scholarly journals Patient and Operator Centered Outcomes in Implant Dentistry: Comparison between Fully Digital and Conventional Workflow for Single Crown and Three-Unit Fixed-Bridge

Materials ◽  
2020 ◽  
Vol 13 (12) ◽  
pp. 2781
Author(s):  
Paolo De Angelis ◽  
Paolo Francesco Manicone ◽  
Silvio De Angelis ◽  
Cristina Grippaudo ◽  
Giulio Gasparini ◽  
...  
Keyword(s):  
Scientific Information ◽  
Treatment Protocol ◽  
Functional Results ◽  
Digital Workflow ◽  
Patient’S Satisfaction ◽  
Single Crown ◽  
Implant Therapy ◽  
Implant Dentistry ◽  
Mean Time ◽  
Implant Treatment

Background: Scientific information about the effects of implant therapy following a precise workflow and patient and operators’ preferences should be considered to choose which implant treatment protocol to use, and to achieve patient’s satisfaction and functional results. The aim of this study was to analyze implant rehabilitations with a fully digital workflow and compare this approach with a conventional one. Methods: This study comprises 64 patients treated with a fully digital approach and 58 patients treated using a conventional protocol. Patient and operator centered outcomes were assessed through two visual analogue scale (VAS) questionnaires. Results: The VAS questionnaire demonstrated better results for the digital workflow concerning anxiety, convenience, taste, nausea sensation, pain and breathing difficulties (p < 0.0001). The VAS questionnaire administered to the operators showed better scores for the digital approach in relation to anxiety, convenience, difficulties of the impression procedure and the workflow (p < 0.0001). A significant reduced mean time for the digital workflow as well as a reduced number of required visits were recorded. Conclusion: The analysis of a fully digital and a conventional protocol showed better results according to patient and operators’ preferences when a fully digital approach was used.

Completely Digital Two-Visit Immediately Loaded Implants: Proof of Concept

2015 ◽  
Vol 41 (4) ◽  
pp. 429-436 ◽  
Author(s):  
Paul A. Schnitman ◽  
Rita K. Han
Keyword(s):  
Learning Curve ◽  
Treatment Time ◽  
Digital Information ◽  
Proof Of Concept ◽  
Time Commitment ◽  
Implant Therapy ◽  
Laboratory Procedures ◽  
Manual Skills ◽  
Implant Dentistry ◽  
Implant Treatment

Implant dentistry has become a common treatment alternative, yet only a small percentage of patients missing teeth are receiving its benefits. Significant limitations are the small percent of practitioners placing implants due to the long learning curve, as well as the time commitment on the part of the patient. This proof of concept demonstrates clinical implant treatment requiring years of manual skill development on the part of the surgeon, restorative dentist, and technician can be accomplished in 2 visits, completely digitally, without the need for conventional impressions, laboratory procedures, and advanced manual skills. This technique results in reduced learning curve and treatment time. The first visit consists of consultation, diagnosis, CT and optical surface scans of the implant site to include: soft tissue, adjacent teeth, and opposing arch. This digital information is imported and interactively reconstructed in a 3-D open format implant planning software. The implant and restoration are now precisely planned into the optimal bone position with the ideal emergence profile for biologically and esthetically designed restoration. This information is then electronically forwarded to a production facility, where all necessary models are digitally printed and the immediate crown is digitally milled. On the second visit, the patient returns for guided implant insertion and immediate restoration. As digital procedures are refined, many more dental professionals will become involved in providing implant therapy earlier in their careers. This promises to result in reduced costs, making implants available to millions more patients who could benefit from them.

scholarly journals RETROSPECTIVE EVALUATION OF SUCCESS OF IMPLANT SUPPORTED PROSTHESIS: EARLY RESULTS

2020 ◽  
Vol 7 (12) ◽  
pp. 189-198
Author(s):  
Zeynep Başağaoğlu Demirekin ◽  
Yavuz Findik ◽  
S. Süha Turkaslan ◽  
Timuçin Baykul ◽  
Merve Erken
Keyword(s):  
Treatment Options ◽  
Clinical Results ◽  
Long Term Results ◽  
Retrospective Evaluation ◽  
Early Results ◽  
Single Crown ◽  
Long Term Follow Up ◽  
Implant Therapy

