{"title":"Intraoral Approach for Dental Implant Placement in Pneumatized Maxillary Sinuses With Postoperative Maxillary Cysts: A Report of Two Cases.","authors":"Won-Bae Park, Hyun-Chang Lim","doi":"10.1563/aaid-joi-D-24-00065","DOIUrl":"10.1563/aaid-joi-D-24-00065","url":null,"abstract":"<p><p>A postoperative maxillary cyst (POMC) is a delayed complication of the original Caldwell-Luc operation, which was once widely performed to treat chronic rhinosinusitis. Two patients who had previously undergone Caldwell-Luc operations desired dental implant treatment. In both cases, preoperative cone-beam computerized tomography (CBCT) revealed a POMC occupying the entire maxillary sinus on the side where the implants were to be placed. The residual bone height was 3-4 mm. Furthermore, the sinuses were divided into compartments by septum-like structures. An intraoral approach was applied for POMC enucleation and implant placement. The implants were placed with sinus floor penetration due to the small residual bone height. No bone substitute material was grafted in the sinus. Postoperative healing was uneventful. All implants were successfully osseointegrated and performed well (4 and 5 years for each patient). No sinonasal complications were reported. Follow-up CBCTs showed that the exposed implant parts were covered by newly formed bone. The intraoral approach is a feasible option for implant placement in a pneumatized maxillary sinus with POMC.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"610-616"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485278","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":"Utilizing a Fully Digital Approach for Oral Squamous Cell Carcinoma Treatment and Zygomatic Implant-Based Rehabilitation for Maxillary Defects.","authors":"Shuai Xu, Jun Lv, Yan Zhou, Kun Wang","doi":"10.1563/aaid-joi-D-24-00115","DOIUrl":"10.1563/aaid-joi-D-24-00115","url":null,"abstract":"<p><p>This clinical report details the functional and esthetic rehabilitation of a patient with a severe maxillary defect secondary to subtotal maxillectomy for oral squamous cell carcinoma using a maxillary prosthesis anchored by 4 zygomatic implants. The procedure involved meticulous subtotal maxillectomy and defect repair with zygomatic implant support, incorporating advanced digital surgical methods, including 3D reconstruction, computer-guided surgery, and photogrammetry (Icam4D). A 3D finite element analysis was conducted to assess the method's efficacy in analyzing stress distribution around the zygomatic implants. The patient expressed high satisfaction with the prosthesis's functionality, esthetics, speech, and swallowing capabilities, underscoring the value of zygomatic implant-supported maxillofacial prosthetics. This synergy of advanced planning, surgical precision, and biomechanical analysis marks a significant advancement in maxillofacial prosthetics.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"595-604"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485280","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":"Association Between Proton Pump Inhibitor Use and the Severity of Periodontal Disease and Peri-Implantitis: A Systematic Review.","authors":"Amirhossein Vedaei, Yasaman Salimi, Zahra Iranshahi, Negar Sadighnia, Hamed Taheri, Mahsa Eyvani, Mobina Bagherianlemraski, Zahra Taheri, Mohammad Mahdi Khanmohammadi, Simin Bina, Arghavan Kavousi, Sara Bagheri-Hosseini, Seyed Ali Mosaddad, Nozhan Azimi, Rubina Valipour, Seyed Mahmoud Atarodi, Niloofar Deravi","doi":"10.1563/aaid-joi-D-23-00091","DOIUrl":"10.1563/aaid-joi-D-23-00091","url":null,"abstract":"<p><p>This systematic review investigates the probable effect of proton pump inhibitor (PPI) use on the severity of periodontal disease and peri-implantitis and implant survival. We conducted a literature search in PubMed, Scopus, and Cochrane Central Library up to April 2024. Two review authors independently screened the title and abstracts and then the full texts of retrieved studies. Observational and clinical trial studies that assessed the association between PPI use and periodontal disease severity and peri-implantitis or implant survival were included. Data extraction from the included studies was done by 2 reviewers independently. Of 940 studies initially retrieved from online searching, 7 met the inclusion criteria. Three studies examined periodontitis, whereas 4 focused on peri-implantitis and implant longevity. On the contrary, evidence regarding the impact of PPI use on peri-implantitis and implant survival is conflicting. Therefore, more well-designed randomized controlled trials are warranted to come to a definite conclusion. Because PPIs alter the gut microbiome and affect bone, plus that the pathogenesis and etiology of periodontal disease are affected by bacteria within the periodontal pocket, it is hypothesized that they may affect periodontal pathogenesis.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"659-664"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141895165","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}
Qiao Fang, Jaime Lozada, Joseph Kan, Aladdin Al-Ardah, Yiming Li
