This case series evaluated the survival rate and complications of immediately loading dental implants inserted through impacted teeth in the anterior maxilla or mandible. Seven patients received a total of 11 implants, which were immediately inserted using piezosurgery to drill through the impacted teeth. All implants integrated successfully without complications and were followed for 5-7 years. The results suggest this unconventional approach may be a viable option to avoid invasive procedures for removing impacted teeth. However, more studies are needed to validate this technique.
A randomized controlled clinical trial comparing the effects of three loading...Mohamed Elsayed
A randomized controlled clinical trial compared the stability of dental implants placed under immediate loading, early loading at 6 weeks, or conventional/delayed loading at 12 weeks. Forty patients each received a single dental implant between 2004-2007. Implant stability was measured using resonance frequency analysis for the first 16 weeks, and marginal bone levels were assessed via radiographs over 3 years. One implant failed in low-density bone. All implants increased in stability over time, with a minor reduction seen initially in the immediate loading group. On average, implants exhibited 0.22mm of marginal bone loss over 3 years. Higher implant placement torque was associated with denser bone types. Immediate and early loading provided long-term success without negative tissue impacts when
2011 clinical outcome of dental implants placed with high insertion torquesMuaiyed Mahmoud Buzayan
This study evaluated 42 dental implants placed with high insertion torques of 70 Ncm or greater. All implants successfully integrated clinically and were stable after 1 year of loading. Marginal bone loss after 1 year was similar between implants placed with high torques (mean 1.24 mm) and low torques (mean 1.09 mm), indicating that high insertion torques did not negatively impact osseointegration or bone stability. The use of high insertion torques up to 176 Ncm did not prevent osseointegration and resulted in similar bone stability outcomes compared to lower torque implants.
This case series examines a new surgical technique for regenerating interimplant papillae using subepithelial connective tissue grafts. 10 patients with missing papillae between implant restorations received the new procedure involving buccal and palatal incisions made away from the papilla to preserve blood supply, and tunneling performed with a specialized instrument. The papillae scores improved on average from 0.8 to 2.4 after 16 months, demonstrating regeneration of the papillae over 11-30 months. However, long-term studies are still needed to validate the technique and outcomes.
hollow obturator in case of total maxillectomyDHANANJAYSHETH1
With the incorporation of neodymium magnets, the patient was able to insert and remove the 2-piece maxillary obturator prosthesis, engaging both the anterior and posterior undercuts without difficulty. This resulted in increased retention, stability, and improved speech and deglutition. At follow-up appointments, the patient expressed satisfaction with the prosthesis and gratitude that his chief complaints had been addressed.
This document discusses dental implants and immediate loading protocols. It provides background on the history and development of dental implants, including the concept of osseointegration. Primary stability and bone quality are important factors for implant success. Immediate loading was introduced as an alternative to delayed loading protocols, offering benefits of shortened treatment time and early rehabilitation. Research suggests immediate loading may stimulate bone formation through mechanical strain. The document then focuses on treatment of edentulism with implant overdentures, including benefits over conventional dentures. It describes different attachment systems and reviews evidence on immediate loading for mandibular overdentures, finding it is clinically well documented but not scientifically validated to the same degree as conventional loading.
Immediate Implants Placed Into Infected Sockets: Clinical Update with 3-Year ...Abu-Hussein Muhamad
Dental implants can be placed immediately into healthy extraction sites with high success and survival rates. It has been suggested, however, that immediate placement of implants into infected extraction sites is contraindicated due to the pathology interfering with osseointegration resulting in decreased implant survival and success With many potential implant sites presenting with a preexisting periapical or periodontal infection, treatment protocols have been advocated for immediate placement of implants in these infected sites. Advancements in surgical techniques and implant surface technology have made immediate placement of implants a more predictable and accepted treatment option; however, there is still debate about whether infected extraction sites should be used for immediate implant treatment approaches. The purpose of this clinical update is to report on the success and survival of implants placed immediately into infected extraction sites.
Dental Implant Laser Cosmetic Centre Ahmedabad IndiaDr Viral Patel
Newer techniques in implant dentistry to improve cosmetic & functional outcome of dental implants. This will help dentists to understand the latest trends in dental implant practice.
http://www.drviralpatel.com
A randomized controlled clinical trial comparing the effects of three loading...Mohamed Elsayed
A randomized controlled clinical trial compared the stability of dental implants placed under immediate loading, early loading at 6 weeks, or conventional/delayed loading at 12 weeks. Forty patients each received a single dental implant between 2004-2007. Implant stability was measured using resonance frequency analysis for the first 16 weeks, and marginal bone levels were assessed via radiographs over 3 years. One implant failed in low-density bone. All implants increased in stability over time, with a minor reduction seen initially in the immediate loading group. On average, implants exhibited 0.22mm of marginal bone loss over 3 years. Higher implant placement torque was associated with denser bone types. Immediate and early loading provided long-term success without negative tissue impacts when
2011 clinical outcome of dental implants placed with high insertion torquesMuaiyed Mahmoud Buzayan
This study evaluated 42 dental implants placed with high insertion torques of 70 Ncm or greater. All implants successfully integrated clinically and were stable after 1 year of loading. Marginal bone loss after 1 year was similar between implants placed with high torques (mean 1.24 mm) and low torques (mean 1.09 mm), indicating that high insertion torques did not negatively impact osseointegration or bone stability. The use of high insertion torques up to 176 Ncm did not prevent osseointegration and resulted in similar bone stability outcomes compared to lower torque implants.
