Implant DentistryPub Date : 2019-08-01DOI: 10.1097/ID.0000000000000933
Amely Hartmann, H. Hildebrandt, J. Schmohl, P. Kämmerer
{"title":"Evaluation of Risk Parameters in Bone Regeneration Using a Customized Titanium Mesh: Results of a Clinical Study.","authors":"Amely Hartmann, H. Hildebrandt, J. Schmohl, P. Kämmerer","doi":"10.1097/ID.0000000000000933","DOIUrl":"https://doi.org/10.1097/ID.0000000000000933","url":null,"abstract":"PURPOSE\u0000The aim of the study was an evaluation of risk factors for an innovative bone regeneration technique using a customized titanium mesh that was tested in a clinical setting.\u0000\u0000\u0000MATERIALS AND METHODS\u0000This retrospective study included 65 patients with 70 grafting procedures of osseous defects of the jaws with a customized titanium mesh together with Advanced- and Injectable-Platelet-Rich Fibrin (A- and I-PRF), resorbable membranes, and bone grafting materials. Exposures of the meshes and grafting outcome were analyzed according to a novel classification as (a) punctual and (b) tooth width or complete exposure of the mesh (c). No exposure was stated as (d).\u0000\u0000\u0000RESULTS\u0000In 37% of cases, exposures of the meshes occurred that were significantly associated with loss of grafted material (P < 0.001). Tobacco abuse (P = 0.032) and grafting procedures together with simultaneous sinus floor elevation techniques (P = 0.001) were found to be risk factors for success of the grafted material. Implant placement was not possible in 2 cases only.\u0000\u0000\u0000CONCLUSION\u0000The results of this study verified the treatment of large defects with a customized titanium mesh as a useful protocol with a predictable outcome, even in cases of dehiscences.","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000933","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61733646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implant DentistryPub Date : 2019-08-01DOI: 10.1097/ID.0000000000000912
Eugênio Braz Rodrigues Arantes, Wladimir Cortezzi, André Barbedo de Aguiar, Flávio Merly, Valdir Meirelles Júnior, Rafael Netto
{"title":"Reconstruction and Mandibular Rehabilitation After Resection of Juvenile Aggressive Ossifying Fibroma Using Undifferentiated Mesenchymal Cells and Osseointegrated Implants: A Case Report.","authors":"Eugênio Braz Rodrigues Arantes, Wladimir Cortezzi, André Barbedo de Aguiar, Flávio Merly, Valdir Meirelles Júnior, Rafael Netto","doi":"10.1097/ID.0000000000000912","DOIUrl":"https://doi.org/10.1097/ID.0000000000000912","url":null,"abstract":"<p><strong>Purpose: </strong>The aggressive juvenile ossifying fibroma is a benign fibro-osseous neoplasm that affects the jaws of young patients. The treatment can range from careful curettage to complete bone resection. Early dental rehabilitation through osseointegrated implants is indicated for functional recovery and esthetics.</p><p><strong>Materials and methods: </strong>This article reports the case of a 20-year-old man submitted to osseous resection, installation of a titanium plate associated with bone graft and osteogenic substances with subsequent installation of osseointegrated dental implants.</p><p><strong>Results: </strong>After 28 months of clinical and radiographic follow-up, there were no signs of tumor recurrence. As the patient showed good graft integration, 3 dental implants could be installed and are now waiting to receive a prosthetic work.</p><p><strong>Conclusions: </strong>The use of a graft with morphogenetic proteins proved to be stable and efficient as it allowed the rehabilitation with dental implants.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 4","pages":"400-404"},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000912","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37254611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implant DentistryPub Date : 2019-08-01DOI: 10.1097/ID.0000000000000898
Theofilos Koutouzis, Salah Huwais, Fadi Hasan, William Trahan, Thomas Waldrop, Rodrigo Neiva
