scholarly journals Major advances in minimally traumatic surgery in implantodontics: the concise systematic review

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
André Luiz Ravasoli ◽  
Pedro Ferrari de Paula ◽  
Thaina Regina da Silva ◽  
Elias Naim Kassis
Keyword(s):  
Systematic Review ◽  
Dental Implants ◽  
Soft Tissues ◽  
Alveolar Bone ◽  
Surgical Trauma ◽  
Elastic Tissue ◽  
Surgical Time ◽  
Inflammatory Processes ◽  
Living Tissues

Introduction: Dental implant procedures have reached about one million dental implants per year in the world. In this context, it is necessary to establish the state of the art of minimally traumatic procedures for dental implants, especially after bone graft procedures and/or the use of biomaterials for bone elevation. In this context of optimizing techniques for better management of dental implants, faster and more accurate methods were developed by dentists, with post-operative results with better results and quality of life, through minimally invasive procedures. Objective: To carry out a concise systematic review of minimally traumatic surgery for dental implants, as well as to elucidate the main techniques for this. Methods: The rules of the Systematic Review Platform-PRISMA were followed. The survey was conducted from July 2021 to October 2021 and was developed based on Scopus, PubMed, Science Direct, Scielo, and Google Scholar. Study quality was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: Since the most primordial extraction techniques were created and developed, several attempts have been made to minimize the professional's effort, reduce surgical time and alleviate bleeding and inflammatory processes, edema, pain, and ecchymosis that can affect patients, in the trans and postoperative periods. Thus, the maximum preservation of the integrity of the soft tissues (papillae and free and inserted gingival band) adjacent to the prosthetic spaces should be sought; preservation of the alveolar bone ridge level. Based on the histological concept in which living tissues are formed by cells joined by thin elastic tissue and with nerve fibrils, capillaries, lymphatic and blood vessels. The disruption of these cells by surgical trauma provides the release of enzymes that delay healing. For this reason, surgical trauma should be minimized. Conclusion: There are many attempts to minimize the professional effort, reduce surgical time and alleviate bleeding and inflammatory processes, edema, pain, and ecchymosis that can affect patients. Thus, the maximum preservation of the integrity of the soft tissues adjacent to the prosthetic spaces and the preservation of the level of the ridge of the alveolar bone to achieve a minimization of surgical trauma must be sought.

scholarly journals Major approaches to minimally traumatic surgery in dentistry: a systematic review

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Guilherme Oliveira Bonatto ◽  
Afonso Pontes Maia Silva ◽  
Carlos Alberto Costa Neves Buchala
Keyword(s):  
Systematic Review ◽  
Soft Tissues ◽  
Alveolar Bone ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Surgical Trauma ◽  
Elastic Tissue ◽  
Surgical Time ◽  
Dental Surgery ◽  
Inflammatory Processes

Introduction: It is estimated that in minimally traumatic dental surgery, synthesis studies with meta-analysis and decision analysis represent almost 29% of all studies. Most of the selected studies were carried out in the USA, Netherlands, and UK. These three countries and 15 journals accounted for nearly 50% of all publications. The remaining works were published in another 61 journals and originated from 32 other countries, including Brazil. Objective: This study aimed to demonstrate, through literature review and case reports, the evolution and consequent importance of improving minimally traumatic surgery techniques in dentistry. It was hypothesized that there were statistically significant results about advances in the attempt to minimize trauma. Methods: The research was carried out from July 2021 to October 2021 and developed based on Google Scholar, Scopus, PubMed, Scielo, and Cochrane Library. The inclusion and exclusion criteria were systematic review studies, meta-analysis, controlled and randomized cases, non-randomized clinical cases, and opinion articles, which addressed the term minimally traumatic surgery in dentistry. The quality of the studies was based on the GRADE instrument. The risk of bias was analyzed according to the Cochrane instrument. Results: Since the most primordial extraction techniques were created and developed, several attempts have been made to minimize the professional's effort, reduce surgical time and alleviate bleeding and inflammatory processes, edema, pain, and ecchymosis that can affect the patients, in the trans and postoperative periods. Thus, the maximum preservation of the integrity of the soft tissues (papillae and free and inserted gingival band) adjacent to the prosthetic spaces should be sought; preservation of the alveolar bone ridge level. Based on the histological concept in which living tissues are formed by cells joined by thin elastic tissue and with nerve fibrils, capillaries, lymphatic and blood vessels. The disruption of these cells by surgical trauma provides the release of enzymes that delay healing. For this reason, surgical trauma should be minimized. Conclusion: There are many attempts to minimize the professional effort, reduce surgical time and alleviate bleeding and inflammatory processes, edema, pain, and ecchymosis that can affect patients. Thus, the maximum preservation of the integrity of the soft tissues adjacent to the prosthetic spaces and the preservation of the level of the ridge of the alveolar bone to achieve a minimization of surgical trauma must be sought.

