Osseointegration of Dental Implants in a Patient with Hajdu-cheney Syndrome

Background: Hajdu-Cheney Syndrome (HCS) is a rare hereditary bone metabolism disorder characterized by acro-osteolysis, short stature, craniofacial changes, periodontitis and premature tooth loss. Extensive search of the current literature revealed no reports of implant placement in patients with HCS. Case Report: A 22-year old woman with osteoporosis, generalized advanced chronic periodontitis and premature tooth loss was referred to the Postgraduate Clinic of Periodontology, University of Athens-Greece. The patient was diagnosed in 2001 with HCS. The patient received non-surgical periodontal treatment and several teeth were extracted due to extensive alveolar bone loss. After careful consideration of the possible implications deriving from the patient’s condition and having taken her young age into account, initially, a dental implant was placed in the upper right first premolar region. Specific protocols such as longer healing periods were implemented, so five years after placement and successful osseointegration of this implant, four additional dental implants were placed in the posterior regions of the maxilla and the mandible. Prosthetic rehabilitation followed 6 months after implant placement. Upon completion of periodontal treatment, the patient was enrolled in a periodontal maintenance program. Results: Clinical and radiographic examination of the patient during the periodontal maintenance program after implant placement revealed no abnormalities in the implant region. Conclusion: Patients with HCS suffer from periodontitis, bone destruction and premature tooth loss. This case indicates the successful osseointegration of dental implants in patients with HCS. However, further research is required in order to determine the predictability of dental implant placement in those patients.

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Single Sitting Surgical Treatment of Generalized Aggressive Periodontitis Using GTR Technique and Immediate Implant Placement with 10-Year Follow-Up

Case Reports in Dentistry ◽

10.1155/2018/6194042 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5

Author(s):

Fatme Mouchref Hamasni ◽

Fady El Hajj ◽

Rima Abdallah

Keyword(s):

Dental Implants ◽

Aggressive Periodontitis ◽

Radiographic Examination ◽

Periodontal Tissues ◽

Implant Placement ◽

Anterior Teeth ◽

Maintenance Program ◽

The Status ◽

Immediate Implant

This case report exhibits a patient with generalized aggressive periodontitis who has been under maintenance for the past 12 years after being surgically treated in a single sitting and restored with dental implants. A 41-year-old systemically healthy male patient presented complaining of lower anterior teeth mobility and pain in the upper right quadrant. After clinical and radiographic examination, the upper right molars and lower anterior incisors were deemed unrestorable. Covered by doxycycline, the patient received a nonsurgical periodontal treatment. Three weeks later, teeth extraction, immediate implant placement, immediate nonloading provisional prosthesis, and a guided tissue regeneration were performed at indicated areas in a single sitting. The clinical decisions were based on patient compliance, the status of the existing periodontal tissues, and the prognosis of the remaining teeth. During the 12-year follow-up period, no residual pockets were observed and there was no exacerbation of the inflammatory condition. Marginal bone stability is present on all implants. For aggressive periodontal disease, a high risk of relapse as well as limited success and survival of dental implants should be considered. This case shows proper containment of the disease based on appropriate treatment planning and a strict maintenance program.

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Interpretasi cone beam computed tomography 3-dimension dalam pemasangan implan dental di RumahSakit Gigi MulutFakultas Kedokteran Gigi Universitas Padjajaran (Interpretation of cone beam computed tomography 3-dimension in inserting dental implant at Dental Hospital of Faculty of Dentistry Padjajaran University)

Journal of Dentomaxillofacial Science ◽

10.15562/jdmfs.v14i1.426 ◽

2015 ◽

Vol 14 (1) ◽

pp. 50

Author(s):

Farina Pramanik ◽

Ria N. Firman

Keyword(s):

Computed Tomography ◽

Dental Implant ◽

Cone Beam Computed Tomography ◽

Alveolar Bone ◽

Treatment Plan ◽

Three Dimensions ◽

Cone Beam ◽

Radiographic Examination ◽

Implant Placement ◽

Dental Hospital

Radiographic examination is one of the examinations required in determining the treatment plan and evaluating thesuccess of dental implant placement. Cone beamcomputed tomography3D(CBCT 3D)is a tool that produce radiographicimaging in three dimensions that can meet the information needed by dentists/specialists in dental implant placement.This report discusses the role of interpretating the CBCT 3D bone area, indication of dental implant with give a sight3D, measure the distance and position of the implant and to assess the quality of the bone at dental implant placement.Interpretation of CBCT 3D case is the size of the dental implant alveolar bone morphometric teeth region 46 and 37qualified radiographically for dental implants. The conclusion of this paper is a CBCT 3D can be a determinant of thesuccess of dental implant placement as capable of being able to analyze a complete, clear and more accurate measurementthrough a 3D picture, the analysis of the size/3D morphometric, density analysis, and histogram/ trabecular analysis.

