scholarly journals Dental Implant Expectations among Partially and Completely Edentulous Patients

2017 ◽  
Vol 7 (1) ◽  
pp. 28-34
Author(s):  
Maha A Mekkawy ◽  
Huda A Almutairi

ABSTRACT Purpose To assess edentulous patient awareness, expectations, and source of information about dental implants (DIs). Materials and methods Edentulous patients’ knowledge and awareness in using DIs, as an option in replacing missing teeth, either in implant-supported fixed prosthesis or implantsupported overdenture, were evaluated through a standardized self-explanatory questionnaire distributed in three places: King Saud Hospital, AL Harkan Private Dental Clinics (in Unaizah), and College of Dentistry, Qassim University. The questionnaires were either handed to the patients during their regular dental visits or asked by the dentist. A total of 178 subjects were included in this survey. Results About 93.3% of participants were aware of DIs, with statistically significant difference between the study groups (p = 0. 012). The participants’ friends and relatives were the main source of information (49.40%), followed by dentists (33.70%). Approximately 41.60% were moderately informed about DIs. Over one-third of patients expected an implant to require more care than natural teeth (39.80%). About 65.3, 73.6, and 80% of single missing, partially, and completely edentulous patients respectively, preferred to have their teeth replaced with DIs. Improvement in function was the predominant reason for completely edentulous patients (57.9%) to consider DIs, while 37.6 and 41.4% of single missing and partially edentulous patients were considered DIs to avoid adjacent teeth damaging. Fear of surgical risks was the major factor in preventing patients from choosing DIs (13.5%), followed by high cost (9.6%) and unknown side effects (6.2%). Conclusion There was a high awareness about DIs among removable denture patients; however, this awareness was associated with a low level of accurate information. Recommendations There is a need to provide more accurate information about DIs to the patients by the dentists. How to cite this article Mekkawy MA, Almutairi HA. Dental Implant Expectations among Partially and Completely Edentulous Patients. J Contemp Dent 2017;7(1):28-34.

2020 ◽  
Vol 18 (1) ◽  
pp. 32-37
Author(s):  
S. KC Basnyat ◽  
B. Sapkota ◽  
S. Shrestha ◽  
U. Rimal

Background Among many options to replace missing teeth, dental implant is widely popular but willingness to have implant treatment and its success depends on patients’ knowledge and expectations as well as the care, skill, and judgment of clinicians. Objective The main objective of this study was to assess awareness, expectation and source of information about dental implant among complete and removable partial denture wearers and to find association between them. Method A questionnaire consisting of 6 close-ended questions was used to assess the level of knowledge and awareness among patients visiting Dental Outpatient Department of Dhulikhel Hospital regarding dental implants as a treatment option for replacing missing teeth. Chi-square test was used to study the association between demographic variables and awareness about implantation. Statistical software SPSS 20.0 was used for data analysis. Result Our results revealed significant difference in age (p=0.001), education level (p=0.03) and occupation (p=0.004) in awareness of dental implant and no significant difference in gender (p=0.567), compared between complete and removable partial denture wearers. Due to lack of awareness, lower educational status and advanced age the patients responded that they “did not know “ in answer to almost all the questions. Conclusion The awareness level of dental implant was low among complete and removable denture patients and this was associated with a low level of education and lack of accurate information about dental implants.


Author(s):  
Karim Fouda ◽  
Ahmed Fahmy ◽  
Khaled Aziz ◽  
Marwa Abdel Aal ◽  
Amr Naguib ◽  
...  

Abstract Objectives To compare the changes in implant stability for the nonsubmerged and submerged protocols for a single-implant retained mandibular overdenture using Cendres and Metaux Locator attachment throughout a 24-month follow-up. Materials and Methods Eighty edentulous patients who were seeking to install a single implant in the midline of the completely edentulous mandible. At the day of implant installation, patients were randomized into two groups using sealed envelopes: the nonsubmerged and submerged groups. After 3 months of healing period, randomization using sealed envelopes was performed and patients were randomized to receive the Cendres and Metaux Locator attachment. The periotest readings were recorded using the Periotest M device, every 3 months for the first year and annually in the second year. The scope of this clinical trial focused only on results of the Cendres and Metaux attachment. Statistical Analysis The Mann–Whitney U-test was used for comparison between study groups for independent samples. Two-sided p-values less than 0.05 were considered statistically significant. Results There was no statistically significant difference between the mean periotest readings of both groups throughout the 24-month follow-up. Both groups showed an improvement in mean periotest readings with the submerged group tending to show greater stability at 6, 12, and 24-month follow-ups. Conclusions The nonsubmerged and the submerged healing protocols resulted in reliable periotest readings with the submerged group showing greater improvement than the nonsubmerged, although this improvement is nonsignificant when using the Cendres and Metaux attachment for a single mandibular overdenture.


