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Immediate Implant Placement In The Anterior Maxilla Using Guided Surgery Evolution Of The Pink Esthetic Score Over A 1 Year Period
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Book Synopsis Immediate Implant Placement in the Anterior Maxilla Using Guided Surgery- Evolution of the Pink Esthetic Score Over a 1-year Period by : Karim Dada
Download or read book Immediate Implant Placement in the Anterior Maxilla Using Guided Surgery- Evolution of the Pink Esthetic Score Over a 1-year Period written by Karim Dada and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Implant esthetics may benefit from the used of guided surgery to allow for ideal tri-dimensional positioning.Aim: To investigate using the Pink Esthetic Score, the esthetic outcome of implants placed in the anterior maxilla in fresh extraction socket with guided surgery.Materials and Methods: Single-tooth implants for immediate replacement of upper incisors were inserted in 22 patients using stereolithographic templates. A screw-retained provisional crown was fabricated chairside immediately after implant placement. Objective evaluation of implant esthetics was performed after a mean follow-up of 1.2 years using the Pink Esthetic Score (PES) and compared to the baseline PES.Results: The mean PES of evaluations at the first assessment (n=22) was 11.41 (+/-1.81 SD), and 12.14 (+/-1.52 SD) at the second one. The difference between these two means was not significant statistically (P=0.6882). Conclusions: Immediate implant placement and restoration appear to be a valid treatment option when using guided surgery to obtain satisfactory esthetic results.
Book Synopsis Esthetic Outcome of Immediately Placed and Non-Functionally Loaded Implants in the Anterior Maxilla- Peri-Implant Gap Management by :
Download or read book Esthetic Outcome of Immediately Placed and Non-Functionally Loaded Implants in the Anterior Maxilla- Peri-Implant Gap Management written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Objective: To evaluate the aesthetic outcome of immediate dental implantation and immediate non-functional loading utilizing definitive abutments in the aesthetic zone, with and without bony substitutes filling the peri-implant gap.Methods: in this prospective clinical trial, 12 implants were placed in 11 subjects (6 males, 5 females) utilizing a flapless immediate post extraction approach in the esthetic area of the maxilla (15 to 25). All participants were above 21 years old and medically fit. Atraumatic extraction was performed for teeth that were indicated for extraction keeping an intact facial bone plate. Implants were placed free hand with a gap of at least 2 mm from the inner surface of the facial plate bucco-lingually, and in the range of 3u20134 mm from the future gingival margin in a corono-apical direction (Buser et al. 2004). The gap between the implant and the inner surface of the facial plate was either left without grafting or filled with natural bovine bone mineral granules based on a coin toss method regardless of the size of the gap. Upon achieving a torque of uf0b3 30 Ncm, immediate non-functional loading was performed utilizing a definitive abutment as in a one-abutment-at-one-time protocol (Canullo et.al 2010). Definitive crowns fabrication was performed 12 weeks post implant placement. Pink Esthetic Score (PES) (Furhauser et al. 2005) was assessed preoperatively (PES0), 1 year after delivery of definitive crowns (PES1), and at 2 years follow up (PES2). Dental casts were made at those points of time as well. Those casts were scanned using an imes-icore table-top scanner, and the scans were registered using surface to surface registration and then signed closest point distances were measured. Surface models were cropped to include one tooth mesial and distal to the region of interest (implant site) in an attempt to remove the outliers that may result from differences else were on that cast. All image analysis steps were done using Slicer CMF. Appropriate statistical analyses were performed.Results: The range of the gap left between the implant and the inner surface of the facial plate varied from 2mm to 4mm. All implants remained integrated and restorations were functional at the end of a two year follow up period. The means of PES score were as following: PES0= 9.5uf0b11.68, PES1=9.5uf0b11.98, PES2=9.83uf0b12.89. There were no statistically significant differences in PES scores at different points of time both collectively (P=0.08 for PES0 vs PES1, P=0.14 for PES0 vs PES2, and P=0.61 for PES1 vs PES2), and when compared for the grafting group versus non-grafting group (P=0.24 for PES2 graft vs. PES2 non-grafting). As for casts scans, the surface distances between the 2 time points for all cases were less than 1 mm in all reference planes and there were no statistically significant differences. This reflects a stable surgical outcome of this approach.Conclusions: Immediate placement and immediate non-functional loading utilizing a definitive abutment in a one-abutment-at one-time protocol in the esthetic area of the maxilla appears to result in a favorable and stable result as far as esthetic outcome, and alveolar process sufficiency are concerned. It seems grafting the horizontal gap has no additional benefit in promoting better clinical outcomes given that the provisional restoration is meticulously fabricated and strict selection criteria are applied for such cases. Of notice is the limitation present in this study as the sample number is small as this is a pilot clinical trial.