scholarly journals Radiological parameters determining outcome in pilon fractures treated by minimally invasive plate osteosynthesis

2019 ◽  
Vol 5 (3) ◽  
pp. 490
Author(s):  
Vishnu Sankar Appusamy ◽  
Karthik Ramachandran ◽  
Arvind Manoj Kumbakrishnakumar
Keyword(s):  
Minimally Invasive ◽  
Functional Outcome ◽  
Soft Tissues ◽  
Plate Osteosynthesis ◽  
Soft Tissue Injury ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Surgical Trauma ◽  
Radiological Parameters ◽  
Pilon Fractures

<p class="abstract"><strong>Background:</strong> Tibial pilon fractures are one of the challenging fractures to manage in the field of orthopaedics due to its complex fracture patterns as well as associated soft tissue injury. Minimally invasive plate osteosynthesis (MIPO) technique aims to reduce the surgical trauma to the surrounding soft tissues and hence maintain a more biologically favourable environment for fracture healing. The purpose of the study is to analyse the various factors especially radiological parameters determining functional outcome in pilon fractures treated by MIPO technique.</p><p class="abstract"><strong>Methods:</strong> This is a prospective study conducted from June 2015 to May 2018. The study included 46 patients (33 males, 13 females) with pilon fractures treated by minimally invasive plate osteosynthesis. All patients were followed for average period of 2 years. Functional outcome was assessed using American Orthopedic Foot and Ankle Score (AOFAS).<strong></strong></p><p class="abstract"><strong>Results:</strong> Among 46 patients, 21 patients (45.65%) had excellent, 16 patients (34.78%) had good and 6 patients (13.04%) had fair functional outcome. The quality of reduction was the most important parameter determining the functional outcome. We found that patients with higher lateral distal tibial angle (LDTA), anterior distal tibial angle (ADTA) and length of lateral malleolus (LLM) had better functional outcome than patients with lower values. The timing of surgery had no significant influence on the functional outcome of the patients.</p><p class="abstract"><strong>Conclusions:</strong> We like to conclude that apart from the quality of fracture reduction, radiological parameters like ADTA, LDTA, and LLM also play a crucial role in determining the functional outcome in pilon fractures.</p><p class="abstract"> </p>

scholarly journals A nem denaturált 2-es típusú kollagén hatása az arthrosisra

2021 ◽  
Vol 162 (37) ◽  
pp. 1481-1484
Author(s):  
Gábor Sütő
Keyword(s):  
Soft Tissues ◽  
Joint Damage ◽  
Type Ii Collagen ◽  
Symptomatic Treatment ◽  
Significant Loss ◽  
Loss Of Function ◽  
Disease Modifying Therapy ◽  
Inflammatory Processes ◽  
Musculoskeletal Function

