: This narrative review provides an evidence-based overview of the comparison between mini-dental implants (MDI) and conventional dental implants for definitive prosthesis retention. In addition, recommendations are made on whether the use of reduced diameter dental implants is more appropriate. : A literature review was conducted via electronic search addressing the following topics: (1) osseointegration, (2) peri-implant soft tissue characteristics, (3) biomechanics, (4) implant survival and (5) implant success.
View Article and Find Full Text PDFThe copy denture technique is a misnomer for the clinical and laboratory procedures involved in making complete dentures that replicate most of the features of the original prosthesis. The aim is to replicate the good features of an otherwise successful prosthesis that now requires replacement and to alter the poor features and so it is strictly speaking not a copy. There are many purported advantages to this technique which include reduced treatment time, increased patient acceptance especially for the elderly who may not adapt so well to a new prosthesis, maintenance of tooth position and vertical dimension.
View Article and Find Full Text PDFPurpose: The purpose of this study was to evaluate the effect of race, age, and gender on Commision Internationale de l'Eclairage Lab color space (CIELAB) values of attached gingival colors. The color coordinates of an optimal proposed attached gingival shade guide were also determined.
Material And Methods: Participants (n = 120) were recruited to fulfill the following stratification of five age groups: 18-29, 30-39, 40-49, 50-59, and 60-85, with four racial categories (white, black, Asian, and others) and balanced for gender.
Int J Oral Maxillofac Implants
December 2014
Purpose: This study examined the three-dimensional (3D) accuracy of the Encode Impression System (EN) in transferring the locations of two implants from master models to test models and compared this to the direct impression (DI) technique. The effect of interimplant angulation on the 3D accuracy of both impression techniques was also evaluated.
Materials And Methods: Seven sectional polymethyl methacrylate mandibular arch master models were fabricated with implants in the first premolar and first molar positions.
Prosthodontic rehabilitation of maxillary defects and early loading of endosseous implants has been widely published. The combination of the aforementioned treatment modalities are seldom reported in peer reviewed journals. This article describes the clinical presentation, management and prosthodontic rehabilitation of the maxillary defect of a patient.
View Article and Find Full Text PDFFacial anomalies in hemifacial microsomia patients may have significant psychosocial impact even from a very young age. The management and fabrication of an auricular prosthesis replacement supported by endosseous craniofacial implants for a young patient with Goldenhar-Gorlin Syndrome has been reported. It is beneficial for the defects of a hemifacial microsomia patient to be managed as early as possible, consistent with the patient's ability to manage the prosthesis.
View Article and Find Full Text PDFFunctional rehabilitation of fully edentulous maxillary defects is always regarded as a prosthodontic challenge. Surgical augmentation does not always offer value addition in the functional treatment outcome. This article describes the maxillofacial prosthodontic treatment of an edentulous patient who received an abdominus microvascular free flap surgical augmentation of a large acquired maxillary defect.
View Article and Find Full Text PDFFunctional rehabilitation of edentulous jaws using a CAD/CAM-guided implant protocol is commonly recommended as a definitive treatment modality. A patient with an edentulous maxilla received 7 endosseous implants using a CAD/CAM surgical template. A provisional maxillary acrylic resin fixed complete denture was connected immediately after implant placement using a combination of screw-retained and cement-retained abutments.
View Article and Find Full Text PDFFunctional rehabilitation of a completely edentulous patient with removable prostheses is a clinical challenge. A patient with an edentulous maxilla and mandible received 6 endosseous implants in the maxilla and 5 implants in the mandible using CAD/CAM surgical templates. Definitive maxillary and mandibular implant-supported fixed complete dentures were connected immediately after implant placement using a CAD/CAM-guided implant surgical placement protocol.
View Article and Find Full Text PDFAccurate impression-making is essential for the construction of accurately fitting indirect restorations. The putty and wash impression technique using an elastomeric impression material is a popular method. A modified technique is presented that ensures predictable registration of multiple tooth preparations in the dental arch in a single impression.
View Article and Find Full Text PDFSingapore Dent J
December 2007
The success rates of craniofacial osseointegrated implants are not uniform throughout the craniofacial area. A better understanding of their clinical behaviour is needed. This article investigates current perspectives on the application of endosseous implants in the restoration of craniofacial defects.
View Article and Find Full Text PDFTrismus and limited oral access present a clinical challenge to prosthodontic management. An edentulous patient who developed microstomia after a maxillary tumor resection and radiation therapy is presented. The clinical procedure and the rationale for the treatment approach are discussed.
View Article and Find Full Text PDFFunctional reconstruction of an occlusion with severe residual ridge resorption is a clinical challenge. Removable prostheses are unsuccessful in situations with severe bone resorption. A patient with an edentulous maxilla received bone grafts from the anterior iliac crest to augment the maxillary alveolar residual ridges.
View Article and Find Full Text PDFProsthetic rehabilitation of partial mandibulectomy defects without bony reconstruction is rarely presented. An in-depth understanding of the surgical and conventional prosthodontic principles is essential for prosthetic rehabilitation in this unique group of patients. Often, the application of modified prosthodontic principles is needed and success is not always possible.
View Article and Find Full Text PDFSingapore Dent J
December 2006
Prosthodontic rehabilitation for mandibulectomy patients is seldom covered in the undergraduate dental curriculum. The complexity of mandibular resections, surgical considerations, and prosthodontic implications are rarely explored in depth even in postgraduate prosthodontic training. Understanding the nature of the surgical treatment and prosthodontic limitations is crucial for clinical care of these patients.
View Article and Find Full Text PDFLimited oral access presents a unique challenge to prosthodontic treatment. An edentulous patient who developed microstomia after a maxillary lip resection is presented. The clinical procedure and the rationale for the treatment approach using implanted-supported overdentures are discussed.
View Article and Find Full Text PDFBilateral maxillary resection offers a significant challenge for prosthodontic rehabilitation with a removable tissue-borne prosthesis, owing in large part to a lack of adequate retention, support, and stability. The clinical management of a patient with a bilateral maxillectomy using an altered prosthodontic treatment sequence is described.
View Article and Find Full Text PDFThis clinical report describes the clinical requirements, treatment sequence, and use of a relatively new intraoral electrolarynx for a completely edentulous patient. This device consists of a sound source attached to the maxilla and a hand-held controller unit that controls the pitch and volume of the intraoral sound source via transmitted radio waves.
View Article and Find Full Text PDFA newly fabricated prosthesis may need a complete remake if it does not match the patient's skin tone. Remakes of craniofacial implant-retained prostheses may require significant time and incur additional costs. An alternative procedure is presented to improve the predictability of such prostheses.
View Article and Find Full Text PDFJ Can Dent Assoc
May 2002
Management of tooth avulsion in the permanent dentition often presents a challenge. Definitive treatment planning and consultation with specialists is seldom possible at the time of emergency treatment. Replantation of the avulsed tooth can restore esthetic appearance and occlusal function shortly after the injury.
View Article and Find Full Text PDFJ Prosthet Dent
January 2002
Statement Of Problem: Given that meticulous implant prosthodontic procedures are recommended to obtain the best possible intraoral fit, the die systems used for multi-implant casts warrant further investigation. PURPOSE. The purpose of this in vitro study was to compare the accuracy of implant casts fabricated from 3 conceptually different die systems at the solid, sectioned, and repeated stages.
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