Book Synopsis 10-years Follow Up of Immediate Implant Placement and Immediate Provisionalization in the Esthetic Zone-A Case Report by : Vouros Ioannis
Download or read book 10-years Follow Up of Immediate Implant Placement and Immediate Provisionalization in the Esthetic Zone-A Case Report written by Vouros Ioannis and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: 10-years follow up of immediate implant placement and immediate provisionalization in the esthetic zone-A case reportAuthors:Anoixiadou S., Vouros I.Affiliations:Dept. of Preventive Dentistry, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Greece.BackgroundImmediate implant placement is an effective procedure from a functional point of view. Nevertheless, this approach is usually associated with soft-tissue recession. A careful presurgical diagnostic phase is essential in order to achieve predictable and long-lasting results. Immediate prosthetic provisionalization not only is capable on its own of shortening treatment time, but also plays an important role in conditioning the soft tissues during healing with the provisional prosthetic restoration.AimThe presentation of a case report where one immediate and one delayed implant were placed in the same patient. Both implants were immediately restored with non- functional, provisional restorations. A 10-year follow up of the case will be presented.Materials and MethodsA female patient, aged 19 years old, underwent orthodontic therapy, during which teeth 12 and 22 presented with root resorption. Both teeth were scheduled to be extracted and replaced with dental implants. Tooth #12 was extracted at a prior date by her general dentist 6 months prior to implant placement. Tooth #22 was extracted on the day of surgery, and two implants were placed. Bovine bone substitute (Bio-Oss) was placed to cover the gap between the body of the immediately placed implant and the buccal bone. Subsequently, the implants were immediately restored with temporary crowns, non-functionally loaded. ResultsFinal restorations were placed 4 months later, after successful osseointegration of the implants was confirmed. Clinical and radiographical examinations revealed that functional and esthetic results have withstood the test of time. No soft tissue recession was observed at the 10-year follow-up. The appropriate preoperative evaluation of the morphology of the alveolar process and the periodontal biotype, the surgical planning which provided a guide for proper implant placement, management of the peri-implant gap and the peri-implant soft tissues led to a successful result.ConclusionImmediate implant placement along with immediate provisional restoration in the maxillary anterior is a predictable approach with good long-term results, as long as proper treatment planning is performed.
Book Synopsis Implant Site Development by : Michael Sonick
Download or read book Implant Site Development written by Michael Sonick and published by John Wiley & Sons. This book was released on 2011-12-14 with total page 862 pages. Available in PDF, EPUB and Kindle. Book excerpt: With the desire for dental implant therapy ever escalating, clinicians are faced with the challenge of augmenting deficient natural physiology to provide effective sites for implantation. Implant Site Development helps the clinician decide if, when, and how to create a ridge site amenable to implantation. This practical book offers solutions to many implant site preservation scenarios, discussing different treatment options, timing, a variety of materials and techniques, and their application to the clinical practice. With a unique integrated clinical approach, Implant Site Development covers a range of site development techniques. Highly illustrated, Implant Site Development presents diagrams and clinical photographs to aid with clinical judgment and will prove useful for any dental professional involved in implant therapy, from general practitioners to prosthodontists, but especially surgeons. This literature-based, yet user-friendly, reference will be indispensable to the novice or veteran clinician.
