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dental implant restoration

Christopher M Runyan, Vishal Sharma, David A Staffenberg, Jamie P Levine, Lawrence E Brecht, Leonard H Wexler, David L Hirsch
BACKGROUND: Reconstruction of maxillary defects following tumor extirpation is challenging because of combined aesthetic and functional roles of the maxilla. One-stage reconstruction combining osseous free flaps with immediate osseointegrated implants are becoming the standard for mandibular defects, and have similar potential for maxillary reconstruction. METHODS: A woman with maxillary Ewing sarcoma successfully treated at age 9 with neoadjuvant chemotherapy, right hemimaxillectomy, and obturator prosthetic reconstruction presented for definitive reconstruction, complaining of poor obturator fit, and hypernasality...
October 14, 2016: Journal of Craniofacial Surgery
Pâmela Letícia Dos Santos, Gustavo Henrique Souza Silva, Fernanda Rayssa Da Silva Pereira, Raquel Damazia da Silva, Mirella Lindoso Gomes Campos, Thiago Borges Mattos, Jéssica Lemos Gulinelli
As life expectancy increases, a larger number of elderly people require dental health care attention for implant-supported rehabilitation, with the aim of restoring the function and aesthetics of the oral cavity. Most of these patients have lost their teeth long time ago, causing a severe bone resorption and maxillary sinus pneumatization. Therefore, the current study aims to demonstrate, through the description of the clinical case, the treatment with zygomatic implants as an option for treating severely atrophic maxillas...
October 14, 2016: Journal of Craniofacial Surgery
Federico Gelpi, Daniele De Santis, Simone Marconcini, Francesco Briguglio, Marco Finotti
This clinical report illustrates a multidisciplinary approach for the rehabilitation of a young adult patient affected by a bilateral edentulous space and an anterior deep bite. The patient required orthodontics and surgical corticotomy and implantology (both performed with a piezo device). A multidisciplinary planning approach, including orthodontics, oral and periodontic surgery, and restorative dentistry, has an important role in the final outcome of treatment. In fact a dental class I occlusion has been established only on the right side...
December 2015: Int J Implant Dent
Arun Ramchandran, Kaushal Kishor Agrawal, Pooran Chand, Ramashanker, Raghuwar Dayal Singh, Anusar Gupta
The Kennedy Class I and II distal extension situation poses a challenge to the prosthodontist as it inherently possesses a lack of stability, which may be attributed to the difference in compressibility of the mucosa and the periodontal ligament surrounding the distal-most abutment tooth. This results in a rotational tendency of the prosthesis around the line connecting its terminal abutments. Placement of osseointegrated dental implants in the posterior edentulous regions, distal to the terminal abutment provides improved vertical support to the distal extension removable partial denture, effectively converting its intraoral performance from a Kennedy Class I to a Class III situation, thereby resulting in improved stability of the prosthesis and consequently, enhanced patient satisfaction...
October 2016: Journal of Indian Prosthodontic Society
Vinayak S Gowda, Dhruv Anand, Manoj Kumar Sundar, Agnelo Michael Reveredo, Shilpa Shetty
Dental implants with their increasing success rates and predictability of final outcome are fast becoming the treatment of choice for replacing missing teeth. Considering the success of immediate implant placement in reducing tissue loss and achieving good esthetic results, is making it a more popular treatment modality in implant dentistry. Understanding the management of gingival tissues in relation to implants to obtain maximum esthetics is of utmost importance. The use of provisional abutments and immediate temporization has a proven track record of their ability to produce optimal esthetics and to guide the tissue response during the healing phase...
October 2016: Journal of Indian Prosthodontic Society
Paul P Lin, Lewis Claman, Hua-Hong Chien
The success of dental implant therapy in the esthetic zone requires not only functional osseointegration but also favorable esthetic results. The greatest challenge in the esthetic zone is to establish harmony, balance, and continuity of gingival form between implant restorations and the adjacent natural teeth. In the esthetic zone, a localized ridge defect or loss of a peri-implant papilla is common and can be corrected via soft tissue augmentation. This case report describes a novel surgical technique using connective tissue grafts via an apical pouch to increase soft tissue volume over an alveolar ridge defect or around natural teeth or implants in the maxillary anterior area...
