scholarly journals Influence of bruxism on the indication and follow-up of rehabilitations with dental implants

2015 ◽  
Vol 3 (3) ◽  
pp. 697
Author(s):  
Cynthia Weiss Menine ◽  
Juliana Maria Habith Martin ◽  
Halina Massignan Berejuk ◽  
Ivete Aparecida De Mattias Sartori
Keyword(s):  
Dental Implants ◽  
Clinical Case ◽  
Oral Rehabilitation

AIM: The objective of this study was to report a clinical case highlighting the main recommendations of the literature to minimize forces applied on implants. MATERIAL AND METHODS: A decision was made to increase the number and size of implants installed. Screwed and cemented prostheses were used, combined with an occlusal bruxism night guard. RESULTS: Four months after the prosthesis installation, no biological or biomechanical complications were encountered. CONCLUSION: There are cases of patients with parafunctional habit who require oral rehabilitation with implants. There are guidelines that enable planning and rehabilitation. It is important to monitor cases to assess the behavior of implants and their suprastructures.

Oral Rehabilitation With Bone Graft and Simultaneous Dental Implants in a Patient With Epidermolysis Bullosa: A Clinical Case Report

2009 ◽  
Vol 67 (7) ◽  
pp. 1499-1502 ◽  
Author(s):  
Carolina Larrazabal-Morón ◽  
Araceli Boronat-López ◽  
María Peñarrocha-Diago ◽  
Miguel Peñarrocha-Diago
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Dental Implants ◽  
Epidermolysis Bullosa ◽  
Clinical Case ◽  
Oral Rehabilitation

scholarly journals Oral Rehabilitation of Hypodontia Patients Using an Endosseous Dental Implant: Functional and Aesthetic Results

2019 ◽  
Vol 8 (10) ◽  
pp. 1687 ◽  
Author(s):  
Sameh Attia ◽  
Heidrun Schaaf ◽  
Thaqif El Khassawna ◽  
Deeksha Malhan ◽  
Katharina Mausbach ◽  
...  
Keyword(s):  
Family History ◽  
Dental Implants ◽  
Positive Family History ◽  
Interdisciplinary Treatment ◽  
Oral Rehabilitation ◽  
General Satisfaction ◽  
Implant Placement ◽  
Fixed Prosthodontics ◽  
Aesthetic Results

Hypodontia often leads to limited bone availability of the alveolar ridges. Oral rehabilitation of severe hypodontia patients is challenging. In this retrospective study, we evaluated the functional and aesthetic results after dental implants in hypodontia patients, corroborated by Albrektsson implant success criteria. Over a period of 15 years (2000–2015), a total of 43 patients were diagnosed with hypodontia and 165 dental implants were inserted. Six patients who received 10 implants were lost in the follow-up. We examined 155 implants in 37 patients between December 2015 and May 2017. Besides family history, patients evaluated the general satisfaction, functionality, and aesthetics of the implants. Study subjects were between 17 and 44 years old (mean ± SD: 21.4 ± 5.6). Hypodontia patients were missing one to five teeth (n = 28), whereas patients diagnosed with oligodontia (≥6 missing teeth, n = 9). In this study, 24 patients (64.9%) with hypodontia had a positive family history; the remaining 13 patients had no family member with hypodontia. The final follow-up time ranged between 5 and 189 months after implant placement. Orthodontic treatment was performed in 32 patients (86%) before implant placement. Rehabilitation resulted in 62% of the cases being treated with 1–2 implants and 38% treated with 3–15 implants. However, out of 155 inserted dental implants, 18 implants failed to meet Albrektsson criteria, under which two implants were removed. Only autografts were used for bone augmentation with 97 implants. More than two-thirds of the patients showed high general satisfaction and masticatory function (69.4%) as well as phonetic ability (80.6%). The aesthetic outcome was rated as excellent by 17 patients (47.2%). The findings emphasize the importance of interdisciplinary treatment of hypodontia, leading to a satisfactory, functional, and long-term fixed prosthodontics using dental implants.

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 Oral Rehabilitation of Oncology Patients With Microvascular Free Flaps With a Follow-Up of 2 to 6 Years

2021 ◽  
Author(s):  
Funda Goker ◽  
Alessandro Baj ◽  
Alessandro Remigio Bolzoni ◽  
Carlo Maiorana ◽  
Giada Beltramini ◽  
...  
Keyword(s):  
Survival Rate ◽  
Dental Implants ◽  
Free Flaps ◽  
Secondary Outcome ◽  
Implant Survival ◽  
Oral Rehabilitation ◽  
Implant Survival Rate ◽  
Maxillofacial Reconstruction ◽  
Microvascular Free Flaps

