Beyond osseointegration: dealing with late dental implant complications

2020 ◽  
Author(s):  
Goo Chui Ling ◽  
Victor Goh
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Late Complications ◽  
Treatment Modalities ◽  
Restorative Dentistry ◽  
Missing Teeth ◽  
Implant Complications ◽  
Osseointegrated Implants ◽  
Case Presentations ◽  
Functional Loading

The advent of dental implants has been a boon in the field of restorative dentistry. With dental implants, the treatment modalities to replace missing teeth has widened considerably. While the advantages of implants are undeniable, it is not without its own complications. In this series of case presentations, the authors will highlight late complications associated with osseointegrated implants after functional loading and how such problems were managed.

A STUDY ON CLINICAL AND X - RAY FEATURES OF PARTIALLY  EDENTULOUS PATIENTS WITH DENTAL IMPLANT

2011 ◽  
pp. 96-103
Author(s):  
Quang Hai Nguyen ◽  
Toai Nguyen
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Tooth Loss ◽  
Permanent Teeth ◽  
Missing Teeth ◽  
X Ray ◽  
Lower Jaw ◽  
Molar Teeth ◽  
Edentulous Patients ◽  
Missing Tooth

1. Background: Loss of permanent teeth is very common, affected chewing function, speech and aesthetics; restoration of missing teeth with dental implant has several advantages, but we need thoroughly study the clinical and X ray features at the position at missing teeth, then to select the type of implant and make the best plan for the dental implant patients. 2. Materials and method: Cross-section descriptive study. From January 2009 to November 2010, study with 56 patients with 102 implants of MIS and Megagen systems at the Faculty of Odonto-Stomatology, Hue College of Medicine and Pharmacy and Vietnam-Cuba Hospital in Ha Noi. 3. Results: Distributed equally in male and female, common ages 40 – 59 (55,4%), the majority of missing teeth occurs in the lower jaw (63,8%) and especially, the teeth 36 and 46 (25,4%). The majority of missing teeth due to dental caries, dental pulp and apical diseases (64,7%) of the molar teeth (51,9%); the most position of missing tooth have enough bone for dental implants (87,3%), time of tooth loss and bone status in the position of tooth loss are related to each other (p < 0,01). Diameter and length of implant usually used 4.0 – 6.0 mm (63,7%) and 8.5 – 13.0 mm (83,3%). 4. Conclusion: Clinical and X ray features of edentulous patients has an important role in determining the type of implants and treatment planning of dental implants. Key words: Loss of permanent teeth, X ray and clinical features, Dental implant.

scholarly journals Antimicrobial Effects of Three Different Treatment Modalities on Dental Implant Surfaces

2017 ◽  
Vol 43 (6) ◽  
pp. 429-436 ◽  
Author(s):  
Olav I. Larsen ◽  
Morten Enersen ◽  
Anne Karin Kristoffersen ◽  
Ann Wennerberg ◽  
Dagmar F. Bunæs ◽  
...  
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Er:Yag Laser ◽  
Antimicrobial Effect ◽  
Positive Control ◽  
Treatment Modalities ◽  
Bacterial Strains ◽  
Implant Surface ◽  
Antimicrobial Effects ◽  
Dental Implant Surface

Resolution of peri-implant inflammation and re-osseointegration of peri-implantitis affected dental implants seem to be dependent on bacterial decontamination. The aims of the study were to evaluate the antimicrobial effects of 3 different instrumentations on a micro-textured dental implant surface contaminated with an avirulent or a virulent Porphyromonas gingivalis strain and to determine alterations to the implant surface following instrumentation. Forty-five dental implants (Straumann SLA) were allocated to 3 treatment groups: Er:YAG laser, chitosan brush, and titanium curette (10 implants each) and a positive (10 implants) and a negative (5 implants) control. Each treatment group and the positive control were split into subgroups of 5 implants subsequently contaminated with either the avirulent or virulent P. gingivalis strain. The antimicrobial effect of instrumentation was evaluated using checkerboard DNA–DNA hybridization. Implant surface alterations were determined using a light interferometer. Instrumentation significantly reduced the number of attached P. gingivalis (P &lt; .001) with no significant differences among groups (P = .310). A significant overall higher median score was found for virulent compared with avirulent P. gingivalis strains (P = .007); the Er:YAG laser uniquely effective removing both bacterial strains. The titanium curette significantly altered the implant surface micro-texture. Neither the Er:YAG laser nor the chitosan brush significantly altered the implant surface. The 3 instrumentations appear to have a similar potential to remove P. gingivalis. The titanium curette significantly altered the microstructure of the implant surface.

