scholarly journals History of implantology from the aspect of osseointegration and mucointegration

2021 ◽  
Vol 46 (1) ◽  
pp. 29-36
Author(s):  
Milovan Stević ◽  
Zoran Tatić ◽  
Vladimir Biočanin ◽  
Dušan Đurić ◽  
Igor Đukić

The tendency to replace lost teeth by implanting foreign material is as old as civilization itself. The accelerated development of implantology as a science started only in the middle of the last century. The essence of implantology is the process of osseointegration. The greatest merits for this phenomenon belong to prof. Per Ingvar Brenemark, who accidentally discovered the possibility of complete incorporation of a titanium implant into the surrounding bone. With the discovery of osseointegration and defining the conditions that enable it, the period of implantology development begins with the improvement of endosseous implantation into an efficient method of prosthetic rehabilitation, predictable outcome and extended lifespan of implants and dental restoration in function. Implantology initially aimed to improve the function and quality of life of partial and complete edentulism patients, and since the 1990s it has become prosthetically guided not only by functional but also by aesthetic principles. With the beginning of the 21st century, implantology is aimed at improving the appearance and stability of soft tissues, thus beginning the era of mucointegration.

Author(s):  
P. P. Brekhlichuk

Lesions of the dento-alvelolar system, which develop in cases of traffic accidents, domestic, industrial or other traumatic injuries, leads to a sharp decrease in dental health, and consequently to the decrease in quality of life associated with post-traumatic changes in dental status. Purpose of work – to analyze the indicators of the integrated quality of life criterion associated with the state of dental health among dental prosthetically-rehabilitated patients with a history of maxillofacial (MF) traumatic injuries. The study sample was formed on the basis of the University Dental Clinic from a cohort of patients who sought dental care with the need for comprehensive prosthetic rehabilitation. According to the analysis of medical records of dental patients, 66 persons with a history of maxillofacial traumatic injuries were selected. In order to assess the integrated criterion of quality of life associated with dental health, among dental patients with a history of maxillofacial traumatic injuries, who received appropriate prosthetic treatment, surveys were conducted taking into account all domains of OHIP-14 (abbreviated to 14 questions version of the Oral Health Impact Profile questionnaire). Mandibular fractures and traumatic injuries of individual teeth (dislocations, fractures) were the most prevalent among study sample and corresponded to 31.8 % and 27.3 %, respectively. The main causes of maxillofacial traumatic injuries were domestic injuries (43.9 %), road traffic accidents (RTA) (37.9 %), criminal injuries (10.6 %), industrial-associated (4.5 %) and sports-associated injuries (3.0 %). Prosthetic rehabilitation of the vast majority of patients, which correspond to 56 persons (84.8 %), was performed using different types of fixed prosthetic constructions, such as crowns, bridges supported by natural teeth, or installed dental implants. Majority of patients 84.9-95.5 % demonstrated high indicators of the integrated criterion of quality of life associated with changes in dental health, despite the fact of previous surgical treatment of maxillofacial traumatic lesions. Thus, in the absence of secondary deformities after surgical treatment of maxillofacial traumatic lesions, prosthetic rehabilitation of patients with the use of fixed types of prosthetic constructions supported by natural teeth or installed dental implants helps to achieve high quality of life associated with changes in dental health. The use of complete or partial removable dentures for a similar purpose provokes a relative decrease within the integral criterion of quality of life in the structure of such domains, as physical pain, psychological discomfort and social incapacity, which is due to the peculiarities of removable prosthetic construction exploitation, retention and functioning.