{"title":"Effect of Clinical Experience on Accuracy of Implant Placement Using Dynamic Navigation and Static Guidance: An In Vitro Study.","authors":"Qiao Fang, Jaime Lozada, Joseph Kan, Aladdin Al-Ardah, Yiming Li","doi":"10.1563/aaid-joi-D-23-00181","DOIUrl":"10.1563/aaid-joi-D-23-00181","url":null,"abstract":"<p><p>This study aimed to investigate the accuracy of implants placed by clinicians with varying dental implant experience using dynamic navigation (DN) and static guidance (SG). Sixty identical custom-made, drillable maxillary models were fabricated, missing the right central incisor (#8) and left first molar (#14) with simulated gingival tissue. Models planned with a DN system and guided surgery software were randomly allocated to an experienced clinician, an inexperienced clinician, and a nonexperienced clinician. The accuracy of implant placement was evaluated by overlaying the preoperative virtual surgical plan with the postoperative cone beam computerized tomography scan. Deviations between the placed and planned implants were quantified using a mathematical algorithm. Independent-sample t tests revealed significant differences (p < .001) in angular deviation but not in coronal and apical deviations when comparing DN with SG for all 3 clinicians. One-way analysis of variance and Tukey post hoc test found no significant differences between clinicians of varying dental implant experience in DN and SG groups. The study concluded that the level of dental implant experience and surgical site do not significantly impact the accuracy of implant placement when either DN or SG is used, and DN produced less angular deviation in comparison with SG. This finding suggests DN could benefit clinical settings, particularly for less experienced clinicians.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"626-635"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142135014","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":"The Story of Occlusion.","authors":"Gene McCoy","doi":"10.1563/orim-50-6-editorial","DOIUrl":"https://doi.org/10.1563/orim-50-6-editorial","url":null,"abstract":"","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":"50 6","pages":"561-562"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142804129","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":"Secured Anatomy-Driven Flap Extension (SAFE) for Guided Bone Regeneration: A Modified Flap Release Technique Description and Retrospective Study.","authors":"Jad Majzoub, Marius Steigmann, Hsun-Liang Chan","doi":"10.1563/aaid-joi-D-24-00014","DOIUrl":"10.1563/aaid-joi-D-24-00014","url":null,"abstract":"<p><p>Current flap-releasing designs for guided bone regeneration (GBR) emphasize preserving subperiosteal microvasculature by adapting a deep-slit approach, separating the periosteum from the flap. Although biologically sound, a biomechanical disadvantage may be encountered. This study aimed to describe a modified design, the Secured Anatomy-driven Flap Extension (SAFE) technique, for effective facial flap release and to preliminarily evaluate the clinical outcomes of this technique retrospectively. Chart reviews were conducted to identify patients treated by facial flap release in staged GBR procedures between May 2020 and March 2022. The anatomical, biological, and biomechanical rationale of this technique were described. The following clinical data were collected: intraoperative and postoperative complications, initial and final horizontal ridge width before and 5-6 months after the GBR, and implant performance. A total of 10 patients were identified. At baseline, these patients presented with a mean ridge width of 2.05 ± 0.52 mm. No intraoperative and postoperative complications were observed in these patients (bleeding, wound opening, neurosensory disturbance, etc.) at the 2-3-week follow-up visit. At the re-entry, a mean ridge width of 6.50 ± 0.55 mm was measured (P < .01), resulting in a mean of 4.45 ± 0.65 mm ridge width gain. Twenty-one implants were successfully placed, integrated, and in function without signs/symptoms of peri-implantitis after a mean 21.5 ± 9.2 months follow-up period. Preliminary results suggest that the SAFE technique is a safe and predictable approach for releasing facial flaps during GBR procedures.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"569-577"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142135015","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":"A Biomechanical Comparative Analysis of Abutment Screw Head Designs on Preload Stability Under Oblique Compressive Forces: An In Vitro Pilot Study.","authors":"Jan C Kwan","doi":"10.1563/aaid-joi-D-24-00128","DOIUrl":"10.1563/aaid-joi-D-24-00128","url":null,"abstract":"<p><p>The purpose of this study was to examine the impact of abutment screw head sizes on preload stability when secured to a standard external hex implant under oblique compressive forces. Fifteen metal crowns were divided into 3 equal groups. The first group had 5 angulated cemented crowns connected to a 3-mm-tall straight hexagonal abutment with an external hex abutment screw. The second and third groups each had 5 straight cemented crowns attached to a tapered abutment with flat-slotted and internal hex abutment screws, respectively. Samples were subjected to a static cyclic load until failure. Kruskal-Wallis H, Dunn, and one-way analysis of variance with Tukey honestly significant difference tests were performed. Cemented straight crowns supported by an angled abutment connected to implants with flat-slotted and internal hex abutment screw heads failed at an average of 4.24 × 106 cycles ± 3.31 SD and 12.67 × 106 cycles ± 5.47 SD, respectively. Cemented angled crowns supported by a straight abutment connected to identical implants with an external hex abutment screw survived 18.02 × 106 cycles ± 4.49 SD. The periotest value rate of change increased at a higher rate in crowns supported by angled abutments compared with straight abutments (p < .05). No cement failure was observed. Under the experimental conditions, larger abutment screw head sizes demonstrated greater stability of the abutment-abutment screw joint interface. Based on the in vitro findings, no cement failure was observed between the cemented crown and abutment connection. Future research with standardized comparative setups and larger sample sizes is needed.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"617-625"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485277","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}
Masachika Takiguchi, Koji Fujita, Kazumasa Yoshida