scholarly journals Afrouxamento e fratura de parafusos em prótese sobre implante: revisão de literatura

2020 ◽  
Vol 8 (10) ◽  
Author(s):  
Adriano Paiano Daguano ◽  
Rodrigo Lorenzi Poluha
Keyword(s):  
Systematic Review ◽  
Dental Implants ◽  
Clinical Report ◽  
Complication Rates ◽  
Success Rates ◽  
Oral Implants ◽  
Clinical Complications ◽  
Implant Complications ◽  
Osseointegrated Implants

Próteses sobre implante representam um grande avanço para a odontologia, porém, complicações mecânicas como afrouxamento ou fratura do parafuso protético, têm sido relatadas. O presente trabalho objetiva revisar a literatura a respeito dessas complicações. O afrouxamento de um parafuso implica em sobrecarga aos demais parafusos que poderão também afrouxar e pode favorecer a ocorrência de falhas, uma delas é a fratura de parafusos e componentes. Quando ocorre a fratura o profissional deverá ter muito cuidado durante a remoção para não danificar a superfície do implante e/ou componente. A prevenção dessas complicações começa com o planejamento do tratamento e um ajuste oclusal adequado. Outro ponto importante são as consultas protéticas de manutenção e avaliação dos parafusos, com possível substituição preventiva.Descritores: Prótese Dentária Fixada por Implante; Implantes Dentários; Revisão.ReferênciasMoraschini V, Poubel LA, Ferreira VF, Barboza Edos S. Evaluation of survival and success rates of dental implants reported in longitudinal studies with a follow-up period of at least 10 years: a systematic review. Int J Oral Maxillofac Surg. 2015;44(3):377-88.Liaw K, Delfini RH, Abrahams JJ. Dental implant complications. Semin Ultrasound CT MR. 2015;36(5):427-33.Nergiz I, Schmage P, Shahin R. Removal of a fractured implant abutment screw: a clinical report. J Prosthet Dent. 2004;91(6):513-17.Vahidi F, Pinto-Sinai G. Complications associated with implant-retained removable prostheses. Dent Clin North Am. 2015;59(1):215-26.Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications with implants and implant prostheses. J Prosthet Dent. 2003;90(2):121-32.Insua A, Monje A, Wang HL, Miron RJ. Basis of bone metabolism around dental implants during osseointegration and peri-implant bone loss. J Biomed Mater Res A. 2017;105(7):2075-89.Al Jabbari Y, Fournelle R, Ziebert G, Toth J, Iacopino A. Mechanical behavior and failure analysis of prosthetic retaining screws after long-term use in vivo. Part 2: Metallurgical and microhardness analysis. J Prosthodont. 2008;17(3):181-91.Freitas R, Doria MC, Oliveira-Neto LA, Lorenzoni FC. Falha do parafuso passante em minipilar cônico angulado cone morse: relato de caso. Innov Implant J Biomater Esthet. 2010;5(2):65-69.Jung RE, Pjetursson BE, Glauser R, Zembic A, Zwahlen M, Lang NP. A systematic review of the 5-year survival and complication rates of implant-supported single crowns. Clin Oral Implants Res. 2008;19(2):119-30.Pjetursson BE, Tan K, Brägger U, Egger M, Zwahlen M. A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. I. Implant-supported FPDs. Clin Oral Implants Res. 2004;15(6):625-42.Luterbacher S, Fourmousis I, Lang N, Brägger U. Fractured prosthetic abutments in osseointegrated implants: a technical complication to cope with. Clin Oral implants Res. 2000;11(2):163-70.Francis L, Zeenath H, Lylajam S, Harshakumar K. Implant screw fracture. J Dent Implant. 2013;3:181-83.Spazzin AO, Farina AP, Luthi LF, Consani RLX, Mesquita MF. Torque de afrouxamento dos parafusos protéticos em próteses mandibulares implanto-retidas com diferentes níveis de desajustes. UNOPAR Cient Ciênc Biol Saúde. 2009;11(1):5-8.Magrin GL, Dalago HR, Schuldt Filho G, Rodrigues MAP, De Bortoli Jr. N, Benfatti CAM et al. Avaliação transversal retrospectiva do desempenho clínico dos parafusos protéticos do sistema Implacil De Bortoli com cinco ou mais anos em função. ImplantNews 2014;11(3):385-91.Williamson RT, Robinson FG. Retrieval technique for fractured implant screws. J Prosthet Dent. 2001;86(5):549-50.

