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.

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.

Three-Year Analysis of Tapered Screw-Vent Implants Placed into Extraction Sockets Grafted With Mineralized Bone Allograft

2005 ◽  
Vol 31 (6) ◽  
pp. 283-293 ◽  
Author(s):  
John C. Minichetti ◽  
Joseph C. D'Amore ◽  
Anna Y. J. Hong
Keyword(s):  
Bone Graft ◽  
Success Rate ◽  
Dental Implants ◽  
Tooth Extraction ◽  
Bone Allograft ◽  
Bone Volume ◽  
Success Rates ◽  
Implant Placement ◽  
Healing Period ◽  
Fixed Prosthesis

Abstract With clinicians placing more dental implants, it is becoming increasingly important to maintain bone volume after tooth extraction. This article reports the results of implants placed into extraction sites grafted with particulate mineralized bone allograft (Puros). A total of 313 extraction sites were grafted with mineralized bone graft during a 36-month period. A total of 252 Tapered Screw-Vent dental implants were placed into the grafted extraction sites after a 4- to 7-month healing period. All reentries revealed a bony hard structure acceptable for osteotomy preparation. A total of 244 of these implants have been restored with fixed prosthesis and 6 with removable overdentures for a total of 250 loaded implants. A total of 6 implants failed, which required their removal (2 implants before load and 4 after loading), resulting in a 97.6% implant success rate. We conclude that mineralized human allograft placed into extraction sites is clinically useful to maintain bone volume. This material provided a bony hard structure acceptable for implant placement with good success rates.

Use of Patient's Own Natural Teeth as Part of the Interim Prosthesis on Immediately Placed Single Implants in a Staged Surgical Approach: A Clinical Report

2018 ◽  
Vol 44 (5) ◽  
pp. 351-357
Author(s):  
Sarah A. Bukhari ◽  
Abdulaziz AlHelal ◽  
Periklis Proussaefs ◽  
Antoanela Garbacea ◽  
Mathew T. Kattadiyil
Keyword(s):  
Surgical Approach ◽  
Poor Prognosis ◽  
Tooth Extraction ◽  
Treatment Plan ◽  
Acrylic Resin ◽  
Clinical Report ◽  
Implant Placement ◽  
Natural Teeth ◽  
Natural Tooth

A technique is described where the tooth's natural crown is used as part of the interim implant supported prosthesis in clinical situations where a tooth with poor prognosis is extracted and an implant is placed immediately after tooth extraction. A preliminary impression is made before tooth extraction, and the exact tooth positioning is assessed in the laboratory as part of the treatment plan. An acrylic resin repositioning jig is fabricated that will guide the clinician in seating and orienting the crown intraorally after implant placement is completed. After the natural tooth is extracted and an implant is immediately placed via guided approach, the extracted natural crown is hollowed and placed on top of an interim abutment. The natural crown is positioned intraorally by using the acrylic resin repositioning jig. The crown is then internally relined and placed as part of the interim implant supported prosthesis. After osseointegration has been confirmed, a definitive prosthesis is placed.

Semiprecision attachment: a connecting link between the removable and fixed prosthesis

2020 ◽  
Vol 13 (8) ◽  
pp. e233744
Author(s):  
Ritu Saneja ◽  
Atul Bhatnagar ◽  
Nancy Raj ◽  
Pavan Dubey
Keyword(s):  
Good Alternative ◽  
Treatment Sequence ◽  
Oral Rehabilitation ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Fixed Dental Prosthesis ◽  
Metal Framework ◽  
Careful Treatment ◽  
Removable Prosthesis ◽  
Fixed Prosthesis

Oral rehabilitation of partially edentulous arches requires careful treatment planning before any prosthodontic intervention. The connection of the metal framework of fixed (fixed dental prosthesis (FPD)) and removable partial denture using adhesive attachments is a good alternative prosthetic option when solely fixed prosthesis (FPD or implant) cannot be used due to anatomical limitation. Attachments are the tiny interlocking devices that act as a hybrid link to join removable prosthesis to the abutment and direct the masticatory forces along the long axis of the abutment. This joint acts as a non-rigid stress breaker, which helps in distributing the occlusal load. Precision and semiprecision attachment have always been bordered by an aura of mystery due to technique sensitive procedure and lack of knowledge. The following case describes a combined contemporary and conventional approach and treatment sequence with the use of attachments for the rehabilitation of partially edentulous arches.