This case series examines a new surgical technique for regenerating interimplant papillae using subepithelial connective tissue grafts. 10 patients with missing papillae between implant restorations received the new procedure involving buccal and palatal incisions made away from the papilla to preserve blood supply, and tunneling performed with a specialized instrument. The papillae scores improved on average from 0.8 to 2.4 after 16 months, demonstrating regeneration of the papillae over 11-30 months. However, long-term studies are still needed to validate the technique and outcomes.
hollow obturator in case of total maxillectomyDHANANJAYSHETH1
With the incorporation of neodymium magnets, the patient was able to insert and remove the 2-piece maxillary obturator prosthesis, engaging both the anterior and posterior undercuts without difficulty. This resulted in increased retention, stability, and improved speech and deglutition. At follow-up appointments, the patient expressed satisfaction with the prosthesis and gratitude that his chief complaints had been addressed.
This document discusses dental implants and immediate loading protocols. It provides background on the history and development of dental implants, including the concept of osseointegration. Primary stability and bone quality are important factors for implant success. Immediate loading was introduced as an alternative to delayed loading protocols, offering benefits of shortened treatment time and early rehabilitation. Research suggests immediate loading may stimulate bone formation through mechanical strain. The document then focuses on treatment of edentulism with implant overdentures, including benefits over conventional dentures. It describes different attachment systems and reviews evidence on immediate loading for mandibular overdentures, finding it is clinically well documented but not scientifically validated to the same degree as conventional loading.
Immediate Implants Placed Into Infected Sockets: Clinical Update with 3-Year ...Abu-Hussein Muhamad
Dental implants can be placed immediately into healthy extraction sites with high success and survival rates. It has been suggested, however, that immediate placement of implants into infected extraction sites is contraindicated due to the pathology interfering with osseointegration resulting in decreased implant survival and success With many potential implant sites presenting with a preexisting periapical or periodontal infection, treatment protocols have been advocated for immediate placement of implants in these infected sites. Advancements in surgical techniques and implant surface technology have made immediate placement of implants a more predictable and accepted treatment option; however, there is still debate about whether infected extraction sites should be used for immediate implant treatment approaches. The purpose of this clinical update is to report on the success and survival of implants placed immediately into infected extraction sites.
Dental Implant Laser Cosmetic Centre Ahmedabad IndiaDr Viral Patel
Newer techniques in implant dentistry to improve cosmetic & functional outcome of dental implants. This will help dentists to understand the latest trends in dental implant practice.
http://www.drviralpatel.com
Immediate implant placement following tooth extraction a case reportAbu-Hussein Muhamad
Immediate dental implants are an attractive option to patients and dentists. This paper report the management of a
fractured right permanent maxillary central incisor with extraction of the root followed by immediate implant placement
with two years follow-up.
“One-Piece” Immediate-Load Post-Extraction Implant In Maxillary Central IncisorAbu-Hussein Muhamad
Abstract: This case report describes extraction of a fractured left maxillary central incisor tooth, followed by immediate placement of an one-piece implant in the prepared socket and temporization by a bonded restoration.
Materials And Methods: The tooth was extracted with minimal hard and soft tissue trauma and without flap reflection. The socket was prepared to the required depth and a Implant was inserted.
Results: The atraumatic operating technique and the immediate insertion of the one-piece Implant resulted in the preservation of the hard and soft tissues at the extraction site.
Conclusion: The “One-piece” dental implant and provisional restoration provided the patient with immediate esthetics, function, comfort and most importantly preservation of tissues. The one-piece implant design resulted in a high cumulative implant survival rate and beneficial marginal bone levels.
An Assessment on the Clinical Performance of Non-carious Cervical Restorationsasclepiuspdfs
This study evaluated the clinical performance of non-carious cervical lesion restorations placed at a university dental clinic over a 7-year period. A total of 121 restorations in 34 patients were assessed based on materials used (glass ionomer cement, resin composite, resin-modified glass ionomer cement) and clinical handling technique (with vs without cavity preparation). Glass ionomer cement restorations showed significantly better retention and less secondary caries compared to the other materials, but there were no differences in marginal integrity, discoloration, or anatomic form based on material. The clinical performance did not differ based on whether cavity preparation was used.
