Utilization of biometric denture space: an approach beyond implants and surgeries

2018 ◽  
Vol 10 (1) ◽  
pp. 20-25
Author(s):  
Karanpreet Singh
Keyword(s):  
Dental Implant ◽  
Complete Denture ◽  
Neutral Zone ◽  
Muscle Control ◽  
Implant Therapy ◽  
And Function

Providing complete denture therapy to patients with atrophic residual alveolar ridges is challenging because such patients suffer ongoing diminution of the denture foundation. Modern approaches often involve dental implant therapy as a means of improving the denture function and supplementing the mechanics of prosthesis support, retention and stability. Regardless of implant availability, physiologically optimal denture contours and appropriate teeth arrangement should be achieved to maximize prosthesis stability, comfort and function for patients. The neutral zone concept implies acquired muscle control, especially by tongue, lips and cheeks toward the denture stability. In this case, concept of Neutral zone (NZ) and Lingualized occlusal scheme have been incorporated in an effort to provide successful complete denture therapy.

scholarly journals Functional Recording of Maxillo-mandibular Relationship Using Neutral Zone Technique- a Case Report

2019 ◽  
pp. 19-24
Author(s):  
Sonali Harjani ◽  
Deviprasad Nooji
Keyword(s):  
Case Report ◽  
Key Words ◽  
Complete Denture ◽  
Neutral Zone ◽  
Complete Dentures ◽  
Denture Teeth ◽  
Classical Technique ◽  
The Stability ◽  
And Function

One of the most challenging cases dentists face is the rehabilitation of atrophic mandibular residual alveolar ridges. Such ridges present with a multitude of problems such as decrease in the denture foundation, retention and stability. Instability of denture bases can also give rise to an error in the maxillo-mandibular registrations. The neutral zone concept aims at the construction of complete dentures in the potential denture space, which ensures optimal denture contours and physiological arrangement of denture teeth as determined by the patient’s oral musculature, to enhance the stability and function of the prosthesis. This article presents a classical technique of recording the patient’s neutral zone with an improvised clinical step to record the patient’s maxillo-mandibular relation functionally. This technique can be practised routinely in cases of atrophied mandibular residual ridges to provide the patients with optimal complete denture therapy. Key Words: Neutral zone, resorbed mandibular ridges, maxillo-mandibular records, denture stability

Dentists’ Attitudes Toward Dental Implant Maintenance in Thailand

2021 ◽  
pp. 238008442110494
Author(s):  
A. Rudeejaraswan ◽  
P.P. Pisarnturakit ◽  
N. Mattheos ◽  
A. Pimkhaokham ◽  
K. Subbalekha
Keyword(s):  
Dental Implant ◽  
Full Range ◽  
Working Environment ◽  
Clinical Environment ◽  
Maintenance Care ◽  
Positive Attitudes ◽  
Management Of Complications ◽  
Implant Therapy ◽  
General Dentists ◽  
Insufficient Knowledge

Introduction: As implant therapy is a widely applied treatment modality, general dentists are in the frontline of maintaining health in patients with implants. It is however unknown to what extent general dentists are competent and feel prepared to deliver maintenance of implants to patients. Objectives: The aim of this study was to investigate the attitudes and self-reported and objectively assessed competences of general dentists with maintenance of dental implants in patients. Methods: A questionnaire designed and validated for the purpose of the study, including attitudes and self-reported and objectively assessed competences, was distributed by means of an online platform. Results: Data from 429 questionnaires were included in the study. Half of the participants were 28 to 33 y old and 78% had been working <10 y. Seventy-eight percent believed that dental implant maintenance should be performed by general dentists, but only 51% were prepared to do this, citing obstacles such as insufficient knowledge and limitations of their working environment. The mean ± SD objectively assessed competence score was 8.97 ± 2.74 of 17. There were significant differences (P < 0.001, 1-way analysis of variance) in the scores among dentists who offered the full range of maintenance and management of complications (10.83 ± 2.45) with those willing to provide comprehensive oral examination and implant maintenance only (9.31 ± 2.73), those offering comprehensive examination but unwilling to conduct maintenance (8.22 ± 2.28), and those who refer all dental implant patients elsewhere (7.2 ± 2.66). Around half of the dentists believed that implants last for life. Conclusions: While general dentists appeared to largely acknowledge the importance of providing implant maintenance care and present with positive attitudes, a large portion was unwilling to engage with maintenance of implants in patients and appeared to lack essential competences to this end. The main obstacles for providing implant maintenance care included insufficient knowledge and lack of a properly equipped clinical environment. Knowledge Transfer Statement: The results of this study can identify deficiencies in the currently available maintenance competences and schemes for patients with implants. These results can also help dental professionals, scientific bodies, and associations to design appropriate education and professional development strategies that can strengthen the confidence and competences of general dentists, thus offering better service to the public.