Book Synopsis Clinical Application of Computer-Guided Implant Surgery by : Andreas Parashis
Download or read book Clinical Application of Computer-Guided Implant Surgery written by Andreas Parashis and published by CRC Press. This book was released on 2013-09-13 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: Step-by-Step, Color Presentation of CGIP in Everyday Clinical PracticeComputer-guided implant placement (CGIP) helps clinicians precisely implement a treatment plan and accurately place implants with the use of three-dimensional interactive imaging software. The software enables the direct link between anatomic interpretation, surgical and prosthet
Book Synopsis Treatment Planning Single Maxillary Anterior Implants for Dentists by : Dr. Nkem Obiechina
Download or read book Treatment Planning Single Maxillary Anterior Implants for Dentists written by Dr. Nkem Obiechina and published by AuthorHouse. This book was released on 2018-06-27 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: The goal of this book is to identify esthetic factors such as smile line, biotype and smile width as well as anatomic and functional factors and that can contribute to esthetics, function and overall success of dental implants in the anterior zone and evaluate ways of achieving successful outcomes. An additional objective of the book is also to look at potential complications that could occur in the anterior maxilla and ways of averting them by looking at results from a number of current studies on anterior dental implants. As a general dentist or specialist that is placing or restoring dental implants, this book would provide a valuable resource for treatment planning and replacing single anterior teeth with dental implants.
Book Synopsis Aesthetic Outcomes Using Platform-switching Implants Or Not in Anterior Maxillae- a Retrospective Study by : Xiachen Li
Download or read book Aesthetic Outcomes Using Platform-switching Implants Or Not in Anterior Maxillae- a Retrospective Study written by Xiachen Li and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BackgroundAs the development of oral implantology, esthetic outcomes of final restorations have been taken seriously in anterior maxillae. Platform-switching implants have been widely used and proved significant protective effect on hard and soft tissue. However, there is still lacking of direct evaluation on esthetic outcomes whether using platform-switching implants or not. Therefore, we compared esthetic outcomes of platform-switching implants to regular platform implants in anterior maxillae.AimTo compare the influence of platform switching or regular platform implants on aesthetic outcomes in the maxillary anterior zone by pink esthetic score and white esthetic score.Materials and MethodsPatients who had received single crown restoration with implant in the anterior maxilla from June 2014 to June 2016 were enrolled. At the time of final crown insertion, the standardized clinical images including a frontal full view image, an occlusal partial view image and a frontal partial view image were collected. Three clinicians who were not participated in the treatment procedures evaluated esthetic outcomes through the images using the pink esthetic score and white esthetic score (PES/WES).ResultsA total of 27 implants meeting the inclusion criteria were recruited and divided into two groups: platform-switching group (n=11) and regular platform group (n=16). According to the professional assessments, PES in platform-switching group was 6.33u00b10.78, while PES in regular platform group was 5.77u00b11.25, which was not statistically different (P=0.238). WES in platform-switching group was 6.56u00b11.32, while PES in regular platform group was 5.85u00b10.96, which was not statistically different either (P=0.139). In addition, PES/WES still showed no statistical difference when platform-switching group was 12.89u00b11.65 and regular platform group was 11.63u00b11.67 (P=0.082).Conclusions and Clinical ImplicationsWithin the limitations of this retrospective study, platform switching implants showed no statistically better esthetic outcomes than regular platform implants. However, PES/WES of platform-switching group was higher than regular platform group. Further study should be taken with larger samples and longer observations to gain strong evidence on comparing aesthetic outcomes of platform switching or regular platform implants in anterior maxillae.
