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Clinical Oral Implants Research Oct 2018The aim of Working Group 3 was to focus on three topics that were assessed using patient-reported outcome measures (PROMs). These topics included the following: (a) the...
OBJECTIVES
The aim of Working Group 3 was to focus on three topics that were assessed using patient-reported outcome measures (PROMs). These topics included the following: (a) the aesthetics of tooth and implant-supported fixed dental prostheses focusing on partially edentulous patients, (b) a comparison of fixed and removable implant-retained prostheses for edentulous populations, and (c) immediate versus early/conventional loading of immediately placed implants in partially edentate patients. PROMs include ratings of satisfaction and oral health-related quality of life (QHRQoL), as well as other indicators, that is, pain, general health-related quality of life (e.g., SF-36).
MATERIALS AND METHODS
The Consensus Conference Group 3 participants discussed the findings of the three systematic review manuscripts. Following comprehensive discussions, participants developed consensus statements and recommendations that were then discussed in larger plenary sessions. Following this, any necessary modifications were made and approved.
RESULTS
Patients were very satisfied with the aesthetics of implant-supported fixed dental prostheses and the surrounding mucosa. Implant neck design, restorative material, or use of a provisional restoration did not influence patients' ratings. Edentulous patients highly rate both removable and fixed implant-supported prostheses. However, they rate their ability to maintain their oral hygiene significantly higher with the removable prosthesis. Both immediate provisionalization and conventional loading receive positive patient-reported outcomes.
CONCLUSIONS
Patient-reported outcome measures should be gathered in every clinical study in which the outcomes of oral rehabilitation with dental implants are investigated. PROMs, such as patients' satisfaction and QHRQoL, should supplement other clinical parameters in our clinical definition of success.
Topics: Dental Implants; Dental Prosthesis Design; Dental Prosthesis, Implant-Supported; Dental Restoration Failure; Denture Design; Denture, Partial, Fixed; Denture, Partial, Removable; Esthetics, Dental; Humans; Immediate Dental Implant Loading; Jaw, Edentulous, Partially; Patient Reported Outcome Measures; Patient Satisfaction; Quality of Life; Treatment Outcome
PubMed: 30328187
DOI: 10.1111/clr.13299 -
Journal of Dental Education Sep 2017This executive summary for Section 6 of the "Advancing Dental Education in the 21 Century" project provides an overview of five background articles that address the role...
This executive summary for Section 6 of the "Advancing Dental Education in the 21 Century" project provides an overview of five background articles that address the role of research and scholarship in dental education in the year 2040. Beginning with a historical account of research and discovery science in dentistry's evolution as a profession, the article then reviews the role of early thought leaders and organized dentistry in establishing research as a cornerstone of dental education and dental practice. The dental research workforce faces an uncertain future fueled by a volatile funding environment and inadequate mentoring and training of research faculty. Dental schools must forge stronger academic and scientific ties to their university and academic health centers and will be challenged to develop sustainable research and patient care collaborations with other health professions. The changing health care environment will create new opportunities for oral health care providers to expand their scope of practice and focus on prevention and screening for non-communicable chronic diseases. Dental practitioners in the future are likely to place greater emphasis on managing the overall health of their patients while promoting closer integration with other health professionals. All dental schools must develop a sustainable research mission if they hope to graduate dentists who function effectively in a collaborative health care environment. The changing scientific and health care landscape will dramatically alter dental education and dental practice. Dental schools need to reconsider their research and educational priorities and clinical practice objectives. Until dental schools and the practicing community come to grips with these challenges, a persistent attitude of complacency will likely be at the dental profession's peril.
Topics: Dental Research; Education, Dental; Fellowships and Scholarships; Forecasting; Humans; Inventions; Oral Health; Schools, Dental; United States
PubMed: 28864797
DOI: 10.21815/JDE.017.070 -
The Angle Orthodontist May 2016To synthesize available evidence about factors associated with patients' satisfaction after orthodontic treatment combined with orthognathic surgery. (Review)
Review
OBJECTIVE
To synthesize available evidence about factors associated with patients' satisfaction after orthodontic treatment combined with orthognathic surgery.
MATERIALS AND METHODS
Studies that evaluated any factor associated with patients' satisfaction after the conclusion of an orthodontic treatment combined with an orthognathic surgery were identified. Orthognathic surgical procedures should have been undertaken after completion of craniofacial growth. Any satisfaction psychometric tool was considered. No language limitation was set. A detailed individual search strategy for each of the following bibliographic databases was crafted: MEDLINE, PubMed, EBM Reviews, Web of Science, EMBASE, LILACS, and Scopus. The references cited in the identified articles were also cross-checked, and a partial gray-literature search was undertaken using Google Scholar.
