Successful Dental Implant Placement Surgeries With Buccal Bone Fenestrations

2015 ◽  
Vol 41 (1) ◽  
pp. 112-118 ◽  
Author(s):  
Liviu Steier ◽  
Gabriela Steier

This is the first comprehensive review of the classification, preventative measures, diagnosis, treatment methods, and determination of success criteria of buccal bone plate fenestrations (BPFs) secondary to posterior implant surgeries. The purpose of this review is to present and discuss the current literature from peer-reviewed journals, recent studies, and international implantology guidelines and to provide practitioners with guiding points to identify and understand whether BPFs are complications or accidents of implant surgeries. In addition, this review sets forth a detailed set of criteria for the evaluation and diagnosis of BPFs and for the subsequent classification of BPFs as either complications or accidents of posterior implant surgeries. From the literature analyzed, it is clear that BPFs are disqualified from the class of implant treatment failures because BPFs neither impair nor significantly delay treatment. A comprehensive outline of preventative measures and surgery aids to avoid fenestrating the buccal bone plate during implant placement, and a variety of repair methods are included in this review. Considerations of treatment outcomes and patient sensitivities are also included in this comprehensive review.

2021 ◽  
pp. 29-30
Author(s):  
Deepika Sharma ◽  
Tarun Gaur ◽  
Karunakaran Keshav

With the advancement in the dental implant treatment, many new innovative improvements have been developed in the designs and components of implants. These improvements helps to handle the compromising situations where sometimes the good treatment option can become more challenging. One of the such grueling condition is implant placement in the anterior maxilla where dentist has to fulll both aesthetic and functional demand. Many aesthetic failures of implant have been reported in the literature in the anterior maxilla. One of them is placing implant in sites with deciency of facial bone thickness which sometimes resulted in malposition of implant. This case report discusses about the prosthodontic correction of malpositioned implant in the anterior maxilla by using castable abutment. The use of castable abutment is concluded as successful treatment option for complex misaligned and malposed single dental implant.


2021 ◽  
Vol 48 (1) ◽  
pp. 26-33
Author(s):  
Michael O. Ibadin ◽  
George O. Akpede

Background: Researchers in medicine and related fields in Nigeria have usually made recourse to the instrument developed by Olusanya et al and Oyedeji in the past three-and-a half decades for determination of socioeconomic status (SES). Beside the question of their age, however, these instruments were purposive and might no longer be suitable because of the changes in the parameters on which they were based.Objective: To develop a robust but generic scheme that takes into consideration the changes in the nation’s socioeconomic space in the succeeding three and a half decades.Methods: A detailed and comprehensive review of the extant schemes was undertaken with a view to identifying their inherent weaknesses. The latter were then factored into the design of a new scheme taking into consideration the emergent restructuring of career positions in the civil/public service as well as the place of private and informal sectors of the economy. The new scheme was validated at the University of Beninand Irrua Specialist Teaching Hospitals.Results: The new scheme had a remarkably high Inter-rater reliability (r = 0.947, p<0.001), raterre- rater reliability (r = 0.984, p <0.001) and % agreement (with modified Oyedeji’s tool as standard) of 67% (K coefficient = 0.47, r = 0.71, p<0.001)Conclusion/Recommendation: The new scheme could be a viable tool for the assessment of SES of families and individuals, which not only takes into consideration current realities of the nation’s economy, but also is readily adaptable to meet foreseeable changes.


There are two main results: a determination of the modality of a generic function on any given two-dimensional quotient singularity and a listing of all the zero-modal functions. To achieve this, a comprehensive review of the invariant theory for free actions on C 2 is needed. The problem is put in context by a general discussion of classification of invariant functions, and several different extensions of the main results are indicated.


2012 ◽  
Vol 11 (1) ◽  
pp. 49
Author(s):  
Barunawaty Yunus ◽  
Syamsiar Toppo

The success of dental implant installment is determined by the condition of alveolar bone itself. Although there is nolegal research of the dental implant treatment failure in Indonesia, but there are some reports which state that thereis a lot of dental implant treatment failure happened which caused by the lack of appraisal of the quality andquantity of the alveolar bone image which is accurate and optimal in the usement of radioghraphy units. But as thetime goes, the public needed of dental implant treatment begins increased. The purpose of this paper is to introducethe CT-Scan with Hounsfield Unit sofe ware as a screener to patients for dental implant placement with value bonemineral density (BMD). The measurement of BMD on alveolar bone before surgery for dental implant installmentmust describe local condition and then compared the size with the diameter of dental implant. From the discussion,it can be concluded that with using the CT-Scan, somebody can be stated get requirement or not for dental implantplacement.