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The Relevance of the Use of Radiographic Planning in Order to Avoid Complications in Mandibular Implantology: A Retrospective Study

BioMed Research International ◽

10.1155/2016/8175284 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Gilberto Sammartino ◽

Juan Carlos Prados-Frutos ◽

Francesco Riccitiello ◽

Pietro Felice ◽

Vincenzo Cerone ◽

...

Keyword(s):

Tooth Loss ◽

Alveolar Bone ◽

Radiographic Examination ◽

Second Molar ◽

Constant Degree ◽

Implant Placement ◽

Risk Areas ◽

The Difference ◽

Cortical Perforation ◽

Vertical Height

The aim of this retrospective radiological study was to evaluate the variability of the mandibular anatomy in the presence and absence of teeth and to consider how it could influence implant planning. 187 mandibular CT DentaScans were selected from our department archive according to the inclusion criteria. The axial height, vertical height, angulation of the bone crest, and the bone available for ideal implant placement were measured. The analysis of the data shows that the mandible contour presents a constant degree of angulation. The variation of angulation in the absence of teeth was statistically significant only in the region between the canine and the first premolar and in that between the second premolar and the first molar. The difference between the crest height and the available distance to place the implant was greater in the region of the second molar while in the other regions the implant planning was made complex by postextraction resorption. Alveolar bone resorption after tooth loss can be considered as a risk factor for lingual cortical perforation during the insertion of an implant. To avoid potential intra/postoperative complications, 3D radiographic examination is recommended in order to study the mandibular anatomy and identify the risk areas.

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Effectiveness of PRP (Platelet Rich Plasma) To Increased BMD (Bone Mineral Density) At Maxilla Dental Implant Placement with 3-Dimensional Radiographic Examination (CBCT)

DENTA ◽

10.30649/denta.v11i2.98 ◽

2019 ◽

Vol 11 (2) ◽

pp. 50

Author(s):

Dianty Saptaswari ◽

Widyatuti Widyatuti ◽

Yoifah Rizka Wedarti ◽

Hansen Kurniawan

Keyword(s):

Bone Mineral Density ◽

Dental Implants ◽

Dental Implant ◽

Bone Mineral ◽

3D Visualization ◽

Platelet Rich Plasma ◽

Autologous Blood ◽

Radiographic Examination ◽

Mineral Density ◽

Implant Placement

Background: Dental implant is a device that is surgically implanted into the soft tissue or into the jaw bone. dental implants have become the treatment of choice for replacing missing teeth. Platelet rich plasma and platelet concentration derived from autologous blood containing autologous growth factors in which the platelet rich plasma can improve wound healing and increase the regeneration of bone. today cone beam computed tomography (CBCT) has been available for 3D visualization of craniofacial section. CBCT 3 D is able to provide information on the general bone mineral density. Purpose: The purpose of this studywas to determine thebone mineral density by three-dimensional radiographic picture after dental implant placementbyan additional plateletrich plasma. Material and Method: This study was divided into 2 groups. The first placement of a dental implant with platelet rich plasma and the second placement of a dental implant without platelet rich plasma. Results: there are significant differences in dental implant placement with platelet rich plasma and placement of dental implants without platelet rich plasma. In the test results obtained Independent T test (p = 0.02). Conclusion: There was an increase bone mineral density in dental implant placement with platelet rich plasma were performed using three-dimensional radiographic examination (CBCT).Keyword: Dental implant, platelet rich plasma, CBCT, bone densityCorrespondence: Dianty Saptaswari, Widyatuti, Yoifah Rizka Wedarti, Hansen Kurniawan Periodonsia Fakultas Kedokteran Gigi Universitas Hang Tuah Surabaya, Email : <a href="mailto:[email protected]">[email protected]</a>

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

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2011.1.13 ◽

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.

