scholarly journals Study and Analysis of Complications Connected with Implant Placement

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 188-193
Author(s):  
Venkateswara Rao J ◽  
Aditya Krishna M ◽  
Allen Tilak J T ◽  
Parthasarathy M P
Keyword(s):  
Operative Procedure ◽  
Water Systems ◽  
Medical Procedure ◽  
Antral Mucosa ◽  
Implant Placement ◽  
Nasal Decongestants ◽  
Time Period ◽  
Postoperative Time ◽  
Delayed Complications ◽  
Implant Dentistry

Implant dentistry has grown to be one of the topmost earning disciplines of dentistry, and hence there is a migration of practitioners towards it. Since the last few years, here is a sudden growth in the number of dental inserts placed per year. And hence many complications that are associated with implant dentistry are on the rise. This article concentrates on some of the complications that are associated with implant placement during the operative procedure and immediate postoperative time period. Delayed complications as failure to osseointegrate and Peri Implantitis is are not discussed in this article. A proper informed consent needs to be documented. It is absolutely necessary to include complications like bleeding, swelling, post-operative infection, facial discoloration, paraesthesia, hypersensitivity, loose teeth, trismus and pain. And major complications can be defined as a complication that may need additional treatments and can cause irreversible damages. Treatment of sinusitis incorporates foundational treatment with anti-toxins, chlorhexidine mouthwashes, water systems with saline through the nasal opening, and the utilization of nasal decongestants. In the event that the disease exacerbates or an ousted embed is in the sinus, revolutionary correction medical procedure of the maxillary sinus will be required and the antral mucosa totally eliminated.

Critical Review on Standard Operative Procedure of Yapana Basti Karma

2018 ◽  
Vol 3 (5) ◽  
Author(s):  
Dr. Rishu Sharma ◽  
Dr. Gyanendra Datta Shukla ◽  
Dr. Alok Kumar Srivastava
Keyword(s):  
Side Effects ◽  
Critical Review ◽  
Treatment Modality ◽  
Operative Procedure ◽  
The Body ◽  
Dosage Schedule ◽  
Dual Function ◽  
Time Period ◽  
Curative Action

Panchakarma therapy is one of the vital branch of Ayurveda, which deals mainly with purification of the provoked Doshas from the body. Basti Chikitsa is regarded as the prime treatment modality among the Panchakarma. It is having not only curative action but also preventive and promotive actions. It is considered as best treatment for Vata Dosha. Yapana Basti is a subtype of Asthapana Basti, which is having the property to support life and promote longevity and widely used in various disorders. Rajayapana Basti is superior amongst all the Yapana Bastis described by Acharya Charaka as it is the king of Yapana. This Rasayana Yapana Basti performs dual function of both Anuvasana and Niruha; hence this is Srotoshodhaka and Brimhana at the sametime. That’s why there is no need to administer separate Anuvasana while giving Yapana Basti. There is an urgent need of standardizing the classical Panchakarma procedures in consideration of the need of today. The dosage schedule, exact procedures, medicaments, effects, and side effects are to be standardized so that uniform procedure of practice should be followed all over nation. Standardization is the need of hour for physicians, to prevent Atiyoga (over activity), Ayoga (less or no activity) and to get adequate effects in a systematic and sophisticated manner within desired time period.

Complications Associated With the Use of Recombinant Human Bone Morphogenic Protein–2 in Ridge Augmentation: A Case Report

2017 ◽  
Vol 43 (5) ◽  
pp. 351-359 ◽  
Author(s):  
Panagiotis Dragonas ◽  
Charles Palin ◽  
Saba Khan ◽  
Praveen K. Gajendrareddy ◽  
Whitney D. Weiner
Keyword(s):  
Case Report ◽  
Bone Morphogenic Protein ◽  
Human Bone ◽  
Therapy Outcomes ◽  
Bone Maturation ◽  
Ridge Augmentation ◽  
Implant Placement ◽  
Implant Dentistry ◽  
Bone Morphogenic Protein 2 ◽  
Recombinant Human Bone

