Staging the extraction of selected teeth in a periodontally compromised patient during complete mouth rehabilitation has advantages, including avoiding a transitional complete denture, keeping the patient with a fixed prosthesis throughout the treatment without the need to immediately load the implants, maintaining the interdental papillae, and providing comfort for the patient. The need for a multistep extended treatment and additional cost are the main disadvantage of this approach. This clinical report describes the clinical steps and follow-up of a staging approach and implant placement in a periodontally compromised patient with excessive gingival display to achieve a good functional and esthetic result.
View Article and Find Full Text PDFMed Oral Patol Oral Cir Bucal
June 2008
Introduction: Zygomatic implants are a good rehabilitation alternative for upper maxilla with severe bone reabsorption. These implants reduce the need for onlay-type bone grafting in the posterior sectors and for maxillary sinus lift procedures - limiting the use of bone grafts to the anterior zone of the upper jaw in those cases where grafting is considered necessary.
Objective: To evaluate the survival of 101 zygomatic implants placed in upper maxilla presenting important bone reabsorption, with a follow-up of 1-72 months.
Med Oral Patol Oral Cir Bucal
February 2008
Implant fracture is an infrequent cause of implant failure. The present study evaluates 21 fractured implants, with an analysis of patient age and sex, the type, length and diameter of the implant, positioning in the dental arch, the type of prosthetic rehabilitation involved, the number of abutments and pontics, the presence or absence of distal extensions or cantilevers, and loading time to fracture. Implant fracture was more common in males than in females (15:4), and the mean patient age was 56.
View Article and Find Full Text PDFBackground: During recent years a new treatment concept, Brånemark Novum, has been developed in which implants are inserted in the edentulous lower jaw and immediately connected to a prefabricated titanium bar. A fixed prosthesis is then attached to the bar during or immediately following surgery.
Purpose: The aim of the present study was to investigate the application of this concept under various settings, to determine technique sensitivity, and to evaluate the clinical outcome after 1 year of follow-up.