A Multicenter Retrospective Study Comparing Survival Rates of Short Dental Implants (<10 mm) with Ungrafted Transcrestal Sinus Floor Elevation Procedures and Longer Implants (≥10 mm)
[Year:2018] [Month:January-December] [Volume:9] [Number:1-3] [Pages:6] [Pages No:1 - 6]
Keywords: Short dental implants, Survival, Transcrestal sinus floor elevation
DOI: 10.5005/jp-journals-10012-1178 | Open Access | How to cite |
Objectives: Investigating whether or not the use of short dental implants (<10 mm) results in similar survival rates to longer implants (≥10 mm) in combination with transcrestal sinus lifting procedures without grafting. Materials and methods: Twenty partially edentulous patients with one or both maxillary posterior segments, treated in the time period between March 2014 and December 2016 with either short dental implants (group I) or had a preoperative transcrestal sinus floor elevation (TSFE) procedure without bone graft (group II), were retrospectively enrolled in this study. Patients were 15 females and 5 males; the mean age, at the time of implant placement, was 42.09 ± 6.96 years for group I and 39.22 ± 6.9 for group II, ranging between 30 years and 54 years. Based on preoperative periapical radiographs, the residual alveolar heights were judged to be less than 10 mm until 7 mm. Postoperatively, the amount of new radiopacity between the sinus floor and the alveolar crest of group II cases was then measured using a digital ruler from the mesial and distal surfaces of each implant. In total, 11 implants were placed in group I and 9 implants were placed in group II. Results: After a mean follow-up period of 31.9 ± 9.4 months for group I and 30.5 ± 6.13 for group II, with some implants up to 4 years in duty, a survival rate of 100% was reported for both groups. The mean bone level, for group II, at the implant placement was 8.58 ± 0.81 mm and, after 2.5 years, it was 10.8 ± 0.85 mm. Conclusion: Within the limitations of this retrospective clinical study, the results confirmed the reliability of both, the TSFE without grafting procedure and the use of short dental implants in posterior maxillary edentulous spaces of reduced heights.
Does Fluoride Cause Corrosion of Titanium Dental Implants?
[Year:2018] [Month:January-December] [Volume:9] [Number:1-3] [Pages:4] [Pages No:7 - 10]
Keywords: Acids, Corrosion, Dental implants, Fluoride, Implants, Minisystematic review, Titanium
DOI: 10.5005/jp-journals-10012-1179 | Open Access | How to cite |
Aims: There is very little information known about the effects of fluoride on the corrosion of titanium dental implants. Corrosion of implants can lead to peri-implantitis and eventually implant failure. The aim of this study is to search and analyze the available literature to identify whether fluoride causes corrosion of titanium or Ti–6Al–4V, two materials commonly used to construct dental implants. Materials and methods: Three online databases were used to search for literature relating to this subject. These included Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Dentistry and Oral Sciences. A scoping search was initially undertaken to identify potentially relevant literature. The studies were narrowed down by titles and abstract and then full-text review, based on predetermined inclusion/exclusion criteria. Five studies were selected. The relevant information from the studies were extracted using a customized data extraction tool. The data were then analyzed allowing the conclusions to be drawn. Results: Of the five studies included in this mini-systematic review, all concluded that fluoride does cause corrosion of dental implants, particularly, in the presence of an acidic pH. Conclusion: Consideration must be given when prescribing topical fluorides for patients with titanium dental implants. Corrosion can occur in the presence of high fluoride levels, particularly if the oral environment is acidic.
Hyperbaric Oxygen Therapy: Mechanism of Action and its Application in Periodontics: A Review
[Year:2018] [Month:January-December] [Volume:9] [Number:1-3] [Pages:6] [Pages No:11 - 16]
Keywords: Hyperbaric oxygen therapy, Implants, Periodontal diseases
DOI: 10.5005/jp-journals-10012-1180 | Open Access | How to cite |
Hyperbaric oxygen (HBO) therapy is widely used in a number of areas of medical practice. HBO increases local oxygen distribution, especially at the base of the periodontal pocket, which inhibits the growth of anaerobic bacteria and allows the ischemic tissues to receive an adequate intake of oxygen sufficient for a rapid recovery of cell metabolism, which may help to treat many periodontal diseases and also may act as a stimulator of osseointegration which would help during implant placement. The aim of this review article is to collect the information regarding the effects of HBO on periodontal diseases and dental implants. In conclusion, this review has shown that HBO may represent a useful aid, especially in combination with scaling and root planning (SRP), as far as nonsurgical periodontal therapy is concerned.