Technique for Placement of Oxidized Titanium Implants by Oded BahatOded Bahat
This study evaluated 290 tapered, oxidized titanium implants placed in compromised bone in 126 patients over 3 years. The implants had a 99.3% survival rate after 3 years of loading. Marginal bone levels around the implants remained stable over the 3-year period. By using a customized osteotomy technique that minimized bone removal and tapered implants with an oxidized surface, the implants provided reliable support for fixed dental prostheses in grafted and ungrafted compromised bone.
Journal Club On Subepithelial Connective Tissue GraftAssociated with Apicoec...Shilpa Shiv
Journal Club On Subepithelial Connective Tissue GraftAssociated with Apicoectomy andRoot-End Fillings in the Treatment ofDeep Localized Gingival Recession withApex Root Exposure
Atrophied Edentulous Mandible with Implant-Supported Overdenture; A 10-year f...iosrjce
This document summarizes a case report of a patient with a severely resorbed edentulous mandible who was successfully rehabilitated with two dental implants placed in the interforaminal region with ball attachments supporting an overdenture. After 10 years of follow-up, the patient was highly satisfied with the retention, comfort and function provided by the implant-retained overdenture. The case report also reviews literature on the use of implant-supported overdentures for treating resorbed edentulous ridges, finding they provide better function and retention compared to conventional dentures and reduce further bone loss.
Journal club on Minimally Invasive Single Implant Treatment (M.I.S.I.T.) base...Shilpa Shiv
Journal club on Minimally Invasive Single Implant Treatment (M.I.S.I.T.) based on ridge preservation and contour augmentation in patients with a high aesthetic risk profile, JCP 2015
This document discusses the use of short implants for treating atrophic maxillae. It defines short implants as those less than 7mm in length and notes they offer advantages over traditional longer implants including requiring only a single surgery, shorter recovery time, and lower costs. The document presents two case studies where short implants were successfully used to treat bone resorption in the maxilla, with outcomes comparable to traditional longer implants. It concludes that short implants can yield results similar to conventional implants when the bone bed is properly prepared and splinted implants with canine guidance are used.
Prosthodontics ( inhibition of denture plaque)DHANANJAYSHETH1
This document summarizes a journal club presentation on a clinical study that evaluated the effects of coating complete dentures with a 2-methacryloyloxyethyl phosphorylcholine polymer to inhibit denture plaque deposition. The study found that the polymer coating reduced denture plaque accumulation by 80% over 2 weeks without impacting the denture properties. Coating dentures with this polymer is a promising method for preventing microbial contamination and denture plaque-associated infections in denture wearers.
The document describes a modified neutral zone technique for improving the stability of mandibular complete dentures. The technique involves making an acrylic resin base with posterior occlusal rims, applying a thermoplastic denture adhesive, and having patients wear it for 2 days to record the neutral zone. The base is then used to make an acrylic resin complete denture. Most patients reported improved denture stability and reduced pressure sores. However, the technique is complex and not recommended for routine use.
This case report describes the reduction of a unilateral depressed zygomatic arch fracture using a dental extraction forceps through an intraoral approach. A 39-year-old male presented with pain and limited mouth opening following a road traffic accident. CT imaging confirmed a type II fracture of the right zygomatic arch. Under local anesthesia, an incision was made in the buccal sulcus and the forceps was used to elevate the depressed fragment into the correct anatomical position. The patient's mouth opening immediately improved with no complications. Follow up x-rays showed satisfactory reduction. The report concludes that using dental forceps for zygomatic arch fractures through an intraoral approach is a simple, effective, and economical technique.
The effect of vibration on the rate of leveling and alignmentEdwardHAngle
This study evaluated the effects of vibration therapy using an AcceleDent device on the rate of orthodontic leveling and alignment in the mandibular arch. The study found that patients who used the AcceleDent device for 20 minutes per day experienced faster leveling and alignment times compared to control groups. For leveling, the AcceleDent group achieved the desired outcome in an average of 160 days, which was 48 and 55 days faster than the study and pre-study control groups respectively. For alignment, the AcceleDent group achieved the desired outcome in an average of 93 days, which was 27 and 38 days faster than the study and pre-study control groups, though the differences for alignment were not
Conservative Management of Mature Permanent Teeth with Carious Pulp ExposureDR.AJAY BABU GUTTI M.D.S
1) The study evaluated the correlation between clinical diagnoses of normal/reversible pulpitis (savable pulp) vs irreversible pulpitis (nonsavable pulp) and histologic diagnoses.
2) Results found the clinical diagnosis of normal/reversible pulpitis matched the histologic diagnosis in 84% of teeth, suggesting clinical diagnoses can reliably determine whether the pulp is savable or nonsavable.
3) However, clinical pulp testing alone is not definitive, and an urgent need remains for more accurate diagnostic tools to determine pulpal status.
Articulo de revision de otorrinolaringologiaAxel Prez G
This study evaluated the efficacy of using bioresorbable plating systems for treating mandibular fractures in pediatric patients. Sixty patients aged 8-15 years with mandibular fractures were treated using 2.5mm resorbable plates and screws. All fractures healed successfully with adequate stability as measured by increasing bite force over time. Minor complications occurred in 6 patients (10%) including soft tissue infections, nerve injuries, and plate exposure, all of which resolved without long term effects. The study concluded that bioresorbable plating provides effective treatment of mandibular fractures in pediatric patients.
