scholarly journals Incidence of Prosthetic Complications associated with Implant-borne Prosthesis in a Sleep Disorder Center

2017 ◽  
Vol 18 (9) ◽  
pp. 821-825
Author(s):  
Shekhar Grover ◽  
Venkatesh B Suneel ◽  
Santhosh Kotian ◽  
Ravikanth H Jujare ◽  
Adarsh K Shetty ◽  
...  

ABSTRACT Background Obstructive sleep apnea (OSA) is one of the common prevalent conditions present worldwide. The process of abnormal habits related to clenching and grinding of teeth is referred to as bruxism and is characterized under the heading of parafunctional activity of the masticatory system. Osseointegrated dental implants represent advancements in the field of odontology. Despite its high success rate, failure and complications are often associated with dental implant treatment due to a number of factors. Hence, we aimed for the present study to assess the incidence of prosthetic complications in patients rehabilitated with implant-borne prosthesis in a sleep disorder unit. Materials and methods The present study included the assessment of all the patients who underwent prosthetic rehabilitation by dental implants. An experienced registered prosthodontist was given duty for examination of all the cases from the record file data. Prosthetic complications in the patients were identified using photographs, radiographs, and all other relevant data of the patients obtained from the record files. All types of complications and other factors were recorded separately and analyzed. Results While correlating the prosthetic complications in OSA patients grouped based on number of dental implants, nonsignificant results were obtained. Significant correlation was observed while comparing the prosthetic complications divided based on type of prosthesis. Fracture of the porcelain was observed in four and eight cases respectively, of screwed and cemented dental implant cases. Conclusion Some amount of significant correlation existed between the incidences of prosthetic complications and OSA. Clinical significance Proper history of the patients undergoing dental implant procedures should be taken to avoid failure. How to cite this article Suneel VB, Kotian S, Jujare RH, Shetty AK, Nidhi S, Grover S. Incidence of Prosthetic Complications associated with Implant-borne Prosthesis in a Sleep Disorder Center. J Contemp Dent Pract 2017;18(9):821-825.

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Algirdas Puisys ◽  
Viktorija Auzbikaviciute ◽  
Renata Simkunaite-Rizgeliene ◽  
Dainius Razukevicius ◽  
Rokas Linkevicius ◽  
...  

The aim of this case report is to show that bone remineralization around dental implants with a history of peri-implantitis is possible after irritant factors are removed and only conservative treatment is performed. Patient came to the clinic after three years of dental implant placement complaining about swelling, sensitivity and gingiva color changes at the posterior part of the maxilla. During radiographic and intraoral examinations peri-implantitis of the #24 implant site was diagnosed. The surgical treatment method was rejected and performed conservative treatment instead. The outcome is promising; periapical radiographs three months later showed bone remineralization as well as stable bone after 10 years. A key clinical message: Bone remineralization around dental implants with a history of peri-implantitis is possible after irritant factors are removed and conservative treatment performed.


2018 ◽  
Vol 44 (5) ◽  
pp. 359-364
Author(s):  
Shinsuke Yamamoto ◽  
Keigo Maeda ◽  
Izumi Kouchi ◽  
Yuzo Hirai ◽  
Naoki Taniike ◽  
...  

Dental implant treatment is a highly predictable therapy, but when potentially lethal symptoms or complications occur, dentists must remove the implant fixture. Recently, reports on antiresorptive agent-related osteonecrosis of the jaw have increased in the field of dental implants, although the relationship between dental implant treatment and antiresorptive agents remains unclear. Here, we report a case of antiresorptive agent-related osteonecrosis of the jaw that developed after dental implant removal. A 67-year-old Japanese woman with a medical history of osteoporosis and 7 years of oral bisphosphonate treatment was referred to our hospital with a chief complaint of painful right mandibular bone exposure. A family dentist removed the dental implants from the right mandible using a trephine drill without flap elevation in August 2016. However, the healing was impaired; she was referred to our hospital 3 months after the procedure. We performed a sequestrectomy of the mandible under general anesthesia. In conclusion, this patient's course has two important implications: First, the removal of dental implants from patients who are prescribed oral bisphosphonates for long durations can cause antiresorptive agent-related osteonecrosis of the jaw. Second, meticulous procedures are required to prevent and treat the development of antiresorptive agent-related osteonecrosis of the jaw after dental implant removal.


2020 ◽  
Vol 10 (14) ◽  
pp. 4888 ◽  
Author(s):  
Sunho Park ◽  
Hyeran Kim ◽  
Kyoung Soon Choi ◽  
Min-Kyung Ji ◽  
Sujin Kim ◽  
...  

Dental implants are widely used tooth replacement tools owing to their good oral rehabilitation and reconstruction capacities. Since dental implants are designed as a replacement for natural teeth, multi-functional abilities are desired to achieve successful implant treatment with improved osseointegration through promotion of mammalian cell activity and prevention of bacterial cell activity. In this study, we developed a graphene–chitosan hybrid dental implant (GC hybrid implant) using various concentrations of graphene, which demonstrated the different surface properties including increased wettability and roughness. Importantly, the GC hybrid implant under the optimal condition (i.e., 1% GC hybrid implant) could significantly promote osteoblast proliferation while reducing biofilm formation and bacterial activity. Our study demonstrates the potential of using this GC hybrid implant as a new type of dental implant, which can offer an effective design for the fabrication of advanced dental implants.


