scholarly journals A modified method for immediate loading and reinforced metal framework overdenture: clinical case

2016 ◽  
Vol 5 (3) ◽  
Author(s):  
Humberto Gennari Filho ◽  
José Vitor Quinelli Mazaro ◽  
Marcelo Coelho Goiato ◽  
Karina Hekga Leal Turcio
Keyword(s):  
Clinical Case ◽  
Treatment Protocol ◽  
Patient Comfort ◽  
Modified Method ◽  
Metal Framework ◽  
Conventional Technology ◽  
Immediate Implant ◽  
Time Required ◽  
Implant Loading ◽  
Immediate Dental Implant Loading

The aim of the present study was to report a modified protocol for immediate implant-supported full-arch rehabilitation on three interforaminal implants and two implants placed in the posterior mandible, one on each side. This article describes a treatment protocol that can be used to reduce the time required for the fabrication and placement of an implant-supported prosthesis. It is described a technique that improved patient comfort when compared to conventional technology and propose the possibility of using a denture with internal reinforcement framework with captured abutments.Descriptors: Dental Implants; Immediate Dental Implant Loading; Denture, Complete.

scholarly journals ADVANTAGES AND DISADVANTAGES OF DIGITAL SURGERY IN DENTAL REHABILITATION. LITERATURE REVIEW WITH A DESCRIPTION OF THE CLINICAL CASE

2021 ◽  
Vol 16 (4) ◽  
pp. 13-19
Author(s):  
Aleksandr Ivashov ◽  
Kristina Dement'eva ◽  
Petros Nersesyan ◽  
Yuliya Mandra ◽  
Valery Khodko
Keyword(s):  
Clinical Case ◽  
Treatment Protocol ◽  
Operation Time ◽  
Treatment Method ◽  
Bibliographic Databases ◽  
Navigation Surgery ◽  
Advantages And Disadvantages ◽  
Implant Placement ◽  
Dental Implantation ◽  
Surgical Template

Subject. With the advent of advanced imaging technology and CAD/CAM technologies, the possibility of guided surgery has become of wide interest among implantology. The article is devoted to the use of surgical template implantation in the rehabilitation of a dental patient. It provides information about some advantages and disadvantages of the digital protocol in comparison with traditional dental implantation. The main stages of navigation surgery in a clinical case are described. Goal. To evaluate the actual clinical advantages and disadvantages of dental implant placement using a surgical template compared to the traditional treatment protocol. Methodology. The literature search was conducted in scientific search bibliographic databases such as PubMed, eLIBRARY, Medline, and Google Academy. More than 384 studies up to 2014 were found under the thematic headings "Dental implantation" and "Surgical template". During the study of these works, the sample included 56 articles and literature reviews. Conclusions. Recently, implant placement using a surgical template has become a popular treatment method among dental surgeons. The study of modern literature allowed us to formulate the main advantages and disadvantages of this method. Advantages of the method: precise positioning of implants; flap-free surgery reduces the operation time and is characterized by a favorable postoperative course; integration of restoration determinants in surgical planning, which leads to a more aesthetic, functional and predictable result of prosthetics; the possibility of pre-manufacturing a prosthesis based on the planned position of the implant; simplification of the surgical procedure for the dentist. However, this method is not without its drawbacks: the surgeon's inability to visualize anatomical structures; the risk of axis and depth deviation during implant placement; requires additional digital planning.

scholarly journals Mandibular Osteonecrosis Induced by Bisphosphonates in a Carrier of Chronicle Kidney Disease

2018 ◽  
Vol 4 (1) ◽  
pp. 1119-1125
Author(s):  
Kaohana Da Silva ◽  
Greison De Oliveira ◽  
Eleonor Garbin-Júnior ◽  
Natasha Magro-Érnica ◽  
Geraldo Griza ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Multiple Myeloma ◽  
Renal Function ◽  
Bone Resorption ◽  
Kidney Disease ◽  
Impaired Renal Function ◽  
Clinical Case ◽  
Treatment Protocol ◽  
Inorganic Pyrophosphate ◽  
Jaw Osteonecrosis

The bisphosphonates are synthetic substances of inorganic pyrophosphate that have been the basis of treatment of patients with osteolytic diseases, such as multiple myeloma, malignant hypercalcemia, Paget's disease, or patients with bone metastases. Its main pharmacological effect is inhibition of bone resorption caused by osteoclasts, which have a reduced function. Their adverse effects are infrequent but include pyrexia, impaired renal function, hypocalcemia, and more recently, maxillo-mandibular ostenecrose induced bofosfonatos. In this report we describe a clinical case of jaw osteonecrosis induced by bisphosphonates in patient with chronic kidney disease and the treatment protocol performed.

