The objective of this ex vivo cadaver study was to determine the accuracy of cone beam computerized tomography (CBCT) and a 3-dimensional stereolithographic (STL) model in identifying and measuring the anterior loop length (ANLL) of the mental nerve. A total of 12 cadavers (24 mental nerve plexus) were used for this study. Standardized CBCT scans of each mandible were obtained both with and without radiographic contrast tracer injected into the mental nerve plexus, and STL models of the two acquired CBCT images were made.
View Article and Find Full Text PDFInt J Oral Maxillofac Implants
November 2010
Purpose: This case series evaluated the implant success rate and peri-implant tissue response of immediately loaded unsplinted implants retaining a mandibular overdenture.
Materials And Methods: Eight completely edentulous patients (five men, three women) with a mean age of 69.1 years were included in the study.
Primary and secondary reconstruction of mandibular discontinuity defects with vascularized flap is currently the standard of care in many institutions. The most commonly used donor site for such flaps is fibula. Fibula provides enough bone length, allows 2-team approach, and has low donor site morbidity and abundant periosteal blood supply.
View Article and Find Full Text PDFA new flapless technique based on a template fabricated from a stereolithographic maxillary model is presented in this article. The proposed concept can be used to accurately control the tridimensional position of the dental implant. The laboratory procedures involving the fabrication of the surgical template are described.
View Article and Find Full Text PDFInt J Oral Maxillofac Implants
June 2009
Recently, computer technology has made it possible to simulate implant placement, fabricate a precise surgical template based on the simulated implant locations, and fabricate a prosthesis prior to surgical placement of implants. Many successful patient treatments have been reported using this process, but little has been published regarding complications. This article reports on the misfit of an immediately loaded definitive fixed complete denture that had been fabricated prior to implant surgery.
View Article and Find Full Text PDFPract Proced Aesthet Dent
April 2008
In recent years, advancements have been made in CAD/CAM technology that have allowed for the development of different treatments regarding the rehabilitation of patients with natural dentition, as well as patients with dental implants. Contemporary systems can also allow prosthetic rehabilitation for partially and completely edentulous patients. This article describes a restorative alternative to fixed implant-supported reconstruction of completely edentulous patients, utilizing a CAD/CAM-generated framework and CAD/CAM-generated all-ceramic cement-retained crowns.
View Article and Find Full Text PDFReplacing the missing maxillary anterior teeth with dental implants and maintaining the soft tissue structure and alveolar profile is an esthetic challenge for the restorative dentist. This clinical report describes the immediate provisional placement and prosthetic rehabilitation of 2 missing maxillary central incisors with scalloped dental implants.
View Article and Find Full Text PDFClassic guidelines in osseointegration for root-form dental implants include a long healing period, during which functional load should be avoided. However, the long healing period might impose an intolerable situation on some patients, especially in the completely edentulous situation. Subperiosteal dental implant guidelines demonstrate that the implant upon insertion can be put into immediate function and be restored with the final prosthesis soon after surgery.
View Article and Find Full Text PDFThis study evaluated the effects of using a titanium mesh for localized alveolar ridge augmentation. Seven consecutively treated human subjects participated in the study. Clinical, radiographic, laboratory, and histologic/histomorphometric analysis revealed the efficacy of using the titanium mesh in conjunction with intraorally harvested autogenous bone graft and inorganic bovine bone mineral (Bio-Oss).
View Article and Find Full Text PDFThis article describes a technique in which an acellular dermal allograft is used in combination with a photopolymerized acrylic resin stent to increase the zone of keratinized tissue around osseointegrated dental implants. During the second-stage surgery, a split thickness labial flap is reflected and apically repositioned by being sutured onto the periosteum and connective tissue. The acellular dermal allograft is then sutured onto the recipient site.
View Article and Find Full Text PDFPurpose: This prospective study evaluated the immediate loading of single, threaded, root-form implants placed in the maxillary premolar area.
Materials And Methods: Ten human subjects were included in this preliminary report. In all cases, a screw-retained temporary acrylic resin crown was placed immediately after implant surgery.
Purpose: This study presents a clinical, radiographic, laboratory, and histologic/histomorphometric analysis of the use of mandibular ramus block autografts for vertical alveolar ridge augmentation and implant placement.
Materials And Methods: Autogenous block autografts were fixed at the recipient site with fixation screws while a mixture of autogenous bone marrow and inorganic bovine material (Bio-Oss) was used at the periphery. All grafts appeared well incorporated at the recipient site during reentry surgery.