{"title":"Alveolar Ridge Expansion by Osseodensification-Mediated Plastic Deformation and Compaction Autografting: A Multicenter Retrospective Study.","authors":"Theofilos Koutouzis, Salah Huwais, Fadi Hasan, William Trahan, Thomas Waldrop, Rodrigo Neiva","doi":"10.1097/ID.0000000000000898","DOIUrl":"https://doi.org/10.1097/ID.0000000000000898","url":null,"abstract":"<p><strong>Introduction: </strong>Osseodensification preserves bone bulk, facilitates compaction autografting, and deforms trabecular bone in an outward strain, which result in alveolar ridge plastic expansion. The aim of this retrospective study was to evaluate ridge expansion after osseodensification.</p><p><strong>Materials and methods: </strong>Patients treated with implant placement through osseodensification were evaluated. The alveolar ridge width was measured at the level of the crest and 10 mm apical to the crest before and after osseodensification. Insertion torque and implant stability quotient (ISQ) values were recorded at implant placements. Expansion values were grouped into the following 3 groups according to the initial alveolar ridge width: group 1: 3 to 4 mm (n = 9), group 2: 5 to 6 mm (n = 12), and group 3: 7 to 8 mm (n = 7).</p><p><strong>Results: </strong>Twenty-one patients who received 28 implants were included. Twenty-six implants were integrated, resulting in a survival rate of 92.8%. There was a significant difference in the mean expansion value at the coronal aspect of the ridge between group 1, group 2, and group 3 (2.83 ± 0.66 mm, 1.5 ± 0.97 mm, 1.14 ± 0.89 mm, P < 0.05). The mean torque and ISQ values were 61.2 ± 13.9 Ncm and 77 ± 3.74.</p><p><strong>Conclusion: </strong>Osseodensification can alter ridge dimensions and allow for ridge expansion. Greater expansion can be expected at the crest in narrow ridges with adequate trabecular bone volume.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 4","pages":"349-355"},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000898","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37395291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implant DentistryPub Date : 2019-08-01DOI: 10.1097/ID.0000000000000892
Bağiş Nilsun, Boz Canan, Hıncal Evren, Orhan Kaan
{"title":"Cone-Beam Computed Tomography Evaluation of the Submandibular Fossa in a Group of Dental Implant Patients.","authors":"Bağiş Nilsun, Boz Canan, Hıncal Evren, Orhan Kaan","doi":"10.1097/ID.0000000000000892","DOIUrl":"https://doi.org/10.1097/ID.0000000000000892","url":null,"abstract":"OBJECTIVE\u0000In the mandibular posterior region, presurgical imaging can provide valuable information of anatomical variants. The aim of this study is to evaluate submandibular fossa anatomy in the posterior mandible using cone-beam computed tomography (CBCT) scans.\u0000\u0000\u0000STUDY DESIGN\u0000One hundred thirty-two preimplant CBCT examinations were used. Several morphometric measurements were performed in the submandibular fossa. Moreover, each patient was classified according to the Kennedy classification. Statistical analysis was used to test the relationship among measurements, sex, side, and each tooth.\u0000\u0000\u0000RESULTS\u0000A total of 2412 measurements were performed from all patients. The deepest concavity at the submandibular fossa in all Kennedy Class groups was in the 1st and 2nd molars. The concavity depth was statistically higher in class I group for 1st and 2nd molars than the other Kennedy Class groups. Class IV group showed less depth than the other groups. When compared with female patients, all measurements in male patients were statistically higher. The patients older than 35 years showed higher measurements than the patients younger than 35 years.\u0000\u0000\u0000CONCLUSIONS\u0000Mandibles with any lingual concavity pose a potential increased risk of lingual cortical perforation during surgery. This study revealed that the alveolar bone resorption occurs both vertically and horizontally, and the preservation of teeth can limit the bone resorption.","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"51 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000892","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41285616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implant DentistryPub Date : 2019-08-01DOI: 10.1097/ID.0000000000000913
Sorin Uram-Tuculescu
