scholarly journals Augmentation the width of a keratinized attached gingiva in patients with dental implantation

2018 ◽  
pp. 5-15
Author(s):  
T. V. Brailovskaya ◽  
A. P. Vedyaeva ◽  
R. V. Kalinin ◽  
E. A. Garibyan ◽  
Z. A. Tangieva ◽  
...  

To date, there has been an increase in the scientific interest in the state of soft tissues surrounding dental implants and their influence on the long-term prognosis of implant treatment. It is known, that the risk factors for the development of periimplantitis include a deficiency or complete absence of an attached keratinized gingiva in the area of implants. The article provides a comparative analysis of various methods of mucogingival surgery in the field of dental implants using free gingival autografts and xenogenic dermal matrices.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Mehran Ashrafi ◽  
Farzan Ghalichi ◽  
Behnam Mirzakouchaki ◽  
Manuel Doblare

AbstractBone remodeling identifies the process of permanent bone change with new bone formation and old bone resorption. Understanding this process is essential in many applications, such as optimizing the treatment of diseases like osteoporosis, maintaining bone density in long-term periods of disuse, or assessing the long-term evolution of the bone surrounding prostheses after implantation. A particular case of study is the bone remodeling process after dental implantation. Despite the overall success of this type of implants, the increasing life expectancy in developed countries has boosted the demand for dental implants in patients with osteoporosis. Although several studies demonstrate a high success rate of dental implants in osteoporotic patients, it is also known that the healing time and the failure rate increase, necessitating the adoption of pharmacological measures to improve bone quality in those patients. However, the general efficacy of these antiresorptive drugs for osteoporotic patients is still controversial, requiring more experimental and clinical studies. In this work, we investigate the effect of different doses of several drugs, used nowadays in osteoporotic patients, on the evolution of bone density after dental implantation. With this aim, we use a pharmacokinetic–pharmacodynamic (PK/PD) mathematical model that includes the effect of antiresorptive drugs on the RANK/RANK-L/OPG pathway, as well as the mechano-chemical coupling with external mechanical loads. This mechano-PK/PD model is then used to analyze the evolution of bone in normal and osteoporotic mandibles after dental implantation with different drug dosages. We show that using antiresorptive agents such as bisphosphonates or denosumab increases bone density and the associated mechanical properties, but at the same time, it also increases bone brittleness. We conclude that, despite the many limitations of these very complex models, the one presented here is capable of predicting qualitatively the evolution of some of the main biological and chemical variables associated with the process of bone remodeling in patients receiving drugs for osteoporosis, so it could be used to optimize dental implant design and coating for osteoporotic patients, as well as the drug dosage protocol for patient-specific treatments.


Author(s):  
Dipanjan Das ◽  
Nina Shenoy

AbstractOsseointegrated dental implants have become an increasingly popular modality of treatment for the replacement of absent or lost teeth because of its high rates of long-term survival when used to support various types of dental prostheses. However, complications and implant failure can still occur and are considered by many clinicians as a major obstacle for implant treatment. Biological complications mainly refer to inflammatory conditions of the soft tissues and bone surrounding implants and their restorative components, which are induced by the accumulation of bacterial biofilm. Two clinical varieties may be distinguished: peri-implant mucositis and peri-implantitis. Peri-implant mucositis is a reversible, plaque-induced inflammatory lesion confined to the peri-implant soft tissue unit, whereas peri-implantitis is an extension of peri-implant mucositis to involve the bone supporting the implant. Diagnosing and managing these biological complications is of utmost importance for the implant surgeon and dental practitioner. This review encompasses the etiology, diagnostic aspects, prevention, and management of biological complications.


Author(s):  
Alaa Almalki ◽  
Mohammed Albati ◽  
Mohammed Alhijaili ◽  
Ahmad Hariri ◽  
Hydar Alnowaisser ◽  
...  

One of the recent advances in the field of dentistry is to provide prothesis that can replace lost natural teeth. Over several decades, researches were endeavouring to create dental implants with optimized criteria that allow long-term function and stability. After notable success, the use of dental implant has become an almost daily routine in dental practice. However, many factors can influence the success of dental implantation procedures. Primary implant stability remains the most reliable predictor of dental implants success, and many factors are known to have a considerable impact on the implant stability such as the thread morphology, the implant size and length, the implant body shape, the surgical technique use, and the underlying bone heath. Knowledge of these factors is essential for optimizing the outcome of dental implantation procedures even in unfavourable conditions. Therefore, this article aims at reviewing and discussing the various dental implants designs, characteristics, and stability.


2019 ◽  
Vol 8 (4) ◽  
pp. 54-61
Author(s):  
Rajiv M. Patel

This article provides a narrative review of the use of dental implants in patients with periodontitis. Using clinical examples where possible, consideration is given to the survival and success of implants, peri-implantitis, comparison of periodontally compromised teeth to implants and to treatment planning to help achieve favourable outcomes. The challenges associated with restoring an edentulous arch or partially dentate dentition with implants where significant alveolar atrophy has occurred can be considerable. Compromised outcomes may be commonplace. Dental implant treatment is more likely to be successful for those patients who attain and maintain excellent plaque control. Professional support should focus on managing underlying periodontitis prior to commencing implant therapy and providing long term, regular supportive periodontal care upon completion of treatment.