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Comparative radiographic and resonance frequency analyses of the peri-implant tissue after dental implants placement using flap and flapless techniques: An experimental study on domestic pigs

Vojnosanitetski pregled ◽

10.2298/vsp1306586v ◽

2013 ◽

Vol 70 (6) ◽

pp. 586-594 ◽

Cited By ~ 6

Author(s):

Zoran Vlahovic ◽

Branko Mihailovic ◽

Zoran Lazic ◽

Mileta Golubovic

Keyword(s):

Bone Resorption ◽

Resonance Frequency ◽

Dental Implants ◽

Dental Implant ◽

Surgical Techniques ◽

Primary Stability ◽

Implant Stability ◽

Domestic Pigs ◽

Flap Technique ◽

Implant Placement

Background/Aim. Flapless implant surgery has become very important issue during recent years, mostly thanks to computerization of dentistry and software planning of dental implants placements. The aim of this study was to compare flap and flapless surgical techniques for implant placement through radiographic and radiofrequency analyses. Methods. The experiment was made in five domestic pigs. Nine weeks following domestic pigs teeth extraction, implants were placed, on the right side using surgical technique flap, and flapless on the left side. Digital dental Xrays were applied to determine primary dental implant stability quality (ISQ). At certain intervals, not later than three months, the experimental animals were sacrificed, and just before it, control X-rays were applied to measure dental implants stability. Results. Radiographic analysis showed that peri-implant bone resorption in the first 4 weeks following placement implants with flap and flapless surgical techniques was negligible. After the 3 months, mean value of peri-implant bone resorption of the implants placed using flap technique was 1.86 mm, and of those placed using flapless technique was 1.13 mm. In relation to the primary dental implant stability in the first and second week there was an expected decrease in ISQ values, but it was less expressed in the dental implants placed using the flapless technique. In the third week the ISQ values were increased in the dental implants placed by using both techniques, but the increase in flapless implant placement was higher (7.4 ISQ) than in flap implant placement (1.5 ISQ). The upward trend continued in a 4- week period, and after 3 months the dental implant stability values in the implants placed using flap technique were higher than the primary stability for 7.1 ISQ, and in the implants placed using flapless technique were higher comparing to the primary stability for 10.1 ISQ units. Conclusion. Based on the results of radiographic and resonance frequency analyses it can be concluded that the flapless technique in surgical implants placemat, leads to better results.

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Evaluation of the accuracy of a novel surgical guide for flapless dental implant placement for immediate loading in edentulous jaws

Journal of Oral Implantology ◽

10.1563/aaid-joi-d-20-00071 ◽

2021 ◽

Author(s):

Giovanni de Almeida Prado Di Giacomo ◽

Patrícia Cury ◽

Airton Moreira da Silva ◽

Jorge Vicente Lopes da Silva ◽

Carlos Eduardo Pompeo Souto ◽

...

Keyword(s):

Dental Implants ◽

Dental Implant ◽

Selective Laser Sintering ◽

Apical Region ◽

Virtual Planning ◽

Surgical Guide ◽

Implant Placement ◽

Surgical Guides ◽

Edentulous Jaws ◽

Edentulous Jaw

This study was designed to evaluate the accuracy of a novel computer-designed and selectively laser sintered surgical guide for flapless dental implant placement in the edentulous jaw. Fifty dental implants were placed in 11 patients with at least one totally edentulous jaw. Initially, cone-beam computed tomography (CBCT) was performed in each patient to define the virtual position of the dental implants based on the assessment of bone availability and the proposed dental prosthesis. After virtual planning, 3D surgical guides were printed using selective laser sintering. CBCT was repeated after the surgery, and the pre-and postoperative images were overlapped in the CAD software to compare the planned and actual positions of the dental implants using a one-sample t-test. The mean ± angular standard deviation between the long axes of the planned and final dental implant positions was 4.58 ±2.85 degrees; The linear deviation in the coronal position was 0.87 ± 0.49 mm and in the apical region of the dental implants was 1.37 ± 0.69 mm. These differences were statistically significant (p <0.001). The proposed modifications reduced the deviations, resulting in an improvement in the technique. We were able to place implants and temporary prostheses using the present protocol, taking into account the differences between the planned and final positions of the dental implants.

