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The Journal of Craniofacial Surgery Sep 2015Implant treatment in esthetic zone has been challenging for a long time. To achieve the best results optimum amounts of alveolar bone and soft tissue especially attached...
Implant treatment in esthetic zone has been challenging for a long time. To achieve the best results optimum amounts of alveolar bone and soft tissue especially attached gingiva is needed. We presented the use of inverted periosteal flap which is a periosteal transposition flap in an esthetic zone. This flap may play a significant role in ridge augmentation and socket preservation in the esthetic zone and could be considered as an alternative for other local flaps. This flap provides sufficient-soft tissue coverage and reduces the risk of dehiscence.
Topics: Allografts; Alveolar Ridge Augmentation; Alveoloplasty; Bone Transplantation; Esthetics, Dental; Female; Follow-Up Studies; Gingivoplasty; Humans; Maxilla; Middle Aged; Periosteum; Surgical Flaps; Tooth Loss; Tooth Socket
PubMed: 26267564
DOI: 10.1097/SCS.0000000000001907 -
The International Journal of Oral &... 2015To evaluate the efficacy, associated morbidity, and results of a three-dimensional reconstruction technique for repairing severe defects of the maxilla using a calvarial...
PURPOSE
To evaluate the efficacy, associated morbidity, and results of a three-dimensional reconstruction technique for repairing severe defects of the maxilla using a calvarial autogenous bone graft and a soft tissue double-layered surgical approach in preparation for placing dental implants.
MATERIALS AND METHODS
Bone defects of the maxilla consecutively reconstructed with calvarial autologous graft in the authors' institution were retrospectively evaluated. Patients with combined maxilla alveolar ridge defects with a width less than 4 mm and a height less than 7 mm (to the level of the maxillary sinus or the nostril), with at least three teeth involved, were included in the study. Calvarial bone blocks were sagittally sectioned in fine layers and fixed three-dimensionally in a boxlike structure with particulate bone inside. The purpose was to obtain an adequate amount of vertical and horizontal alveolar bone to enable restoration with dental implants at least 3.4 mm in diameter and 11 mm in length.
RESULTS
Eleven reconstructive procedures were performed in 10 patients. Bone graft integration was successful in all of them. No major complications were observed in the donor cranial site. A mean bone gain of 5.04 mm (range, 3.4 to 7.8 mm) in height was obtained (standard deviation [SD], 1.69). The implant surgery was performed between the 15th and 19th weeks. A total of 28 implants were placed, and the mean follow-up time was 45 months (range, 23 to 65 months; SD, 12). The mean graft vertical resorption was 0.78 mm (range, 0.50-1.50 mm; SD, 0.00) 41 months after implant fixation.
CONCLUSION
Three-dimensional reconstruction technique using calvarial bone grafts to restore severe segmental or crestal bone defects in the maxilla is an effective and predictable procedure that can increase the horizontal and vertical bone volume in preparation for the successful placement of dental implants.
Topics: Adolescent; Adult; Alveolar Process; Alveolar Ridge Augmentation; Alveoloplasty; Atrophy; Autografts; Biocompatible Materials; Bone Cements; Bone Transplantation; Calcium Phosphates; Dental Implantation, Endosseous; Dental Implants; Female; Follow-Up Studies; Graft Survival; Humans; Male; Maxilla; Middle Aged; Parietal Bone; Retrospective Studies; Surgical Mesh; Tissue and Organ Harvesting; Titanium; Transplant Donor Site
PubMed: 26252040
DOI: 10.11607/jomi.3627 -
Journal of the International Academy of... Apr 2015The purpose of this case report is to present the clinical course of full mouth rehabilitation in an 1 8-year-old female patient with ectodermal dysplasia who was... (Review)
Review
OBJECTIVE
The purpose of this case report is to present the clinical course of full mouth rehabilitation in an 1 8-year-old female patient with ectodermal dysplasia who was treated with implant-supported fixed partial dentures for the mandible and the maxilla.
CASE REPORT
Fourteen dental implants (8 in the maxilla and 6 in the mandible) were placed simultaneously after full mouth extraction and alveoloplasty surgery. After 6 months of healing, prosthetic rehabilitation was started for screw-retained fixed partial dentures. The patient was followed for one year and a peri-implant maintenance regime established for six-month recalls. The patient was satisfied with the prosthesis both esthetically and functionally. Furthermore, the patient reported significant improvements in oral function and psychosocial activities.
CONCLUSION
The use of dental implants to support full mouth prosthetic rehabilitation for adolescents with ectodermal dysplasia may provide a considerable improvement in function and esthetic compared to conventional removable prosthetic options. This has the potential to enhance the quality of life for these patients.