2020 ◽  
pp. 105566562098133
Author(s):  
Alyssa Fritz ◽  
Diana S. Jodeh ◽  
Fatima Qamar ◽  
James J. Cray ◽  
S. Alex Rottgers

Introduction: Oronasal fistulae following palatoplasty may affect patients’ quality of life by impacting their ability to eat, speak, and maintain oral hygiene. We aimed to quantify the impact of previous oronasal fistula repair on patients’ quality of life using patient-reported outcome psychometric tools. Methods: A cross-sectional study of 8- to 9-year-old patients with cleft palate and/or lip was completed. Patients who had a cleft team clinic between September 2018 and August 2019 were recruited. Participants were divided into 2 groups (no fistula, prior fistula repair). Differences in the individual CLEFT-Q and Child Oral Health Impact Profile-Short Form 19 (COHIP-SF 19) Oral Health scores between the 2 groups were evaluated using a multivariate analysis controlling for Veau classification and syndromic diagnosis. Results: Sixty patients with a history of cleft palate were included. Forty-two (70%) patients had an associated cleft lip. Thirty-two (53.3%) patients had no history of fistula and 28 (46.7%) patients had undergone a fistula repair. CLEFT-Q Dental, Jaw, and Speech Function were all higher in patients without a history of a fistula repair; however, none of these differences were statistically significant. The COHIP-SF 19 Oral Health score demonstrated a significantly lower score in the fistula group, indicating poorer oral health ( P = .05). Conclusions: One would expect that successful repair of a fistula would result in improved function and patient satisfaction, but the consistent trend toward lower CLEFT-Q scores and significantly increased COHIP-SF 19 Oral Health scores in our study group suggests that residual effects linger and that the morbidity of a fistula may not be completely treated with a secondary correction.


2000 ◽  
Vol 9 (1) ◽  
pp. 52-63 ◽  
Author(s):  
Johan Herlitz ◽  
Kenneth Caidahl ◽  
Ingela Wiklund ◽  
Helén Sjöland ◽  
Björn Karlson ◽  
...  

2018 ◽  
Vol 89 (2) ◽  
pp. 187-205 ◽  
Author(s):  
Kyle S. Page ◽  
Bert Hayslip ◽  
Dee Wadsworth ◽  
Philip A. Allen

Persons with and without a family history of dementia report concerns for developing this syndrome; yet, less is known about the specific aspects of dementia that are feared. The Fear of Dementia (FOD) scale was created to assess these concerns. This study examined the psychometric properties of the FOD scale using a sample of middle-aged and older adults ( N = 734). We then explored the factor structure of the scale 2 years later using a smaller sample from the first study ( N = 226). Three factors emerged, highlighting several main areas of concern: Burden and Loss, Quality of Life, and Perceived Social and Cognitive Loss. Preliminary data suggest that the FOD scale is a reliable and valid instrument for assessing the multidimensional nature of the concern about developing dementia. Attention to what specifically is feared may help further our understanding of health behaviors, coping, and targeted supports.


2017 ◽  
pp. 118-122
Author(s):  
O.I. Zadnipryanaya ◽  

The objective: the study of clinical and psychological features of acne and quality of life in women with infertility. Patients and methods. 151 patients were included in the study: 111 with acne and infertility, 40 fertile women with acne entered the comparison group. An anamnesis, a dermatological and gynecological status, a hormonal background, an assessment of the psycho-emotional state and quality of life of patients (a Dermatological Index of Quality of Life – DIQL, the Hospital Scale of Anxiety and Depression – HADS), and the psychological and social effect of acne (APSEA questionnaire) were evaluated. Results. Infertile women with acne reliably recorded open and closed comedones, more often papules, stagnant spots, hyperpigmentation, enlarged pores, as well as atrophic scars were more often detected. They are characterized by a later menarche, an early onset of sexual activity. In 56.8% of infertile patients in the history of the disease, sexually transmitted diseases, abortions (8.1%), miscarriages and stagnant pregnancies (12.6%), ectopic pregnancy (4.5%). It was found that infertility lasts on average 4.9±3.6 years, with primary infertility diagnosed in 69.4% of cases. The endocrine nature of infertility was confirmed in 48 (43.2%) patients, tubo-peritoneal – in 63 (56.8%) of the women. It was found that the disease has a very strong effect on the quality of their life (13.3±6.2 points), causes a strong psychological and social effect (87.8±28.1 points), clinically expressed anxiety (11.8±4.4 points) and depressiveness (11.6±3.8 points). Conclusion. Acne in infertile patients in addition to clinical features is accompanied by significant violations of the psycho-emotional sphere and a decrease in the quality of life. Key words: women with acne and infertility, quality of life, psycho-emotional disorders, psychological and social effect of acne.


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