November 2016: International Journal of Periodontics & Restorative Dentistry
Gerardo Mendoza-Azpur, Miguel Lau, Erick Valdivia, Jorge Rojas, Henry Muñoz, Myron Nevins
In oral rehabilitation, crown-to-root ratio is accepted as an indicator of bone loss, and this concept was transferred to implants. Recent studies have indicated that there is no significant difference between short and standard implants. The aim of this study was to compare marginal bone-level alteration through radiographic evaluation and clinical parameters between short and standard implants supporting single crowns. This prospective clinical trial study included 82 systemically healthy, nonsmoking subjects...
November 2016: International Journal of Periodontics & Restorative Dentistry
Seyed Amir Danesh-Sani
The dental implant is a predictable way of restoring fully and partially edentulous patients and has shown high success rate for managing a broad range of clinical conditions. Improving implant surfaces has revolutionized the osseointegration of implants and changed the focus of implant research from osseointegration more toward the risk factors associated with the failure of implants in the long-term.
September 1, 2016: Journal of Contemporary Dental Practice
Marco Degidi, Diego Nardi, Gianluca Sighinolfi, Adriano Piattelli
PURPOSE: The use of the conical coupling connection to support definitive restorations was evaluated in cases involving full acrylic resin or hybrid acrylic resin-composite prostheses. The aim of this study was to evaluate the performance of definitive fixed partial prostheses made with lithium disilicate and supported by coupling connection abutments and healed implants. MATERIALS AND METHODS: The prostheses were placed in the posterior regions of partially edentulous patients; 65 patients received fixed lithium disilicate restorations splinted with conical coupling connections to two implants...
October 10, 2016: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Francesco Zuffetti, Marco Esposito, Fabio Galli, Matteo Capelli, Giovanni Grandi, Tiziano Testori
PURPOSE: To compare peri-implant bone and soft-tissue levels of immediate non-occlusally loaded versus non-submerged early loaded implants in partially edentulous patients 10 years after loading. MATERIALS AND METHODS: Fifty-two patients were randomised in five Italian private practices: 25 in the immediately loaded group and 27 in the early loaded group. To be immediately loaded, single implants had to be inserted with a torque of at least 30 Ncm, and splinted implants with a torque of at least 20 Ncm...
2016: European Journal of Oral Implantology
Y Wang, Y Lin, B Chen, Y Zhang, P Di, C Yi
Objective: To assess and compare the radiographic outcomes of immediate implant placement with two different loading timing. Methods: The involved cases were collected from Department of Implantology, Peking University School and Hospital of Stomatology. Patients recieved immediate implant placement during 2010 Aug to 2012 Dec. The cases admitted delayed restoration program were assigned to Group Ⅰ(18 patients with 21 implants), the cases admitted immediate restoration program were assigned to Group Ⅱ (16 patients with 22 implants)...
October 9, 2016: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
Miguel A Roque, German O Gallucci, Sang J Lee
PURPOSE: To describe the occlusal pressure redistribution in dental arches following placement of single posterior implant-supported restorations in occlusion with natural dentitions. MATERIALS AND METHODS: Fifteen patients who presented for successfully osseointegrated single posterior implant restorations participated in the study. Cement-retained, all-ceramic implant crowns were fabricated and delivered after adjustment for interproximal contacts, fit, and uniform occlusal contacts...
October 5, 2016: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Maziar Montazerian, Edgar Dutra Zanotto
The global market for dental materials is predicted to exceed 10 billion dollars by 2020. The main drivers for this growth are easing the workflow of dentists and increasing the comfort of patients. Therefore, remarkable research projects have been conducted and are currently underway to develop improved or new dental materials with enhanced properties or that can be processed using advanced technologies, such as CAD/CAM or 3D printing. Among these materials, zirconia, glass or polymer-infiltrated ceramics, and glass-ceramics (GCs) are of great importance...