Összefoglaló. Az arthrosis az ízületeket alkotó porc, csont és a környező lágy részek leépülésével járó betegség. A betegség jelentős fájdalommal jár, progresszív, az ízület strukturális átalakulását és ennek következtében jelentős funkcióvesztést és életminőség-romlást okoz. Kialakulásában immunológiai gyulladásos folyamatok is szerepet játszanak, amelyek befolyásolása lehetőséget ad nemcsak tüneti kezelésre, hanem betegségmódosító terápia kialakítására is. A nem denaturált 2-es típusú kollagén oralis alkalmazása szisztémás toleranciát hoz létre, ami a proinflammatoricus folyamatok gátlása és az antiinflammatoricus hatások erősítése révén új lehetőség az immunmodulációra. A klinikai vizsgálatok a betegeknél a fájdalom jelentős csökkenéséről, a mozgásszervek funkciójának javulásáról számolnak be, és a kezelés egészséges ízületben is nyújthat védelmet a mechanikus stressz okozta ízületi károsodással szemben. Orv Hetil. 2021; 162(37): 1481–1484. Summary. Osteoarthritis is a disease of the cartilage, bone and surrounding soft tissues that make up the joints. The disease is associated with significant pain, it is progressive, causing structural transformation of the joint and, as a result, significant loss of function and deterioration in the quality of life. Immunological inflammatory processes also play a role in its development, the influence of which allows not only symptomatic treatment, but also the development of disease-modifying therapy. Oral administration of undenatured type II collagen creates systemic tolerance, which is a new opportunity for immunomodulation by inhibiting proinflammatory processes and enhancing anti-inflammatory effects. Clinical trials have reported significant reduction in pain, improved musculoskeletal function in patients, and the therapy may provide protection against joint damage caused by mechanical stress in healthy joints. Orv Hetil. 2021; 162(37): 1481–1484.

Virtual Surgery in Implantology: A Systematic Review and State of the Art

2021 ◽  
pp. 10-16
Author(s):  
Kamilla Carneiro Agreli ◽  
Idiberto José Zotarelli Filho ◽  
Elias Naim Kassis
Keyword(s):  
Systematic Review ◽  
Dental Implants ◽  
Virtual Surgery ◽  
Computer Assisted ◽  
Success Rates ◽  
Oral Rehabilitation ◽  
Virtual Planning ◽  
Computer Assisted Design ◽  
Dental Rehabilitation

Introduction: Dental implant procedures have increased worldwide, reaching approximately one million dental implants per year. The optimization of faster and more accurate techniques by dentists and postoperative surgeons with better results and quality of life stimulated the development of numerous software and hardware for performing computer-guided surgeries, so-called virtual surgeries (VS). Objective: to present, through a systematic review, the main considerations of virtual surgery in dentistry and their respective advantages, disadvantages, and limitations. Methods: The model used for the review was PRISMA. We used databases such as Scielo, Lilacs, Google Scholar, PubMed. Major findings: In the scenario of VS in dentistry, advances in technology have contributed to the improvement of the models, since there was only the direct molding technique to obtain patient models, with the positioning of implants not very favorable in terms aesthetics. The information that is acquired in the 3D reconstructions allows us to determine the quantity and quality of the available bone and also allows the simulation of the installation of the implants in a virtual environment. This provides predictability of techniques and difficulties that can be encountered during surgical intervention, reducing the time and the possibility of errors, allowing the overall reduction of oral rehabilitation costs. Conclusion: Preoperative virtual planning and reconstruction of the mandible guided by dental implants through preoperative designs provide high success rates for the implant and dental rehabilitation, benefiting also prosthetic restorations supported by fixed implants. Still, the concept of using personalized implants with the help of 3D virtual treatment planning, stereolithographic models, and computer-assisted design greatly improves the mandibular restoration and helps to obtain a good facial profile, aesthetic and dental rehabilitation, avoiding complications with the grafts autologous.