RESULTS
Eight articles satisfied the inclusion criteria of this systematic review and accounted for 998 patients. The included studies showed large variation in sample size (range = 44 to 505 patients), age (range = 15 to 72 years old), distinct psychological evaluation tools, and time elapsed between the assessment and the completion of surgery and postorthodontic treatment. Most of the studies (five of eight) were classified as having high risk of bias.
CONCLUSION
Factors associated with satisfaction were final esthetic outcome, perceived social benefits from the outcome, type of orthognathic surgery, sex, and changes in patient self-concept during treatment. Factors associated with dissatisfaction were treatment length; sensation of functional impairment and/or dysfunction after surgery, and perceived omitted information about surgical risks.
Topics: Esthetics, Dental; Humans; Orthodontics, Corrective; Orthognathic Surgery; Patient Satisfaction; Treatment Outcome
PubMed: 26313228
DOI: 10.2319/040615-227.1 -
Hua Xi Kou Qiang Yi Xue Za Zhi = Huaxi... Feb 2020With the development of industrial robot technology, robotics has entered the medical field, and the research and development of new robots for many medical applications...
With the development of industrial robot technology, robotics has entered the medical field, and the research and development of new robots for many medical applications have become a significant research direction in global robotics. Robots are widely used in various aspects of dentistry, such as prosthodontics, orthodontics, implants, endodontics, and oral surgery. This article mainly introduces the application of robots in stomatology from the above five aspects.
Topics: Dental Care; Humans; Oral Medicine; Orthodontics; Robotics; Surgery, Oral
PubMed: 32037773
DOI: 10.7518/hxkq.2020.01.016 -
Hua Xi Kou Qiang Yi Xue Za Zhi = Huaxi... Oct 2019Centric relation (CR) is one of the core research contents in orthodontics, prosthodontics, and gnathology, acting as an important physiological factor in reconstructing... (Review)
Review
Centric relation (CR) is one of the core research contents in orthodontics, prosthodontics, and gnathology, acting as an important physiological factor in reconstructing the occlusion and adjusting the occlusal relationship. For over a century, CR is still a controversial subject in dentistry. CR has been redefined for several times, and recently, its application has been widened in orthodontics, including orthodontic diagnosis, clinical examination and analysis, and treatment goals. The purpose of this article is to review the definition of CR, its relationship with malocclusion, and the application of this relationship in orthodontic treatment.
Topics: Centric Relation; Dental Care; Dental Occlusion, Centric; Humans; Malocclusion; Orthodontics, Corrective
PubMed: 31721502
DOI: 10.7518/hxkq.2019.05.014 -
Clinical Oral Investigations Oct 2022To assess the clinical performance of tooth implant-supported removable partial dentures in terms of abutment survival in relation to the attachment system used. (Meta-Analysis)
Meta-Analysis Review
OBJECTIVE
To assess the clinical performance of tooth implant-supported removable partial dentures in terms of abutment survival in relation to the attachment system used.
METHODS
An electronic search in MEDLINE/PubMed Web of Science and Cochrane Central Register of Controlled Trials databases was performed. The methodological quality of the studies was assessed using the Newcastle-Ottawa Scale. Survival rates after 3 years and 5 years, loss, and complication rates per 100 years were estimated by Poisson regression.
RESULTS
A total of twelve studies were included; eleven studies were used for the meta-analysis. Survival analysis for mixed attachments showed an estimated survival rate of 100% after 3 years and 5 years. For uniform attachments, the estimated survival rate was 99.3% after 3 years and 98.8% after 5 years. Tooth abutment survival analysis for mixed attachments estimated a survival rate of 95% after 3 years and 91.7% after 5 years: Uniform attachments reached a survival rate of 97.2% after 3 years and 95.4% after 5 years. The prosthetic survival rate was 100% for mixed and uniform abutments after 3 years and 5 years of function.
CONCLUSIONS
Tooth implant-supported removable partial dentures can be considered as a reliable option with excellent prosthetic and implant survival rates and favorable rates for the abutments after 3-year and 5-year follow-ups. Complications may be reduced when 5 or more abutments are used.
CLINICAL RELEVANCE
Tooth implant-supported removable partial dentures are a favorable and potential alternative to restore a partially edentulous arch by optimizing the number and distribution of abutments.
Topics: Dental Abutments; Dental Implants; Dental Prosthesis, Implant-Supported; Denture, Partial, Removable; Humans; Mouth, Edentulous
PubMed: 35840738
DOI: 10.1007/s00784-022-04622-7 -
Compendium of Continuing Education in... May 2009
Topics: Dental Research; Dentistry; Evidence-Based Dentistry; Forecasting; Humans; Organizational Innovation; Practice Patterns, Dentists'; Research Design
PubMed: 19441734
DOI: No ID Found -
Journal of Prosthodontic Research Feb 2021To critically review the literature using mini-implants for prosthetic rehabilitation of growing patients and to analyze the survival rates and clinical behavior of... (Review)
Review
PURPOSE
To critically review the literature using mini-implants for prosthetic rehabilitation of growing patients and to analyze the survival rates and clinical behavior of mini-implants.