Book Synopsis Immediate Implant Placement and Loading – Single or Multiple Teeth Requiring Replacement by : France Lambert
Download or read book Immediate Implant Placement and Loading – Single or Multiple Teeth Requiring Replacement written by France Lambert and published by Quintessenz Verlag. This book was released on 2023-10-10 with total page 504 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dental implants are used routinely throughout the world to replace missing teeth. With the broadening of treatment options and an increasing number of clinicians that provide implant therapy, it is important to ensure that the treatment methods used meet the highest clinical standards. The ITI Treatment Guide series is a compendium of evidence-based implant-therapy techniques in daily practice. Written by renowned clinicians and supported by contributors from expert practitioners, the ITI Treatment Guides provide a comprehensive overview of the various indicated treatment options. The management of different clinical situations is discussed with an emphasis on sound diagnostics, evidencebased treatment concepts, and predictable treatment outcomes with minimal risk to the patient. Volume 14 of the ITI Treatment Guide series aims to provide a comprehensive overview on immediate implant placement and immediate loading protocols for replacement of single or multiple teeth requiring extraction. This volume outlines the current literature on immediate implant placement and immediate loading and elaborates on our understanding of the biology surrounding tooth extraction and osseointegration that underpin these treatment concepts. The importance of patient and site selection in conjunction with comprehensive treatment planning is highlighted and a risk assessment tool to aid decision making is provided. All key aspects of both the surgical and loading procedures are described in order to provide protocols that optimize the final treatment outcome. This volume also presents 9 step-by-step clinical cases performed by experts in the field, and typical complications of immediate implants are discussed, along with recommendations on how these can be prevented.
Book Synopsis Immediate Implant Placement After Dental Extraction with Loss of the Buccal Plate. A Retrospective Study by : Adolfo Pereira Fernandez Adolfo
Download or read book Immediate Implant Placement After Dental Extraction with Loss of the Buccal Plate. A Retrospective Study written by Adolfo Pereira Fernandez Adolfo and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction The results of immediate implant placement, with a flapless approach, graft of the residual gap and immediate tooth replacement (FIITR) has been extensively reviewed, showing efficacy in terms of the preservation of the alveolar ridge and good implant survival. However, very little information exists on the clinical results of the immediate implants in total or partial absence of the vestibular bone plate (FIITR-AC). 421Objective Analyse retrospectively the success and aesthetic outcomes of 60 consecutive cases of FIITR-AC with a follow-up of 1 to 7 years, evaluated by means of the Albrektsson criteria (Ac), interproximal bone level changes (IPBLC) and the Pink Esthetic Score (PES). 257Material and methods 59 consecutive patients received a FIITR-AC in the anterior region (60 implants), from 2008 to early 2015, were included in the study. Surgery was performed by only one experienced surgeon (AS) with the help of a surgical microscope and microsurgical instruments. All patients were undergoing periodontal maintenance therapy. Special care was taken during the tooth extraction to preserve as much of the cortical plate as possible, after the flapless placement of the implant, an autogenous tunnel soft tissue graft was made to cover internally the bone dehiscence defect, and a deproteinized bovine bone mineral graft was made in the remaining gap. After achieving adequate implant stability, impressions were taken and a lab-made screw-retained provisional prosthesis was fabricated and delivered to the patient within the following 2 hours.Success (Ac), IPBLC (calibrated periapical digital radiographs), and aesthetic aspects compared to the contralateral tooth (PES) were evaluated. Results 40 implants supported single tooth restorations, while 20 were splinted in multiple-implant supported prosthesis. One of the cases (operated in 1988) failed (1.7%) after 1 month of healing. Interproximal peri-implant bone levels (IPBL) remained stable during the years of follow up (mean 0.7 mm single vs 0.26 mm splinted). The success rate was 98.3% (95%cr= 91.1-99.7%). Good aesthetic results were observed, with even significant better aesthetic outcomes in the single tooth implants than in the contralateral teeth (PES: 12.4 vs 10.7, p=0.002), both at the level of the global PES and its components. 78.3% of the cases (95% cr= 62.8-88.6) showed no buccal soft tissue marginal recession (PES=2), while 21.6% showed a PES of 1 (less than 2 mm). Evaluation was made by a calibrated examiner (AP, Kappa> 0.70). 813Conclusions With the limitations of a retrospective study, it has been observed that FIITR-AC may be a reliable option of treatment for alveoli with partial loss of the buccal plate when adequate implant stability may be obtained, showing a good success rate, the stability of IPBL and good aesthetic results in comparison with contralateral teeth.