Topics: Adolescent; Alveoloplasty; Anodontia; Dental Implantation, Endosseous; Dental Prosthesis, Implant-Supported; Denture Design; Denture, Partial, Fixed; Ectodermal Dysplasia; Esthetics, Dental; Female; Follow-Up Studies; Humans; Mandible; Maxilla; Mouth Rehabilitation; Osseointegration; Patient Care Planning; Patient Satisfaction; Tooth Extraction; Treatment Outcome
PubMed: 26242009
DOI: No ID Found -
Dental Clinics of North America Jul 2015This article describes the concepts of treating a complex aesthetic interdisciplinary case in a traditional approach.
This article describes the concepts of treating a complex aesthetic interdisciplinary case in a traditional approach.
Topics: Adult; Alveolar Bone Loss; Alveolectomy; Alveoloplasty; Connective Tissue; Crown Lengthening; Crowns; Dental Implants; Dental Prosthesis, Implant-Supported; Dental Veneers; Denture, Partial, Temporary; Esthetics, Dental; Female; Gingiva; Humans; Mouth Rehabilitation; Patient Care Planning; Patient Care Team; Smiling; Tooth Extraction
PubMed: 26140977
DOI: 10.1016/j.cden.2015.04.002 -
Dental Clinics of North America Jul 2015Gummy smile cases are always esthetically demanding cases. This article presents a case treated with an interdisciplinary treatment approach and Digital Smile Approach...
Gummy smile cases are always esthetically demanding cases. This article presents a case treated with an interdisciplinary treatment approach and Digital Smile Approach (DSA) using Keynote (DSA), to predictably achieve an esthetic outcome for a patient with gummy smile. The importance of using questionnaires and checklists to facilitate the gathering of diagnostic data cannot be overemphasized. The acquired data must then be transferred to the design of the final restorations. The use of digital smile design has emerged as a powerful tool in cosmetic dentistry to help both practitioner and patient visualize the final outcome.
Topics: Alveoloplasty; Checklist; Crown Lengthening; Crowns; Dental Porcelain; Dental Veneers; Esthetics, Dental; Female; Gingiva; Gingivectomy; Humans; Image Processing, Computer-Assisted; Middle Aged; Mouth Rehabilitation; Odontometry; Patient Care Planning; Patient Care Team; Photography, Dental; Smiling
PubMed: 26140976
DOI: 10.1016/j.cden.2015.03.007 -
Dental Clinics of North America Jul 2015This case report presents an interdisciplinary approach to achieve functioning occlusion and an aesthetically pleasing smile. This patient's concerns were spacing...
This case report presents an interdisciplinary approach to achieve functioning occlusion and an aesthetically pleasing smile. This patient's concerns were spacing between upper front teeth and a gummy smile. The case was evaluated, and treatment was planned using a multidisciplinary approach. The patient rejected the option of orthognathic surgery to correct a skeletal problem. Treatment included orthodontics, osteoplasty, gingivoplasty, and porcelain veneer restorations to achieve the desired aesthetic result. Comprehensive orthodontics resulted in a functionally stable occlusion. Space distribution between maxillary anterior teeth with adequate overjet and overbite relationships allowed for conservative preparation to receive porcelain veneer restorations.
Topics: Adult; Alveoloplasty; Checklist; Crown Lengthening; Dental Porcelain; Dental Veneers; Diastema; Esthetics, Dental; Follow-Up Studies; Gingivoplasty; Humans; Laser Therapy; Male; Malocclusion, Angle Class III; Patient Care Planning; Patient Care Team; Smiling; Tooth Movement Techniques
PubMed: 26140973
DOI: 10.1016/j.cden.2015.03.002 -
Dental Clinics of North America Jul 2015Missing teeth in the esthetic zone, whether congenital or as a result of other factors, present difficult choices in clinical management. The missing teeth can be...
Missing teeth in the esthetic zone, whether congenital or as a result of other factors, present difficult choices in clinical management. The missing teeth can be replaced by surgical or restorative intervention but are often treated orthodontically. These repositioned teeth often lead to an unaesthetic result because of differences in morphology, color, and particularly in gingival architecture. This article describes the use of multiple lasers for periodontal modification and feldspathic porcelain veneers to achieve a highly esthetic result.
Topics: Aluminum Silicates; Alveoloplasty; Anodontia; Checklist; Dental Porcelain; Dental Veneers; Esthetics, Dental; Gingivoplasty; Humans; Laser Therapy; Lasers, Semiconductor; Lasers, Solid-State; Male; Orthodontic Space Closure; Patient Care Planning; Potassium Compounds; Tooth Preparation, Prosthodontic; Young Adult
PubMed: 26140971
DOI: 10.1016/j.cden.2015.03.005 -
Mediators of Inflammation 2015Chronic periodontitis is a multifactorial inflammatory disease that affects supporting structures of the teeth. Although the gingival response is largely described,...