scholarly journals Awareness among Patients regarding Dental Implants as a Treatment Option for replacing Missing Teeth in Melmaruvathur Population

2016 ◽  
Vol 6 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Venkatesan Narayanan ◽  
Prabhu Karuppiah ◽  
Arunkumar Rajasekar ◽  
Lakshmi D Mayavan
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Treatment Option ◽  
Tamil Nadu ◽  
Dental Education ◽  
Education Programs ◽  
Missing Teeth ◽  
Oral Rehabilitation ◽  
Implant Therapy ◽  
Knowledge And Attitude

ABSTRACT Background Treatment with dental implants has become increasingly important in the range of prosthodontic treatment. Significant improvements in oral rehabilitation particularly in edentulous individuals have been seen. In Adhiparasakthi Dental College, Melmaruvathur, a survey was made to evaluate awareness among patients for dental implants, their level of knowledge, and attitude toward replacement of missing teeth by dental implants. Materials and methods A survey of 480 people was conducted through a printed questionnaire and completed by willing respondents. The questionnaires were prepared in English and Tamil language to enable better understanding and completion. Results Of the 510 people surveyed, 480 responses were retrieved, of which 331 were aware of dental implant treatment in Melmaruvathur, Tamil Nadu. Among them, 304 respondents were aware that implants could be used for replacement of missing teeth. Most of the respondents stated that dental implants were placed in the jawbone, followed by gums. Only 41% respondents assumed that implants last for a lifetime and only 35% of respondents believe that poor oral hygiene was the most common cause of implant failure. Conclusion More dental education programs are needed to improve understanding of the importance of restoration of missing teeth. General implant awareness levels are satisfactory. However, increased awareness of patients for restoration of missing tooth with dental implants is necessary. Dental education programs with special emphasis on advantages, treatment, maintenance, and postoperative care of dental implant therapy are needed. More than two-thirds of the surveyed population is interested in knowing about and being treated with dental implants. How to cite this article Narayanan V, Karuppiah P, Rajasekar A, Mayavan LD. Awareness among Patients regarding Dental Implants as a Treatment Option for replacing Missing Teeth in Melmaruvathur Population. Int J Prosthodont Restor Dent 2016;6(1):6-9.

EVALUATION OF RESULTS OF THE PROSTHODONTICS ON THE DENTAL IMPLANTS AT HUE UNIVERSITY HOSPITAL

2011 ◽  
pp. 23-29
Author(s):  
Thanh Phuoc Tran ◽  
Toai Nguyen ◽  
Hong Lien Le ◽  
et al
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Recovery Of Function ◽  
University Hospital ◽  
Missing Teeth ◽  
Periodontal Healing

Objective: Implant is made ​​of titanium fixture implanted into the jawbone to replace lost teeth, allows for recovery of function and aesthetics. In Vietnam, dental implant has become a popular technique in the Odonto-stomatology Hospital since 10 years ago. Since January 2009, dental implant has been made for patients at the Dentistry Clinic, Hue University Hospital. The purpose of this study is to evaluate the effectiveness of the prosthodontics on implant. Subjects and method: The study consisted of 34 patients with 53 fixtures have been implanted. The patients were located periodontal healing and prosthodontics on implant after 2-3 weeks. Evaluation results for the next one week, after 6 months according to the criteria. Result: The effect of prosthodontics on implant after 1 week: 90.57% achieved good, only 9.43% to the average. After 6 months: 96.97% achieved good, average 3.03%, no bad results. Conclusion: The above results demonstrate the effectiveness of dental implants to restore function and aesthetics for people with missing teeth.

Management of Dental Implant Fractures. A Case History

2009 ◽  
Vol 35 (4) ◽  
pp. 210-214 ◽  
Author(s):  
Firas A. M. AL Quran ◽  
Bashar A. Rashan ◽  
Ziad N. AL-Dwairi
Keyword(s):  
Success Rate ◽  
Dental Implant ◽  
Case History ◽  
Experienced Clinician ◽  
Implant Complications ◽  
Osseointegrated Implants ◽  
Ultimate Failure ◽  
Natural Teeth ◽  
Initial Success Rate

Abstract The widespread use of endosseous osseointegrated implants to replace missing natural teeth increases the chances of implant complications and failures, despite the high initial success rate reported in the literature. Implant fracture is one possible complication that results in ultimate failure of the dental implant. Such a complication poses a management crisis even for the most experienced clinician. This article reports on a case of implant fracture, its possible causes, and how the case was managed.

scholarly journals Partial Explantation of Failed Dental Implants Placed in Mandibular Canal: A Case Report