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Management of Chronic Gingivitis with localized periodontitis by Nonsurgical (Phase I) Periodontal Therapy- A Case Report

Update Dental College Journal ◽

10.3329/updcj.v7i2.36211 ◽

2018 ◽

Vol 7 (2) ◽

pp. 33-37

Author(s):

Md Huzzatul Islam Khan ◽

Sultana Akter Eka ◽

Md Ashif Iqbal

Keyword(s):

Phase I ◽

Oral Hygiene ◽

Alveolar Bone ◽

Bone Destruction ◽

Chronic Inflammatory Disease ◽

Periodontal Therapy ◽

Periodontal Treatment ◽

Periodontal Tissues ◽

Hygiene Measures ◽

Tissue Flap

Periodontitis is a chronic inflammatory disease of the periodontal tissues (periodontium) which surround and support the teeth, that results in attachment loss and alveolar bone destruction leads to ultimate tooth loss. It is caused by the bacteria present in dental plaque, which is a tenacious substance that forms on teeth and gingiva just after teeth are brushed. Periodontal treatment is aimed at controlling the infection in order to stop the progression of the disease and to be able to maintain a healthy periodontium. Mechanical debridement of supragingival and subgingival biofilms, together with adequate oral hygiene measures is the standard periodontal therapy. This mechanical subgingi- val biofilm debridement consists of an initial (nonsurgical /phase I) phase involving scaling and root planing (SRP) and the elimination of plaque retentive factors, followed by a surgical phase (if needed) including the elevation of a tissue flap and bone remodeling in further stages. The adjunct use of antibiotics has proven to additionally improve the outcome of periodontal treatment. A clinical case of a 40-years-old male patient with generalized severe chronic periodontitis with localized gingival swell- ing was treated with nonsurgical (phase I) periodontal therapy that was confined to oral hygiene instruction (OHI), SRP with an adjunct antimicrobial regimen.Update Dent. Coll. j: 2017; 7 (2): 33-37

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The retrieval of a surgical blade broken within the alveolar bone during minimally traumatic tooth extraction

BMJ Case Reports ◽

10.1136/bcr-2020-240162 ◽

2021 ◽

Vol 14 (1) ◽

pp. e240162

Author(s):

Eldo Koshy ◽

Lovely M Annamma ◽

Biji Thomas George ◽

Godfred Antony Menezes

Keyword(s):

Dental Implant ◽

Tooth Extraction ◽

Alveolar Bone ◽

Bone Destruction ◽

Expansion Procedure ◽

Bone Expansion ◽

Scalpel Blade ◽

Atraumatic Extraction ◽

Tooth Removal

Minimally traumatic tooth removal is the norm for removing teeth when a dental implant is planned at that site. The quantity of available bone is the primary requisite to place an implant. The initial use of a scalpel blade to widen the periodontal space followed by the use of luxators is one of the techniques that is being followed for atraumatic extraction. A case of accidental breakage of a number 11 scalpel blade while attempting tooth removal and the method adopted in removing this portion of the blade without further bone destruction is reported here. The authors have not found any previously published cases, reporting the breakage of a scalpel blade during the bone expansion procedure and its management.

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New Implant Design with Midcrestal and Apical Wing Thread for Increased Implant Stability in Single Postextraction Maxillary Implant

Case Reports in Dentistry ◽

10.1155/2019/9529248 ◽

2019 ◽

Vol 2019 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Antonio Scarano ◽

Bartolomeo Assenza ◽

Francesco Inchingolo ◽

Filiberto Mastrangelo ◽

Felice Lorusso

Keyword(s):

Cortical Bone ◽

Dental Implant ◽

Alveolar Bone ◽

Primary Stability ◽

Implant Design ◽

Insertion Torque ◽

Fixture Design ◽

Implant Stability ◽

Implant Placement ◽

Immediate Placement

Background. The immediate placement of a dental implant could represent an option treatment for the rehabilitation of a postextractive missing tooth socket to replace compromised or untreatable teeth, with the advantage of single-session surgery. In this way, the anatomy of the alveolar bone defect, the preservation of the buccal cortical bone, and the primary stability of the fixture represent the critical factors that consent a precise implant placement. Objective. This case report describes a novel fixture design for postextractive alveolar socket immediate implant. Methods. Two patients (25 and 31 years old) were treated for postextractive dental implant placement to replace both central upper incisor teeth with four implants. The residual bone implant gap was not filled with graft or bone substitute. The restoration was provided following a standard loading protocol by a cement-sealed prosthetic abutment. Results. Clinically, all implants positioned showed an excellent insertion torque. No postoperative complications were reported. At 6 months of healing, the buccal cortical bone and the implant stability were present and well maintained. Conclusion. The evidence of this study allows us to underline the possible advantages of this new fixture design for postextractive implant technique.

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