Book Synopsis IMMEDIATED LOADED IMPLANTS INSERTED IN EDENTULOUS MAXILLA BY GUIDED SURGERY. A 6-YEAR CLINICAL STUDY.The Introduction of Cone Beam Computed Tomography Has Promoted the Realization of Guided Surgery in Dental Implant Treatment by : Garrido Nuno
Download or read book IMMEDIATED LOADED IMPLANTS INSERTED IN EDENTULOUS MAXILLA BY GUIDED SURGERY. A 6-YEAR CLINICAL STUDY.The Introduction of Cone Beam Computed Tomography Has Promoted the Realization of Guided Surgery in Dental Implant Treatment written by Garrido Nuno and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The introduction of cone beam computed tomography has promoted the realization of guided surgery in dental implant treatment.The aim of this study was to present clinical results of treatment with implants inserted by the technique of guided surgery and immediate loading in edentulous jaws.Fully edentulous maxilla patients were diagnosed by cone beam tomography and treated with 10 Galimplant 3D u00ae implants for rehabilitation by the technique of guided surgery and immediate loading. Immediately after surgery a full resin provisional immediate restoration was placed. At 6 months, the final restoration was performed. The clinical follow-up period was at least 60 months of functional loading.30 patients were treated with 300 implants. The clinical findings demonstrate an excellent clinical response of this type of protocol, free of postoperative complications in patients undergoing surgery. From an implantologic point of view, the results indicate a success rate of 98.4%. Five implants were lost during the healing period with the provisional prosthesis. After a mean functioning period of 77.8 months from the final restoration, there was no late complications.This study indicates that treatment with dental implants by guided surgery in the upper jaw is a high success rate therapeutic alternative.
Book Synopsis Single Implant Placement in the Aesthetic Area- Immediate Loading Versus Traditional Delayed- Surgical Approach and 5 Years Long Term Evaluation by : Carolina Lenzi
Download or read book Single Implant Placement in the Aesthetic Area- Immediate Loading Versus Traditional Delayed- Surgical Approach and 5 Years Long Term Evaluation written by Carolina Lenzi and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: SINGLE IMPLANT PLACEMENT IN THE AESTHETIC AREA: IMMEDIATE LOADING VERSUS TRADITIONAL DELAYED: SURGICAL APPROACH AND 5 YEARS LONG TERM EVALUATIONBackground & aimThe immediate implant placement in a fresh socket after tooth extraction is considered a reliable therapeutic procedure and it presents the advantage of having a considerable amount of native bone. This technique also reduces the number of surgical procedures and the overall treatment time, obtaining the patientu2019s approval and satisfaction. The anterior aesthetic area is considered critical to treat: in fact it is fundamental to obtain hard and soft tissue stability in order to obtain long term biological and aesthetic success.Clinical studies showed that in several situations the technique reported here is also applicable in the aesthetic area and if exclusion criteria are respected, the results obtained can be predictable. However this concept is still controversial and some authors suggest delaying the placement and loading of the implant in the aesthetic area.The aim of this study is to evaluate and compare 2 study groups (immediate placement and loading- and delayed) of 20 single implants 10 for each group placed into the aesthetic area made by the same operator. Are included in this study only from incisors to canine area in upper and lower jaw and evaluated each one after 60 months.Materials & MethodsAfter a minimally traumatic extraction of the tooth, a different surgical approach was used.In the first DEALAYED study group (10 individual cases), depending on the presence of thin or thick gingiva and on the residual volume of buccal plate, the implant was placed with conventional protocol and delayed loading. In the second IMMEDIATE LOADING study group (10 individual cases), after the tooth extraction the implant was immediately placed and loaded without functional loading. In both study groups, if bone loss occurred in the buccal plate, an integration with GBR techniques and the use of biomaterials were necessary to fill the buccal gap. Good primary stability of the implant and a non-functional load were achieved in all loading cases.ConclusionsThe follow-up after 60 months, performed by clinical probing and radiographic evaluation and also supported by TC scan, shows that the results are comparable and that post-extractive implants with immediate non functional loading can be used in selected cases.The results obtained are good in both thin and thick biotype cases and it seems evident that it is possible to obtain predictable long term functional and aesthetic success. An accurate previous evaluation and study of each single case as biotype, hard and soft tissue and as well as residual buccal plate are always considered essential requirement criteria to obtain this data.