Osseous Grafts: A Simplified Classification Approach
[Year:2018] [Month:January-December] [Volume:9] [Number:1-3] [Pages:7] [Pages No:17 - 23]
Keywords: Allograft, Bone graft, Synthetic graft, Xenograft
DOI: 10.5005/jp-journals-10012-1185 | Open Access | How to cite |
Various grafting materials are available for osseous applications in dental surgical procedures. Confusion has become common as to how these various graft materials can or should be used in dentistry. This article will present a common sense classification of osseous graft materials and what applications they may be utilized for dentally.
Management of Post-implant Complications: A Case Series
[Year:2018] [Month:January-December] [Volume:9] [Number:1-3] [Pages:6] [Pages No:24 - 29]
Keywords: Complication, Implants, Management
DOI: 10.5005/jp-journals-10012-1174 | Open Access | How to cite |
The increasing mean age of the population, and consequently edentulism, necessitates the demand for prosthesis. Owing to the drawbacks of the removable partial denture and fixed partial denture, the implant as a treatment option has become popular. But with the use of implants, complications are bound to occur. Management of these complications make implantology a success and thus, common complications are discussed in this case series.
Onlay Grafting with FDBA Block Bone for Reconstruction of Localized Maxillary Ridge Defect
[Year:2018] [Month:January-December] [Volume:9] [Number:1-3] [Pages:5] [Pages No:30 - 34]
Keywords: Onlay graft, Reconstruction, Ridge defect
DOI: 10.5005/jp-journals-10012-1175 | Open Access | How to cite |
Aim: The aim of the present case was to evaluate the efficacy of freeze-dried bone allograft (FDBA) bone block in the augmentation of atrophied maxillary esthetic zone. Background: The placement of endosseous dental implants is often hampered by unfavorable anatomy of the alveolar bone thereby making it difficult for the placement of implant in an optimal prosthetic position. The loss of width of the residual alveolar ridge necessitated measures which could refurbish the lost dimensions for adequate bone availability for the implant placement. Case description: Here we report the successful management of atrophic ridge condition in the maxillary anterior esthetic zone wherein the placement of implant was made possible by the placement of FDBA bone block allograft obtained from the tissue bank. The predictable osseointegration was achieved after placement of a regular platform implant and restoration of the complete esthetics, and the patient satisfaction was attained. Conclusion: Allogenic bone blocks can serve as a good alternative for autogenous bone owing to its unlimited availablility, reduced donor site morbidity, increased patient compliance, and decreased treatment time. Clinical significance: Allogenic bone block confers an excellent alternative to autogenous bone blocks for the augmentation of atrophic maxillary ridges for the placement of endosseous implant.
Improving Implant Prosthetic Trial Bases Stability with the Aid of Impression Copings
[Year:2018] [Month:January-December] [Volume:9] [Number:1-3] [Pages:2] [Pages No:35 - 36]
Keywords: Dental implant, Maxillomandibular relationship, Trial base
DOI: 10.5005/jp-journals-10012-1176 | Open Access | How to cite |
A technique has been described for improving the stability and retention of trial bases when treating edentulous patients with dental implants. Impression copings for the open-tray technique has been used with a simple modification for the fabrication of trial bases. The presented technique is cost effective as only used components are required while providing good retention.
Platelet-rich Fibrin Application in Guided Bone Regeneration Using Autogenous Block Graft in Staged Dental Implant Placement: A Case Report
[Year:2018] [Month:January-December] [Volume:9] [Number:1-3] [Pages:5] [Pages No:37 - 41]
Keywords: Autograft, Grafting, Implant
DOI: 10.5005/jp-journals-10012-1177 | Open Access | How to cite |
Bone has a unique capacity to regenerate itself completely. The major limiting factor is maintenance of space for bone formation. Bone graft materials have been used to facilitate bone formation within a space by occupying the space and allowing subsequent bone growth. Osseous grafting has been shown to be clinically successful in the management of human periodontal defects. Autogenous bone graft is considered as the gold standard for bone regeneration due to its unique properties of osteogenesis, osteoconduction, and osteoinduction. For more predictable regeneration of bone, autografts can be combined with platelet concentrates. This clinical case letter reports a case of Siebert's class I ridge defect which was treated with the staged guided bone regeneration (GBR) approach using autogenous block graft and platelet-rich fibrin (PRF).