{"title":"\"Combination Syndrome\" in an Upper/Lower Implant Overdenture Patient: A Clinical Report.","authors":"Sorin Uram-Tuculescu","doi":"10.1097/ID.0000000000000913","DOIUrl":"https://doi.org/10.1097/ID.0000000000000913","url":null,"abstract":"<p><p>An upper/lower overdenture case, which presented with clinical entities commonly associated with the combination syndrome, is described. To the author's knowledge, this is the first documented case to illustrate such a particular association. The patient presented with an upper overdenture on 4 individual implants with attachments, without palatal coverage, opposing a lower bar overdenture on 4 implants, delivered more than 10 years before presentation. The patient complained about esthetics (poor display of upper teeth, excessive showing of lower teeth, and occlusal plane cant) and chewing. The anterior maxilla had severe bone loss, whereas the anterior mandible had a large amount of bone. Our retreatment included an upper overdenture with palatal coverage and a lower overdenture, both prostheses supported by individually attached implants. The article describes in detail the reasoning behind chosen retreatment, along with limitations and compromises.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 4","pages":"405-410"},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000913","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37283471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implant DentistryPub Date : 2019-06-01DOI: 10.1097/ID.0000000000000861
Mahdi Kadkhodazadeh, Yaser Safi, Amir Moeintaghavi, Reza Amid, Mohammad Taghi Baghani, Shireen Shidfar
{"title":"Marginal Bone Loss Around One-Piece Implants: A 10-Year Radiological and Clinical Follow-up Evaluation.","authors":"Mahdi Kadkhodazadeh, Yaser Safi, Amir Moeintaghavi, Reza Amid, Mohammad Taghi Baghani, Shireen Shidfar","doi":"10.1097/ID.0000000000000861","DOIUrl":"https://doi.org/10.1097/ID.0000000000000861","url":null,"abstract":"<p><strong>Purpose: </strong>This study was conducted to investigate one-piece narrow-diameter implants installed in maxillary lateral and mandibular incisor sites using immediate nonfunctional loading.</p><p><strong>Materials and methods: </strong>In this 10-year clinical trial study, 42 narrow-diameter (3.0-mm) one-piece implants for 35 patients were inserted. Clinical and radiographic measurements were recorded in 10 years and analyzed statistically using t test.</p><p><strong>Results: </strong>A total of 26 patients (20 females and 6 males) with 30 implants were available for the 10-year follow-up. The 10-year implant survival rate was 100%. A statistically significant mean marginal bone loss was observed between 12 months and 10 years (0.18 ± 0.29 mm). The mean pocket depth increase was statistically significant (0.68 ± 0.83 mm). No bleeding on probing was observed around 90% of the implants. Full-mouth plaque index was registered at 20% of the implants.</p><p><strong>Conclusion: </strong>The results obtained in this analysis suggest that modest marginal bone loss was observed around the implants. One-piece narrow-diameter implants (Maximus 3.0; BioHorizons) can predictably restore missing maxillary lateral incisors and mandibular incisors in cases of careful patient selection.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 3","pages":"237-243"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000861","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37274250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implant DentistryPub Date : 2019-06-01DOI: 10.1097/ID.0000000000000881
Hyun-A Heo, Suhyun Park, Yoon-Sik Jeon, Sung-Woon Pyo
{"title":"Effect of Raloxifene Administration on Bone Response Around Implant in the Maxilla of Osteoporotic Rats.","authors":"Hyun-A Heo, Suhyun Park, Yoon-Sik Jeon, Sung-Woon Pyo","doi":"10.1097/ID.0000000000000881","DOIUrl":"https://doi.org/10.1097/ID.0000000000000881","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the effect of raloxifene (RAL) on bone response around implants in the maxilla of osteoporotic rats.</p><p><strong>Materials and methods: </strong>Forty-five female rats at 8 weeks-old were divided into 3 groups: (1) control group, sham-operated rats, (2) ovariectomized group (OVX), and (3) ovariectomized and raloxifene-administered group (RAL). Eight weeks after the ovariectomy, upper right molar was extracted and an implant was placed at 4 weeks post-extraction. The RAL group was administered with 1 mg/kg/d of raloxifene via gavage while the OVX group and the control group received saline only. Three rats in each group were sacrificed at 1, 4, 7, 14, and 28 days and histologic sections were evaluated by hematoxylin and eosin staining and micro-computerized tomography was taken.