Chronic periodontitis is a multifactorial inflammatory disease that affects supporting structures of the teeth. Although the gingival response is largely described, little is known about the immune changes in the alveolar bone and neighboring tissues that could indicate periodontal disease (PD) activity. Then, in this study we identified the ongoing inflammatory changes and novel biomarkers for periodontitis in the tissues directly affected by the destructive disease in PD patients. Samples were collected by osteotomy in 17 control subjects during extraction of third molars and 18 patients with advanced PD, in which alveoloplasty was necessary after extraction of teeth with previous extensive periodontal damage. Patients presented mononuclear cells infiltration in the connective tissue next to the bone and higher fibrosis area, along with increased accumulation of IL-17(+) and TRAP(+) cells. The levels of TNF-α and MMP-2 mRNA were also elevated compared to controls and a positive and significant correlation was observed between TNF-α and MMP-2 mRNA expression, considering all samples evaluated. In conclusion, nongingival tissues neighboring large periodontal pockets present inflammatory markers that could predict ongoing bone resorption and disease spreading. Therefore, we suggested that the detailed evaluation of these regions could be of great importance to the assessment of disease progression.
Topics: Adult; Biomarkers; Chronic Periodontitis; Female; Humans; Interleukin-17; Male; Matrix Metalloproteinase 2; Middle Aged; RNA, Messenger; Transforming Growth Factor beta; Tumor Necrosis Factor-alpha
PubMed: 26063981
DOI: 10.1155/2015/983782 -
The International Journal of Oral &... 2015The aim of this study was to determine, before implant placement, the outcome of ridge preservation surgery after extractions of one or more adjacent teeth on the...
PURPOSE
The aim of this study was to determine, before implant placement, the outcome of ridge preservation surgery after extractions of one or more adjacent teeth on the dimensions of the edentulous ridge.
MATERIALS AND METHODS
Nineteen extraction sites in four dogs were randomly divided into three groups: group 1 = single premolars (n = 7 sites); group 2 = two adjacent premolars (n = 6 sites); group 3 = three adjacent premolars (n = 6 sites). Extraction was followed by ridge preservation surgery using a combination of xenograft and collagen membrane after full-thickness flap reflection. All animals were sacrificed 4 months later, and each extraction site was sectioned in the sagittal plane so that alveolar bone measurements could be made in both the buccolingual and apicocoronal directions using microcomputed tomography.
RESULTS
Mean buccolingual width of the ridges postsurgery was 4.80 ± 2.78 mm, 4.98 ± 2.65 mm, and 4.79 ± 2.79 mm in groups 1, 2, and 3, respectively. The mean vertical distance from the cementoenamel junction to the crest of the ridge was 1.94 ± 0.42 mm, 2.05 ± 0.48 mm, and 2.60 ± 0.67 mm in groups 1, 2, and 3, respectively. No statistically significant difference was seen between single and multiple extraction sites.
CONCLUSION
Ridge preservation surgery results in a similar pattern of bone remodeling in the horizontal and vertical dimensions of the edentulous ridge after single and multiple adjacent tooth extractions.
Topics: Alveolar Process; Alveoloplasty; Animals; Bone Remodeling; Bone Transplantation; Collagen; Disease Models, Animal; Dogs; Male; Membranes, Artificial; Random Allocation; Surgical Flaps; Tooth Extraction; Tooth Socket; Transplantation, Heterologous; Wound Healing; X-Ray Microtomography
PubMed: 25830391
DOI: 10.11607/jomi.3818 -
The Journal of Oral Implantology Dec 2014Oral findings in patients with ectodermal dysplasia (ED) include complete or partial hypodontia, anodontia, loss of vertical dimension of occlusion, protuberant lips,...
Oral findings in patients with ectodermal dysplasia (ED) include complete or partial hypodontia, anodontia, loss of vertical dimension of occlusion, protuberant lips, malformed and widely spaced conical-shaped teeth, and underdeveloped alveolar ridges. These patients present a substantial challenge in dental treatment. This case report presents oral rehabilitation of a 22-year-old male patient diagnosed with ED using an implant tooth-supported telescopic partial denture at the mandible and a tooth-supported telescopic partial denture at the maxilla. Implants in the mandible were placed at the sites of the right and left lateral incisor teeth. Following implant placement, the remaining buccal bone dehiscence was filled with deproteinized bovine bone graft and covered with resorbable membrane. To manage the vestibular insufficiency and to increase the keratinized mucosa in maxilla, bilateral acellular dermal matrix allograft was used on the right and left buccal aspects. The treatment described here improved the patient's functional and esthetic status while significantly restoring his oral health and self-esteem.
Topics: Absorbable Implants; Acellular Dermis; Alveolar Bone Loss; Alveoloplasty; Bone Substitutes; Dental Implants; Dental Prosthesis, Implant-Supported; Denture Design; Denture, Overlay; Denture, Partial, Removable; Ectodermal Dysplasia; Esthetics, Dental; Follow-Up Studies; Gingiva; Humans; Male; Membranes, Artificial; Mouth Rehabilitation; Oral Health; Self Concept; Skin Transplantation; Vestibuloplasty; Young Adult
PubMed: 25506662
DOI: 10.1563/AAID-JOI-D-12-00072