This case report aims to describe in detail a complication associated with resorption of regenerated bone following implant placement and ridge augmentation using recombinant human bone morphogenic protein–2 (rhBMP-2) in combination with allograft and xenograft. Bilateral maxillary sinus and ridge augmentation procedures were completed using rhBMP-2 combined with allograft and xenograft. Five months later, significant bone augmentation was achieved, which allowed for the placement of 4 implants. Upon stage 2 surgery, significant dehiscence was noted in all implants. Treatment steps to address this complication included implant removal, guided bone regeneration with xenograft only, and placement of new implants followed by soft-tissue grafting. At the time of publication, this patient is status 1½ years post case completion with maintenance of therapy outcomes. Off-label use of rhBMP-2 has gained significant acceptance in implant dentistry. However, there is limited evidence regarding the bone maturation process when rhBMP-2 is combined with other biomaterials. More research may be needed regarding the timing and process of bone healing in the presence of rhBMP-2, in an effort to avoid surgical complications.

scholarly journals A guide to implant dentistry part 2: surgical and prosthodontic considerations

Dental Update ◽  
2019 ◽  
Vol 46 (6) ◽  
pp. 514-523
Author(s):  
Despoina Chatzistavrianou ◽  
Paul HR Wilson ◽  
Philip Taylor
Keyword(s):  
Treatment Planning ◽  
Treatment Modality ◽  
Clinical Relevance ◽  
Evidence Based ◽  
Patient Assessment ◽  
Missing Teeth ◽  
Implant Placement ◽  
Careful Treatment ◽  
Operative Planning ◽  
Implant Dentistry

Implant rehabilitation is a successful treatment modality for the replacement of missing teeth, but careful treatment planning, restoratively-driven implant placement and individualized maintenance are prerequisites for success in order to control and minimize technical and biologic complications. The first part of the series focused on new patient assessment and pre-operative planning. The second part of the series will discuss the surgical and prosthodontic considerations and maintenance of implant-supported restorations. CPD/Clinical Relevance: To provide the dental practitioner with an evidence-based overview regarding treatment planning, surgical and prosthodontic considerations and maintenance of implant-supported restorations.

Complications of Laser Surgery for Recurrent Respiratory Papillomatosis

1987 ◽  
Vol 96 (6) ◽  
pp. 639-644 ◽  
Author(s):  
Dennis M. Crockett ◽  
Brian F. McCabe ◽  
Cynthia J. Shive
Keyword(s):  
Laser Surgery ◽  
Vocal Fold ◽  
Pediatric Patients ◽  
Tissue Injury ◽  
Severe Disease ◽  
Operative Procedure ◽  
Recurrent Respiratory Papillomatosis ◽  
Anesthetic Technique ◽  
Direct Visualization ◽  
Delayed Complications

During an 8-year period, 66 patients with recurrent respiratory papillomatosis underwent 890 laser microlaryngoscopy procedures. A retrospective analysis of immediate and delayed complications occurring with laser microlaryngoscopy in the treatment of these patients revealed that complications secondary to anesthetic technique and laser methodology were remarkably low (0.3%). Delayed complications of tissue injury (36% of pediatric patients and 17% of adult patients) were more frequent and included anterior glottic webbing, interarytenoid scarring and arytenoid fixation, vocal fold fibrosis, and generalized endolaryngeal glottic stenosis. All patients were evaluated by direct visualization and recording at the time of the operative procedure, as well as by review of intraoperative photographs. A smaller group of patients underwent analysis of voice recordings and laryngeal stroboscopy. The frequency and severity of tissue injury was higher in the patients with more severe disease who underwent multiple operative procedures.

DOZ047.116: Reducing complications for tracheostomy patients

2019 ◽  
Vol 32 (Supplement_1) ◽  
Author(s):  
T Valika ◽  
D M Thompson ◽  
J Ida
Keyword(s):  
Wound Care ◽  
Healthcare Providers ◽  
Retrospective Chart Review ◽  
Emergency Situations ◽  
Wound Breakdown ◽  
Digital Format ◽  
Time Period ◽  
Postoperative Time ◽  
The Difference

