International Journal of Oral Implantology and Clinical Research最新文献

{"title":"Challenges and Complications in Endosseous Dental Implant: An Analysis with Case Illustrations","authors":"N. Srinath, N. Akhila, C. Sunil","doi":"10.5005/JP-JOURNALS-10012-1118","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10012-1118","url":null,"abstract":"","PeriodicalId":303737,"journal":{"name":"International Journal of Oral Implantology and Clinical Research","volume":"83 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121008755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitation of a Patient with Screw-retained Milled Titanium Hybrid Prosthesis in the Mandibular Arch and Immediate Implant Placement in the Region of Maxillary Canine followed by Connective Tissue Graft and Immediate Provisionalization","authors":"Nikhil Jain, Gaurav R Poplai, P. Shinde, Affaf A Gharatkar","doi":"10.5005/jp-journals-10012-1121","DOIUrl":"https://doi.org/10.5005/jp-journals-10012-1121","url":null,"abstract":"The continuous resorption of the edentulous mandible is the most common cause for the patients not being satisfied with con­ ven tional dentures. With the advent of dental implants, various remov able and fixed options can be provided to the patient for bet­ ter function, retention, esthetics and phonetics. The mandi bular implant­supported hybrid prosthesis ia a viable pros thetic option as it fixed for the patient and removable for the clinician. The passive fit of a hybrid prosthesis is a pre­requisite for a successful prognosis, which can be achieved using the newer technology like computer­aided design and computer­aided manufacturing (CAD­CAM) milled titanium frameworks. The use of connective tissue graft to enhance soft tissue bulk around implants helps the clinician provide esthetically appealing outcomes. Immediate loading of the implants is the most preferred option for patients who are esthetically very conscious. Its provisionalization using screw­retained prosthesis ensures a stable peri­implant health as the extruded cement can be eliminated extraorally. This article presents the fabrication of mandibular implant­supported hybrid prosthesis with CAD­CAM milled titanium framework and connective tissue around imme diately placed implant with screw­ retained provisional prosthesis.","PeriodicalId":303737,"journal":{"name":"International Journal of Oral Implantology and Clinical Research","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127745775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vascularized Interpositional Periosteal Connective Tissue Flap Technique to correct Soft Tissue Defect around Maxillary Anterior Implant","authors":"C. Agarwal, A. Kumar, M. Triveni, D. Mehta, L. Mahesh","doi":"10.5005/JP-JOURNALS-10012-1110","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10012-1110","url":null,"abstract":"The esthetic outcome of implant-supported restorations has become increasingly important, especially for single-tooth implants in the esthetic zone. Because of the morphologic alterations that occur following tooth extraction, augmentation procedures are often necessary before, during, or after implan tation to achieve an esthetically pleasing result. There are many periodontal plastic surgery procedures available to esthetically reconstruct deficiencies in both hard and soft tissues; however each technique has its own limitation. A newer technique, vascularized interpositional periosteal connective tissue flap has been introduced as an alternative to these techniques which allows the clinician to perform large volume soft tissue augmentation in esthetic sites with a single procedure. In the present case report, long-term result of soft tissue augmentation with VIP-CT flap is presented were in peri-implant recession was noted as a complication.","PeriodicalId":303737,"journal":{"name":"International Journal of Oral Implantology and Clinical Research","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129062663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Demystifying the Retrievability of Cement-retained Implant-supported Restorations","authors":"Manesh Lahori, L. Mahesh, Rahul Nagrath, Prerna Kaushik","doi":"10.5005/JP-JOURNALS-10012-1111","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10012-1111","url":null,"abstract":"The field of impla nt prostheses has come of age in the postBranemark era. Various research studies are being carried out world over, in order to formulate superior materials, achieve better esthetic outcomes, quicker functional results, minimal treat ment complications and maximal comfort to the patient in concern. Prost hetic reconstruction involving implants may involve screw-retained or cement-retained crowns depending upon the clinician’s preference and the clinical situation. Pot ential unpredictable biological or mechanical compli cations that might occur in an implant supported prostheses make retrievability an important point of consideration and so is the treatment planning. Thus, this case report finds newer means to predict the screw access hole in cases where cement retained prosthesis is indicated.","PeriodicalId":303737,"journal":{"name":"International Journal of Oral Implantology and Clinical Research","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122097645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Titanium Hypersensitivity: A Clinical Study","authors":"S. Satpathy, C. S. Babu, S. Shetty, Mohammed Fayaz Pasha, G. Gowda, L. Gowda","doi":"10.5005/JP-JOURNALS-10012-1108","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10012-1108","url":null,"abstract":"Titanium