the dentist to fabrícate a removable partial overdenture, fixed partial prosthesis or implant - supported prosthesis. The retention of a number of abutments helps maintain a positive ridge form with greater height and volume of the alveolar bone, improving masticatory performance, as well as providing a more stable prostheses. Dental patients who have medical problems need many treatment procedures. Multidisciplinary treatment planning is invaluable for patient’s dental health. Progeria is a rare genetic condition where symptoms resembling aspects of aging are manifested at an early age. characteristic clinical findings of Progeria disease include abnormalities of the skin and hair in conjunction with char-acteristic facial features and skeletal abnormalities. The characteristic facies show protruding ears, beaked nose, thin lips with centrofacial cyanosis, prominent eyes, frontal and parietal bossing with pseudohydrocephaly, midface hypoplasia with micrognathia and large anterior fontanel. The other reported anomalies are dystrophic nails, hypertrophic scars and hypoplastic nipples. The findings that are nearly interested in dentistry are delayed dentition, anodontia, hypodontia, or crowding of teeth. This article presents the multidisciplinary dental treatment planning includes surgical, endodontic and prosthetic treatment of a patient with a history of progeria. In this case complete-arch fixed prostheses in both maxilla and mandible, supported by a combination of im-plants and teeth are reported.

scholarly journals Full Mouth Rehabilitation with Implant-Supported Prostheses for Severe Periodontitis: A Case Report

2010 ◽  
Vol 4 (1) ◽  
pp. 165-171 ◽  
Author(s):  
Sompop Bencharit ◽  
Debra Schardt-Sacco ◽  
Michael B Border ◽  
Colin P Barbaro
Keyword(s):  
Dental Implants ◽  
Bone Grafting ◽  
Alveolar Bone ◽  
Primary Stability ◽  
Healing Time ◽  
Oral Rehabilitation ◽  
Implant Placement ◽  
Periodontal Inflammation ◽  
Severe Periodontitis ◽  
Full Mouth Rehabilitation

Oral rehabilitation for a patient with severe loss of alveolar bone and soft tissue resulting from severe periodontitis presents a challenge to clinicians. Replacing loosening natural teeth with fixed prostheses supported by dental implants often requires either gingival surgery or bone grafting. The outcome of the bone grafting is sometimes unpredictable and requires longer healing time and/ or multiple surgeries. The presence of periodontal inflammation and periapical lesions often delay the placement of bone grafts as well as dental implants. Here we present a clinical case of a patient undergone full mouth reconstruction with implant-supported fixed prostheses. We demonstrated that early placement of implants (three weeks after extractions) with minimal bone grafting may be an alternative to conventional bone grafting followed by implant placement. We believe that primary stability during implant placement may contribute to our success. In addition, composite resin gingival material may be indicated in cases of large fixed implant prostheses as an alternative to pink porcelain.

scholarly journals Oral rehabilitation using immediate implant placement in mandibular lateral incisors – a case report

2021 ◽  
Vol 54 (3) ◽  
pp. 160
Author(s):  
Nila Sari ◽  
Abil Kurdi ◽  
Bambang Agustono Satmoko Tumali ◽  
Muhammad Dimas Aditya Ari
Keyword(s):  
Alveolar Bone ◽  
Treatment Time ◽  
Treatment Plan ◽  
Oral Rehabilitation ◽  
Mandibular Incisor ◽  
Implant Placement ◽  
Root Position ◽  
Dental Hospital ◽  
Healing Phase ◽  
Immediate Implant

Background: Dental problems often lead to missing teeth. After tooth extraction, the alveolar bone will undergo a healing phase, and this will cause some vertical and horizontal resorption. Immediate implant placement can shorten treatment time and preserve the rest of the alveolar bone. Purpose: The purpose of this study is to present a case of oral function, equilibrium and aesthetic rehabilitation using immediate implant placement. Case: A male patient aged 31 came to Dental Hospital Universitas Airlangga with a fractured anterior tooth. The tooth had fractured two weeks before he came to the hospital, and he wanted to improve his appearance. Case management: The mandibular incisor was fractured, and its residual root remained. The treatment plan was to undertake an immediate implant placement. The type of implant chosen was a bone level tapered implant SC roxolid® SLA Ø 2.9 mm and 10 mm long. Surgery was performed in two stages. The first stage was to extract the residual root, position the implant and apply the bone graft. The second stage was to position the healing abutment. A crown impression was made using the closed tray technique. The crown was cemented to the abutment. Conclusion: Immediate implant placement is an aesthetic means of rehabilitating a missing tooth, such as an anterior mandibular tooth.

scholarly journals Evaluation of implant osseointegration success: Retrospective study at update course