scholarly journals COMPARATIVE ANALYSIS OF OSSEOINTEGRATION WITH OR WITHOUT PRF (PLATELET RICH FIBRIN) IN ORAL IMPLANTOLOGY- A RANDOMIZED PROSPECTIVE CLINICAL STUDY

2020 ◽  
pp. 29-32
Author(s):  
Sweta Parna Deb ◽  
Rakesh Ranjan ◽  
Bineet Kumar ◽  
Akash Raj Sharma ◽  
Md Kashif Noorani ◽  
...  
Keyword(s):  
Dental Implants ◽  
Soft Tissues ◽  
Long Term Results ◽  
Osteotomy Site ◽  
P Value ◽  
Prospective Clinical Study ◽  
Platelet Rich Fibrin ◽  
Group B ◽  
Oral Implantology

Introduction Dental rehabilitation of partially or totally edentulous patients with dental implants has become a popular treatment modality with reliable long-term results. These days’ new methods are being used to improve the quality of osseointegration. Platelet Rich Fibrin (PRF) is a second generation platelet concentrate which is a new biotechnology, it has been suggested to be of great use in implant dentistry as it can enhance the quality of osseointegration. Various studies show that it improves healing of both hard as well as soft tissues. Aim To compare the quality of osseointegration using platelet rich fibrin over conventional implant placement. Materials & Methods 40 dental implants were placed in total for this study. 20 implants each were placed with PRF (Goup A) and without PRF (Group B) in the osteotomy site. After three months CBCT was done to evaluate and compare the quality of osseointegration between the 2 groups measured in gray value using the Galileos Implant Software- Sirona. Result Mean values obtained were ≈1928 in group A (with PRF) and ≈1734.6 in group B (without PRF). Independent Samples T-Test showed a significant p-value of 0.013 ( p-value>0.05). Conclusion Results from our study show that PRF can play a promising role in the quality of osseointegration when used as a biomaterial in oral implantology. Our study provides a basis for future research with larger sample size and longer follow-ups to elucidate this outcome further.

scholarly journals Peri-Implantitis In Dental Implants: An Updated Review

2015 ◽  
Vol 9 (2) ◽  
pp. 81-84 ◽  
Author(s):  
V Sharma ◽  
A Kumar ◽  
G Bhayana ◽  
A Dahiya ◽  
N Duggal ◽  
...  
Keyword(s):  
Dental Implants ◽  
Bacterial Infections ◽  
Alveolar Bone ◽  
Treatment Options ◽  
Treatment Modalities ◽  
Surgical Trauma ◽  
Implant Surface ◽  
Probing Depth ◽  
Gradual Loss ◽  
Edentulous Patients

ABSTRACT The use of dental implants has revolutionized the treatment of partially and fully edentulous patients today. While in many cases dental implants have been reported to achieve long-term success, these are also not immune from the complicationsincludingperi-implant mucositis and peri-implantitis. Peri-implantitis is an inflammatory process which involves bone loss around osseointegrated implant in function. The etiology of the disease has been attributed to bacterial infections, occlusal overload, surgical trauma, faulty or incorrect prosthetic design and/ or improper implant placement. Diagnosis is based on changes in colour of the gingiva, bleeding and probing depth of peri-implant pockets, suppuration, x-ray and gradual loss of bone height around the tooth. Treatment modalities will differ depending upon whether it is a case of periimplantmucositis or periimplantitis, Therapeutic objectives focus on control of infection, detoxification of the implant surface and regeneration of the alveolar bone. This review article gives a brief description of etiopathogenesis, diagnosis and various treatment options in the management of periimplant disease.

scholarly journals Radiographic comparison of density and height of posterior maxillary bone after open sinus lift surgery with and without PRF