October 4, 2016: Journal of Biomedical Materials Research. Part A
Diego Lops, Edoardo Stellini, Luca Sbricoli, Niccolò Cea, Eugenio Romeo, Eriberto Bressan
PURPOSE: The aim of the present clinical trial was to analyze, through spectrophotometric digital technology, the influence of the abutment material on the color of the peri-implant soft tissue in patients with thin gingival biotype. MATERIAL AND METHODS: Thirty-seven patients received an endosseous dental implant in the anterior maxilla. At time of each definitive prosthesis delivery, an all-ceramic crown has been tried on gold, titanium and zirconia abutment. Peri-implant soft-tissue color has been measured through a spectrophotometer after the insertion of each single abutment...
October 3, 2016: Clinical Oral Implants Research
Christian Mertens, Jose de San Jose Gonzalez, Christian Freudlsperger, Jens Bodem, Johannes Krisam, Jürgen Hoffmann, Michael Engel
BACKGROUND: Patients with hemimaxillectomy defects after tumor surgery can alternatively be rehabilitated with dental obturators or microvascular flaps. When general medical or oncologic conditions do not permit microvascular surgery, dental obturators are the only solution, yet retention for edentulous patients is often poor. The aim of this study was to evaluate whether CAD/CAM suprastructures supported by implants placed in both residual alveolar ridges and contralateral zygomatic bone could enhance obturator stability and improve functional outcomes...
August 24, 2016: Journal of Cranio-maxillo-facial Surgery
Kajal Yadav, Abhishek Nagpal, S K Agarwal, Aarti Kochhar
INTRODUCTION: Dental implants are one of the common lines of treatment used for the treatment of missing tooth. Various risk factors are responsible for the failure of the dental implants and occurrence of postoperative complications. Bruxism is one such factor responsible for the failure of the dental implants. The actual relation between bruxism and dental implants is a subject of long-term controversy. Hence, we carried out this retrospective analysis to assess the complications occurring in dental implants in patients with and without bruxism...
2016: Journal of Contemporary Dental Practice
Andreas Kurbad
The use of materials with elastic properties for the fabrication of dental implant superstructures seems to be a promising way to reduce the functional occlusal forces on implants. Vita Enamic (Vita Zahnfabrik, Bad Säckingen), a hybrid ceramic material for CAD/CAM technology, is available in a special form that can be relatively easily combined with titanium (Ti) base connectors for the fabrication of abutment crowns and mesostructures. Thus, an easily manageable method is available for reducing peak loads on dental implant fixtures...
2016: International Journal of Computerized Dentistry
Yen-Wei Chen, Joelle Moussi, Jeanie L Drury, John C Wataha
The use of zirconia in medicine and dentistry has rapidly expanded over the past decade, driven by its advantageous physical, biological, esthetic, and corrosion properties. Zirconia orthopedic hip replacements have shown superior wear-resistance over other systems; however, risk of catastrophic fracture remains a concern. In dentistry, zirconia has been widely adopted for endosseous implants, implant abutments, and all-ceramic crowns. Because of an increasing demand for esthetically pleasing dental restorations, zirconia-based ceramic restorations have become one of the dominant restorative choices...
October 2016: Expert Review of Medical Devices
Sorin Mihali, Silvana Canjau, Emanuel Bratu, Hom-Lay Wang
PURPOSE: The aim of this study was to evaluate, in a case control study, the esthetic and functional clinical performance of ceramic inlays used for covering the screw access hole in single monolithic lithium disilicate full-contour crowns bonded on computer-aided design/computer-aided manufacturing (CAD/CAM) prefabricated titanium abutments in order to eliminate the drawbacks of alternative restorative methods. MATERIALS AND METHODS: Twenty-eight patients with missing teeth in the lateral areas (premolars and molars) received screw-retained implant restorations...
September 2016: International Journal of Oral & Maxillofacial Implants
Spyridon Varthis, Anthony Randi, Dennis P Tarnow
PURPOSE: The aim of this study was to determine the prevalence of interproximal open contacts between singleimplant prostheses and adjacent teeth, as well as to provide guidelines to prevent interproximal contact loss (ICL). MATERIALS AND METHODS: This was a retrospective, cross-sectional study. One hundred twenty-eight patients (174 single-implant restorations) from Columbia University College of Dental Medicine and a private faculty clinic with a single-implant restoration in the posterior or anterior region were selected to participate in this study...
September 2016: International Journal of Oral & Maxillofacial Implants
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