scholarly journals Replacement of Missing Upper 2nd Premolar by Short Implant: A Case Report

2012 ◽  
Vol 2 (2) ◽  
pp. 116-120
Author(s):  
Mahfujul Haq Khan ◽  
Sheikh Mohammad Alif ◽  
Saeed Hossain Khan ◽  
Md Manjurul Karim ◽  
Sejuty Haque
Keyword(s):  
Dental Implants ◽  
Bone Grafting ◽  
Inferior Alveolar Nerve ◽  
Healing Time ◽  
Short Implants ◽  
Single Tooth ◽  
Risk Patients ◽  
Bone Height ◽  
Implant Treatment ◽  
Short Implant

Compared to previous generations when tooth loss was common, modern dentistry has made it possible for people to keep their teeth healthy and attractive for their entire lives. Today, dental implants can replace missing teeth. Although the concept of a tooth implant is not new, advances in technology have improved the treatment process and the longevity of implants. Dental implants can be used for single tooth replacements, support for a permanent bridge, or as attachments to anchor a full denture securely to the jaw. The clinical reality is that many potential implant patients have limited bone height. When placing longer implants, the maxillary sinus and inferior alveolar nerve often present risk. Although bone grafting sinus lifts procedures help alleviate this risk, patients may still avoid treatment because of the financial costs and time for grafting procedures. Additionally, bone grafting procedures have their own inherent risks and morbidities which patients often find unacceptable. While Short Implants afford simpler and consistently more predictable treatments, which can significantly increase a patient’s acceptance of implant treatment. With the use of Short Implants, patients with limited bone height can often avoid the inherent risks and costs associated with bone grafting procedures. Additionally, the extended healing time and cost of bone grafting procedures are eliminated. This article describes a simple approach for placement of short implant in maxillary premolar and its subsequent restoration.DOI: http://dx.doi.org/10.3329/birdem.v2i2.12327(Birdem Med J 2012; 2(2):116-120)

scholarly journals Short Dental Implants: State of the Art and Systematic Review

2021 ◽  
pp. 50-55
Author(s):  
Marcelo Henrique Batista Santos ◽  
Priscilla Janaína de Lima Borelli Bovo ◽  
Henrique Esteves Magalhães ◽  
Luciano Rodrigues Neves ◽  
Elias Naim Kassis
Keyword(s):  
Systematic Review ◽  
Dental Implants ◽  
State Of The Art ◽  
Fibrous Tissue ◽  
Surgical Techniques ◽  
Cochrane Library ◽  
Implant Surface ◽  
Short Implants ◽  
Correct Technique ◽  
Bone Height

Introduction: The success of dental implants is due to their ability to osseointegrate, with direct contact of the implant surface with the bone, without the interposition of fibrous tissue. Because many patients do not receive implant treatments because they do not have adequate or sufficient bone height, the development of shorter implants could meet the needs of these patients. Objective: To carry out a brief systematic review to present the state of the art of using short implants. Methods: The present study followed a concise systematic review model. The search was carried out in the PubMed, Embase, Ovid, Cochrane Library, Web Of Science, and Scopus databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: Short implants are an increasingly common alternative to other surgical techniques in areas where bone availability is reduced. Despite the advantages they offer, a variety of biological repercussions have been described in the literature that can even lead to their loss. Conclusion: The studies analyzed showed that short implants are a reliable, safe, and practical alternative to be used in situations with reduced bone height. They do not present bone loss or resorption over the years, nor the risk of fracture or any damage to patients, as long as they have an adequate design, correct technique, and meticulous planning.

scholarly journals Full Mouth Rehabilitation with Implant-Supported Prostheses for Severe Periodontitis: A Case Report

2010 ◽  
Vol 4 (1) ◽  
pp. 165-171 ◽  
Author(s):  
Sompop Bencharit ◽  
Debra Schardt-Sacco ◽  
Michael B Border ◽  
Colin P Barbaro
Keyword(s):  
Dental Implants ◽  
Bone Grafting ◽  
Alveolar Bone ◽  
Primary Stability ◽  
Healing Time ◽  
Oral Rehabilitation ◽  
Implant Placement ◽  
Periodontal Inflammation ◽  
Severe Periodontitis ◽  
Full Mouth Rehabilitation