2016 ◽  
Vol 17 (11) ◽  
pp. 934-938 ◽  
Author(s):  
Manish Kumar ◽  
Gayithri H Kulkarni ◽  
Prashant Jadhav ◽  
Kiran Kulkarni ◽  
Sachin V Shinde ◽  
...  

ABSTRACT Introduction Dental implants form the mainstay of dental treatment involving rehabilitation of missing teeth. One of the major concerns for the clinicians doing dental implants is the postsurgical failure of dental implants. Success of dental implants is dependent upon the skills of the surgeon and the amount and quality of the bone remaining at the edentulous area where dental implant has to be placed. Myeloperoxidase (MPO) and nitrites are few of the enzymes and molecules which are said to be altered in inflammation. However, their exact role in the inflammatory processes around natural tooth and dental implant is still unclear. Hence we comparatively evaluated the levels of MPO and nitrites in the areas around the dental implants and natural teeth. Materials and methods The present study comprises 42 patients who underwent prosthetic rehabilitation by dental implants from 2011 to 2014. Depth of probing value (DP), score of plaque index (SPI), gingival index (GI), and index of gingival bleeding time (GBT) were evaluated for the assessment of the periimplant soft tissue changes. Assessment of inflammation around the dental implant surface and around natural tooth was done based on the readings of these parameters. For the measurement of the MPO levels, spectrophotometric MPO assay was used. All the results were analyzed by Statistical Package for the Social Sciences (SPSS) software. Results The mean plaque index values were 1.56 and 0.97 in periodontitis cases of natural teeth and inflamed cases of dental implants respectively. While comparing mean plaque index, mean probing depth, and mean gingival bleeding index in between the two groups, significant difference was obtained. Mean MPO concentration in periodontitis and gingivitis cases in natural teeth were 0.683 and 0.875 U/μL, while in inflamed dental implant cases, the mean value was 0.622 U/μL. While comparing the total MPO levels, total nitrite levels, and total nitrite concentration in between two study groups, significant difference was obtained. On comparing the healthy and periodontitis cases in natural teeth, significant difference was obtained. Conclusion In the inflammatory processes occurring around dental implant and natural teeth, MPO and NO make some amount of significant contribution. Clinical significance The present study enforces on the role of MPO and nitrite as diagnostic and prognostic marker. How to cite this article Kulkarni GH, Jadhav P, Kulkarni K, Shinde SV, Patil YB, Kumar M. Assessment of Myeloperoxidase and Nitric Levels around Dental Implants and Natural Teeth as a Marker of Inflammation: A Comparative Study. J Contemp Dent Pract 2016;17(11):934-938.


Author(s):  
Radwa Mohsen Kamal Emera

Purpose: Evaluation of implant overdenture retention at 23mm standard inter-implant distance using OT Equator and locator attachments. Materials and methods: Twelve completely edentulous patients were selected for this study. For all patients, conventional complete dentures were constructed. Mandibular dentures were replicated into stereolithographic implant placement guide using CBCT. Every participant received 2-implants in the anterior mandibular area with inter-implant distance of 23 mm. After the osseointegration period, the mandibular conventional dentures were converted into implant retained overdentures attached with Locator attachment for (group I) (six patients) and OT Equator attachments for (group II) (six patients). Retention was evaluated for conventional mandibular complete dentures (T0), 3-months (T3) and, 6-months (T6) after overdenture insertion using digital force-meter. Results: Results revealed that there was a statistically significant difference between the study groups representing mean retention force (P<0.05) except at T0 (baseline evaluation with conventional dentures) with higher mean values for group I (Locator attachment) than group II (OT Equator attachment). Conclusion: Regarding the limitations of this study: -Inter-implant distance of 23 mm for 2-implant overdentures could be considered a reliable modality for edentulous mandible. -Locator attachment may be preferable than OT Equator attachment regarding 2-implant overdenture retention at 23 mm inter-implant distance.