Download or read book Esthetic implants written by Diego Lops and published by Edra. This book was released on 2020-11-17T00:00:00+01:00 with total page 387 pages. Available in PDF, EPUB and Kindle. Book excerpt: The text is a collection of cases of implants in the anterior sector, the "esthetic" one, in which every aspect of treatment is considered with a global approach. You will find a collection of anterior implant cases, where each aspect of the treatment is considered with a global approach. This means that stages involve oral surgery, periodontology, implantology, orthodontics, prosthodontics, and restorative dentistry, will be described in the clinical aspect. The workflow for each case will be illustrated very clearly using predictable algorithms. QR codes give the reader access to clinical videos and video-animations regarding different clinical techniques: periodontal plastic surgery of the parabola before finalizing a case with a global approach to smiling; ridge preservation to restore 3D bone volumes in highly esthetic sites; connective graft to increase vestibular volumes of periimplant tissue. Furthermore, such kind of tool will be used to keep info on literature references. You can also access these contents login to the website http://lops.edizioniedra.com An additional amazing value of such editorial product is the handbook combined with the textbook which is a smart but complete technical introduction to professional dental photography.
Book Synopsis Immediate Placement in the Anterior Zone Using a Novel Implant Design -BLX Straumann- a Case Series by :
Download or read book Immediate Placement in the Anterior Zone Using a Novel Implant Design -BLX Straumann- a Case Series written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this case series was to evaluate the primary stability obtained with BLX implant design during placement in freshextraction sockets in the anterior zone.Three consecutive patients, requiring replacement of a single hopeless anterior tooth, meeting with clinical and radiographic indicationcriteria for immediate implant placement were treated using the same procedure of extraction and immediate implant placementfollowed by immediate temporization Implants diameter and length were selected according to the preoperative radiographicevaluation. BLX Straumann design implants were placed. Implants insertion torque were measured using the surgical unit. A screwretained immediate provisional was placed if primary stability exceeded 35 N.cm. Three months after implant placement impressionwas taken for final restorations.Three consecutive patients were included in the study. Two maxillary central incisors and 1 mandibular canine were extracted. A totalof 3 implants were inserted, the average initial stability obtained 42.5 N.cm with a range of 40-45 N.cm, allowing in each cases theplacement of an immediate provisional restoration. At 6 months recall the implant survival rate was 100%.The results of this case series suggest that the use of the BLX Straumann implant design is predictable to achieve sufficient primarystability, which is necessary for immediate temporization and subsequent osseointegration for replacement of maxillary incisors.
Book Synopsis Esthetic Outcomes of Immediate Implant Placement Into Type II Extraction Sockets by :
Download or read book Esthetic Outcomes of Immediate Implant Placement Into Type II Extraction Sockets written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Aim/HypothesisFor the Type II sockets, flapless immediate implantation and GBR were performed in the sockets at the same time. Using an implant-supported temporary crown or a custom healing abutment to seal the extraction. To observe the success rates of the implants and esthetic outcomes after finally restoration.Materials and MethodsA total of 5 patients (7 sites) were included with Type II sockets in the anterior maxillary. Flapless immediate implantation and GBR were performed in the sockets at the same time. The implant-supported temporary crown or a custom-healing abutment was attached at the day of surgery. 6 months later, taking impression and finishing the final restoration. Followed by a period of 10 months to 45 months after final restoration. The success rate and red-white esthetic outcomes were observed. X-ray examinations were performed to observe changes in the marginal bone level around the implant.ResultatsNone of the 7 implants loosen or falled off during the follow-up period. The implant function was normal and the implant success rate was 100%. After the permanent restoration, good aesthetic effects were obtained. The natural contour and the mesial-distal gingival papilla were completely preserved. The highest point of the labial margin was in harmony with the height of the adjacent natural teeth, and the alveolar process was full and natural. After 10 months to 45 months of follow-up, the stability of the implants was good. The X-ray showed that marginal bone level around the implants was stable.Conclusions and Clinical ImplicationsFor the Type II sockets, flapless immediate implantation and GBR were performed in the sockets at the same time. Using an implant-supported temporary crown or a custom healing abutment to seal the extraction. After final restoration, a good implant success rate and red-white esthetic outcomes can be obtained.
