Cases reported "Jaw, Edentulous"

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11/41. Early intraoral splinting and loading of one-stage dental implants in the edentulous mandible: literature review and case report.

    Recent studies of immediately loaded screw-retained dentures, bar overdentures, and single-tooth replacements have demonstrated success rates comparable to similar restorations using a two-stage procedure. An international study of immediately loaded bar overdentures on a novel single-stage implant is currently being conducted in the united states and europe. This article presents a case report that illustrates the intraoral construction of an overdenture bar pattern at the time of implant placement, followed by soldering and immediate loading. The elimination of transfer procedures may significantly reduce treatment time and enhance the passive fit of the bar.
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keywords = dental
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12/41. Development of gingival esthetics in the edentulous patient prior to dental implant placement using a flangeless removable prosthesis: a case report.

    Development of gingival contours found in healthy natural dentitions enhances the esthetic results achieved with implant-supported fixed prostheses. However, this endeavor is frequently difficult to achieve, especially in the completely edentulous patient. Edentulous patients with optimal hard and soft tissue can be treated with a specially designed removable prosthesis that will develop gingival contours prior to implant placement. By means of a transitional complete removable prosthesis with ovate pontics and no labial flange, a natural-looking soft tissue profile can be developed prior to dental implant placement. A minimally invasive tissue punch surgical technique is used to place the implants, which are immediately restored with a 1-piece, cross-arch, provisional fixed prosthesis. This article presents the prosthodontic and surgical protocols utilized to improve the appearance of the definitive implant rehabilitation.
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keywords = dental, gingival
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13/41. Delayed onset of altered sensation following dental implant placement and mental block local anesthesia: a case report.

    A case of a delayed-onset post-operative altered sensation of the mental nerve is reported with speculations as to etiology. There is a discussion concerning intraoperative radiographs and osteotomy positioning. When postoperative altered sensation occurs, etiologic considerations should always include local anesthetic administration technique. The importance of pulp testing from the first molar to the contralateral lateral incisor is key to determining whether the deficit is in the mandibular nerve or only the mental nerve, which may be a result of mental block local anesthetic administration and not implant placement. This differentiation may be important in treatment and/or legal exposure. The altered sensation was probably caused by the mental block anesthetic technique. The partial anesthetic area in this case was probably a result of crossover innervation from the contralateral mental nerve.
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keywords = dental
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14/41. rehabilitation of dental implants for the post-irradiated and marginally resected mandible in an oral cancer patient.

    We describe a case with severely compromised edentulous ridge in the mandible, which previously received marginal resection and radiotherapy due to oral cancer at the mouth floor. Through careful evaluation, the patient had 30 dives of hyperbaric oxygen therapy (HBO) before implant surgery. The edentulous ridge was rehabilitated with 4 endosteal implant fixtures, and palatal mucosa grafting vestibulosulcoplasty. The case had been followed for 4 years with stability of bone and a satisfactory result of rehabilitation.
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keywords = dental
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15/41. Immediate loading of dental implants in the edentulous maxilla: case study of a unique protocol.

    Although immediate loading of dental implants is increasingly gaining recognition as an important option for certain categories of implant patients, the maxillary arch has historically posed difficulties that have limited the number of immediate loading applications. To address the needs of patients who cannot tolerate maxillary removable complete dentures, an immediate loading protocol we call "Teeth in a Day" uses a conversion prosthesis that has been expanded to include complete-arch maxillary reconstruction. Use of a large number of implants to prevent micromotion at the bone-to-implant interface is a critical element in this protocol. A patient treatment is reported.
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ranking = 1.25
keywords = dental
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16/41. Stage I indexing to replace a failed implant in an edentulous arch: a clinical report.

    Implant failure may complicate and lengthen a planned treatment. This article describes a modified stage I indexing technique for registering the position of an implant and replacing a failed implant, allowing prosthesis fabrication time and healing time to be coincidental. The clinician can proceed as originally planned with a minimal increase in overall treatment time.
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keywords = dental
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17/41. dental implants in a young patient with Papillon-Lefevre syndrome: a case report.

    A case is reported of dental implant placement in a 13-year-old patient diagnosed with Papillon-Lefevre syndrome. Two titanium dental implants were placed in the mandible for an implant-retained denture after the patient complained of having an unstable prosthesis. Follow-up radiographs showed successful osseointegration and preservation of alveolar bone 1 year after implant placement and the continual wearing of a functional dental prosthesis.
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ranking = 0.75
keywords = dental
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18/41. orthognathic surgery and implants.

    The resorptive pattern of the maxilla and mandible after the dentition has been lost often leads to a discrepancy between the jaws such that a significant Class III malocclusion occurs. This discrepancy between the jaws leads to problems with both fixed and removable prosthetic reconstruction of the jaws with teeth. The jaws are often resorbed to the point where the muscle attachments become dislodging forces for conventional dentures and also to the point where adequate implants cannot be placed. Various procedures have been developed to augment the alveolar ridges to allow for adequate reconstruction of the dentition. orthognathic surgical procedures have been developed to reposition the jaws and have been traditionally used in the dentate patient to correct a skeletal malocclusion. These procedures are usually carried out with orthodontic control of the dentition to produce the best results. These same procedures can be used on the edentulous patient to correct the discrepancies between the jaws in order to reconstruct the dentition with implants. Bone grafting procedures are often required for these procedures so that the alveolus can be augmented at the same time and allow for dental implants to be placed at a later date.
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keywords = dental
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19/41. dental implants to rehabilitate a patient with an unrepaired complete cleft of the hard and soft palate: a clinical report.

    Prosthetic rehabilitation of an edentulous adult with a complete residual cleft of his palates is presented. Lack of retention of his prosthesis made speech and eating difficult. Four osseointegrated dental implants were used to join the right and left maxillae and to provide mechanical retention for a complete overdenture obturator to improve function.
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ranking = 0.25
keywords = dental
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20/41. Immediately loaded bar-connected implants with an anodized surface inserted in the anterior mandible in a patient treated with diphosphonates for osteoporosis: a case report with a 12-month follow-up.

    BACKGROUND: It has been suggested that tooth loss is greater in the osteoporotic patient population. Only a few cases have been reported in the literature about the use of dental implants in patients with osteoporosis. diphosphonates are stable analogs of pyrophosphate, a physiologic regulator of calcification and bone resorption. Multiple implant failures have been reported in a patient undergoing treatment with diphosphonates. Recently, several clinical and experimental reports have shown that immediate loading of dental implants is possible in selected situations. PURPOSE: The aim of this case report was to present the clinical outcome of immediate loading of implants in a patient undergoing diphosphonate treatment for osteoporosis. MATERIALS AND methods: In a 65-year-old patient undergoing diphosphonate treatment for osteoporosis, four implants were inserted in the anterior mandible. The implants were connected with a bar supporting an overdenture and were then loaded the same day. RESULTS: No problems occurred in the postoperative period. At 1-year follow-up, all four of the implants appeared to be clinically osseointegrated, and no mobility was present. Minimal bone resorption was present around all implants. CONCLUSIONS: Our case report points to the fact that, contrary to what has been reported in the literature, it is possible to successfully insert and load immediately after surgery dental implants in a patient undergoing diphosphonate treatment for osteoporosis.
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ranking = 0.75
keywords = dental
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