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.


2021 ◽  
Vol 10 (1) ◽  
pp. 63-66
Author(s):  
Simant Lamichhane ◽  
Manoj Humagain ◽  
Asmita Dawadi

  Dental implant practice has now become a major choice for replacement of missing teeth in modern dentistry. Over the years, the success rate of dental implants has increased from 80-90% to 96-98%. However, due to lack of proper availability of soft tissue and hard tissue along with improper alignment of dental implants often pose aesthetic concerns in anterior aesthetic zone though the implant is fully osseointegrated with no signs of clinical mobility. This case report presents a case of a 21 years old male with a history of tooth loss due to trauma 8 months back and rehabilitation with dental implant 6 months back. On examination, mid-labial recession of around 3mm associated with #11 with no clinical signs of overlying inflammation was noted. Intact bone support was revealed by IOPAR. The recessed area around dental implant was managed with connective tissue graft and coronally advanced flap.


Single or multiple dental implants have become a well-accepted method of replacement of missing teeth and their supporting structures. This chapter introduces implantology, with an explanation of the history of dental implants and a discussion regarding the need to replace missing teeth. The key aspects of treatment planning for implants are outlined including assessment of suitability for implant placement, indications, and contraindications. Available implant types are outlined and the risks of implant placement such as failure to osseointegrate, gingival recession, and nerve damage are considered. Basic surgical techniques for implant placement are described including an explanation of healing and integration times. The chapter includes provision, follow-up, and maintenance advice regarding restoration of the dental implant.


Dental Update ◽  
2020 ◽  
Vol 47 (11) ◽  
pp. 956-959
Author(s):  
Jasem Greval ◽  
Labibah Motaleb ◽  
Sunil Bhatia

Many patients travel abroad seeking cosmetic dental treatment, in particular dental implants. However, there are hundreds of dental implant systems being used globally by dentists of all training backgrounds. Furthermore, complications can occur that patients may expect their general dental practitioner in the UK to be able to manage. The following report describes the case of a 71-year-old, medically compromised patient who presented with complaints consistent with the immediate failure of dental implants that happened to be placed abroad. On closer examination, the dental implants themselves were highly questionable in their design and placement. An incidental finding was also made in the maxillary sinus. CPD/Clinical Relevance: To acknowledge that implant dentistry is increasing in popularity as patients have the freedom to access dental implant treatment globally. UK dentists are expected to manage these dental implants on the return of patients to the UK who may present with post-operative complications involving unknown dental implant systems.


2017 ◽  
Vol 6 (2) ◽  
pp. 62-70
Author(s):  
Harpoonam Kalsi ◽  
Jose M Rodriguez ◽  
Ulpee Darbar ◽  
Kalpesh Bavisha

This is the second paper in a two-part series discussing the management of common restorative dental emergencies. The first paper focussed upon problems relating to conventional fixed and removable restorations, and this paper discusses the management of common dental implant related emergencies. With dental implant treatment becoming an increasingly popular method of replacing missing teeth, it is very likely that dentists working in general practice will routinely come across patients who have previously undergone this form of treatment, even if they themselves are not directly involved in placing or restoring dental implants. This paper is aimed at general dental practitioners (GDPs) who have some experience in managing dental implants, and those who want to gain further insight into how such situations may be managed.


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.


2010 ◽  
Vol 92 (6) ◽  
pp. 512-514 ◽  
Author(s):  
Karen V Andrews ◽  
Jonathan R Penny ◽  
Paul A King

INTRODUCTION The Faculty of Dental Surgery, The Royal College of Surgeons of England (RCSE), published a national guideline document in 1997 detailing specific selection criteria for National Health Service (NHS) funded dental implant treatment. The aim of this audit was to assess whether patients selected for NHS-funded dental implants at Bristol Dental Hospital (BDH) met the RCSE national criteria for treatment and received funding from their primary care trust (PCT). PATIENTS AND METHODS A retrospective audit over a period of 2 years was undertaken using medical records and an existing Microsoft Excel database. All patients who had an application submitted to their local PCT for NHS-funded dental implants by BDH were included in this audit. RESULTS A total of 82 applications for dental implant funding were made by BDH and 100% met the RCSE criteria. Fifty-one patients (62.2%) in total had their application for funding approved. Thirty-one patients (37.8%) that met the RCSE guidelines for NHS-funded dental implant treatment had their applications refused. Twenty-five (49%) out of 51 cases in the partially dentate category and six (27.3%) cases in the edentulous group were unsuccessful in their application for NHS-funded dental implants. However, all applications for patients with acquired maxillofacial defects were successful. CONCLUSIONS Patient selection by the BDH for NHS-funded implants complied with the RCSE guidelines. However, there was significant variation in funding between PCTs for those patients who apparently fulfilled the RCSE guidelines. NHS resources are not being allocated equitably for dental implant ‘high-priority’ patients and it would appear that a so-called ‘postcode lottery’ exists between PCTs.


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