Book Synopsis Horizontovertical Ridge Augmentation in the Maxillary Aesthetic Zone Prior to Implant Placement by : Sila Cagri Isler
Download or read book Horizontovertical Ridge Augmentation in the Maxillary Aesthetic Zone Prior to Implant Placement written by Sila Cagri Isler and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BackgroundHard and soft tissue deficiencies after tooth extraction with poor prognosis may cause functional and aesthetic problems especially inthe anterior maxillary region. Various guided bone regeneration (GBR) techniques are used in order to regain adequate tissue amountfor implant treatment. Combined use of growth factors derived from human blood with grafting materials have been widely used andseen as a predictable treatment modality.Aim/HypothesisThe aim of this two case reports was to evaluate the effects of horizontovertical ridge augmentation on bone gain with combined useof xenograft bone material, Ti-Reinforced non-resorbable PTFE membrane, and CGF prior to implant placement and implant survivalrates.Materials and MethodsA 37-year-old female and a 57-year-old male patient registered with complaints of acute pain and mobility of maxillary lateral teeth.After the clinical and radiographic examination, the extraction of the tooth was planned. The extractions were made non-traumaticallywith periotome and extraction sockets were filled with CGF to enhance the wound healing. 4 weeks after extraction, flap surgery wasperformed for augmentation. The defect was grafted with xenograft bone material (Bio-Oss Collagen, Geistlich) and Ti-ReinforcedPTFE membrane (NeoGen) was fixated with titanium screws. Double layers of CGF were used over the membrane in order to obtainsoft tissue closure. Antibiotic therapy was prescribed for infection control. After the healing period of 6 months, re-entry was made andnon-resorbable membranes were removed before the implant placements. Prosthetic loading was performed after 3 months ofosseointegration period. Recalls were scheduled at 1, 3, 6, 12, and 24 months following.ResultsNo signs of inflammation or infection was observed post-surgically and at follow-up sessions. After the removal of Ti-Reinforced PTFEmembrane, horizontovertical bone gain was observed with CBCT evaluation and clinically. Healing was uneventful without anycomplications after the implant surgery and the implants were in good terms of success rate. The survival rates of implants are both%100 two years after implant placement. Combined use of grafting materials, PTFE membrane, and CGF obtained an adequate boneformation at horizontovertical bone defect sites.Conclusions and Clinical ImplicationsCombined use of xenograft bone substitute, PTFE membrane, and CGF may be an effective treatment modality to regenerate boneformation for horizontovertical bone defect cases prior to implant placement and can improve the implant success and survival rates.The present positive outcomes of these two cases can be considered promising but must be confirmed by long term controlledstudies with larger sample of patients.
Book Synopsis Regenerative Strategies for Maxillary and Mandibular Reconstruction by : James C. Melville
Download or read book Regenerative Strategies for Maxillary and Mandibular Reconstruction written by James C. Melville and published by Springer. This book was released on 2019-03-25 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is designed as a comprehensive and up-to-date instructional guide to the strategies employed for regeneration of the maxillomandibular region, with emphasis on allogeneic and tissue engineering principles. Readers will find information on indications and contraindications for procedures, pertinent anatomy, surgical techniques, postoperative management, and management of complications. Current surgical techniques utilizing biotechnology for regeneration and reconstruction are described in depth, with explanation of their benefits in minimizing patient morbidity. In addition, state of the art free vascular transfer for maxillary and mandibular reconstruction is extensively discussed, with a particular focus on indications and step-by-step technique. The authors are well-known experts in their field who are keen to share their extensive experience and preferred approaches. The book is intended for all oral and maxillofacial surgeons, head and neck surgeons, and plastic and reconstruction surgeons who wish to increase their knowledge on the latest modalities of maxillary and mandibular reconstruction.
Book Synopsis The Glossary of Prosthodontic Terms by :
Download or read book The Glossary of Prosthodontic Terms written by and published by . This book was released on 1994 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:
