Rehabilitation of an Extremely Atrophied Mandibule with Cortical Plates

A 74-year-old woman presented in our dental practice with severe loss of alveolar bone and soft tissue without any apparent systemic pathology contributing to her dental conditions. She had a complete removable prosthesis supported with a four locaters system. Unfortunately, two of the four supporting implants were failed. The patient wanted a fixed prosthesis. The treatment plan was to use the remaining implant with an additional axial implant and two cortical plates (Victory ®) followed by implant placement. The implants and plates were immediately loaded with a screw-retained prosthesis made with Znatex frame (Victory Implants ®) and resine.

Individually Formed Glass Fibre Reinforced Composite Posts for Compromised Teeth with Oval and Flared Endodontic Canals

Potential excessive removal of tooth structure during retreatment, and canal preparation for a post will weaken the tooth substantially. An alternative to prefabricated or cast metal and fibre posts, is a soft and flexible fibre-reinforced composite post that can be used to aid a good adaptation and preserve the tooth structure. These two case reports highlight the use of fibre-reinforced composite posts in teeth with severe loss of tooth structure with wide flared and oval canals. CPD/Clinical Relevance: Case selection and proper treatment planning are important before considering and selecting any type of post placement.

Retrieval of fractured Endodontic Instrument under dental operating microscope using ultrasonic tips : A Case Report

A Patient came with the complaint of pain in the lower right back region of the jaw. Root canal treatment was planned. While preparing for the bio-mechanical procedure, the Hand pro taper fractured in the apical third. Iatrogenic occurred as a result of the fracture of the endodontic instrument. Retrieval of the fractured instrument was planned to complete the cleaning and shaping of the canal. The removal of the fractured instrument was planned to be done under the Dental Operating Microscope. The use of an operating microscope enhanced the illumination and the magnification of the instrument. This illumination and magnification helped in the precision of removal. The ultrasonic tip enabled to reach of the fractured instrument in the canal and loosen the dentin around the fractured instrument. It allowed easy retrieval of the fractured instrument. During the retrieval procedure, the fractured instrument was bypassed before the use of the ultrasonic tip. After the removal of the fractured instrument, cleaning and shaping were completed, followed by obturation, definitive restoration, and prosthesis. As the removal of the fractured instrument enabled complete cleaning and shaping, it improved the prognosis of the case. When the endodontic instrument gets fractured, it should be analyzed over the radiograph to assess the fracture level, the anatomy of the root canal, size of the fractured instrument, check accessibility, stage of fracture, etc. If all the above criteria are met with the removal of the instrument only then, replacement should be tried. Otherwise, it may lead to a severe loss of root dentin, decreasing fracture resistance of the root.

Implant-Supported Prosthetic Therapy of an Edentulous Patient: Clinical and Technical Aspects

The purpose of this article is to show how to implement an implant-supported prosthetic overdenture using a digital workflow. Esthetic previewing using a specific software, guided-surgery, construction of the prosthesis, and the esthetic finalization are described in this article. Patients suffering from severe loss of bone and soft tissue volume could benefit from the construction of an overdenture prosthesis as a feasible therapeutic choice for functional and esthetic issues of the patient.

Medical Consequences of Purging

For anyone purging in pursuit of a “healthy” weight, the medical complications of purging eliminate the notion that this could make anyone healthier. All purging methods cause severe loss of bodily fluid because water is the primary component of matter expelled from the body. Dehydration contributes to low blood pressure, slow and irregular heartbeat, and kidney problems. Purging also contributes to electrolyte imbalances, which negatively impact heart and kidney function and can trigger seizures, muscle weakness, and breakdown of muscle tissue. Stomach acid from vomit causes sores in the mouth and erodes teeth. Laxative misuse can trigger uncontrollable diarrhea and constipation. In insulin-dependent diabetics, reducing or omitting insulin increases blood sugar concentrations, which can lead to blindness, kidney failure, nerve damage, cardiovascular disease, amputation, coma, and death. Individuals who purge should seek medical care, and physicians should follow published guidelines for evaluating medical status.