Abstract BACKGROUND: Reconstruction with free flaps after radical cancer surgery in terms of function and esthetics can be quite demanding. The aim of this study was to evaluate retrospectively oral rehabilitation with microvascular free flaps and dental implants for maxillofacial reconstruction in oncologic patients with a minimum follow-up of 2 years after implant insertions.METHODS: The study consisted of 17 patients diagnosed with either squamous cell carcinoma, fusocellular carcinoma, or mucoepidermoid carcinoma. The reconstruction of the maxillofacial defects was done with microvascular free flaps (free fibular flap, antero-lateral thigh flap, or radial forearm flap). Implants were inserted on the average 30.2±15.5 months after reconstructive operations. A total of 74 implants were inserted. Mean follow up after maxillo-facial surgery was 6.16 years (mean 73.93±14.48 months). Mean follow up after implant insertions was 3.61 years (mean 43.50±12.96). Primary outcome was implant survival. Secondary outcome was evaluation of post-surgical complications.RESULTS: There were surgical revisions in seven patients after reconstructive surgery with flaps, mainly due to tumor relapse. Complications were seen in 11 patients. 1 implant was lost in a female patient 15 months after placement. Overall implant survival rate was 97.5%. No relations were found between implant survival rate and gender, type of tumor, type of microvascular free flap, radiation therapy, chemotherapy, and prosthesis type.CONCLUSION: According to the results of this study, oral rehabilitation with dental implants inserted in free flaps for maxillofacial reconstruction after ablative oncologic surgery can be considered as a safe treatment modality with successful outcomes.

scholarly journals Implant- and tooth-supported removable partial dentures: a case report

2020 ◽  
Vol 68 ◽  
Author(s):  
Jéssyca Maria França de Oliveira MELO ◽  
Eduardo de Farias BARBOSA
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Case Reports ◽  
Motor Impairment ◽  
Oral Rehabilitation ◽  
Anterior Teeth ◽  
Long Term Follow Up ◽  
Senile Patient

ABSTRACT This study aimed to report treatment of a patient with Kennedy’s class l maxillary and class II mandibular arch with removable partial dentures supported on an external hexagon (HE) anterior type implant of regular diameter fitted with an O’ring type of attachment. This clinical case reports the oral rehabilitation of a senile patient whose clinical examination revealed missing dentition in the upper and lower arches, attrition of the lower anterior teeth, caries, and motor impairment affecting hygiene, mastication, and esthetic functions. Due to few severely impaired teeth, the pre-prosthetic preparation included extractions and restorations, followed by the fabrication of upper and lower removable partial dentures supported by an HE-type implant. This study is important because it addresses the current challenges faced in the implementation of treatment involving removable partial dentures combined with implants, which is a topic that still needs long-term follow-up and research.

scholarly journals Hypohidrotic Ectodermal Dysplasia: A Clinical Case with a Longitudinal Approach

2014 ◽  
Vol 15 (6) ◽  
pp. 788-791 ◽  
Author(s):  
Fabian Calixto Fraiz ◽  
Renato Cordeiro Gugisch ◽  
Bianca Lopes Cavalcante-Leão ◽  
Liliane Moreira Macedo
Keyword(s):  
Clinical Case ◽  
Ectodermal Dysplasia ◽  
Negative Impact ◽  
Clinical Manifestations ◽  
Permanent Teeth ◽  
Hypohidrotic Ectodermal Dysplasia ◽  
Oral Rehabilitation ◽  
Anterior Teeth ◽  
Longitudinal Approach

ABSTRACT Aim This paper describes a clinical case of a male with hypohidrotic ectodermal dysplasia submitted to rehabilitation and occlusal dental interventions with follow-up from 3 to 14 years of age. Background Due to the severe effects on function and esthetics, the clinical manifestations of ectodermal dysplasia exert a negative impact on quality of life. However, oral rehabilitation in childhood poses a challenge due to growth and development. Case description A male with hypohidrotic ectodermal dysplasia began dental intervention at the age of 3 years. The clinical and radiographic exams revealed the absence of several primary and permanent teeth and abnormal shape of the primary maxillary incisors. The facial characteristics were compatible with hypohidrotic ectodermal dysplasia, such as a prominent brow, everted lips, flattened bridge of the nose and small vertical facial height. The treatment proposed involved rehabilitation through successive temporary partial dentures, functional orthopedics of the jaws, esthetic reconstruction of the anterior teeth, timely occlusal intervention and preventive actions for the control of dental caries and plaque. Conclusion The present case demonstrates that early care plays a fundamental role in minimizing the biopsychosocial consequences of hypohidrotic ectodermal dysplasia and preparing the patient for future oral rehabilitation. Clinical significance Although, the literature offers a number of papers describing dental treatment for ectodermal dysplasia, few cases include long-term follow-up and the use of a functional orthopedic appliance in combination with removable dentures in such patients. How to cite this article Fraiz FC, Gugisch RC, Cavalcante- Leão BL, Macedo LM. Hypohidrotic Ectodermal Dysplasia: A Clinical Case with a Longitudinal Approach. J Contemp Dent Pract 2014;15(6):788-791.

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