Oral rehabilitation for a patient with severe loss of alveolar bone and soft tissue resulting from severe periodontitis presents a challenge to clinicians. Replacing loosening natural teeth with fixed prostheses supported by dental implants often requires either gingival surgery or bone grafting. The outcome of the bone grafting is sometimes unpredictable and requires longer healing time and/ or multiple surgeries. The presence of periodontal inflammation and periapical lesions often delay the placement of bone grafts as well as dental implants. Here we present a clinical case of a patient undergone full mouth reconstruction with implant-supported fixed prostheses. We demonstrated that early placement of implants (three weeks after extractions) with minimal bone grafting may be an alternative to conventional bone grafting followed by implant placement. We believe that primary stability during implant placement may contribute to our success. In addition, composite resin gingival material may be indicated in cases of large fixed implant prostheses as an alternative to pink porcelain.

scholarly journals Soft Tissue Esthetics in Implant Dentistry

2007 ◽  
Vol 50 (3) ◽  
pp. 183-186 ◽  
Author(s):  
Rakesh V. Somanathan ◽  
Antonín Šimůnek ◽  
Josef Bukač ◽  
Tomáš Brázda ◽  
Dana Kopecká
Keyword(s):  
Contact Point ◽  
Study Group ◽  
Radiographic Study ◽  
Treatment Procedure ◽  
Single Tooth ◽  
Immediate Implants ◽  
Implant Dentistry ◽  
And Function ◽  
Bone Height ◽  
Implant Treatment

Dental implants have been considered to be a successful treatment modality. Recently, achieving a good osseointegration is not the ultimate goal for the restorative dentist. Successful implant treatment demands the best gingival esthetic success along with stability and function of the implant. This study was performed to obtain answers to some controversial points pertaining to esthetics and function of implants in maxilla. Immediate flapless implantation into the extraction sockets in maxillary anterior zone is an emerging treatment option in dentistry- the esthetic success of which was in debate for long. The proposed study compared the esthetic success of immediate flapless implants (ILA), to immediate implants with the need for flap (ILB) and, delayed implants (DSL) in single tooth restorations, in the anterior region of the maxilla. The other aim of the study was to find out if any relation exists between the interproximal crestal bone height and papilla height. Analysis was done irrespective of treatment procedure in the same study group using periodontal sounding and radiographs to find out the relation. From the study involving 106 participants, including 21 ILA, 22 ILB and 63 DSL cases, we received highest papillary index score of 2.6 average from group ILA, followed by ILB and DSL, after 3 months of prosthetic loading. From the periodontal sounding and radiographic study it was evident that, when the distance between the base of the contact point of crowns and height of interproximal bone was less than 5, the papilla was present 100 % of the time, but when the distance increased to 6 and more than 7 mm, the papilla was present only 46.5 and 24 percentage of the time respectively.

Lateral Bone Condensing and Expansion for Placement of Endosseous Dental Implants: A New Technique

10.1563/786.1 ◽  
2006 ◽  
Vol 32 (2) ◽  
pp. 87-94 ◽  
Author(s):  
Azfar A. Siddiqui ◽  
Mark Sosovicka
Keyword(s):  
Dental Implants ◽  
Bone Grafting ◽  
Alveolar Bone ◽  
Treatment Time ◽  
Missing Teeth ◽  
Bone Expansion ◽  
A New Technique ◽  
Considerable Period ◽  
Implant Treatment ◽  
Bone Condensing

Abstract Placement of endosseous dental implants can be a problem due to bone resorption if the patient has been missing teeth for a considerable period of time. In the literature, bone-grafting techniques have shown variable results. Additionally, bone grafting requires a longer treatment time and a need for a second surgery, and it adds significant cost to the treatment. These factors often discourage patients from having dental-implant treatment. Another technique for placement of dental implants in narrow bone ridges is repositioning and remodeling of alveolar bone by condensing and expansion with the help of bone osteotomes. This article presents 2 cases, 1 in the maxilla and 1 in the mandible, for placement of endosseous dental implants with the use of a new bone-expansion osteotome kit that utilizes a screw-type configuration for bone condensing and expansion.

scholarly journals High Crown to Implant Ratio as Stress Factor in Short Implants Therapy