scholarly journals Full Mouth Oral Rehabilitation by Maxillary Implant Supported Hybrid Denture Employing a Fiber Reinforced Material Instead of Conventional PMMA

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Ala Hassan A. Qamheya ◽  
Sinem Yeniyol ◽  
Volkan Arısan
Keyword(s):  
Case Report ◽  
Dental Implant ◽  
Complete Denture ◽  
Fiber Reinforced ◽  
Oral Rehabilitation ◽  
Healthy Life ◽  
Hybrid Prosthesis ◽  
Fiber Reinforced Material ◽  
Sore Mouth

Many people have life-long problems with their dentures, such as difficulties with speaking and eating, loose denture, and sore mouth syndrome. The evolution of dental implant supported prosthesis gives these patients normal healthy life for their functional and esthetic advantages. This case report presents the fabrication of maxillary implant supported hybrid prosthesis by using Nanofilled Composite (NFC) material in teeth construction to rehabilitate a complete denture wearer patient.

Should the quality of glycemic control guide dental implant therapy in patients with diabetes? Focus on implant survival

2021 ◽  
Vol 17 ◽  
Author(s):  
Dalia Nourah ◽  
Salwa Aldahlawi ◽  
Sebastiano Andreana
Keyword(s):  
Risk Factors ◽  
Glycemic Control ◽  
Dental Implant ◽  
Failure Rate ◽  
Implant Failure ◽  
Diabetic Patients ◽  
Marginal Bone Loss ◽  
Good Glycemic Control ◽  
Implant Therapy

Introduction: Optimal glycemic control is crucial to dental implant long-term functional and esthetic success. Despite HbA1c levels of 7% or lower used as an indicator for good glycemic control, however, this level may not be attainable for all diabetic patients. Most dentists do not consider patients with poor glycemic control candidates for implant therapy due to higher implant failure, infection or other complications. Aim: This review challenges the concept of one size fits all and aims to critically appraise the evidence for the success or failure rate of dental implants and peri-implant health outcomes in patients with less-than-optimal glycemic control. Discussion: Evidence suggests that estimating glycemic control from HbA1c measurement alone is misleading. Moreover, elevated preoperative HbA1c was not associated with increased mortality and morbidity after major surgical procedures. Literature for the survival or success of implants in diabetic patients is inconsistent due to a lack of standardized reporting of clinical data collection and outcomes. While a number of studies report that implant treatment in patients with well-controlled diabetes has a similar success rate to healthy individuals, other studies suggest that the quality of glycemic control in diabetic patients does not make a difference in the implant failure rate or marginal bone loss. This discrepancy could indicate that risk factors other than hyperglycemia may contribute to the survival of implants in diabetic patients. Conclusion: In the era of personalized medicine, the clinician should utilize individualized information and analyze all risk factors to provide the patient with evidence-based treatment options.

scholarly journals Implant Therapy in the Esthetic Zone-Surgical Considerations

2016 ◽  
Vol 20 (2) ◽  
pp. 83-88 ◽  
Author(s):  
Aleksa Marković ◽  
T. Mišić
Keyword(s):  
Treatment Time ◽  
Implant Positioning ◽  
Implant Placement ◽  
Individual Assessment ◽  
Complex Procedure ◽  
Immediate Implant ◽  
Implant Therapy ◽  
And Function ◽  
Selection Of

Summary Implant placement in the esthetic zone is a complex procedure and requires a restoration-driven approach. Proper selection of patients and implant together with individual assessment of the risk of esthetic complications are very important. Correct 3D-implant positioning and sufficient bone volume should provide long-term esthetic and function. Esthetic region is a zone in which expectations and possibilities collide. Clinician should bring the important decision on the appropriate time of implant placement. Immediate implant placement is particularly challenging in the esthetic zone. Patient desire for reduced treatment time should be weighed against the possible risk factors. Protocol of immediate implant placement in conditions of unfavourable gingival biotypes, the lack of bone or soft tissue in patients with a high smile line lead to esthetic failure which is very important in the esthetic region.

scholarly journals ANTHROPOIDAL POUCH TECHNIQUE FOR HIGHLY RESORBED RIDGES

2013 ◽  
Vol 03 (04) ◽  
pp. 128-131
Author(s):  
Laxman Singh Kaira ◽  
Esha Dabral
Keyword(s):  
Case Report ◽  
Neutral Zone ◽  
Edentulous Patient ◽  
And Function

AbstractThis article presents a case report on neutral zone technique used for treating a complete edentulous patient with resorbed ridges. It emphasizes on using materials available by the chairside to make impressions for resorbed ridges and to locate the neutral zone. It also presents certain modifications in technique for recording the neutral zone to achieving maximum prosthesis stability, comfort and function

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