2019 ◽  
Vol 10 (2) ◽  
pp. 43-49
Author(s):  
Mohamad Taghi Chitsazi ◽  
Ali Hosien Dehghani ◽  
Amir Reza Babaloo ◽  
Sohrab Amini ◽  
Hadi Kokabi
Keyword(s):  
Dental Implants ◽  
Alveolar Bone ◽  
Autogenous Bone ◽  
Sinus Lift ◽  
Maxillary Bone ◽  
Posterior Maxilla ◽  
Bone Substitute Materials ◽  
Substitute Materials ◽  
Bone Height

Background and aims. Expansion of maxillary sinus towards the alveolar crest due to tooth loss or horizontal‒vertical resorption of the alveolar bone decreases the available bone for the placement of dental implants in the posterior maxilla. The method suggested for placing implants with a standard length is the use of sinus lift surgery with autogenous bone graft or bone substitute materials. The aim of the present research, with split-mouth design, was radiographic comparison of the density and height of the posterior of maxillary bone after open sinus lift procedure with and without PRF. Materials and methods. In this split-mouth clinical trial, 14 patients were evaluated, with complete or partial bilateral edentulism of the upper jaw. In each case, for the sinus lift surgery of the test side, PRF was used, while in the sinus lift surgery of the other side of the same patient no graft materials were used. After six months and before the second surgery, CBCT was used to evaluate bone density and height. Results. All the 41 implants were osseointegrated and were clinically stable. The bone height was 1.42 mm higher in the PRF group than the group without PRF, which was statistically significant. The mean density of the bone formed around the dental implants in the PRF group was 52.85 units higher than that of the group without PRF, which was statistically significant. Conclusion. Using PRF in sinus lift surgery might enhance the quantity and quality of bone formation.

scholarly journals Dental rehabilitation of total adentia at pensioners of the Ministry of defense and contingent attached to military medical organizations

2020 ◽  
Vol 22 (2) ◽  
pp. 94-105
Author(s):  
M. I. Muzikin ◽  
G. A. Grebnev ◽  
A. K. Iordanishvili ◽  
S. V. Tereshchuk ◽  
M. V. Melnikov
Keyword(s):  
Dental Implants ◽  
Russian Federation ◽  
Military Personnel ◽  
Medical Records ◽  
Soft Tissues ◽  
Alveolar Bone ◽  
Full Range ◽  
Clinical Aspects ◽  
Dental Rehabilitation ◽  
The Russian Federation

Legal, economic and clinical aspects of treatment of military personnel, retired military personnel, as well as the attached contingent in the conditions of hospitals of the Ministry of defense are presented. The study is based on the results of studying the number of dental implants installed in patients from 2014 to 2019 based on the medical records and outpatient records of a dental patient in two specialized departments of multidisciplinary hospitals of the Ministry of defense of the Russian Federation. Primary medical records were studied, data on the sex and age of patients, the presence (absence) of opportunistic diseases used implant system, the installation of dental implants and their amount and frequency of soft tissue and osteoplastic operations (to increase the volume of the bone and soft tissues of the alveolar bone (part) jaws) and the Protocol of the temporary and permanent prosthesis. Based on the analysis, we describe the current possibilities of medical and diagnostic work and present various types of orthopedic structures on dental implants for the dental rehabilitation of the above-mentioned contingents with complete adentia of the jaws (including in cases where absolute indications require the removal of all teeth due to foci of chronic odontogenic infection or periodontitis). The methods of treatment of patients in cases of combination of adentia with varying degrees of atrophy of the alveolar processes (parts) of the jaws are analyzed in detail. Clinical examples of dental rehabilitation are shown both with and without the use of methods for increasing the volume of jaw bone tissue, using various modern protocols for fixing orthopedic structures on zygomatic and root dental implants, and the frequency of their use in military medical organizations of the Ministry of defense of the Russian Federation during the reporting period. Based on the presented results, it is shown that the military medical organizations of the Ministry of defense of the Russian Federation have a full range of opportunities to provide comprehensive dental care to patients with complete secondary adentia, even in the presence of extreme bone atrophy of the jaws.

