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Plastic and Reconstructive Surgery Feb 2016The goal of this study was to evaluate with a three-dimensional method the long-term quality of alveolar ossification in unilateral cleft lip and palate patients who...
BACKGROUND
The goal of this study was to evaluate with a three-dimensional method the long-term quality of alveolar ossification in unilateral cleft lip and palate patients who underwent early secondary gingivoalveoloplasty according to the Milan surgical protocol.
METHODS
The sample consisted of 63 computed tomographic scans of unilateral cleft lip and palate patients in permanent dentition. The average age at the time of assessment was 15.7 years. Alveolar thickness, nasoalveolar height, nasal floor ossification, and hard palate morphology were evaluated using dental, axial, and coronal cuts on computed tomographic scans and three-dimensional models. All measurements were normalized and ratios of the affected side versus the nonaffected side were provided. Volume measurements and ratios of each hemimaxilla were added. The presence or absence of the permanent lateral incisor on the cleft side was also recorded.
RESULTS
Alveolar thickness and height were ideal or good, respectively, in 89.5 and 91.4 percent of the sample. Insufficient ossification (<25 percent) was found in three patients (5.2 percent), and only one of them (1.7 percent) presented no bone bridging. A statistically significant association was detected between the degree of alveolar ossification, the type of nasal floor ossification, and volume ratio.
CONCLUSIONS
Early secondary gingivoalveoloplasty seemed to allow an adequate ossification of both the alveolar and nasal region. Three-dimensional evaluation of the alveolar cleft ossification provided further information on alveolar bridging and allowed evaluation of the bone availability for implant placement.
CLINICAL QUESTION/LEVEL OF EVIDENCE
Therapeutic, IV.
Topics: Adolescent; Alveolar Process; Alveoloplasty; Cleft Lip; Cleft Palate; Female; Gingivoplasty; Humans; Male; Osteogenesis; Time Factors; Tomography, X-Ray Computed
PubMed: 26818327
DOI: 10.1097/01.prs.0000475781.60962.f0 -
The Journal of Prosthetic Dentistry Jun 2016Immediate restoration with the all-on-4 concept has become an established treatment option. The technique involves alveoloplasty before implant placement to provide...
Immediate restoration with the all-on-4 concept has become an established treatment option. The technique involves alveoloplasty before implant placement to provide space for the prosthetic components and to provide a platform on which dental implants can be placed in clinical situations where a knife-edge alveolar ridge is present. Guided implant surgery involves the fabrication of a guide by using data from cone-beam computed tomography (CBCT) and implant surgery performed without flap reflection. In the presented technique, a printed cast based on a CBCT is used to fabricate a guide for both alveolar ridge reduction and guided implant surgery. The alveolar ridge reduction and implant surgery are virtually simulated in the laboratory to provide space for the restorative components and to avoid critical anatomic landmarks (mental nerve or perforation of the lingual mandibular plate). The described surgical guide enables guided alveolar ridge reduction and guided implant placement where the implant placement performed in the laboratory can be duplicated clinically during implant surgery.
Topics: Aged; Alveolar Process; Cone-Beam Computed Tomography; Dental Implantation, Endosseous; Female; Humans; Immediate Dental Implant Loading; Jaw, Edentulous, Partially; Mandible; Maxilla
PubMed: 26809223
DOI: 10.1016/j.prosdent.2015.12.006 -
Dentistry Today Dec 2015
Topics: Alveoloplasty; Cone-Beam Computed Tomography; Dental Implantation, Endosseous; Dental Materials; Dental Prosthesis, Implant-Supported; Denture Retention; Denture, Complete; Denture, Complete, Immediate; Humans; Osteotomy; Patient Care Planning; User-Computer Interface; Zirconium
PubMed: 26749875
DOI: No ID Found -
Dentistry Today Dec 2015
Topics: Alveoloplasty; Computer-Aided Design; Cone-Beam Computed Tomography; Dental Implantation, Endosseous; Dental Implants; Dental Impression Technique; Esthetics, Dental; Fiducial Markers; Humans; Image Processing, Computer-Assisted; Jaw, Edentulous; Patient Care Planning
PubMed: 26749874
DOI: No ID Found -
Journal of Dental Anesthesia and Pain... Dec 2015A majority of patients who sustain injuries to the peripheral sensory nerves of the face and jaws experience a slow but gradual return of sensation that is functional...