2015 ◽  
Vol 18 (4) ◽  
pp. 98
Author(s):  
Michelle Bianchi Moraes ◽  
Vivian Graziele Leite de Toledo ◽  
Rodrigo Dias Nascimento ◽  
Fernanda de Cássia Papaiz Gonçalves ◽  
Fernando Vagner Raldi
Keyword(s):  
Dental Implants ◽  
Medical Records ◽  
Rigid Fixation ◽  
Oral Rehabilitation ◽  
Patient Gender ◽  
Implant Placement ◽  
Technological Advances ◽  
Living Bone ◽  
Mandibular Region ◽  
Natural Teeth

<p><strong>Objective: </strong>With the scientific and technological advances, the life expectancy of the population has increased over the years. With the advent of dental implants, a new possibility of treatment for oral rehabilitation was created to help or even help overcome the limits of conventional fixed dentures, removable and mainly total. Compared to conventional rehabilitation treatment on natural teeth, rehabilitation on implants has higher rates of success and longevity. <strong>Material and Methods:</strong> For this research we evaluated the medical records of patients who received surgical treatment for implant placement in the update current school of Implantology ECO (Continuing Studies in Dentistry) in São José dos Campos, in the 2008 'period to 2012, in order to obtain, analyze and relate the following criteria: the patient gender; year and number of installed dental implants; the region of implant installation; the trademark of the installed implant and the successful osseointegration, or process in which there is a rigid fixation between the living bone and the surface of the implant installed. <strong>Results:</strong> According to the analyzed data, it was observed, along five years, a total of 434 implants placed in patients, mostly women in the mandibular region. However, the total loss was of 5 implants, most in the maxilla and in men, 3 of these, cone-Morse implants, one internal and one external hexagon. <strong>C</strong><strong>onclusion:</strong> Thus, the success rate in the osseointegration implants seems to be more influenced by patient selection and surgical and prosthetic guidelines, compared the experience of the dentist.</p>

Sandwich Bone Graft Covered With Buccal Fat Pad in Severely Atrophied Edentulous Maxilla: A Clinical Report

2011 ◽  
Vol 37 (3) ◽  
pp. 361-366 ◽  
Author(s):  
Arash Khojasteh ◽  
Hassan Mohajerani ◽  
Fatemeh Momen-Heravi ◽  
Mahmood Kazemi ◽  
Marzieh Alikhasi
Keyword(s):  
Occlusal Plane ◽  
Clinical Report ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Le Fort I Osteotomy ◽  
Sinus Augmentation ◽  
Le Fort ◽  
Implant Placement ◽  
Maxilla And Mandible ◽  
Le Fort I

Abstract A 48-year-old woman with a severely atrophied maxilla was treated with open sinus augmentation surgery along with Le Fort I osteotomy with a pedicled buccal fat pad graft to position the maxilla in a right occlusal plane with respect to the mandible and to construct adequate bone volume allowing proper implant placement. Six dental implants were inserted in the maxilla, and a fixed metal-resin screw-retained prosthesis was fabricated for the maxilla and mandible.

scholarly journals A Retrospective Study on the Transferring Accuracy of a Fully Guided Digital Template in the Anterior Zone

Materials ◽  
2021 ◽  
Vol 14 (16) ◽  
pp. 4631
Author(s):  
Lirong Huang ◽  
Xiaoqing Zhang ◽  
Anchun Mo
Keyword(s):  
Bone Density ◽  
Alveolar Bone ◽  
Surgical Techniques ◽  
West China Hospital ◽  
Implant Placement ◽  
Anterior Teeth ◽  
Significant Difference ◽  
Placement Accuracy ◽  
Maxilla And Mandible ◽  
Digital Template

The accuracy of implant placement with a fully guided digital template can be influenced by many factors, such as arch difference, alveolar bone density, timing of implant placement and open flap. The purpose of this article was to evaluate the factors presumptively affecting the accuracy of implant placement assisted by the fully guided template in the anterior zone. In 40 patients with missing anterior teeth, a total of 52 implants were placed with tooth-borne, fully guided templates after CBCT evaluation, in West China Hospital of Stomatology, Sichuan University. After overlapping the pre-and post-operative DICOM data, measurements were taken in the dental implant planning software (Nobel Clinician®) to calculate linear and angular deviations between virtual placement plan and actual implant placement. Grouping was categorized according to three factors that possibly have an influence on accuracy: arch type (maxilla/mandible), timing of implant placement (immediate/delayed), surgical technique (open flap/flapless). The data was analyzed with independent sample t-test (p < 0.05). The results showed that the apical, coronal, depth and angular mean deviations of implant positions in anterior zone were 1.13 ± 0.39 mm, 0.86 ± 0.33 mm, 0.41 ± 0.66 mm, 3.32 ± 1.65° with the fully guided templates. The accuracy at apex level, coronal level and the angulation were similar between the maxilla and mandible, and the magnitude of all four deviations between immediate and delayed implantation, open flap and flapless technique were small. No statistically significant difference was observed (p > 0.05). Whereas there was significant difference in depth deviation between maxilla and mandible (p < 0.05). Conclusively, the implant site, alveolar bone density, timing of implant placement and surgical techniques merely compromise the implant placement accuracy under the assistance of a fully guided template.