2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Marwa Abdel AaL ◽  
Amr Naguib ◽  
Ahmed Salah ◽  
Karim Foda ◽  
Nora Sheta ◽  
...  

Objective. The aim of this randomized clinical trial was to compare the masticatory ability subjectively between ball and Cendres+Métaux Locator (CM-LOC) attachment for a single implant retained mandibular overdenture throughout a 24-month follow-up period. Materials and Methods. Eighty completely edentulous patients were recruited. All patients received new complete dentures, and masticatory ability was recorded using a questionnaire (baseline record). All patients received a single implant in the midline of the completely edentulous mandible. After 3-month healing period, patients were randomized using sealed envelopes into two groups: ball or CM-LOC attachment. The same masticatory ability questionnaire was used to record masticatory ability for both groups after 2 weeks of pickup and 3-, 6-, 9-, 12-, and 24-month follow-up. Comparison between the study groups was done using Mann–Whitney U test for independent samples. Two-sided P values less than 0.05 were considered statistically significant. Results. The mean masticatory scores improved for both attachments, with no statistically significant difference between them throughout the 24-month follow-up. The CM-LOC attachment group showed a greater improvement change in masticatory ability after 6- and 12-month follow-up (−12.47 ± 12.006, −11.46 ± 14.625; P = 0.826 ), while the ball attachment group showed a slight improvement after the 24-month follow-up (−11.72 ± 12.368, −10.88 ± 11.963; P = 0.778 ). Conclusion. Single implant retained mandibular overdenture improved masticatory ability subjectively with no significant difference between both attachments used although the ball attachment showed better masticatory ability scores after 24-month follow-up.


2011 ◽  
Vol 2 (3) ◽  
pp. 360-369
Author(s):  
Kim Verplancke ◽  
Wim De Waele ◽  
H. De Bruyn

Dental implant–abutment systems are used as anchors to support single or multi-unit prosthesesfor partially or fully edentulous patients. In vitro experiments and finite element analyses can be used toinvestigate their mechanical performance. Accurate information is needed on the geometry, materialproperties and friction coefficients of different implant-abutment components, on real loading conditions,and elastic properties of human jawbone. Information can be retrieved from previously reported studies orexperiments. This paper provides a summary of a small but representative part hereof. Research hasshown that the elastic properties of human jawbone are direction dependent and that the Young’s modulus(E) also depends on the bone type. Other studies investigated the maximum bite forces and reported abroad range of results, from 200 to 2000 N. Static experiments are typically performed with axial or bendingloads to evaluate the performance of dental implant systems. Dynamic tests simulate chewing cycles andare used to evaluate the fatigue endurance. The supporting structure of the implant system should berepresentative for the bone structure. Finite element models are ideally suited to evaluate thebiomechanical behaviour of implant systems. Accurate representation of the supporting bone and itsinteraction with the implant is crucial.


2012 ◽  
Vol 11 (3) ◽  
pp. 170
Author(s):  
Vincentius Harsono ◽  
Harly Prabowo

Although only one, tooth loss, can cause a wide range of problems. They are difficulty of chewing, shifting teeth, andaesthetics problems. There are two categories of dentures, namely removable and fixed dentures. Lately, the paradigmof tooth loss rehabilitation has changed. Removable denture has been used in a long period, but this alternativetreatment has several disadvantages. Fixed denture is preferred especially for a single tooth loss because of thecomfort and resemblance to natural teeth. Currently, implant supported fixed denture is an option in replacing thefixed denture. Its advantages are no teeth reduction needed and ultimate emerging profile. In these three cases,reported comfort of using dental implants, especially in the case of single tooth loss. At control stage, the function ofmastication and aesthetic factors was also uncomplaint.


2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Ahmed Salah ◽  
Karim Foda ◽  
Mohamed Farouk Abdalla ◽  
Marwa Abdel Aal ◽  
Amr Naguib ◽  
...  

