Simplifying Implant Planning and Placement in the Fully Edentulous Arch With In-Office Guide Fabrication.

A geometric approach is presented that allows in-office planning with linear and angle corrections and surgical guide fabrication, simplifying the process when treating a fully edentulous arch.

Horizontal Ridge Augmentation Under a Removable Partial Denture and Implant Placement.

Implant planning has moved in recent years to virtual planning with a CBCT scan and fabrication of a surgical guide based on that virtual planning. Unfortunately, positioning based on prosthetics is typically missing from the CBCT scan. Use of a diagnostic guide fabricated in office permits information from ideal prosthetic positioning to improve virtual planning and subsequent fabricated of a corrected surgical guide.

Evaluation of the Accuracy of a New Geometric Approach to Implant Guidance.

Purpose: Implant surgical guides are often fabricated using CBCT technology. In this study, an alternative technique is proposed. The aim of this in vitro study was to compare the accuracy of the guide sleeve corrections of a geometric approach to guided surgery to the accuracy of in vitro studies of stereolithographic guides.

Development of the materials analysis and particle probe for Proto-MPEX.

The Prototype Material Plasma Exposure eXperiment (Proto-MPEX) is a linear plasma device being used in plasma source research and development (R&D) for the proposed MPEX. Once the R&D is completed, this device can also be used to perform plasma-material interaction studies. To perform these studies, a new materials analysis and particle probe (MAPP) has been constructed.

An alternative approach for vestibular extension using temporary coverage of epithelialized palatal grafts.

An alternative approach was used to increase the buccal vestibular depth of two edentulous patients, using free epithelialized palatal grafts. Two edentulous patients presented with shallow vestibules and inadequate keratinized tissue width in the mandibular anterior region. These sites were treated with vestibuloplasty followed by placement of an epithelialized palatal graft.

First results from the Thomson scattering diagnostic on proto-MPEX.

A Thomson scattering (TS) diagnostic has been successfully implemented on the prototype Material Plasma Exposure eXperiment (Proto-MPEX) at Oak Ridge National Laboratory. The diagnostic collects the light scattered by plasma electrons and spectroscopically resolves the Doppler shift imparted to the light by the velocity of the electrons. The spread in velocities is proportional to the electron temperature, while the total number of photons is proportional to the electron density.

Design of a digital holography system for PFC erosion measurements on Proto-MPEX.

A project has been started at ORNL to develop a dual-wavelength digital holography system for plasma facing component erosion measurements on prototype material plasma exposure experiment. Such a system will allow in situ real-time measurements of component erosion. Initially the system will be developed with one laser, and first experimental laboratory measurements will be made with the single laser system.

High-speed digital holography for neutral gas and electron density imaging.

An instrument was developed using digital holographic reconstruction of the wavefront from a CO2 laser imaged on a high-speed commercial IR camera. An acousto-optic modulator is used to generate 1-25 μs pulses from a continuous-wave CO2 laser, both to limit the average power at the detector and also to freeze motion from sub-interframe time scales. Extensive effort was made to characterize and eliminate noise from vibrations and second-surface reflections.

Fast imaging of intact and shattered cryogenic neon pellets.

Compact condensed-matter injection technologies are increasingly used in magnetic fusion. One recent application is in disruption mitigation. An imaging system with less-than-100-µm- and sub-µs-resolution is described and used to characterize intact and shattered cryogenic neon pellets.

Digital holography for in situ real-time measurement of plasma-facing-component erosion.

In situ, real time measurement of net plasma-facing-component (PFC) erosion/deposition in a real plasma device is challenging due to the need for good spatial and temporal resolution, sufficient sensitivity, and immunity to fringe-jump errors. Design of a high-sensitivity, potentially high-speed, dual-wavelength CO2 laser digital holography system (nominally immune to fringe jumps) for PFC erosion measurement is discussed.

Reduction of edge-localized mode intensity using high-repetition-rate pellet injection in tokamak H-mode plasmas.

High repetition rate injection of deuterium pellets from the low-field side (LFS) of the DIII-D tokamak is shown to trigger high-frequency edge-localized modes (ELMs) at up to 12× the low natural ELM frequency in H-mode deuterium plasmas designed to match the ITER baseline configuration in shape, normalized beta, and input power just above the H-mode threshold. The pellet size, velocity, and injection location were chosen to limit penetration to the outer 10% of the plasma. The resulting perturbations to the plasma density and energy confinement time are thus minimal (<10%).

High speed digital holography for density and fluctuation measurements (invited).