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 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 Periodontics, Implantology, and Prosthodontics Integrated: The Zenith-Driven Rehabilitation

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Fausto Frizzera ◽  
Mateus Tonetto ◽  
Guilherme Cabral ◽  
Jamil Awad Shibli ◽  
Elcio Marcantonio
Keyword(s):  
Tooth Extraction ◽  
Treatment Plan ◽  
Oral Rehabilitation ◽  
Long Term Stability ◽  
Connective Tissue Graft ◽  
Implant Placement ◽  
Immediate Implant ◽  
The Ideal

A customized treatment plan is important to reach results that will satisfy the patient providing esthetics, function, and long-term stability. This type of oral rehabilitation requires professionals from different dental specialties where communication is a major key point. Digital Smile Design allows the practitioners to plan and discuss the patient’s condition to establish the proper treatment plan, which must be driven by the desired zenith position. The ideal gingival position will guide the professionals and determine the need to perform surgical procedures or orthodontic movement before placing the final restorations. In this article, the zenith-driven concept is discussed and a challenging case is presented with 4-year follow-up where tooth extraction, immediate implant placement, bone regeneration, and a connective tissue graft were performed.

scholarly journals Immediate Loading of Single Post-Extractive Implants in the Anterior Maxilla: 12-Month Results From a Multicenter Clinical Study

2012 ◽  
Vol 38 (S1) ◽  
pp. 477-484 ◽  
Author(s):  
Tommaso Grandi ◽  
Giovanna Garuti ◽  
Rawad Samarani ◽  
Paolo Guazzi ◽  
Andrea Forabosco
Keyword(s):  
Clinical Study ◽  
Soft Tissue ◽  
Bone Resorption ◽  
Tooth Extraction ◽  
Immediate Loading ◽  
Insertion Torque ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Implant Size ◽  
Multicenter Clinical Study

The purpose of the study was to evaluate survival and peri-implant bone levels of single, immediately loaded post-extractive implants in the anterior maxilla 12 months after implant placement. Thirty-six consecutive patients from 3 study centers were included in the study. The concerned sites were upper premolars, canines, and incisors. For each patient the following data were recorded: reason for tooth extraction, bone quality, implant size, and final insertion torque. Implants were placed using a flapless technique and immediately loaded with a nonoccluding temporary restoration. Final restorations were provided 4 months later. Peri-implant bone resorption was evaluated radiographically after 6 and 12 months. The average final insertion torque was 70.55 Ncm. One implant inserted in D3 quality bone with a 35-Ncm seating torque was lost. All other implants had a final insertion torque ranging between 50 and 80 Ncm. The average peri-implant bone loss was 0.437 and 0.507 mm at 6 and 12 months, respectively. All the sites maintained excellent papillae and peri-implant soft-tissue conditions. The resulting 1-year success rate was 97.2%. Immediate nonfunctional loading of single post-extractive implants in the anterior maxilla is a predictable treatment. And it seems that achieving high insertion torques by placing self-tapping/self-condensing implants in an underprepared osteotomy is favorable.

Sonosurgery for atraumatic tooth extraction: A clinical report

2012 ◽  
Vol 108 (6) ◽  
pp. 339-343 ◽  
Author(s):  
Dimitrios E.V. Papadimitriou ◽  
Alessandro Geminiani ◽  
Thomas Zahavi ◽  
Carlo Ercoli
Keyword(s):  
Tooth Extraction ◽  
Clinical Report
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