Surgery of Labially Impacted Canine & Orthodontic Management – A Case ReportAbu-Hussein Muhamad
Maxillary canines are one of the most common teeth that are impacted among patients seeking orthodontic treatment. Depending on the position of these impacted teeth, various surgical techniques have been employed for their exposure. His primary goal of surgical phase is to provide the means for correct position of orthodontic anchorage. Additionally, the technique used must ensure favorable tissue anatomy that will permit long-term maintenance of periodontal health. In the present case, a labially impacted maxillary left canine was surgically exposed using an apically positioned flap. Orthodontic extrusion was carried out further.
The document summarizes a journal club presentation on a 3-year study evaluating the clinical performance of short expandable dental implants in highly atrophic alveolar bone. The study found a 94.7% implant success rate in the mandible and 83.6% in the maxilla over a mean follow-up of 42.6 months, with median 3-year crestal bone changes demonstrating maintenance of peri-implant alveolar bone. The conclusion was that the short expandable implant system provided reliable oral rehabilitation, especially for elderly patients with difficult implantation conditions.
“Horizontal Ridge Augmentation- Worth or Vain?”- Guest lecture as a part of “Perio Interactions- Edition IX” conducted by Saveetha Dental College and Hospitals, Chennai on 20/12/2017.
Article teixeira effects of micro-osteoperforationCentric Learning
1. The study examined the effect of micro-osteoperforations (MOPs) on the rate of tooth movement in 20 patients undergoing orthodontic treatment.
2. The experimental group received MOPs on one side of the maxilla prior to canine retraction, while the control group did not receive MOPs.
3. MOPs significantly increased the rate of tooth movement by 2.3-fold and increased inflammatory marker levels. Patients did not report significant pain from the procedure.
IMMEDIATE LOADING WITH MINI DENTAL IMPLANTS IN THE FULLY EDENTULOUS MANDIBLEAbu-Hussein Muhamad
Mini dental implants (MDI) have become increasingly popular in the past decade and have been approved for many long-term uses in dentistry. There are many advantages of the use of mini dental implants from both a practitioner and patient perspective. For the general dentist starting out in implant dentistry, their placement can be more challenging than conventional implants. It requires a different skill set, but one which can be learned with proper guidance and practice.In the study are presented clinical cases with mini implants with spherical joints for retention of removable overimplant mandibular dentures.
Key words: mini dental implants, immediate loading implants Prosthetics, overdenture
This case report describes the rehabilitation of an edentulous 63-year old female patient with an implant supported overdenture. The patient presented with a loose lower denture and difficulty with mastication and speech. Clinical examination and radiographs showed resorbed alveolar ridges. The treatment plan involved placing two implants in the mandible and four implants in the maxilla. After osseointegration, ball attachments were connected to the implants and incorporated into the overdenture. The patient was followed up for 6 months and showed improved function, retention, stability and satisfaction with the new overdenture. Implant supported overdentures can successfully rehabilitate edentulous ridges and provide superior outcomes compared to
This case report describes the rehabilitation of an edentulous 63-year old female patient with an implant supported overdenture. The patient presented with a loose lower denture and difficulty with mastication and speech. Clinical examination and radiographs revealed resorbed alveolar ridges. The treatment plan involved placing two implants in the mandible and four implants in the maxilla. Ball attachments were used to connect the overdentures to the implants. The surgical placement of the implants was described. After osseointegration, the ball attachments were connected to create an implant supported overdenture. The patient was satisfied with improved function and esthetics. The case report concluded implant supported overdentures are an effective treatment for
Immediate implant placement following tooth extraction a case reportAbu-Hussein Muhamad
Immediate dental implants are an attractive option to patients and dentists. This paper report the management of a
fractured right permanent maxillary central incisor with extraction of the root followed by immediate implant placement
with two years follow-up.
“One-Piece” Immediate-Load Post-Extraction Implant In Maxillary Central IncisorAbu-Hussein Muhamad
Abstract: This case report describes extraction of a fractured left maxillary central incisor tooth, followed by immediate placement of an one-piece implant in the prepared socket and temporization by a bonded restoration.
Materials And Methods: The tooth was extracted with minimal hard and soft tissue trauma and without flap reflection. The socket was prepared to the required depth and a Implant was inserted.
Results: The atraumatic operating technique and the immediate insertion of the one-piece Implant resulted in the preservation of the hard and soft tissues at the extraction site.
Conclusion: The “One-piece” dental implant and provisional restoration provided the patient with immediate esthetics, function, comfort and most importantly preservation of tissues. The one-piece implant design resulted in a high cumulative implant survival rate and beneficial marginal bone levels.