implants are extensively used to replace the missing natural teeth in prosthodontics. However, allergic reactions to titanium in dentistry has not received its due attention. Literature reports sensitivity to titanium ranging from 0.6 to 5% of the general population. The allergic reactions in patients who are sensitive to titanium ranges from type I to IV with symptoms ran­ ging from vague pain, skin rashes to implant failure. The aim of this study was to evaluate the presence of titanium allergy by anamnesis and examination of subjects using titanium dioxide 0.5% in patch test methodology. A sample size of four hundred healthy subjects with no previous history of immunosuppression were included. Titanium dioxide 0.5% concentration in petrolatum was used to conduct the patch test. A history of allergy to any other allergen was recorded as a part of the study. Under the limitations of this study, it was concluded that, titanium can induce hypersensitivity response in susceptible patients. From this study it was observed that the hypersensitivity reactions to titanium was 0.3% in all the subjects tested. It was also observed that the individuals with a prior history of allergy to other known allergens were more susceptible to allergic reactions to titanium. Limitations of the study was the absence of a wider age group of population for this study. Future research is recommended by considering a wider age group of population and a long­term follow­up of patients.","PeriodicalId":303737,"journal":{"name":"International Journal of Oral Implantology and Clinical Research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131217842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tilted Implant Concept for Full Mouth Immediate Loading Restoration","authors":"Ajay-Vikram Singh, Sunita Singh, L. Mahesh","doi":"10.5005/JP-JOURNALS-10012-1109","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10012-1109","url":null,"abstract":"Conventional techniques of full arch/full mouth implantation works on placement of implants and leaving them undisturbed for subgingival healing until they get osseo integrate into the jaw bone. These implants are uncovered after the subgingival healing of 3 to 6 months depending on various factors, such as bone density, implant dimensions, occlusal load, etc. and res tored in function once the soft tissue has healed in next 3 to 4 weeks. The vertical ridge loss along with maxillary sinus pneumatization restrict the clinician to place adequately long implants into posterior maxilla without performing sinus augmentation procedures. Further, many patients who have the chronic sinus pathologies do not qualify to receive the sinus graft and refused by the dentists for the fixed implant prosthesis. Uncontrolled diabetics are also not good candidates for the sinus grafting. In the implant dentistry, such patients have simply been treated with the implant over dentures by avoiding posterior maxilla. In the similar fashion, the vertically resorbed posterior mandible has also been a big challenge for the implant dentists in the cases where the dentist find insufficient bone dimensions to place even shortest available implants above the mandibular canal. In implant dentistry, various procedures, such as onlay block grafting, nerve repositioning, etc. have been advocated to manage the resorbed posterior mandible. Such procedures are more invasive, require multiple surgical steps, elongate the treatment time and also cause the tissue morbidity to some extent. Moreover, the full mouth work is not very simple in most cases because most of edentulous patients do not step in with adequate bone dimensions in all four parts of the jaws to place implants with adequate dimensions. Conventional way of treating edentulous patients with full mouth implant supported fixed prosthesis may require placement of multiple number of implants, bone augmentation procedures, longer treatment span and multiple number of surgical steps. Thus, such techniques are not always comfortable and also affordable to the patients. In comparison to the posterior segments, anterior parts of the jaws offer the bone with larger volume and higher density which enables the dentist to place longer implants with higher initial stability by stabilising implant apices into the opposing cortices/ basal bone (nasal floor, mandibular symphysis). In this tilted implant concept, the back implants are slanted distally to place the implant head at the second premolar or CLINICAL TECHNIQUE 1Founder and Mentor, Private Practitioner, 2Director Private Practitioner 1,2International Academy of Implant Dentistry, Private Practi ce Dr Ajay Dental Clinic and Research Centre, Agra, Uttar Pradesh India Corresponding Author: Ajay Vikram Singh, Founder and Mentor International Academy of Implant Dentistry; Private Practice, Dr Ajay Dental Clinic and Research Centre, Church Road, Agra-282002 Uttar Pradesh, India, e-mail:","PeriodicalId":303737,"journal":{"name":"International Journal of Oral Implantology and Clinical Research","volume":"250 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132374753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peri-implant Stress Analysis of Immediate Loading and Progressive Loading Implants in Different Bone Densities (D2 and D3): A Finite Element Study","authors":"Pranay Mahaseth, S. Shetty, C. S. Babu, Varun Pitti, Dhruv Anand, S. Lakhanpal, Fayaz Pasha, Rohit