Abstract Objective The objective of this study was to review the utilization of a standardized tracheostomy handoff sheet to reduce tracheostomy-related complications. Methods A retrospective chart review was carried out of patients who underwent tracheostomy and had a dedicated tracheostomy handoff sheet utilized in the postoperative period. The handoff sheet contains trach size, backup trach size, airway findings, suction depth, location of maturation suture, location of stay sutures, and photograph of the wound bed on postoperative day 0. An anonymous survey of healthcare providers participating in the patient's care was undertaken regarding the utility of the dedicated trach handoff sheet. Results There were a total of 18 completed questionnaires. The majority of respondents felt the trach handoff sheet was helpful and provided vital information (4.61, scale 1–5). Hundred percent of respondents referenced the handoff sheet at some point during the hospital stay; 83% of respondents (15/18) felt the handoff sheet was more productive than a verbal handoff and 67% of respondents (12/18) preferred the sheet be available bedside rather than a digital format for reference in the electronic medical record. 89% of respondents (16/18) utilized the handoff sheet for wound care. Conclusion There are numerous aspects to proper tracheostomy care. From the immediate postoperative time period to several years out, proper care can make the difference for quality of life, respiratory standpoint, and airway safety. With a daily nursing handoff that at times can become redundant, utilization of a standardized tracheostomy handoff can lead to improve outcomes. These handoff sheets provide information deemed essential to optimal patient care and are always available bedside for review. Standardization and utilization of these tracheostomy sheets have led to decreased airway complications in emergency situations, reduced wound breakdown, and increased safety and efficiency in handoffs.

scholarly journals The Use of Orientation Templates and Free-Hand Implant Insertion in Artificial Mandibles—An Experimental Laboratory Examination in Fifth-Year Dental Students

2018 ◽  
Vol 6 (3) ◽  
pp. 43 ◽  
Author(s):  
Matthias Schulz ◽  
Lena Rittmann ◽  
Ursula Range ◽  
Günter Lauer ◽  
Dominik Haim
Keyword(s):  
Three Dimensional ◽  
Dental Students ◽  
Cone Beam ◽  
Artificial Bone ◽  
Implant Placement ◽  
Experimental Laboratory ◽  
Bone Level ◽  
The Difference ◽  
Implant Dentistry ◽  
Time Required

Implant dentistry is a growing field in the education of undergraduate dental students. The present laboratory study evaluates factors which may potentially influence the accuracy of free-hand implant insertion and the use of an orientation template. After three-dimensional planning using coDiagnostiXTM, orientation templates, including sleeves for the pilot-drill in regions 41 and 45, were manufactured by thermoforming. Sixty-one fifth year dental students inserted one implant using the orientation template and another implant free-hand in an artificial mandible. Information regarding age, sex, handedness, education, and the time required for implant insertion were recorded. Subsequently, the mandibles were scanned using cone-beam-computed tomography and the accuracy of the implant position was assessed, while statistical analysis followed. The free-hand implant insertion resulted in a distal deviation of −1.34 ± 5.15° and a mesial mismatch of 0.06 ± 0.79 mm at the artificial bone level compared to the sleeves. When using the orientation templates, the deviation decreased to −0.67 ± 3.48° and a distal mismatch of −0.22 ± 0.62 mm was achieved. The difference was statistically significant for the mismatch (p < 0.049). Regarding the limitations of our study, it could be said that the accuracy level achieved by dental undergraduates using implant placement with orientation templates is comparable to that in other studies.

Retrospective Study of Tapered One-Piece Implants Placed Over a Ten-Year Period in a Single Private Practice

2018 ◽  
Vol 44 (2) ◽  
pp. 115-121 ◽  
Author(s):  
John C. Minichetti ◽  
Joseph C. D'Amore ◽  
Anna Y-J Hong
Keyword(s):  
Retrospective Study ◽  
Private Practice ◽  
Treatment Modalities ◽  
Success Rates ◽  
Implant Survival ◽  
Minor Complication ◽  
Implant Placement ◽  
Implant Dentistry

Today, clinicians have a variety of treatment modalities available to address the increasing number of implant procedures performed each year. Single-stage implant surgery is now commonly used in implant dentistry. With patients' demands for immediate restoration, the utilization of 1-piece implants is gaining acceptance. This article reports the results of tapered 1-piece implants (Zimmer Biomet) placed in a single practice over a 10-year period. A total of 33 1-piece dental implants were placed in 24 patients and provisionally restored out of occlusion at the time of surgery. All 33 implants were definitively restored with ceramometal crowns after 3 months of provisionalization. Implant survival and success rates were 100% after 2.6–10 years of follow-up. Only 1 minor complication of crestal bone remodeling occurred among the 33 implants placed. Adequately stabilized tapered 1-piece implants can be successfully restored out of occlusion at the time of implant placement and definitively loaded in occlusion 3 months without adversely affecting function or esthetics. Additional long-term controlled studies are recommended to further understand these findings.

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