An Assessment on the Clinical Performance of Non-carious Cervical Restorationsasclepiuspdfs
This study evaluated the clinical performance of non-carious cervical lesion restorations placed at a university dental clinic over a 7-year period. A total of 121 restorations in 34 patients were assessed based on materials used (glass ionomer cement, resin composite, resin-modified glass ionomer cement) and clinical handling technique (with vs without cavity preparation). Glass ionomer cement restorations showed significantly better retention and less secondary caries compared to the other materials, but there were no differences in marginal integrity, discoloration, or anatomic form based on material. The clinical performance did not differ based on whether cavity preparation was used.
Technique for Placement of Oxidized Titanium Implants by Oded BahatOded Bahat
This study evaluated 290 tapered, oxidized titanium implants placed in compromised bone in 126 patients over 3 years. The implants had a 99.3% survival rate after 3 years of loading. Marginal bone levels around the implants remained stable over the 3-year period. By using a customized osteotomy technique that minimized bone removal and tapered implants with an oxidized surface, the implants provided reliable support for fixed dental prostheses in grafted and ungrafted compromised bone.
Journal Club On Subepithelial Connective Tissue GraftAssociated with Apicoec...Shilpa Shiv
Journal Club On Subepithelial Connective Tissue GraftAssociated with Apicoectomy andRoot-End Fillings in the Treatment ofDeep Localized Gingival Recession withApex Root Exposure
Atrophied Edentulous Mandible with Implant-Supported Overdenture; A 10-year f...iosrjce
This document summarizes a case report of a patient with a severely resorbed edentulous mandible who was successfully rehabilitated with two dental implants placed in the interforaminal region with ball attachments supporting an overdenture. After 10 years of follow-up, the patient was highly satisfied with the retention, comfort and function provided by the implant-retained overdenture. The case report also reviews literature on the use of implant-supported overdentures for treating resorbed edentulous ridges, finding they provide better function and retention compared to conventional dentures and reduce further bone loss.
Journal club on Minimally Invasive Single Implant Treatment (M.I.S.I.T.) base...Shilpa Shiv
Journal club on Minimally Invasive Single Implant Treatment (M.I.S.I.T.) based on ridge preservation and contour augmentation in patients with a high aesthetic risk profile, JCP 2015
This document discusses the use of short implants for treating atrophic maxillae. It defines short implants as those less than 7mm in length and notes they offer advantages over traditional longer implants including requiring only a single surgery, shorter recovery time, and lower costs. The document presents two case studies where short implants were successfully used to treat bone resorption in the maxilla, with outcomes comparable to traditional longer implants. It concludes that short implants can yield results similar to conventional implants when the bone bed is properly prepared and splinted implants with canine guidance are used.
Prosthodontics ( inhibition of denture plaque)DHANANJAYSHETH1
This document summarizes a journal club presentation on a clinical study that evaluated the effects of coating complete dentures with a 2-methacryloyloxyethyl phosphorylcholine polymer to inhibit denture plaque deposition. The study found that the polymer coating reduced denture plaque accumulation by 80% over 2 weeks without impacting the denture properties. Coating dentures with this polymer is a promising method for preventing microbial contamination and denture plaque-associated infections in denture wearers.
The document describes a modified neutral zone technique for improving the stability of mandibular complete dentures. The technique involves making an acrylic resin base with posterior occlusal rims, applying a thermoplastic denture adhesive, and having patients wear it for 2 days to record the neutral zone. The base is then used to make an acrylic resin complete denture. Most patients reported improved denture stability and reduced pressure sores. However, the technique is complex and not recommended for routine use.
This case report describes the reduction of a unilateral depressed zygomatic arch fracture using a dental extraction forceps through an intraoral approach. A 39-year-old male presented with pain and limited mouth opening following a road traffic accident. CT imaging confirmed a type II fracture of the right zygomatic arch. Under local anesthesia, an incision was made in the buccal sulcus and the forceps was used to elevate the depressed fragment into the correct anatomical position. The patient's mouth opening immediately improved with no complications. Follow up x-rays showed satisfactory reduction. The report concludes that using dental forceps for zygomatic arch fractures through an intraoral approach is a simple, effective, and economical technique.
The effect of vibration on the rate of leveling and alignmentEdwardHAngle
This study evaluated the effects of vibration therapy using an AcceleDent device on the rate of orthodontic leveling and alignment in the mandibular arch. The study found that patients who used the AcceleDent device for 20 minutes per day experienced faster leveling and alignment times compared to control groups. For leveling, the AcceleDent group achieved the desired outcome in an average of 160 days, which was 48 and 55 days faster than the study and pre-study control groups respectively. For alignment, the AcceleDent group achieved the desired outcome in an average of 93 days, which was 27 and 38 days faster than the study and pre-study control groups, though the differences for alignment were not
Conservative Management of Mature Permanent Teeth with Carious Pulp ExposureDR.AJAY BABU GUTTI M.D.S
1) The study evaluated the correlation between clinical diagnoses of normal/reversible pulpitis (savable pulp) vs irreversible pulpitis (nonsavable pulp) and histologic diagnoses.