A Novel Approach for Immediate Implant-based Oral Rehabilitation in a Sjögren’s Syndrome Patient Using Virtual Surgical and Prosthetic Planning

2021 ◽  
Author(s):  
Matthijs in 't Veld ◽  
Engelbert A.J.M. Schulten ◽  
Ulf Neveling ◽  
Derk Hendrik Jan Jager ◽  
Frank K.J. Leusink
Keyword(s):  
Sjögren’S Syndrome ◽  
Sjögren's Syndrome ◽  
Treatment Protocol ◽  
Sjogren’S Syndrome ◽  
Sjogren's Syndrome ◽  
Treatment Concept ◽  
Oral Rehabilitation ◽  
Specific Patient ◽  
Immediate Implant ◽  
Sjögren‘S Syndrome

Sjögren’s syndrome (SS) patients experience difficulties in wearing conventional dentures. After removal of all teeth the oral rehabilitation is challenging and time consuming using conventional treatment protocols. Although implant-retained overdentures are beneficial for this specific patient group, the average total oral rehabilitation time (TORT) usually takes at least six months and needs to be reduced to increase patients’ quality of life (QoL). In this paper we report on a new treatment concept for immediate implant-based oral rehabilitation in a 77-year-old partial edentulous SS patient. Because of persistent pain, discomfort and retention problems with the conventional prosthetic devices, full clearance of the remaining mandibular dentition and immediate oral rehabilitation with an implant-retained overdenture were suggested. The treatment protocol included virtual surgical planning (VSP), combining a guided bone reduction of the mandibular alveolar process, immediate dental implant placement and restoration using a prefabricated bar and placement of the overdenture. This method demands the use of ionizing 3D imaging optionally combined with an optical dental scan or a conventional impression. Furthermore, one needs to gain experience using VSP software. This novel treatment concept for immediate implant-based oral rehabilitation using VSP proved to be feasible and safe in a SS patient, resulting in a significantly reduced TORT and improved QoL. Further research is needed to what extent this treatment concept could be beneficial to other patient groups, such as head and neck cancer patients.

scholarly journals A novel combined anorectal biofeedback and percutaneous tibial nerve stimulation protocol for treating fecal incontinence

2020 ◽  
Vol 13 ◽  
pp. 175628482091638
Author(s):  
Yoav Mazor ◽  
Gillian M. Prott ◽  
Carol Sequeira ◽  
Michael Jones ◽  
Anastasia Ejova ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Nerve Stimulation ◽  
Tibial Nerve ◽  
Treatment Options ◽  
Treatment Protocol ◽  
Patient Comfort ◽  
Future Research ◽  
Percutaneous Tibial Nerve Stimulation ◽  
Biofeedback Therapy ◽  
Tibial Nerve Stimulation

Background/Aims: Fecal incontinence (FI) is a common, debilitating condition that causes major impact on quality of life for those affected. Non-surgical treatment options include anorectal biofeedback therapy (BF) and percutaneous tibial nerve stimulation (PTNS), usually performed separately. The aims of the current study were to determine the feasibility, tolerability, safety, and efficacy of performing a combined BF and PTNS treatment protocol. Methods: Female patients with urge FI were offered a novel pilot program combining BF with PTNS. The treatment protocol consisted of 13 weekly sessions: an educational session, followed by 5 combined BF and PTNS sessions, 6 PTNS and a final combined session. Anorectal physiology and clinical outcomes were assessed throughout the program. For efficacy, patients were compared with BF only historical FI patients matched for age, parity, and severity of symptoms. Results: A total of 12/13 (93%) patients completed the full program. Overall attendance rate was 93% (157/169 sessions). Patient comfort score with treatment was rated high at 9.8/10 (SD 0.7) for PTNS and 8.6/10 (SD 1.7) for the BF component. No major side effects were reported. A reduction of at least 50% in FI episodes/week was achieved by 58% of patients by visit 6, and 92% by visit 13. No physiology changes were evident immediately following PTNS compared with before, but pressure during sustained anal squeeze improved by the end of the treatment course. Comparing outcomes with historical matched controls, reductions in weekly FI episodes were more pronounced in the BF only group at visit 6, but not week 13. Conclusions: In this pilot study, concurrent PTNS and anorectal biofeedback therapy has been shown to be feasible, comfortable, and low risk. The combined protocol is likely to be an effective treatment for FI, but future research could focus on optimizing patient selection.