{"title":"Clinical Report of the Immediate Placement Implants in Patients Aged 80 and Over: Five Cases and a Short Review.","authors":"Masachika Takiguchi, Koji Fujita, Kazumasa Yoshida","doi":"10.1563/aaid-joi-D-24-00057","DOIUrl":"10.1563/aaid-joi-D-24-00057","url":null,"abstract":"<p><p>With the population aging, the proportion of elderly individuals is expected to increase, and the proportion of individuals over 80 is also likely to increase. Given that the population is aging and life expectancy is increasing, elderly patients who have lost their teeth will also increase. Impaired masticatory function caused by tooth loss is a risk factor for cognitive decline and frailty, and neglecting to treat tooth loss is a critical issue. In this report, 5 patients over 80 requested dental implants for new missing teeth and underwent immediate implant placement. All patients were treated by the same surgeon using the same technique, materials, and dental implants. Five elements were measured for the peri-implant bone from the cone-beam computed tomography images. All patients were followed for 3 or more years and exhibited good progress without any abnormal findings in their oral cavities or notable radiographic abnormalities such as bone absorption or peri-implantitis. Compared with conventional treatment with delayed placement, combining immediate implant placement and regenerative medicine for fixed superstructures may be the better option for missing tooth replacement if the conditions are suitable. Thus, this treatment modality may improve the quality of life in elderly patients, especially super elderly patients.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"578-583"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142135013","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}
Omran Bishbish Zeino, Yoon Jeong Kim, Joseph Kan, Jaime Lozada
{"title":"The Use of Dynamic Navigation for the Placement of Zygoma Implants: A Cadaver Study to Compare Accuracy.","authors":"Omran Bishbish Zeino, Yoon Jeong Kim, Joseph Kan, Jaime Lozada","doi":"10.1563/aaid-joi-D-24-00026","DOIUrl":"10.1563/aaid-joi-D-24-00026","url":null,"abstract":"<p><p>This study aimed to compare the angular, platform, and apical deviation of zygoma implants placed with the aid of a dynamic navigation (DN) device compared with the implants placed freehand. Eight cadaver heads were used for the study. Preoperative cone beam computerized tomography (CBCT) scans were made for the heads, and an implant-planning software was used to plan zygoma implants bilaterally in each scanned head. A total of 16 zygoma implants were placed using each surgical technique. Postimplant CBCT scans were merged with the preoperative plan to evaluate and compare the accuracy of the implants using each technique. Angular and linear deviations of the implants were measured and compared. The effect of implant length and position on the deviation was also investigated. The results showed a mean angular deviation of 2.44° ± 1.10° for implants placed using DN compared with 6.63° ± 4.81° for implants placed freehand. The mean apical deviation for implants placed using DN and for implants placed freehand was 2.14 ± 1.02 mm and 3.80 ± 2.49 mm, respectively. Finally, the mean platform deviation for implants placed using DN and for implants placed freehand was 1.66 ± 0.9 mm and 2.81 ± 2.1 mm, respectively. The analysis showed a significant difference between the two techniques in angular and apical deviation (p = .001 and .029, respectively). Zygoma implants placed with a DN device resulted in less apical and angular deviation than implants placed freehand.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":"50 6","pages":"644-652"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142804198","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}
Omran Bishbish, Yoon Jeong Kim, Joseph Kan, Jaime Lozada
{"title":"The Use of Dynamic Navigation for the Placement of Zygoma Implants. A Cadaver Study to Compare Accuracy.","authors":"Omran Bishbish, Yoon Jeong Kim, Joseph Kan, Jaime Lozada","doi":"10.1563/10.1563_aaid-joi-D-24-00026","DOIUrl":"https://doi.org/10.1563/10.1563_aaid-joi-D-24-00026","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the angular, platform, and apical deviation of zygoma implants placed with the aid of a dynamic navigation device compared to the implants placed freehand.</p><p><strong>Methods: </strong>Eight cadaver heads were used for the study. Pre-operative CBCT scans were made for the heads, and an implant planning software was used to plan zygoma implants bilaterally in each scanned head. A total of 16 zygoma implants were placed using each surgical technique. Post-implant CBCT scans were merged with the pre-operative plan to evaluate and compare the accuracy of the implants using each technique. Angular and linear deviations of the implants were measured and compared. The effect of implant length and position on the deviation was also investigated.</p><p><strong>Results: </strong>The results showed a mean angular deviation of 2.44 ± 1.10 degrees for implants placed using DN compared to 6.63 ± 4.81degrees for implants placed freehand. The mean apical deviation for implants placed using DN and for implants placed freehand was 2.14 ± 1.02 mm and 3.80 ± 2.49 mm, respectively. Finally, the mean platform deviation for implants placed using DN and for implants placed freehand was 1.66 ± 0.9 mm and 2.81 ± 2.1 mm, respectively. The analysis showed a significant difference between the two angular and apical deviation techniques. ( p=0.001 and 0.029 respectively).</p><p><strong>Conclusion: </strong>Zygoma implants placed with a dynamic navigation device resulted in less apical and angular deviation than implants placed freehand..</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485279","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}