Objectives. To compare the changes in implant stability for the nonsubmerged (NS) and submerged (S) protocols for the single implant retained mandibular overdenture using ball attachment throughout a 24-month follow-up. Materials and Methods. Eighty completely edentulous patients were seeking to improve retention of their lower complete denture by installing a single implant in the midline of the completely edentulous mandible. At the day of implant installation, patients were randomized into 2 groups using sealed envelopes: the nonsubmerged (NS) and submerged (S) group. After a 3-month healing period, all patients were randomized using sealed envelopes into ball attachment and CM-LOC attachment. The Periotest readings (PTV) was recorded using the Periotest M device and was recorded every 3 months for the first year and then annually in the second year. The scope of this clinical trial focused only on results of the ball attachment. The Mann–Whitney U test was used for comparison between study groups for independent samples. Two-sided p values less than 0.05 was considered statistically significant. Results. There was no statistically significant difference in the mean change in PTV reading between the NS and S group at the different follow-up intervals. Initially, at the day of pickup (baseline) and 3-month follow-up, the mean PTV reading for the NS was greater than that of the S group (−4.471 ± 1.489, −4.391 ± 1.4727 ( p = 0.913 )), while the S group has shown a greater improvement in PTV than the NS group after 6-month follow-up and continued throughout the 24-month follow-up (−5.730 ± 1.7804, −50855 ± 1.2581 ( p = 1 )). Conclusion. Both the nonsubmerged and the submerged healing protocol have shown reliable Periotest readings using ball attachment for a single implant retained overdenture. The submerged group has resulted in a greater improvement in Periotest readings after the 12- and 24-month follow-up period when compared to the nonsubmerged group although this improvement was not statistically significant.


Author(s):  
Elçin Bedeloğlu ◽  
Mustafa Yalçın ◽  
Cenker Zeki Koyuncuoğlu

The purpose of this non-random retrospective cohort study was to evaluate the impact of prophylactic antibiotic on early outcomes including postoperative pain, swelling, bleeding and cyanosis in patients undergoing dental implant placement before prosthetic loading. Seventy-five patients (45 males, 30 females) whose dental implant placement were completed, included to the study. Patients used prophylactic antibiotics were defined as the experimental group and those who did not, were defined as the control group. The experimental group received 2 g amoxicillin + clavulanic acid 1 h preoperatively and 1 g amoxicillin + clavulanic acid twice a day for 5 days postoperatively while the control group had received no prophylactic antibiotic therapy perioperatively. Data on pain, swelling, bleeding, cyanosis, flap dehiscence, suppuration and implant failure were analyzed on postoperative days 2, 7, and 14 and week 12. No statistically significant difference was detected between the two groups with regard to pain and swelling on postoperative days 2, 7, and 14 and week 12 ( p &gt;0.05), while the severity of pain and swelling were greater on day 2 compared to day 7 and 14 and week 12 in both groups ( p =0.001 and p &lt;0.05, respectively). Similarly, no significant difference was found between the two groups with regard to postoperative bleeding and cyanosis. Although flap dehiscence was more severe on day 7 in the experimental group, no significant difference was found between the two groups with regard to the percentage of flap dehiscence assessed at other time points. Within limitations of the study, it has been demonstrated that antibiotic use has no effect on implant failure rates in dental implant surgery with a limited number of implants. We conclude that perioperative antibiotic use may not be required in straightforward implant placement procedures. Further randomized control clinical studies with higher numbers of patients and implants are needed to substantiate our findings.


Author(s):  
Nurul Hikmah

<p>The purpose of this study were to determine: 1) the influence of the learning <br />model of creative thinking; 2) the influence of self-concept to think creatively, and 3) the influence of the interaction and the concept of self-learning model for creative thinking. The research method used was experimental method. A sample of 80 people selected at random from the 13 study groups. The data was collected by administering a written test questions to measure variables studied. Data analysis using descriptive statistics and 2-way ANOVA. The results showed: 1) a significant difference to the learning model with the ability to think creatively sig = 0.000; 2) there is a significant effect of self-concept of <br />the ability to think creatively with sig = 0.000, and 3) there is a significant interaction effect of learning model and self-concept of the ability to think creatively with sig = 0.018. </p>


Sign in / Sign up

Export Citation Format

Share Document