2) Results found the clinical diagnosis of normal/reversible pulpitis matched the histologic diagnosis in 84% of teeth, suggesting clinical diagnoses can reliably determine whether the pulp is savable or nonsavable.
3) However, clinical pulp testing alone is not definitive, and an urgent need remains for more accurate diagnostic tools to determine pulpal status.
Articulo de revision de otorrinolaringologiaAxel Prez G
This study evaluated the efficacy of using bioresorbable plating systems for treating mandibular fractures in pediatric patients. Sixty patients aged 8-15 years with mandibular fractures were treated using 2.5mm resorbable plates and screws. All fractures healed successfully with adequate stability as measured by increasing bite force over time. Minor complications occurred in 6 patients (10%) including soft tissue infections, nerve injuries, and plate exposure, all of which resolved without long term effects. The study concluded that bioresorbable plating provides effective treatment of mandibular fractures in pediatric patients.
Surgery of Labially Impacted Canine & Orthodontic Management – A Case ReportAbu-Hussein Muhamad
Maxillary canines are one of the most common teeth that are impacted among patients seeking orthodontic treatment. Depending on the position of these impacted teeth, various surgical techniques have been employed for their exposure. His primary goal of surgical phase is to provide the means for correct position of orthodontic anchorage. Additionally, the technique used must ensure favorable tissue anatomy that will permit long-term maintenance of periodontal health. In the present case, a labially impacted maxillary left canine was surgically exposed using an apically positioned flap. Orthodontic extrusion was carried out further.
The document summarizes a journal club presentation on a 3-year study evaluating the clinical performance of short expandable dental implants in highly atrophic alveolar bone. The study found a 94.7% implant success rate in the mandible and 83.6% in the maxilla over a mean follow-up of 42.6 months, with median 3-year crestal bone changes demonstrating maintenance of peri-implant alveolar bone. The conclusion was that the short expandable implant system provided reliable oral rehabilitation, especially for elderly patients with difficult implantation conditions.
“Horizontal Ridge Augmentation- Worth or Vain?”- Guest lecture as a part of “Perio Interactions- Edition IX” conducted by Saveetha Dental College and Hospitals, Chennai on 20/12/2017.
Article teixeira effects of micro-osteoperforationCentric Learning
1. The study examined the effect of micro-osteoperforations (MOPs) on the rate of tooth movement in 20 patients undergoing orthodontic treatment.
2. The experimental group received MOPs on one side of the maxilla prior to canine retraction, while the control group did not receive MOPs.
3. MOPs significantly increased the rate of tooth movement by 2.3-fold and increased inflammatory marker levels. Patients did not report significant pain from the procedure.
IMMEDIATE LOADING WITH MINI DENTAL IMPLANTS IN THE FULLY EDENTULOUS MANDIBLEAbu-Hussein Muhamad
Mini dental implants (MDI) have become increasingly popular in the past decade and have been approved for many long-term uses in dentistry. There are many advantages of the use of mini dental implants from both a practitioner and patient perspective. For the general dentist starting out in implant dentistry, their placement can be more challenging than conventional implants. It requires a different skill set, but one which can be learned with proper guidance and practice.In the study are presented clinical cases with mini implants with spherical joints for retention of removable overimplant mandibular dentures.
Key words: mini dental implants, immediate loading implants Prosthetics, overdenture
This case report describes the rehabilitation of an edentulous 63-year old female patient with an implant supported overdenture. The patient presented with a loose lower denture and difficulty with mastication and speech. Clinical examination and radiographs showed resorbed alveolar ridges. The treatment plan involved placing two implants in the mandible and four implants in the maxilla. After osseointegration, ball attachments were connected to the implants and incorporated into the overdenture. The patient was followed up for 6 months and showed improved function, retention, stability and satisfaction with the new overdenture. Implant supported overdentures can successfully rehabilitate edentulous ridges and provide superior outcomes compared to
This case report describes the rehabilitation of an edentulous 63-year old female patient with an implant supported overdenture. The patient presented with a loose lower denture and difficulty with mastication and speech. Clinical examination and radiographs revealed resorbed alveolar ridges. The treatment plan involved placing two implants in the mandible and four implants in the maxilla. Ball attachments were used to connect the overdentures to the implants. The surgical placement of the implants was described. After osseointegration, the ball attachments were connected to create an implant supported overdenture. The patient was satisfied with improved function and esthetics. The case report concluded implant supported overdentures are an effective treatment for
Clinical assessment
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Radiographs every 2-3 years
This study placed 2,261 implants in 467 patients using angled abutments ranging from 0 to 45 degrees. Over an average observation period of 28.8 months, the estimated 5-year survival rate was greater than 98.6%. Statistical analysis showed no significant difference in survival rates between implants with abutments angled 0-15 degrees and 20-45 degrees. Good esthetic and functional outcomes were observed.