Introduction: The interpretation of clinical results of dental implant supported prosthesis treatment is very crucial to be able to make a comparison between different implant systems and treatment options and furthermore to benefit the experiences of the other clinicians. However, the clinical outcomes of these studies should be reported in an objective way and be independent from the system used and also be prepared in accordance with certain criteria and standards that have been accepted scientifically world-wide for being reliable and describing long-term results. Aim: Three-hundred and eighty-two consecutive NTA implants were performed on ninety-nine patients. The implants used in 2016 and the constructed restorations were retrospectively analyzed. In addition, the effect of the experience of clinician was evaluated related with the success of the implant therapy. Materials and Method: This retrospective study was conducted in the Department of Prosthodontics Süleyman Demirel University. Three-hundred and eighty-two consecutive NTA implants were performed on ninety-nine patients. The implants used in 2016 and the constructed restorations were retrospectively analyzed. Results: The implants were followed for at least 2 years. In total, 239 implants were inserted. It was found in 143 mandibles. Prosthetic restorations were determined to be partial prosthetics (219), single crown (81) and overdenture prosthetics (64). During the evaluation period, 6 implants failed before prosthetic treatment, ten decementations, six retentive screw loosening and five porcelain chipping were detected. Discussion and Conclusions: The early results of our study are consistent with the results of other studies. However, long-term follow-up is required for more accurate assessments.

scholarly journals Outcomes of Pediatric Supracondylar Fractures of Humerus Treated by Posterior Triceps Splitting Approach

2016 ◽  
Vol 4 (1) ◽  
pp. 28
Author(s):  
Rajeev Dwivedi ◽  
Ruban Raj Joshi ◽  
Subin Byanjankar ◽  
Rahul Shrestha
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Standard Treatment ◽  
Functional Results ◽  
Supracondylar Fracture ◽  
Supracondylar Fractures ◽  
Radiological Criteria ◽  
Supracondylar Humeral Fractures ◽  
The Mean ◽  
Mean Time

Introduction: Close reductions and percutaneous pinning is the gold standard treatment for supracondylar fracture  of humerus. Open reduction and internal fixation is indicated in patients with unacceptable closed reduction, neurovascular compromise, and open fractures. Open reduction can be performed through various approaches. Every approach has their advantages and limitations. The aim of this study was  to assess the functional outcome of pediatric supracondylar fracture of humerus treated by posterior triceps splitting approach.   Methods: This was a prospective evaluation of 20 consecutive patients with displaced pediatric supracondylar humeral fractures operated by triceps spitting posterior approach in our institution for two years. At initial presentation, 19 cases were Gartland III  and one was flexion variant of injury. Complications such as reduction loss, pin migration, infection, osteonecrosis of any part of the elbow, bone healing, and functional results were evaluated. Flynn criteria were used to evaluate the final results.   Results: Twenty patients underwent open reduction and internal fixation by triceps splitting approach. Thirteen patients were male and seven were female with M:F ratio of 1.86:1. The mean age was 6.8 yr (SD=2.74, range 2-14). All the fractures united by six weeks; mean time for union was 4.5 wk (SD=0.94). All patients were assessed at six months using Flynn clinical and radiological criteria. Results were satisfactory in all patients.   Conclusion: Posterior triceps splitting approach is simple, safe and has good functional and radiological outcome. We recommend this approach  for open reduction and internal fixation in pediatric supracondylar fracture.

A Comparison of the Use of Distal Radius Vascularised Bone Graft and Non-Vascularised Iliac Crest Bone Graft in the Treatment of Non-Union of Scaphoid Fractures

2008 ◽  
Vol 33 (5) ◽  
pp. 636-640 ◽  
Author(s):  
J. BRAGA-SILVA ◽  
F. M. PERUCHI ◽  
G. M. MOSCHEN ◽  
D. GEHLEN ◽  
A. V. PADOIN
Keyword(s):  
Bone Graft ◽  
Distal Radius ◽  
Iliac Crest ◽  
Surgical Techniques ◽  
Functional Results ◽  
Iliac Crest Bone Graft ◽  
Radiographic Findings ◽  
Non Union ◽  
Vascularised Bone Graft ◽  
Mean Time

We compared two surgical techniques for the treatment of scaphoid non-union, namely, using distal radius vascularised bone graft and iliac crest non-vascularised bone graft. Eighty patients with symptomatic scaphoid non-union underwent surgical treatment, including 35 patients treated with distal radius vascularised bone graft and 45 treated by iliac crest non-vascularised bone graft. Patients were assessed objectively by examination of wrist range of motion, grip strength and radiographic findings in the postoperative period after a mean time of 2.8 (1.4) (range 1–5.2) years. Similar functional results were obtained with the two techniques. All cases of non-union in the non-vascularised group obtained consolidation in a mean time of 8.89 (2.26) months and in the vascularised group in a mean time of 7.97 (3.06) months. Three cases of consolidation failure occurred in the vascularised group and were related to technical difficulties.