2016 ◽  
Vol 20 (2) ◽  
pp. 94-98
Author(s):  
Ledia Gaxho ◽  
R. Isufi ◽  
E. Petrela ◽  
L. Abazaj ◽  
K. Vera
Keyword(s):  
Cohort Study ◽  
Bone Loss ◽  
Panoramic Radiographs ◽  
Crestal Bone Loss ◽  
Short Implants ◽  
Single Tooth ◽  
The Mean ◽  
As Stress ◽  
Implant Loading ◽  
Implant Treatment

Summary Background/Aim: The purpose of this study was to report the outcomes of crown to implant ratio (C/IR) measurements of single-tooth short implants. The specific aim of this study was to evaluate the effect of C/ IR on crestal bone loss, assessing the success of short locking-taper implants treatment.Materials and Methods: The cohort study was based on a sample of 33 patients, 14 males and 19 females. They were treated by at least one hydroxyapatite-coated Bicon implant, restored with Integrated Abutment Crown cementless technique and porcelain fused to metal crowns. The study was conducted between 2010 and 2015. Patients were recalled after 1-year and 2-year period time. Periapical, panoramic radiographs and clinical photos were obtained. The outcome measures were C/IR, crestal bone levels and the success of short implants therapy.Results: After all the measurements were done on the first day of implant loading and at last visit, the mean C/IR was 1.85 (range, 0.95 to 3.20) and the mean change in the mesio-distal crestal bone levels was -0.73mm. No significant correlation was found between the C/IR and the risk for crestal bone loss nor the risk for implant failure.Conclusions: A high C/IR has no significant effect on crestal bone levels (r= -0.151, p= 0.230) and on failure of implant treatment (p= 0.631) after the insertion of single-tooth locking-taper and implant restorations.

scholarly journals Comparison Between Two Different Design Concepts of 4- Implant Assisted Mandibular Complete Overdenture:- periimplant bone height changes

2021 ◽  
Vol 9 (11) ◽  
pp. 452-462
Author(s):  
Ekhlas Al-Shargaby ◽  
Radwa EMERA ◽  
Fatma Alwaseef ◽  
Mohammed Fouad
Keyword(s):  
Bone Loss ◽  
Alveolar Bone ◽  
Implant Design ◽  
Design Concepts ◽  
Short Implants ◽  
Group A ◽  
Edentulous Patients ◽  
Group B ◽  
Bone Height ◽  
Short Implant

Abstract: Purpose: This study was accomplished to evaluate the bone height changes radiographically and the reliability of use either two posterior short or inclined implants with two conventional anterior implants retaining mandibular overdenture.   Materials and methods: Ten male mandibular completely edentulous patients were divided in two equal groups after delivered complete dentures. For the first group (short implant design- group A) two vertical implants were inserted in the canine areas and two short vertical implants were inserted in the 1st molar area. For the second group (inclined implant design- group B) two vertical implants were inserted in the canine areas and two 30o distally inclined implants were inserted in the second premolar area. Digital standardized periapical radiographic assessment for horizontal and vertical alveolar bone height changes was carried out at T0 (immediately), T6 (6 months), T12 (12 months) and after mandibular complete overdenture insertion. Result: 1. VBL decrease significantly with advance of time in both groups during the time intervals. The highest VBL around the implants was noted in the 1st six months followed by the 2nd six months, the highest amount of total VBL observed with the interval T0-T12, followed by the interval (T0-T6) and the inclined implant group showed significant higher total VBL than short implant group at the intervals T0-T6 and T0-12. 2- HBL decreased significantly with advance of time in both groups. For short and inclined implant group, the highest amount of total HBL observed with the interval T0-T12, followed by the interval (T0-T6). Short implant group showed significant higher total HBL than inclined group at the interval T0-T6 and T0-T12.   Conclusion:  Within the limitations of this clinical radiographic study it can be concluded that (1) The 30o distally inclined implants inserted in the posterior areas for assisting mandibular complete overdenture induce vertical bone loss more than the axially inserted implants (short or conventional implants). (2) The short implants inserted in the posterior areas for assisting mandibular complete overdenture induce horizontal bone loss more than the axially inserted implants. Keywords: Short implants, O-ring ball attachment, VBL, HBL.  

scholarly journals Computer-Guided Inferior Alveolar Nerve Lateralization With Simultaneous Implant Placement: A Preliminary Report