This case report describes the successful treatment of a 59-year-old edentulous female patient with a two-implant overdenture. Two implants were placed in the mandible using a surgical guide. After osseointegration was confirmed, ball abutments were attached to the implants and connected to an overdenture with O-rings. The patient was able to eat with the new prosthesis. Follow-ups showed good outcomes with minor gingivitis resolved with education. The report concludes two-implant overdentures provide an affordable option for edentulous patients.
This document describes a study on the socket shield technique for tooth replacement with dental implants. The socket shield technique involves retaining part of the facial root when extracting a tooth and immediately placing a dental implant. The study examined 15 patients treated with this technique between 2011-2018. Volumetric analysis using CT scans found that the socket shield technique helped maintain hard and soft tissue volumes compared to traditional immediate implant placement. The technique is described as an effective way to preserve alveolar bone and provide esthetic outcomes for dental implant treatment.
This case report describes the replacement of congenitally missing bilateral maxillary lateral incisors and a right mandibular premolar with dental implants in a 22-year old female patient. The treatment involved first extracting retained primary canines and using orthodontics to gain space between teeth for implant placement. Implants were then surgically placed and allowed to heal, followed by the placement of abutments and final prosthesis. The treatment achieved excellent esthetic and functional results through an interdisciplinary approach between orthodontics, periodontics, and prosthodontics.
This case report describes the immediate placement of a dental implant into a fresh extraction socket. A 53-year-old patient had a fractured maxillary lateral incisor extracted. The socket was prepared and a dental implant was immediately placed. Four months later, an impression was taken and a definitive crown placed. The patient exhibited no clinical or radiographic complications over two years of follow-up. Immediate implant placement and provisionalization preserved the hard and soft tissues and provided the patient with immediate aesthetics, function, and comfort.
Full mouth fixed implant rehabilitation in a patientUE
This case report describes the full mouth rehabilitation of a 37-year old female patient who had lost most of her teeth due to generalized aggressive periodontitis. After extracting all remaining teeth, the patient received 12 dental implants, with 6 placed in each jaw. Fixed detachable prostheses were fabricated connecting all 12 implants. The patient was satisfied with the final result and remained stable at the 10 month follow up, though continuous maintenance care is critical for long term success given the risk of peri-implantitis in patients with periodontal disease.
Multidisciplinary Approach in the Rehabilitation of Congenitally Maxillary C...Abu-Hussein Muhamad
Objective: This case report describes the multidisciplinary
approach to treat a congenitally missed maxillary canine, how to
improve patient’s smile using orthodontic fixed appliance, endosseous
dental implant, and porcelain veneer to achieve the treatment results of
function and esthetic.
Materials and procedures: Unilateral agenesis of the permanent
maxillary canines in healthy individuals is extremely rare. This
paper presents the case of a female patient diagnosed with congenital
unilateral agenesis of the permanent maxillary canines as well as
occlusal abnormalities in the form of left-side crossbite. To restore the
proper aesthetics and function, interdisciplinary therapeutic treatment
was implemented. In the case presented in this paper, the aim of
oral rehabilitation was to restore a functional balance by obtaining
proper skeletal relationships, creating optimal occlusal conditions and
obtaining arch continuity.
Conclusion: Interdisciplinary treatment combined of orthodontics,
implant surgery, and prosthodontics was useful to treat a nonsyndromic
oligodontia patient. Especially, with the new strategy, implantanchored
orthodontics, which can facilitate the treatmentand make it
more simply with greater predictability.
This study evaluated 14 cases of autogenous maxillary canine transplantation in young patients. Impacted or partially erupted maxillary canines were extracted and immediately transplanted to prepared recipient sites. Two years later, 12 cases showed normal mobility and lamina dura formation on radiographs, indicating successful transplantation. Two cases showed inflammatory resorption, increased mobility, and widening of the periodontal space, indicating unsuccessful transplantation. Autotransplantation of impacted or partially erupted maxillary canines can be a viable alternative to other treatments like orthodontics or dental implants when patient selection criteria are met and proper surgical technique is followed.
This study aims to prospectively evaluate and compare the socket shield technique versus the conventional technique for immediate dental implants. The socket shield technique involves retaining the buccal root portion after extraction to preserve the buccal bone and soft tissues, while the conventional technique is immediate implant placement after full root extraction. Thirty patients needing a single anterior tooth extraction will be randomly allocated to receive implants with either the socket shield technique or conventional technique. Outcomes of implant survival, marginal bone loss, and esthetics will be clinically and radiographically evaluated.
Intentional replantation of maxillary second molar; case report and 15-year f...Abu-Hussein Muhamad
Abstract: Intentional reimplantation is a procedure in which tooth extraction is performed followed by reinsertion of the extracted tooth into its own socket after performing the desired procedure. In this article, intentional reimplantation is described and discussed as a treatment approach for aperiapical lesion that is in maxillary second molar. After 15 years, the patient was asymptomatic, the tooth was still functional and a recall intraoral periapical radiograph showed an intact periodontal ligament space and lamina dura with no evidence of gross root resorption or ankylosis.