2019 ◽  
Vol 29 (2) ◽  
pp. 61-64
Author(s):  
Saulius Žukauskas ◽  
Algirdas Puišys ◽  
Paulius Andrijauskas ◽  
Linas Zaleckas ◽  
Tomas Linkevičius

Stability of crestal bone around dental implants is a major concern for oral surgeons and dentists. It is a key factor for success of dental implant treatment. Crestal bone is more prevented from resorption when surrounding tissues are thicker. Aim of the study – to find out the mean of crestal bone loss around supracrestally placed dental implants with matching platform in vertically thick soft tissues. The final patient sample included 34 patients (17 female and 17 male), who received 34 two piece dental implants in total. All 34 implants integrated successfully as evaluation under implant success criteria was applied. Implants were restored by single-unit crowns, using metal-ceramic prostheses. After 1 year thick soft tissues maintain stable crestal bone around dental implants in lower jaw. Minor bone resorption of 0.28 ± 0.36 mm mm could be seen during early bone remodelling phase.


2019 ◽  
Vol 23 (4) ◽  
pp. 389-394 ◽  
Author(s):  
Bruno Ramos Chrcanovic ◽  
Ricardo Santiago Gomez

Abstract Purpose To integrate the available data published on patients with epidermolysis bullosa (EB) rehabilitated with dental implants, as well as to review the recommendations for EB patients receiving implants. Methods An electronic search was undertaken in February 2019 in five databases. Results Sixteen publications were included, reporting 28 patients with EB, rehabilitated with 161 dental implants. The mean ± SD patients’ age at implant surgery was 34.7 ± 12.1 years (range, 13–56). Only one implant was placed in the molar region, all other implants were placed in the incisor, canine, and premolar regions. Patients received a mean ± SD of 5.8 ± 2.8 implants (range, 2–11). Most of the patients received implant-supported fixed prostheses (fixed partial 14.3%, fixed full-arch 60.7%, overdenture 25%). Implant and prosthesis failure rates were 1.3% and 0%, respectively. The two implant failures were detected before or at the abutment connection. The mean ± SD follow-up time was of 39.2 ± 24.5 months (range, 6–111). The EB patient quality-of-life improved considerably as a result of treatment with dental implants. There is a series of dental care considerations that should be followed to smooth the implant treatment in EB patients. Conclusions The dental implant failure rate in EB patients seems to be very low, although the few cases reported in the literature were followed up for a short mean period, i.e., just a little bit longer than 3 years. More cases followed up for a long period are needed in order to be able to make a more reliable prognosis for the long-term oral rehabilitation of EB patients with dental implants.


2015 ◽  
Vol 61 (4) ◽  
pp. 300-303
Author(s):  
Victor Nimigean ◽  
◽  
Valentin Daniel Sîrbu ◽  
Vanda Roxana Nimigean ◽  
Lavinia Buţincu ◽  
...  

The major risk of dental implant treatment in the mandible is represented by the mandibular canal. Precise location of the mandibular canal is essential for oral rehabilitation with dental implants. The aim of this study was to analyze the topography of the mandibular canal in order to increase the long-term performance of oral rehabilitation with dental implants in „poor areas“. The topography of the mandibular canal was statistically studied on 11 human mandibles. The results obtained show similarities but also differences with data reported in other specialized references.


Author(s):  
Nigman Lukmanovich Khabilov ◽  
Tatyana Olegovna Mun ◽  
Farkhodjon Komiljonovich Usmonov ◽  
Iskander Mukhamedovich Baybekov

The widespread introduction of dental implant in the dental practice will determine progress and the future of prosthetic dentistry. At the same time, like any new direction dental implantation has generated a lot of questions and unsolved problems. On many of these issues and problems can be answered only by using morphological methods. Therefore, after the development of a new construction of the dental implant one of the main issues was the question of its interaction with the jawbone and soft tissues of the oral cavity.We performed the experiment on 24 long snout dogs of both sexes, weighing 30-35 kg, with normal bite, at the age of 20-24 months. Animals were divided into 2 groups, according to samples of screw dental implants used in the experiment: basic group - 12 dogs in which were used samples of the new construction of dental implant “Implant.uz” (Uzbekistan); control group – 12 dogs in which were applied screw dental implant system “Dentium” (South Korea). Terms of derivation of animals from experiments were 1, 3, and 6 months.By using morphological techniques were studied implants “Implant.uz” from medical titanium BT-1.00 brand, their interaction with bone of alveolar ridge. “Implant.uz” did not cause pathological changes in the bone tissue of alveolar ridges of jaws and could be an alternative to known dental implants.


Author(s):  
Fernando Suárez López Del Amo ◽  
Shan-Huey Yu ◽  
Gilberto Sammartino ◽  
Anton Sculean ◽  
Giovanni Zucchelli ◽  
...  

Peri-implant soft tissues play a role of paramount importance, not only on the esthetic appearance, but also on the maintenance and long-term stability of implants. The present report presents the conclusions from the Consensus Conference of the South European North African Middle Eastern Implantology & Modern Dentistry Association (SENAME) (4–6 November 2016, Cairo, Egypt). The conference focused on the topic of the soft tissue around dental implants, and in particular, on the influence of implant configurations on the marginal soft tissues, soft tissue alterations after immediate, early or delayed implant placement and immediate loading, the long-term outcomes of soft tissue stability around dental implants, and soft tissue augmentation around dental implants. Thirty world experts in this field were invited to take part in this two-day event; however, only 29 experts were in the final consensus voting process.


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