Cases reported "Jaw, Edentulous"

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1/41. Case report: complications of rehabilitation using osseointegrated implants--tardive dyskinesia.

    The oral rehabilitation of patients using osseointegrated dental implants is a well established treatment modality. However complications can arise during the provision of treatment. This case report describes the management of a patient exhibiting tardive dyskinesia with an implant stabilised mandibular overdenture. Complications of the treatment and their resolution are discussed.
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ranking = 1
keywords = dental
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2/41. The profile prosthesis: an aesthetic fixed implant-supported restoration for the resorbed maxilla.

    This article discusses a method for the predictable fabrication of fixed detachable maxillary reconstructions that abut and precisely follow the gingival contours--regardless of implant angulation or position. The technique reorders the traditional implant protocol and delays abutment selection until the definitive tooth position has been established. In this manner, final abutment selection and framework design become a single, integrated process that results in improved aesthetics, reduced angulation difficulties, and elimination of the phonetic concerns traditionally associated with fixed maxillary prostheses.
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ranking = 0.04966661549897
keywords = gingival
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3/41. Three-dimensional CT scan analysis for implant-supported fixed prostheses.

    Rapid technological advances in dental implantology, computer imaging, and dental radiography in combination with traditional prosthetic concepts offer today's clinicians unprecedented possibilities in diagnosis and treatment planning. This article presents information on the use of three-dimensional computed tomography scan analysis to determine the quality (density), quantity, and location of bone to establish the most effective implant placement. In addition, this article analyzes the correlation of prosthodontic, periodontic, and technological concepts necessary for completion of a maxillary and mandibular fixed, full-mouth rehabilitation.
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ranking = 2
keywords = dental
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4/41. Development of gingival esthetics in the edentulous patient with immediately loaded, single-stage, implant-supported fixed prostheses: a clinical report.

    Many clinicians have reported on the success of immediately loaded implants supporting a bilaterally stabilized provisional fixed prosthesis. This protocol offers several advantages, including increased masticatory function, minimized uncontrolled transmucosal loading through cross-arch stabilization, improvement of psychologic well-being, and reduction in treatment time. However, the development and maintenance of proper dentogingival esthetics in the edentulous maxilla presents substantial challenges for the implant team. This article presents the specific pretreatment diagnostic requirements for immediate loading of single-stage implants and demonstrates a new surgical technique, followed by appropriate prosthodontic management, to develop an optimal gingival profile with interdental papillae surrounding a natural-looking dentition. One hundred fifty-one ITI implants were placed into 22 dental arches and immediately loaded with a 1-piece fixed prosthesis. The results of this technique over the last 5 years are presented.
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ranking = 2.2979996929938
keywords = dental, gingival
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5/41. Immediate loading of titanium hexed screw-type implants in the edentulous patient: case report.

    Histologic and histomorphometric studies in both animals and humans have shown that more rapid and greater bone-to-implant contact can be achieved with implants that incorporate certain surface characteristics compared with the original machined-surface implants. Such findings are significant because various implant designs may allow the fixtures to sufficiently resist functional loading sooner than originally thought. The case report presented here indicates that immediate loading of hexed titanium screw-type implants in the anterior mandible can lead to successful osseointegration and clinical outcome. The number of implants placed, their distribution, and the type of rigid connection are critical considerations for immediate loading. A bone height that can accommodate dental implants > or = 10 mm long is recommended. Biomechanically, the implants to be immediately loaded must be stable and resistant to macromovement to ensure good osseointegration.
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ranking = 1
keywords = dental
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6/41. Cutaneous sinus tract from remaining tooth fragment of edentulous maxilla.

    Cutaneous sinus tract of dental origin usually arises from chronic dental infections. These tracts usually appear as suppurative lesions of the chin or neck. Because many patients with this lesion do not have any complaints of oral symptoms, these lesions are often diagnosed incorrectly and overlooked, and are also treated ineffectively. A case of an unusual presentation of a chronic suppurative granuloma on nasolabial fold, which originated from the remaining tooth fragment of edentulous maxilla, is reported. Treatment with removal of the tooth fragment as well as the sinus tract resulted in complete healing of the lesion. This report emphasizes the importance of awareness of the possible dental origin of facial sinuses, despite their unusual location.
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ranking = 3
keywords = dental
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7/41. Using transitional implants during the healing phase of implant reconstruction.

    The use of dental implants to reconstruct the fully and partially edentulous jaw has been well-documented in the literature. Simplification of the healing phase with transitional implants is becoming a routine step in the management of the integration period for the patient undergoing implant reconstruction. Restoration and maintenance of vertical dimension with transitional implants in conjunction with implant surgical therapy is an effective method to provide the patient with an immediate and comfortable transitional appliance. This approach facilitates the uneventful reconstruction with the definitive prosthesis.
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ranking = 1
keywords = dental
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8/41. Conversion of a complete denture to a provisional implant-supported, screw-retained fixed prosthesis for immediate loading of a completely edentulous arch.

    This article describes the fabrication of a provisional implant-supported, screw-retained restoration for immediate loading of a completely edentulous arch. The technique can be applied to patients with partially edentulous arches as well. Until immediate loading of dental implants becomes a well-documented treatment modality, the described method should not be applied on a routine basis or without careful evaluation.
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ranking = 1
keywords = dental
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9/41. Use of the buccal fat pad in maxillary and sinus grafting of the severely atrophic maxilla preparatory to implant reconstruction of the partially or completely edentulous patient: technical note.

    PURPOSE: To examine the use of the buccal fat pad (BFP) for correction of maxillary osseous defects, preliminary to dental implant reconstructions, and to present patients in whom this technique was used. MATERIALS AND methods: The blood supply of the BFP was investigated with a special laser Doppler flowmetry fiberoptic probe in situ before herniation and after placement of the pedicled BFP over maxillary bone grafts. RESULTS: The possibility of using the BFP pedicle flap to provide an immediate blood supply to a recipient site was confirmed, as it promotes rapid neo-vascularization of the grafted material over which it is placed. No complications were seen in the present patients. DISCUSSION: The BFP has an additional protective function of providing for a multiple-layer wound closure over all types of maxillary bone grafts, thereby preventing graft exposure and enhancing success. CONCLUSIONS: With its high blood flow, the BFP may offer protection and early blood supply to maxillary and sinus bone grafts.
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ranking = 1
keywords = dental
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10/41. The milled bar-retained removable bridge implant-supported prosthesis: a treatment alternative for the edentulous maxilla.

    Restoration of the edentulous jaw with dental implants can be achieved using either an implant-supported prosthesis, such as a fixed bridge, or an implant-retained prosthesis, such as a traditional overdenture. The implant-retained prostheses use edentulous ridges as primary stress-bearing regions, and through stress-breaking mechanisms, the implants are not loaded during function. However, the success rates of maxillary overdentures do not appear to be as good as for mandibular overdentures; this may be attributable to the adverse loading conditions, short implant length, poor quality of bone, number of implants used, flexible bar design, or poor treatment planning. Many articles have also described the numerous problems and multiple visits required in maintaining a traditional bar-retained overdenture restoration, often making it more expensive in the long term than a fixed restoration. The milled bar implant-supported prosthesis offers the benefits of both fixed and removable restorations. Its infrastructure provides the same rigidity as the fixed restoration, owing to the precise fit to the superstructure, which is removable, to promote adequate access for hygiene, yet it still provides lip support and maintains close contact with the soft tissues. These advantages enhance phonetics, esthetics, correct lip support, maintenance, and patient comfort.
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ranking = 1
keywords = dental
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