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.


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Jeong-Kui Ku ◽  
Junggon Lee ◽  
Hyo-Jung Lee ◽  
Pil-Young Yun ◽  
Young-Kyun Kim

Abstract Background The aim of this study was to assess the accuracy of virtual planning of computer-guided surgery based on the actual outcomes of clinical dental implant placement. Methods This retrospective study enrolled patients among whom implant treatment was planned using computer-guided surgery with cone beam computed tomography (CBCT). The patients who received implant according to the guide with the flapless and flapped approach were classified as group 1 and 2, respectively, and the others who could not be placed according to the guide were allocated to the drop-out group. The accuracy of implant placement was evaluated with the superimposition of CBCT. Results We analyzed differences in the deviated distance of the entrance point and deviated angulation of the insertion of implant fixtures. With regard to the surgical approach, group 2 exhibited greater accuracy compared to group 1 in deviation distance (2.22 ± 0.88 and 3.18 ± 0.89 mm, respectively, P < 0.001) and angulation (4.27 ± 2.30 and 6.82 ± 2.71°, respectively, P = 0.001). The limitations of guided surgery were discussed while considering the findings from the drop-out group. Conclusions Computer-guided surgery demonstrates greater accuracy in implant placement with the flapless approach. Further research should be conducted to enhance the availability of guides for cases with unfavorable residual bone conditions.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Ali Robaian Alqahtani ◽  
Khalid Gufran ◽  
Fred Silva ◽  
Mateus Garcia Rocha ◽  
Jia Chang

Titanium hypersensitivity is rare, but it may exist among patients who need dental implant treatment. It could contribute to mild or severe peri-implant tissue hypersensitivity reactions and affect patients’ oral and general health according to some clinical reports. In extreme cases, it may lead to implant failure or extraction. In this case report, a 64-year-old Caucasian female patient received a titanium implant placement on #5. Right after the implant placement, she reported the symptoms of pain, eczema, and slight extraoral swelling, along with significant burning sensation occurring intra- and extraorally. The symptoms were not released after the systemic intervention of antibiotics for six days. On retrieving her medical history, the patient reported a previous allergic reaction to jewelry-like earrings in her childhood. The diagnosis of titanium hypersensitivity was made based on the rapid onset of symptoms and her metal allergy history. Therefore, the dental implant was removed after diagnosis, and a bone allograft was used to preserve the alveolar bone volume. Immediately after implant extraction, the swelling and burning sensation were receded. A complete recovery was achieved three weeks later. The dimension of the alveolar ridge bone was found well maintained in 10 weeks follow-up visit. Conclusion. Rapid onset of peri-implant gingival swelling may indicate a hypersensitivity to titanium implant in the clinic. For patients with a history of allergy to jewelry, the hypersensitivity tests to titanium alloy such as patch test or lymphocyte transformation test should be recommended as part of the dental implant treatment plan.


2009 ◽  
Vol 10 (4) ◽  
pp. 35-42 ◽  
Author(s):  
Luay Younis ◽  
Asraa Taher ◽  
Mohamed Ibrahim Abu-Hassan ◽  
Ong Tin

Abstract Aim The purpose of this study was to compare bone healing and coronal bone remodeling following both immediate and delayed placement of titanium dental implants in extraction sockets. Methods and Materials The study included 49 patients (28 women, 21 men) in need of implant treatment in the anterior teeth region of either the maxilla or mandible. Twenty-three subjects received 37 immediate (Im) implants and 26 subjects received 37 delayed (De) implants. The implants were placed immediately in the alveoli following the extraction in the Im group and the implants in the De group were placed approximately six months following the extractions. The width and depth of the marginal bone defects mesial and distal to the implants were evaluated radiographically using computer software designed to measure distances in digitized radiographs. The mean reduction of bone defect over time was 48% (from 3.4 to 1.3 mm) in the Im group which was statistically significant (P <0.05) when tested using a sample t-test, while the mean reduction was 17% (from 2.1 to 1.9 mm) in the De group. Conclusion The potential exists for bone healing and remodeling in fresh extraction socket defects associated with immediately placed implants. Clinical Significance Im implantation offers the advantages of reduced operating time and the preservation of alveolar bone volume. Citation Younis L, Taher A, Abu-Hassan MI, Tin O. Evaluation of Bone Healing Following Immediate and Delayed Dental Implant Placement. J Contemp Dent Pract 2009 July; (10)4:035-042.


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