Bisphosphonate and Implant Dentistry – is it Safe?

2015 ◽  
Vol 4 (3) ◽  
pp. 30-33 ◽  
Author(s):  
Ananthi Thirunavukarasu ◽  
Hugo Grancho Pinto ◽  
Kevin Guy Seymour
Keyword(s):  
Risk Factors ◽  
Bone Loss ◽  
Bone Metabolism ◽  
Clinical Presentation ◽  
Bisphosphonate Therapy ◽  
Future Research ◽  
Osteonecrosis Of The Jaws ◽  
Prevent Bone Loss ◽  
Implant Therapy ◽  
Implant Dentistry

Bisphosphonates are a group of drugs that are commonly used to alter bone metabolism in order to prevent bone loss in diseases such as osteoporosis and bone cancers. Unfortunately, the use of bisphosphonates has been associated with bisphosphonate-related osteonecrosis of the jaws. The debate as to whether it is wise to consider implant therapy in patients being treated with bisphosphonate therapy remains a grey area. This review will present the latest evidence and guidelines available on bisphosphonates and their possible effects on implant dentistry. The risk factors, co-morbidities, clinical presentation and findings from various imaging modalities for bisphosphonate-related osteonecrosis of the jaws are highlighted. The management of patients being treated with bisphosphonates, in whom dental implants might be considered or have already been placed, will also be discussed. Finally, the areas requiring future research are considered.

scholarly journals Our experience with percutaneous autologous bone marrow injection in the management of delayed and nonunion of long bone fractures

2018 ◽  
Vol 4 (2) ◽  
pp. 291
Author(s):  
Yeshwanth Subash
Keyword(s):  
Bone Marrow ◽  
Bone Fractures ◽  
Autologous Bone Marrow ◽  
Functional Results ◽  
Long Bone ◽  
Female Ratio ◽  
Long Bone Fractures ◽  
The Mean ◽  
Autologous Bone ◽  
Mean Time

<p class="abstract"><strong>Background:</strong> Various modalities of treatment are available for the management of delayed and nonunion of long bone fractures. The aim of this study was to evaluate the role of percutaneous autologous bone marrow injection in the management of these fractures and to compare the results with studies of other authors as available in literature<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> 15 patients with delayed and nonunion of long bone fractures were studied between January 2013 to January 2015 and were followed up for a period of 1 year. The patients were clinically and radiologically evaluated at regular time intervals at follow up.<strong></strong></p><p class="abstract"><strong>Results:</strong> The age of the patients ranged from 28 to 60 years with the mean age being 44.2 years. There was a male preponderance in our study with the male to female ratio being 2:1. The left side was more commonly affected as compared to the right. The mean time to radiological appearance of callus was 6.4 weeks. The mean time to clinical union was 7.33 weeks while the mean time to radiologic union was 13.4 weeks. We had a union rate of 93.3% in our series with one fracture going in for failure of union<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Percutaneous autologous bone marrow injection is a minimally invasive, safe and cost effective option in the management of delayed and nonunion of long bone fractures and gives good functional results<span lang="EN-IN">.</span></p>

scholarly journals SMALL THINGS HAVE A BIG IMPACT: NEW TRENDS IN IMPLANT DENTISTRY

2018 ◽  
Vol 8 ◽  
Author(s):  
Angel Mary Joseph ◽  
Suja Joseph ◽  
Nicholas Mathew ◽  
Ashwin Thomas Koshy
Keyword(s):  
Clinical Success ◽  
Clinical Success Rate ◽  
Research Area ◽  
Area Of Interest ◽  
Current Trends ◽  
Giant Leap ◽  
Implant Therapy ◽  
Implant Dentistry ◽  
Small Things ◽  
The Impact

In the twenty first century, nanotechnology has already offered numerous possibilities in implant dentistry. One nano step for man has resulted in a giant leap in implant dentistry. The advent of nanotechnology had created an opportunity for the engineering of new dental implant materials. This technology has also been used to enhance osseointegration by surface modifications of dental implants. Nanometre-controlled surfaces have ultimately directed the nature of peril-implant tissues and improved the clinical success rate of implant therapy. The possibilities introduced by nanotechnology now permit the tailoring of implant chemistry and structure. Nanotechnology in dental implantology has emerged as a frontier research area of interest in this decade. Long thought to be commercially uninhabitable, the once-barren nanotechnology landscape suddenly looks fertile. With the support of some brightest minds in science and engineering, this emerging field of super small is now firmly on the shortlist of technologies poised to produce big things in implant dentistry. In this article, we have made an attempt to review the current trends and future prospects on the impact of nanotechnology in implant dentistry.

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