A majority of patients who sustain injuries to the peripheral sensory nerves of the face and jaws experience a slow but gradual return of sensation that is functional and tolerable, if not the same as before the injuries. However, long-term effects of such injuries are aggravating for many patients, and a few patients experience significant suffering. In some of these patients, posttraumatic symptoms become pathological and are painful. The predominant painful components are (1) numbing anesthesia dolorosa pain, (2) triggered neuralgiaform pain, (3) burning and aching causalgiaform pain, and (4) phantom pain. This is a case report of conservative management of traumatic neuralgia and neuritis as part of posttraumatic pain syndromes in geriatric patients who have undergone the teeth extraction and alveoloplasty.
PubMed: 28879286
DOI: 10.17245/jdapm.2015.15.4.241 -
The International Journal of... 2015
Topics: Alveoloplasty; Clinical Competence; Disease Progression; Humans; Patient Selection; Periodontal Diseases; Periodontal Index
PubMed: 26601330
DOI: No ID Found -
Dentistry Today Jun 2015
Topics: Alveoloplasty; Dental Implantation, Endosseous; Dental Implants; Dental Prosthesis, Implant-Supported; Denture, Complete, Immediate; Follow-Up Studies; Humans; Immediate Dental Implant Loading; Male; Mandible; Maxilla; Middle Aged; Mouth Rehabilitation; Patient Care Planning; Periodontal Diseases
PubMed: 26470587
DOI: No ID Found -
Journal of Oral and Maxillofacial... Jan 2016Severe tridimensional alveolar ridge defects complicate the placement of dental implants, and surgical removal of some oral tumors might not leave adequate bone for...
Severe tridimensional alveolar ridge defects complicate the placement of dental implants, and surgical removal of some oral tumors might not leave adequate bone for dental implant placement. Regenerating an adequate amount of bone vertically and horizontally to achieve a satisfying outcome for well-osseointegrated implants and thus ensure long-term success of implant restoration is challenging. This report describes the clinical feasibility of a simple approach using a screw tent-pole combined with guided bone regeneration to augment complicated tridimensional alveolar ridge defects in a case of extensive bone loss due to maxillary tumor surgery. Titanium screws were arranged in "tented" fashion to provide stable room for bone regeneration. Regenerated bone was achieved and 2 more implants were placed in the regenerated ridge 10 months later, leading to a successful maxillary prosthesis.
Topics: Alveolar Ridge Augmentation; Alveoloplasty; Biocompatible Materials; Bone Regeneration; Bone Screws; Dental Arch; Dental Implants; Dental Prosthesis, Implant-Supported; Denture, Partial, Fixed; Feasibility Studies; Female; Follow-Up Studies; Guided Tissue Regeneration; Humans; Maxilla; Maxillary Neoplasms; Patient Care Planning; Titanium; Young Adult
PubMed: 26375368
DOI: 10.1016/j.joms.2015.08.007 -
Dentistry Today Mar 2015
Topics: Alveoloplasty; Cementation; Crowns; Dental Enamel Proteins; Dental Prosthesis Design; Dental Restoration, Temporary; Esthetics, Dental; Female; Gingiva; Gingivoplasty; Humans; Incisor; Laser Therapy; Maxilla; Patient Care Planning; Patient Satisfaction; Smiling; Surgical Flaps; Tooth Preparation, Prosthodontic
PubMed: 26349273
DOI: No ID Found -
Dentistry Today Jul 2015
Topics: Alveoloplasty; Computer-Aided Design; Cone-Beam Computed Tomography; Dental Implant-Abutment Design; Dental Implantation, Endosseous; Dental Prosthesis, Implant-Supported; Denture Design; Denture, Partial, Fixed; Female; Humans; Image Processing, Computer-Assisted; Imaging, Three-Dimensional; Immediate Dental Implant Loading; Mandible; Maxilla; Middle Aged; Patient Care Planning; Surgery, Computer-Assisted; User-Computer Interface
PubMed: 26285350
DOI: No ID Found