The state of the art in electro-optics has advanced to the point where digital holographic acquisition of wavefronts is now possible. Holographic wavefront acquisition provides the phase of the wavefront at every measurement point. This can be done with accuracy on the order of a thousandth of a wavelength, given that there is sufficient care in the design of the system.

Implant periapical lesions: etiology and treatment options.

Implant failures due to apical pathology are conditions that have not been extensively studied nor reported in the literature. The implant periapical lesion (IPAL) has different symptoms, and several etiologies have been proposed in the literature. This article reviews cases of IPAL reported in peer-reviewed journals and presents possible treatment options.

Use of interdisciplinary team approach in establishing esthetic restorative dentistry.

Managing crown lengthening in cases of attrition (wear or loss of tooth substance) and achieving desired esthetic outcomes, especially in the esthetic zone, is challenging. This case report presents an interdisciplinary approach to case management. Concomitant use of digital imaging, along with model wax-ups and surgical guide, were used to enhance patient acceptance during treatment planning and to facilitate communication and treatment implementation among dental professionals and laboratory technicians.

Surgical templates for prosthetically guided implant placement.

The article describes a prosthetically guided method for the fabrication of surgical templates for partially edentulous patients. A number of stainless steel components are used to capture the optimal prosthetic position for the placement of the implant determined from a diagnostic arrangement. A radiopaque stainless steel guide sleeve is used to guide the drill in preparation of the osteotomy after radiographs are made to verify the position and proposed trajectory of the guide sleeve.

Use of imaging guides in preimplant tomography.

Objectives: The objective of this study was to quantify the variation in use and type of imaging guides used by community-based specialists and general practitioners during dental implant treatment planning phases. The specific aim of this study was to test the hypothesis that specialists are more likely to use some form of cross-sectional imaging in conjunction with imaging guides during the preoperative assessment of dental implant procedures.

Study Design: Records from 630 patients with implants (1640 implants) referred for cross-sectional tomography were reviewed.

Fabrication of imaging and surgical guides for dental implants.

Research and experience have suggested that the success of dental implants depends on a well-developed and careful treatment plan approach. Historically, implant size and angulation were determined with the use of panoramic radiographs and clinical judgment during surgery. This occasionally resulted in mechanical and esthetic compromise.

Comparison between planned prosthetic trajectory and residual bone trajectory using surgical guides and tomography--a pilot study.

Implant treatment is a highly technical and complex form of dentistry. Research and experience have shown that the success of dental implant treatment relies on a well-developed treatment plan approach that takes into account factors such as systemic condition, anatomical landmarks, occlusion, shape and density of the jawbone, and type of implant system. Historically, once the tissue was reflected, implant placement was guided by residual bone height and width, using the trajectory that was compatible with the location and direction of available bone, at times compromising prosthetic needs.

Oral and esophageal Candida albicans infection in hyposalivatory rats.

The opportunistic fungus Candida albicans is a major cause of oral and esophageal infections in immuno-compromised patients, individuals on drug therapy, and the chronically ill. Because it has been observed that persons suffering from hyposalivation have an increased prevalence of oral candididiasis, we developed an animal model of infection based on hyposalivation. The objectives of our studies were to understand the mechanisms by which C.

Long-term periodontal status after orthodontic treatment.

This study evaluated the clinical periodontal status of persons who had completed orthodontic therapy at least 10 years previously (study) and compared the findings to those of adults with untreated malocclusions (control). Subjects in the study (n = 112; 63 female subjects, 49 male subjects; mean age 29.3 +/- 4.

A periodontal attachment mechanism without alveolar bone. Case report.

A 22-year-old black male was referred for periodontal therapy because of radiographic evidence of advanced bone loss associated with the posterior teeth. Clinical examination revealed gingivitis, normal sulcus depths, and minimal loss of clinical attachment. Complete blood counts, serum chemistry, and neutrophil function were within normal limits.

Associations between crestal lamina dura and periodontal status.

The purpose of the present study was to investigate associations between radiographic crestal lamina dura and the clinical periodontal status of the corresponding interdental area. The population consisted of 90 individuals (53 females and 37 males), ages 21 to 45 years (mean 31 years), who underwent a comprehensive periodontal examination. Buccal and lingual to the contact point at each interdental area four different clinical criteria were scored as being present or absent: (i) visual inflammation, (ii) bleeding after probing with 25 gm force, (iii) pocket depth greater than 3 mm after probing with 50 gm force, (iv) loss of connective tissue attachment.