2018 ◽  
Vol 44 (3) ◽  
pp. 192-197
Author(s):  
Mohamed Atef ◽  
Mohamed Mounir
Keyword(s):  
Dental Implants ◽  
Fused Deposition Modeling ◽  
Inferior Alveolar Nerve ◽  
Case Series ◽  
Rectangular Window ◽  
Fused Deposition ◽  
Implant Placement ◽  
Surgical Guides ◽  
Case Series Study ◽  
Bone Height

Placement of dental implants in the posterior mandibular alveolar ridges may become a challenging procedure because of limited bone height between the crest of the ridge and the inferior alveolar canal. The aim of this study was to introduce an innovative, less invasive, highly accurate, and easy surgical technique of inferior alveolar nerve lateralization in the posterior deficient mandible using a special customized 3-dimensional–printed surgical guide to enhance the bone height for implant placement. This case series study included 7 patients with unilateral edentulous mandibular alveolar ridges. Customized surgical guides were manufactured using fused deposition modeling technology to accurately place a rectangular window to uncover the canal and also for immediate placement of dental implants in all cases. The results of this limited study provided information on an innovative technique that decreased intraoperative time and demonstrated decreased risks for (1) inferior alveolar nerve injury and (2) postoperative nerve dysfunction.

scholarly journals Inferior alveolar nerve repositioning with simultaneous iliac bone autogenous graft for treatment of atrophic posterior mandibular ridge

2021 ◽  
Author(s):  
Arash Khojasteh ◽  
Shahabaldin Azizi
Keyword(s):  
Surgical Procedures ◽  
Bone Grafting ◽  
Tooth Loss ◽  
Inferior Alveolar Nerve ◽  
Iliac Bone ◽  
Safety And Efficacy ◽  
Autogenous Graft ◽  
Dental Implantation ◽  
Bone Height

Patients with tooth loss in the posterior mandible,requiring dental implantation, mayalso require other simultaneous surgical procedures due to severe atrophy, such as nerve lateralization. However, it is difficult to achieve the appropriate width and height in this area in patients with atrophic ridges. In the present case, we performed inferior alveolar nerve (IAN) repositioning and iliac bone grafting simultaneously to achieve satisfactory width and height in an edentulous adult patientwith insufficient bone height and width in the posterior mandible. The follow-up did not indicateany nerve damage, anda significant increase was observed in the bone height, which facilitated successful implantation. This study showed the feasibility of IAN repositioning withsimultaneous iliac bone autogenous grafting for thetreatment of atrophic posterior mandibular ridges. However, further studies are required to confirm the safety and efficacy of this combinational method.

In-block lateralization as a new technique for mobilization of the inferior alveolar nerve: a technique case series

2020 ◽  
Author(s):  
Marcos Augusto Tomazi ◽  
Alexandre da Silveira Gerzson ◽  
Angelo Menuci Neto ◽  
André Luciano Pasinato da Costa
Keyword(s):  
Treatment Options ◽  
Inferior Alveolar Nerve ◽  
Case Series ◽  
New Technique ◽  
Autogenous Bone ◽  
Minimal Risk ◽  
Short Implants ◽  
Bone Atrophy ◽  
A New Technique ◽  
Number Of Treatment

The edentulous atrophic posterior mandible is often a great challenge for implant rehabilitation. Although a number of treatment options have been proposed, including the use of short implants and surgical grafting techniques, in cases of severe bone atrophy, techniques for mobilization of the inferior alveolar nerve (IAN) have been shown to be efficient, with good results. Four female patients underwent IAN lateralization for prosthetic rehabilitation of the posterior mandible from 2013 to 2019, with 1 year to 5 years and 4 months of follow-up. This case series describes a new technique for mobilization of the IAN, named in-block lateralization, to facilitate access to the IAN and to reduce nerve manipulation. The implant is immediately installed (allowing nerve lateralization in unitary spaces) and the original mandibular anatomy is restored with autogenous bone from the original bed during the same surgical procedure. When well indicated and well performed, this new approach provides better and easier visualization of the IAN as well as safer manipulation aiming to achieve good results for implant stability and minimal risk of neurosensory disturbances, allowing rehabilitation even in unitary spaces.

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