</p><p><strong>Results: </strong>The RAL group showed faster bone formation around the implant than the OVX group. At 4 weeks after implantation, newly formed bone close to implant threads was mature with considerable quantity of bone marrow in the RAL group.</p><p><strong>Conclusion: </strong>Raloxifene showed increased bone formation around implant. This might have clinical implications in prosthetic restoration by dental implants for patients with poor bone quality.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 3","pages":"272-278"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000881","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37274254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Removal of a Fixation Screw That Was Forced Into the Postsuperior Maxillary Sinus Wall: Case Report.","authors":"Yoichiro Nakajima, Michi Omori, Kazuya Inoue, Hiroyuki Nakano, Nozomu Fukui, Nahoko Kato-Kogoe, Kayoko Yamamoto, Yoshifumi Suwa, Akihiro Sunano, Takaaki Ueno","doi":"10.1097/ID.0000000000000867","DOIUrl":"https://doi.org/10.1097/ID.0000000000000867","url":null,"abstract":"<p><p>We have encountered a rare case in which the subject underwent maxillary sinus floor elevation at another hospital, and a screw to fix the grafted bone substitute was forced into the maxillary sinus and intruded into the bone. Various different foreign bodies have been reported as being forced into the maxillary sinus due to dental treatment, and these foreign bodies are often retained on the maxillary sinus mucous membrane. However, no reports have described a screw forced in and intruded into the peculiar position in the bone, as seen in the present case, which we report here with additional discussion.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 3","pages":"313-316"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000867","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36994226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implant DentistryPub Date : 2019-06-01DOI: 10.1097/ID.0000000000000878
Alberto M Albiero, Luca Quartuccio, Andrea Benato, Renato Benato
{"title":"Accuracy of Computer-Guided Flapless Implant Surgery in Fully Edentulous Arches and in Edentulous Arches With Fresh Extraction Sockets.","authors":"Alberto M Albiero, Luca Quartuccio, Andrea Benato, Renato Benato","doi":"10.1097/ID.0000000000000878","DOIUrl":"https://doi.org/10.1097/ID.0000000000000878","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to evaluate the accuracy of computer-guided flapless implant (CGFI) surgery in edentulous jaws with fresh extraction sockets and compare it to CGFI in fully edentulous jaws.</p><p><strong>Materials and methods: </strong>Ten patients with a completely edentulous arch (group A) and ten patients presenting natural teeth with a hopeless prognosis in the upper or lower jaw (group B) were consecutively treated with CGFI. A multipiece radiographic guide was fabricated for group B patients. The accuracy was assessed by matching the planning cone-beam computed tomography (CBCT) with a postoperative CBCT. Global coronal, global apical, angular deviation, and depth deviation were registered.</p><p><strong>Results: </strong>The mean global coronal deviation for group A was 1.12 ± 0.5 mm, the mean global apical deviation was 1.36 ± 0.7 mm, the mean angular deviation was 3.16 ± 1.8 degrees, and the mean depth deviation was 0.51 ± 0.7 mm. The mean global coronal deviation for group B was 1.28 ± 0.6 mm, the mean global apical deviation was 1.65 ± 0.7 mm, the mean angular deviation was 3.42 ± 1.5 degrees, and the mean depth deviation was 0.53 ± 0.9 mm. Global apical deviation was significantly higher in the group B (P = 0.007).</p><p><strong>Conclusion: </strong>CGFI surgery in edentulous arches with fresh extraction sockets may be accurate. However, clinicians should be aware that higher apical deviation may occur in this setting.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 3","pages":"256-264"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000878","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37274252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}