scholarly journals Rare Case of Dental Implantation in the Segment with Residual Filling Material in the Mandibular Canal

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Yury Georgievich Sedov ◽  
Kamil Nail’evich Khabiev ◽  
Zulfiya Iltuzurovna Yarulina ◽  
Vasiliy Stanislavovich Tarasuk ◽  
Anatoliy Mikhailovich Avanesov ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rare Case ◽  
Clinical Case ◽  
Treatment Protocol ◽  
Mandibular Canal ◽  
Filling Material ◽  
Safety Zone ◽  
Surgical Guide ◽  
Implant Placement ◽  
Dental Implantation

Dental implantation is the most popular method of restoring lost teeth. There are risk factors for dental implantation. These risk factors include the localization of residual filling material in the lumen of the mandibular canal in the selected jaw segment for implantation. A rare clinical case of dental implant placement with preservation of the safety zone relative to the residual siler in the mandibular canal is presented. A surgical guide was used for precise positioning. The treatment protocol was carried out without an immediate loading stage to monitor the possible development of symptoms.

How To Get Started With Ultrasound Technology for Treatment of Speech Sound Disorders

2015 ◽  
Vol 25 (2) ◽  
pp. 66-80 ◽  
Author(s):  
Sue Ann S. Lee ◽  
Alan Wrench ◽  
Sherry Sancibrian
Keyword(s):  
Visual Feedback ◽  
Clinical Setting ◽  
Clinical Case ◽  
Clinical Evidence ◽  
Speech Sound ◽  
Treatment Protocol ◽  
Basic Information ◽  
Speech Sound Disorders ◽  
Speech Language Pathologists ◽  
Ultrasound Technology

Although providing visual feedback with ultrasound is becoming more and more popular among speech-language pathologists, it is still not widely used, perhaps because many speech-language pathologists are unfamiliar with its application to treatment of speech sound disorders. This report introduces basic information on ultrasound for new users and summarizes existing studies conducted with ultrasound to provide clinical evidence for speech treatment. This report also presents a clinical case using ultrasound and discusses a treatment protocol for establishing postvocalic /r/ to illustrate an example of how ultrasound was used in a clinical setting.

Immediate Implant Loading – A Paradigm Shift

2014 ◽  
Vol 8 (1) ◽  
pp. 43-46
Author(s):  
S Aneja ◽  
M Rathee
Keyword(s):  
Paradigm Shift ◽  
Treatment Time ◽  
Primary Stability ◽  
Surface Modifications ◽  
Immediate Loading ◽  
Marked Rise ◽  
Immediate Implant ◽  
Implant Loading ◽  
Implant Bed

ABSTRACT The marked rise in patients’ demands as regards quality of life and a good appearance makes it mandatory for the Prosthodontist to provide a dental prosthesis with optimal functional, esthetic and physiological requirements. Recent researches in dental implants advocate precise preparation of the implant bed and an adequate primary stability for more vital bone to be in contact with the implant interface facilitating immediate loading. Improvements in implant designs and surface modifications have favored reduced treatment time.

Immediate Implant Loading: Current Status From Available Literature

2007 ◽  
Vol 16 (3) ◽  
pp. 235-245 ◽  
Author(s):  
Gustavo Avila ◽  
Pablo Galindo ◽  
Hector Rios ◽  
Hom-Lay Wang
Keyword(s):  
Current Status ◽  
Immediate Implant ◽  
Implant Loading
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