Lateral Ridge Augmentation with Decalcified Cortical Bone Plate for Implant Site Preparation Resulting from Ridge Resorption
[Year:2018] [Month:January-December] [Volume:9] [Number:1-3] [Pages:7] [Pages No:42 - 48]
Keywords: Cortical bone plate, Lateral grafting, Lateral ridge augmentation, Ridge width deficiency
DOI: 10.5005/jp-journals-10012-1181 | Open Access | How to cite |
Significant resorption of the lateral aspect of the ridge may occur following extraction of the teeth or related to resolution of pathology associated with the failing teeth which can hamper implant placement. Treatment of these lateral ridge deficiencies requires something to contain the graft to be placed as a tenting mechanism to achieve predictable increases in ridge width. Typically titanium mesh or blocks of cortical bone have been used for this purpose which both approaches have some negative issues in their use. This article will discuss the use of a decalcified flexible cortical bone plate that provides tenting for the graft and soft tissue while allowing adaption to the areas curvature and will become part of the new labial aspect of the ridge following graft healing.
Crestal Sinus Elevation for Simultaneous Implant Placement
[Year:2018] [Month:January-December] [Volume:9] [Number:1-3] [Pages:6] [Pages No:49 - 54]
Keywords: Crestal sinus augmentation, Sinus grafting, Summers approach
DOI: 10.5005/jp-journals-10012-1182 | Open Access | How to cite |
Insufficient crestal height may present in the posterior maxilla that will require osseous grafting to place implants. When sufficient height is present to stabilize the implant at placement, simultaneous sinus augmentation via a crestal approach with implant placement can be performed. The crestal approach when applicable has fewer complications then lateral sinus augmentation procedures and is more comfortable for the patient during the post operative period. This article shall describe the crestal sinus augmentation technique using special reamers that are safe ended to elevate the sinus membrane without potential tearing.
Autologous Osteoblast-cell Therapy in Orthodontics and Implantology: A Single-center Experience of Nine Patients
[Year:2018] [Month:January-December] [Volume:9] [Number:1-3] [Pages:5] [Pages No:55 - 59]
Keywords: Autologous osteoblast-cell therapy, Implant, Orthodontistry
DOI: 10.5005/jp-journals-10012-1184 | Open Access | How to cite |
Resorption of bone post tooth extraction is an established fact. In addition to this, pneumatization of maxillary sinuses further reduced the available bone and space for dental implant restoration. Traumatic loss of bone and bone loss due to cystic disease adds another dimension to clinical presentation and management. Various modalities have been used for bone replacement or restoration and are well documented. Here, we present a case series of nine patients, wherein a novel autologous cultured osteoblast cell product was used for bone augmentation in different clinical settings, with a quite satisfactory long-term outcome. We recommend the use of this revolutionary approach in rightly selected patients for permanent bone regeneration in the treatment of various oral and maxillofacial defects.
A Pragmatic Multidisciplinary Approach to Full Mouth Rehabilitation in a Young Patient with a Collapsed Dentition
[Year:2018] [Month:January-December] [Volume:9] [Number:1-3] [Pages:7] [Pages No:60 - 66]
Keywords: Collapsed dentition, Esthetics, Implants, Multidisciplinary, Occlusion, Rehabilitation, Wear
DOI: 10.5005/jp-journals-10012-1186 | Open Access | How to cite |
This case involved a young female patient with a collapsed dentition. Posterior teeth had supraerupted in response to their missing antagonists, thus leading to a very little restorative space. Teeth wear, high lip line, thin tissue biotype, and gingival recession added to the difficulties in restoring the case. A multidisciplinary approach that combined sound principles of periodontal, endodontic, prosthodontic, and implant therapy resulted in resolving the case pragmatically, while maintaining occlusal and esthetic standards.
Lateral Sinus Augmentation: A Simpler, More Predictable Approach
[Year:2018] [Month:January-December] [Volume:9] [Number:1-3] [Pages:6] [Pages No:67 - 72]
Keywords: Lateral sinus augmentation, Sinus grafting, Sinus lift
DOI: 10.5005/jp-journals-10012-1183 | Open Access | How to cite |
Pneumatization of the maxillary sinuses may hamper implant placement in the posterior due to inadequate available crestal height. Sinus augmentation has been advocated to develop sufficient crestal bone height to support implant placement. This article will review a simpler more predictable approach utilizing a kit to access the lateral aspect of the sinus to allow sinus grafting without damage to the sinus membrane.