Keywords: Intentional replantation, calcified canals, mineral trioxide aggregate
immediate vs delayed implant placement in anterior single tooth extraction.rakhi chaudhry
This study compared immediate versus delayed dental implant placement in 124 patients requiring single tooth extractions. Immediate implants placed at the time of extraction required bone augmentation more often than implants placed 12 weeks later (72% vs 43.9%). Delayed implants were less likely to have wound failures and exhibited better soft tissue outcomes. Based on the need for more frequent bone grafting and poorer aesthetic results, the study concludes delayed implant placement may be preferable to immediate placement in the aesthetic zone.
Extraction and Immediate Implant Placement, and Provisionalization with two Y...Abu-Hussein Muhamad
Extraction and Immediate Implant Placement, and Provisionalization with two Years Follow-up: A Case Report. PDF
Abu-Hussein Muhamad, Bajali Musa, Abdulgani Azzaldeen
Tooth avulsion, or the complete displacement of a tooth from its socket, is a serious dental injury that can lead to complications if not treated properly. The patient, a 13-year-old girl, had her two front teeth avulsed after a bicycle accident. Her teeth were replanted but later became mobile and were extracted. Dental implants were placed but required soft tissue grafting due to insufficient bone and tissue. Pink porcelain crowns were ultimately used to improve esthetics. Dental hygienists play an important role in educating patients on proper oral hygiene to promote the long-term success of replanted or implanted teeth.
Congenitally Missing Lateral Incisor with Orthodontics, Bone Grafting and Sin...Abu-Hussein Muhamad
This case report describes the interdisciplinary treatment of a congenitally missing maxillary lateral incisor. The treatment involved orthodontics to create sufficient space, a chair-side bone graft using autograft bone harvested with trephine drills to augment the alveolar ridge width, and placement of a single dental implant. After orthodontic space opening, bone was harvested from the mandibular ramus using trephine drills and grafted to the alveolar ridge. Then a dental implant was placed. The patient underwent supportive periodontal therapy and prosthetic rehabilitation with an implant-supported crown, providing an esthetic replacement for the missing lateral incisor.
This study compared the Atraumatic Restorative Treatment (ART) technique and Hall Technique (HT) for restoring occlusoproximal lesions in primary molars in children. 30 children were randomly assigned to receive either ART or HT. The ART group showed no change in bite opening, while the HT group showed a statistically significant increase. The HT took a significantly longer time than ART. Both techniques were well accepted by children and parents based on reported satisfaction levels. The study concluded that HT was preferred for its minimal discomfort, though ART was a good aesthetic alternative with a shorter procedure time and no change in bite opening.
Immediate Implant Placement And Restoration With Natural Tooth In The Maxilla...Abu-Hussein Muhamad
Anterior tooth loss and restoration in the esthetic zone is a common challenge in dentistry today. The prominent visibility of the area can be especially distressing to the patient and requires a timely and esthetically pleasing solution. Immediate single-tooth implantation followed by immediate provisionalization is becoming an increasingly desirable treatment that offers numerous benefits over conventional delayed loading. Provisionalization for immediately-placed implants using the patient’s existing tooth can enhance the final aesthetic outcome if certain steps are
followed. If the natural tooth is intact and can be used as a provisional, the emergence profile can be very similar to the preoperative condition. This article outlines a technique to use the patient’s natural tooth after extraction to provisionalize an implant.
Healing of Periapical Bone Lesion After Periradicular Surgery And Graft Place...QUESTJOURNAL
Objectives: 1.To clinically evaluate the healing process following periapical surgery with Chitra granules 2.To radiographically evaluate healing, following periapical surgery with Chitra granules. 3.To compare the bone healing in the study group, clinically and radiographically following the modalities of treatment, with that of the control group (without graft). Materials: 1.Chitra hydroxyapatite granules. 2. Gutta-percha — for root canal obturation by lateral condensation. 3. High Copper amalgam used as retrofilling materials. To evaluate healing after periapical surgery using Chitra granules, 22 patients were selected from out patient section of Department of Conservative Dentistry and Endodontics, Govt. Dental College, Kozhikode,based on clinical and radiographical evaluation. The study group consisted of 13 males and 9 females. All were of the age group 15-35 years. After selection they were randomly divided into two groups A and B. In group A the Chitra granule were placed in the bony defect and in group B the defect were left as such after surgery. Results: Clinical parameters showed better early symptom free condition in group A compared to group B. But data found statistically insignificant (t-7.27,df-1.8, P >0.05). Radiographical evaluation data analysis showed statistically significant difference among group A and group B. Conclusion: Biocompatible Chitra granule not only obliterates the cavity but act as a scaffold for bone growth and prevent scar tissue formation.It is osteoconductive. In comparison to the conventional periapical surgery, the placement of Chitra granules facilitates bone regeneration more easily. The material is found to be very cost effective, easily available, easy to manipulate and involves least complication to both clinicians and patients.
Similar to Amato2019immediate loading of implant insertred through (20)
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.