2018 ◽  
Vol 44 (6) ◽  
pp. 456-461 ◽  
Author(s):  
Erik Sahl ◽  
Ali Alqahtani ◽  
Nasser M Alqahtani ◽  
Fabrice Gallez
Keyword(s):  
Case Report ◽  
Dental Implants ◽  
Nerve Injury ◽  
Dental Implant ◽  
Mandibular Canal ◽  
Recommended Treatment ◽  
Implant Placement ◽  
Osseointegrated Implants ◽  
Osseointegrated Implant

One of the most important concerns during posterior mandibular implant placement is avoiding the mandibular canal. Nerve injury can be very disturbing to the patient, possibly causing mild paresthesia to complete anesthesia. Explantation of a dental implant that gas violated the mandibular canal is the most recommended treatment. However, an osseointegrated implant that placed in the mandibular canal can be left if the patient shows no symptoms. In this case report, we describe a technique to maintain the apexes of the implants while partially removing fractured osseointegrated implants previously placed in the mandibular canal.

scholarly journals Assessment of Level of Expectation and Awareness towards Dental Implants among Complete Denture Patients and Partial Denture Prostheses Wearers

2020 ◽  
Vol 18 (1) ◽  
pp. 32-37
Author(s):  
S. KC Basnyat ◽  
B. Sapkota ◽  
S. Shrestha ◽  
U. Rimal
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Educational Status ◽  
Accurate Information ◽  
Missing Teeth ◽  
Chi Square ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Removable Denture ◽  
Significant Difference

Background Among many options to replace missing teeth, dental implant is widely popular but willingness to have implant treatment and its success depends on patients’ knowledge and expectations as well as the care, skill, and judgment of clinicians. Objective The main objective of this study was to assess awareness, expectation and source of information about dental implant among complete and removable partial denture wearers and to find association between them. Method A questionnaire consisting of 6 close-ended questions was used to assess the level of knowledge and awareness among patients visiting Dental Outpatient Department of Dhulikhel Hospital regarding dental implants as a treatment option for replacing missing teeth. Chi-square test was used to study the association between demographic variables and awareness about implantation. Statistical software SPSS 20.0 was used for data analysis. Result Our results revealed significant difference in age (p=0.001), education level (p=0.03) and occupation (p=0.004) in awareness of dental implant and no significant difference in gender (p=0.567), compared between complete and removable partial denture wearers. Due to lack of awareness, lower educational status and advanced age the patients responded that they “did not know “ in answer to almost all the questions. Conclusion The awareness level of dental implant was low among complete and removable denture patients and this was associated with a low level of education and lack of accurate information about dental implants.

Restorative dentistry 5: dental implants

2020 ◽  
pp. 361-375
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Missing Teeth ◽  
Implant Placement ◽  
History Of ◽  
Key Aspects ◽  
Supporting Structures

Single or multiple dental implants have become a well-accepted method of replacement of missing teeth and their supporting structures. This chapter introduces implantology, with an explanation of the history of dental implants and a discussion regarding the need to replace missing teeth. The key aspects of treatment planning for implants are outlined including assessment of suitability for implant placement, indications, and contraindications. Available implant types are outlined and the risks of implant placement such as failure to osseointegrate, gingival recession, and nerve damage are considered. Basic surgical techniques for implant placement are described including an explanation of healing and integration times. The chapter includes provision, follow-up, and maintenance advice regarding restoration of the dental implant.

The Emergency Dental Appointment: Restorative Emergencies Part 2 – Dental Implant Related Problems

2017 ◽  
Vol 6 (2) ◽  
pp. 62-70
Author(s):  
Harpoonam Kalsi ◽  
Jose M Rodriguez ◽  
Ulpee Darbar ◽  
Kalpesh Bavisha
Keyword(s):  
General Practice ◽  
Dental Implants ◽  
Dental Implant ◽  
Missing Teeth ◽  
Popular Method ◽  
Dental Practitioners ◽  
Dental Appointment ◽  
Implant Treatment ◽  
Insight Into

This is the second paper in a two-part series discussing the management of common restorative dental emergencies. The first paper focussed upon problems relating to conventional fixed and removable restorations, and this paper discusses the management of common dental implant related emergencies. With dental implant treatment becoming an increasingly popular method of replacing missing teeth, it is very likely that dentists working in general practice will routinely come across patients who have previously undergone this form of treatment, even if they themselves are not directly involved in placing or restoring dental implants. This paper is aimed at general dental practitioners (GDPs) who have some experience in managing dental implants, and those who want to gain further insight into how such situations may be managed.

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