STUDY SELECTION
Controlled clinical trials and case reports published in English, from January 2006 to October 2018, in a peer-reviewed journal in PubMed, Scopus, LILACS, and Cochrane Library databases. Studies using mini-implants for prosthetic rehabilitation in growing patients were included. Articles reporting mini-implants with a diameter greater than 3 mm, recruitment of adult participants, use of implants with other purposes than prosthodontic rehabilitation, and with a follow-up period shorter than 1 year, were excluded from the analysis. The selection was performed independently by two reviewers.
RESULTS
The selection resulted in the inclusion of eight articles. Although the studies presented heterogeneous protocols and follow-ups (varying from 1 to 8 years), only one case of failure was reported, which corresponded to crown displacement. All rehabilitation procedures were performed in the anterior region using mini-implants with different diameters (1.3-2.9 mm) and lengths (9-14 mm). The prosthetic rehabilitation included individual crowns and/or overdentures.
CONCLUSIONS
Mini-implant prosthetic rehabilitation seems to be a viable and promising option for provisional rehabilitation of growing patients, since it seems to preserve the bone structure while restoring function and esthetics until growth ceases, when then mini-implants can be replaced by standard implants.
Topics: Adult; Crowns; Dental Implants; Dental Prosthesis, Implant-Supported; Dental Restoration Failure; Denture, Overlay; Humans
PubMed: 32938858
DOI: 10.2186/jpr.JPOR_2019_338 -
BMC Oral Health Feb 2021In this research the biomechanical properties of a bone model was examined. Porcine ribs are used as experimental model. The objective of this research was to...
BACKGROUND
In this research the biomechanical properties of a bone model was examined. Porcine ribs are used as experimental model. The objective of this research was to investigate and compare the biomechanical properties of the bone model before and after implant placement.
METHODS
The bone samples were divided in three groups, Group 1 where ALL-ON-FOUR protocol was used during pre-drilling and placing the implants, Group 2 where ALL-ON-FOUR protocol was used during pre-drilling, and implants were not placed, and Group 3 consisting of intact bones served as a control group. Static and dynamic loading was applied for examining the model samples. Kruskal-Wallis statistical test and as a post-hoc test Mann-Whitney U test was performed to analyze experimental results.
RESULTS
According to the results of the static loading, there was no significant difference between the implanted and original ribs, however, the toughness values of the bones decreased largely on account of predrilling the bones. The analysis of dynamic fatigue measurements by Kruskal-Wallis test showed significant differences between the intact and predrilled bones.
CONCLUSION
The pre-drilled bone was much weaker in both static and dynamic tests than the natural or implanted specimens. According to the results of the dynamic tests and after a certain loading cycle the implanted samples behaved the same way as the control samples, which suggests that implantation have stabilized the skeletal bone structure.
Topics: Animals; Dental Implantation, Endosseous; Dental Implants; Dental Prosthesis, Implant-Supported; Swine
PubMed: 33632191
DOI: 10.1186/s12903-021-01442-1 -
Dental Press Journal of Orthodontics 2018Considering the large number of fixed functional appliances, choosing the best device for your patient is not an easy task. (Review)
Review
INTRODUCTION
Considering the large number of fixed functional appliances, choosing the best device for your patient is not an easy task.
OBJECTIVE
To describe the development of fixed functional appliances as well as our 20-year experience working with them.
METHODS
Fixed functional appliances are grouped into flexible, rigid and hybrid. They are different appliances, whose action is described here. Four clinical cases will be reported with a view to illustrating the different appliances.
CONCLUSIONS
Rigid fixed functional appliances provide better skeletal results than flexible and hybrid ones. Flexible and hybrid appliances have similar effects to those produced by Class II elastics. They ultimately correct Class II with dentoalveolar changes. From a biomechanical standpoint, fixed functional appliances are more recommended to treat Class II in dolichofacial patients, in comparison to Class II elastics.
Topics: Adolescent; Cephalometry; Child; Female; Humans; Male; Malocclusion, Angle Class II; Orthodontic Appliance Design; Orthodontic Appliances; Orthodontic Appliances, Fixed; Orthodontic Appliances, Functional; Orthodontic Appliances, Removable; Orthodontic Brackets; Orthodontic Wires; Outcome and Process Assessment, Health Care; Photography, Dental; Tomography, X-Ray Computed; Tooth Movement Techniques; Treatment Outcome
PubMed: 29898162
DOI: 10.1590/2177-6709.23.2.087-109.sar