Pandurangappa, L. Mahesh","doi":"10.5005/JP-JOURNALS-10012-1107","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10012-1107","url":null,"abstract":"Aim: To analyze the peri-implant stress distribution in immediate loading and progressive loading implants in different bone densities (D2 and D3). Materials and methods: A 3D finite element model of a mandi­ bular section of the bone with a missing second premolar and a crown structure was used. Eighteen models were generated, eight were used for immediate loading and the remaining ten were of progressive loading. Of the eight models of immediate loading, four models each were used for D2 and D3 bone density types. Of the ten models used for progressive bone loading, five models each were used for D2 and D3 bone density types. A solid 4.2 × 10 mm screw type implant system (Replace Select RP, Nobel Biocare) was selected. The simulated crown consisted of metal coping of Nickel-Chromium alloy, porcelain and acrylic in few models. Axial and oblique loads were applied to the implant through the crown based on the loading protocols for immediate and progressive loading. Results: Maximum stress was found in the cortical bone at the neck of the implant for both type of loading protocols except when there was no bone implant contact seen at initial stages of healing in immediate loading implants. Oblique occlusal forces show a significantly higher stress level as compared to axial loading forces.","PeriodicalId":303737,"journal":{"name":"International Journal of Oral Implantology and Clinical Research","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127430964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guided Bone Ridge Augmentation: A Clinicohistologic and Radiographic 2 Years Follow-up","authors":"L. Mahesh, S. Dhir","doi":"10.5005/JP-JOURNALS-10012-1105","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10012-1105","url":null,"abstract":"Background: Augmentation of the bone is done to create the sufficient bone volume for ideal implant placement. This case report presents the effective augmentation of the socket using corticocancellous graft and AlloDerm. Methods: Failing 47 was extracted. Socket had a severe buccal dehiscence extending and a thin keratinized mucosa around. After through debridement, socket walls were decorticated and corticocancellous graft and allograft GBR was tacked over the socket. Mucoperiosteal flap was sutured with 5-0 nylon sutures (Ethicon) Bone core biopsy was done for histologic assessment and site was restored with screw-retained implant prosthesis. Results: Histologic assessment revealed ingrowth of new bone around the bone graft. Stable soft and hard tissue results have been seen with 2 years follow-up of the case. Conclusion: Results indicated that ridge preservation using corticocancellous graft and AlloDerm prevented the ridge resorption and helped in enhancement of bone fill and soft tissue volume.","PeriodicalId":303737,"journal":{"name":"International Journal of Oral Implantology and Clinical Research","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129036411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lateral Sinus Augmentation: A Safer Technique","authors":"G. Kurtzman, D. Dompkowski, L. Mahesh","doi":"10.5005/JP-JOURNALS-10012-1106","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10012-1106","url":null,"abstract":"The posterior maxilla presents with a common problem clinically following tooth extraction or crestal bone loss resulting in loss of osseous height sufficient to place implants. Resorptive patterns in some patients along with sinus enlargement result in minimal bone that can accommodate implant placement. Maxillary sinus augmentation over the past 18 years with various bone graft materials has become routine treatment. Numerous studies have reported highly successful implant survival rates when placed into the augmented sinus. The most common complication of the lateral sinus elevation approach is typically tearing of the Schneiderian membrane which could allow for bacterial contamination or loose particles to gain access to the sinus cavity. A safer lateral window approach sinus augmentation procedure will be discussed using specialized safe cutting end drills with vertical stoppers for osseous window formation and subsequent membrane elevation.","PeriodicalId":303737,"journal":{"name":"International Journal of Oral Implantology and Clinical Research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120954314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Edlan-Mejchar Vestibular Deeping in a Failing Implant Case","authors":"S. M. Madani, Biju Thomas, L. Mahesh","doi":"10.5005/JP-JOURNALS-10012-1103","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10012-1103","url":null,"abstract":"Necessity of the width of keratinized mucosa around implants has been a topic of much controversy. There have been reports both supporting and against the idea. This is a case report describing an EdlanMejchar vestibular deepening procedure done with respect to a mandibular anterior failing implant. The procedure helped in increasing the keratinized mucosa around the implant thus rendering a harmonious soft tissue for healing of the peri-implant mucosa. Based on the findings of the present case it can be concluded that keratinized mucosa around the implant is detrimental in the success of the implant.","PeriodicalId":303737,"journal":{"name":"International Journal of Oral Implantology and Clinical Research","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131588832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}