scholarly journals The DSD clicGuide system: a new concept for full-arch implant placement and immediate loading rehabilitation using the digital workflow: a clinical report of three cases

2021 ◽  
Vol 30 (89) ◽  
pp. 20-32
Author(s):  
Francis Coachman ◽  
Gustavo Petrili ◽  
Guilherme José Pimentel Lopes de Oliveira ◽  
Bruna Ghiraldini ◽  
Fábio José Barbosa Bezerra
Keyword(s):  
Treatment Plan ◽  
Three Dimensional ◽  
Case Series ◽  
Planning System ◽  
Immediate Loading ◽  
Clinical Report ◽  
Oral Rehabilitation ◽  
Implant Placement ◽  
Surgical Guides ◽  
High Level

One of the limitations of using guided surgery for full arch rehabilitation is related to the cases where it is necessary to perform osteotomy prior to the placement of the implant. The Digital Smile Design ClicGuide (DSD ClicGuide) is a digital rehabilitation planning system recommended in the rehabilitation of fully edentulous jaws, which orients implant placement procedures and immediate provisional loading based on an ideal three-dimensional design. This system consists of a sequence of surgical guides used during the clinical procedures that may include teeth extractions, osteotomies, implant placements, and immediate prothesis installation, increasing the level of predictability of rehabilitation procedures in these complex clinical cases. The aim of this case series report is to describe the oral rehabilitation of three patients treated according to the DSD ClicGuide technique, who received a total of twenty dental implants. All the patients treated required total oral rehabilitation in at least one of the arches and required osteotomies in order to regularize the alveolar ridge before the placement of the implant. Once the rehabilitation parameters were defined and the treatment plan was approved, the following guides were printed and used in sequence: a base guide that was used as a reference for the osteotomy procedure; a guide for installing the implants; and a guide with the printed temporary prosthesis for immediate loading. It can be conclude that the DSD ClicGuide system enabled the osteotomy, implants placement, and installation of an immediate loading prosthesis in totally edentulous patients, with a high level of predictability.

scholarly journals Oral Rehabilitation in Irradiated Patients: Implant- or Tooth-Supported Fixed Prosthesis? A Clinical Report

2019 ◽  
Author(s):  
Somayeh Allahyari
Keyword(s):  
Side Effects ◽  
Tooth Extraction ◽  
Clinical Report ◽  
Treatment Sequence ◽  
Cranial Radiotherapy ◽  
Oral Rehabilitation ◽  
Radiation Caries ◽  
Implant Placement ◽  
Fixed Prosthesis ◽  
Treatment Prognosis

Cranial radiotherapy has several side effects. One of the most important complications is radiation caries that endangers the treatment prognosis. In the literature, the use of crowns and bridges for irradiated patients has been suggested as a contraindication. In addition, due to the risk of osteoradionecrosis (ORN), there are doubts about tooth extraction and implant placement. Here, we present a treatment sequence and recalls for an irradiated young patient. For irradiated patients, it is recommended to replace teeth with implants when there is no possibility for supragingival prosthetic margin.

Implant site preparation application of injectable platelet-rich fibrin for vertical and horizontal bone regeneration: A clinical report

2020 ◽  
Author(s):  
Prakan Thanasrisuebwong ◽  
Sirichai Kiattavorncharoen ◽  
George R Deeb ◽  
Sompop Bencharit
Keyword(s):  
Bone Graft ◽  
Bone Regeneration ◽  
Bone Defect ◽  
Alveolar Bone ◽  
Treatment Protocol ◽  
Biologically Active ◽  
Asian Woman ◽  
Clinical Report ◽  
Platelet Rich Fibrin ◽  
Implant Placement

Guided bone regeneration (GBR) using a combined injectable platelet-rich fibrin (i-PRF), leukocyte- and platelet-rich fibrin (L-PRF) and biocompatible bone substitute materials, is a convenient and effective method to augment a combined vertical and horizontal bone defect. This approach can create sufficient bone quality and quantity for implant surgical sites. A 55-year-old Asian woman presented with a severe bone defect in posterior mandible. The edentulous mandibular alveolar ridge was severely resorbed vertically and horizontally.  A GBR procedure using i-PRF and L-PRF combined with particulate bone graft was performed. Postoperative cone beam computed tomography scans, 8 months after the augmentation, revealed a large regeneration of the alveolar bone sufficient for implant placement. A combination i-PRF/L-PRF and particulate bone graft may provide biologically active molecules as well as a scaffold for osteogenesis. This treatment protocol may be a viable option for a large bone defect required augmentation prior to implant placement.

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