Comparative evaluation of changes in the ultrastructure of tooth enamel and dental implants using air-abrasive methods of surface decontamination in the process of carrying out professional oral hygiene

2019 ◽  
Vol 24 (2) ◽  
pp. 133-139
Author(s):  
L. Yu. Orekhova ◽  
E. S. Loboda ◽  
D. M. Neizberg ◽  
P. A. Boeva ◽  
I. V. Berezkina
Keyword(s):  
Comparative Analysis ◽  
Calcium Carbonate ◽  
Dental Implants ◽  
Oral Hygiene ◽  
Soft Tissues ◽  
Tooth Enamel ◽  
Periodontal Diseases ◽  
Enamel Surface ◽  
Special Technique ◽  
Inflammatory Processes

Relevance. To remove above-gum deposits and under-gum deposits air-abrasive methods are widely used. However, the mechanical properties of air-abrasive products are not known to ensure professional hygiene in the feld of exposure various tooth structures. In this regard more detailed studies on these issues are therefore needed. The aim of the present study was to undertake an comparative analysis of changes in the ultrastructure of the surface of tooth hard tissues when they are processed by powders consisting of sodium bicarbonate, calcium carbonate, glycine and trehalose.Materials and methods. The production of vertical teeth grinding, thickness 1-2 mm, removed by orthopedic or orthodontic indications; the processing of these sections by air-abrasive powders in compliance with the Protocol of use of these funds from the manufacturers during the professional hygiene and the study of the samples by scanning electron microscopy (SEM) by a special technique.Results. The answer to the task was the data of comparative analysis of damage to the enamel surface as a result of processing by various air-abrasive systems and the determination of the least traumatic method of conducting professional oral hygiene in relation to the enamel surface.Conclusions. Processing of enamel by air-abrasive method using powder based on trehalose, glycine and calcium carbonate, observing the recommended conditions for the use of these systems, does not lead to a signifcant change in the enamel ultrastructure, damage or deformation, unlike powders based on calcium bicarbonate. Therefore these systems can be recommended during maintenance periodontal therapy for the prevention of periodontal diseases and dental caries for a long period of time. However, the use of powder based on calcium carbonate is not desirable in the area of dental implants and orthodontic structures such as braces, since the powder remains on these surfaces unchanged and can subsequently cause an exacerbation of inflammatory processes in soft tissues.

A systematic review of the anti-inflammatory effects of gallium compounds

2020 ◽  
Vol 27 ◽  
Author(s):  
Victor de Albuquerque Wanderley Sales ◽  
Taysa Renata Ribeiro Timóteo ◽  
Natália Millena da Silva ◽  
Camila Gomes de Melo ◽  
Aline Silva Ferreira ◽  
...  
Keyword(s):  
Systematic Review ◽  
Tissue Injury ◽  
Microbial Infection ◽  
Eligibility Criteria ◽  
Prisma Statement ◽  
Inflammatory Processes ◽  
Anti Inflammatory ◽  
Selection Of ◽  
Gallium Compounds

Background: Inflammation is an essential response provided by the immune system, ensuring the survival during microbial infection, tissue injury and other noxious conditions. However, prolonged inflammatory processes are often associated with severe side effects on health. Objective: This systematic review aimed to provide the evidence in the literature of the pre-clinical and human anti-inflammatory activity of gallium compounds from 2000 to 2019 focused on elucidating the mechanisms involved in the inflammatory process. Methods: Seven bibliographical databases were consulted (PubMed, Medline, ScienceDirect, Scopus, Springer, Web of Science, and EBSCOhost). The selection of appropriate publications and writing of this systematic review was based on the guidelines contained in the PRISMA statement. Moreover, the assessment of methodological quality of the selected studies was also performed. Results: From a total of 3018 studies 16 were included in this paper based on our eligibility criteria, which showed promising and consistent results.

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