Achieving favorable and stable esthetic outcomes with immediate implants used to replace maxillary anterior teeth can be challenging. Osteotomies need to be initiated along the palatal socket wall, and it is often difficult to stabilize initial drilling. An immediate implant was planned for a hopeless maxillary incisor.
View Article and Find Full Text PDFWhen immediate molar implants first were proposed, submerged initial healing and delayed loading were the norm. It is now recognized that some early loading of a nonocclusal nature can stimulate faster osseointegration, although full occlusal loading is still delayed for 3 or more months. Here, we test the hypothesis that earlier occlusal loading of mandibular premolar and molar immediate implants may be possible.
View Article and Find Full Text PDFJ Adv Periodontol Implant Dent
November 2021
Background: This study used CBCT images to evaluate the suitability of maxillary first and second molar sites to receive immediate implants. Buccopalatal and mesiodistal widths of maxillary molar inter-radicular septum were evaluated at three different levels (crestal, middle, and apical), in addition to assessments of the root apex and furcation proximities to the sinus floor and comparisons of these measurements between the first and second upper molar sites before extraction.
Methods: A total of 427 dental sites from 223 patients were used to measure the buccopalatal and mesiodistal widths of inter-septal/furcal (IRS) bone of maxillary first and second molars and vertical distances from the furcation and from all the root apices to the sinus floor (SF).
Platform-switching reduces peri-implant marginal bone loss (MBL). The aim of this study was to compare the effect of platform-switching on stress within crestal bone using different implant-abutment mismatches (0.65 and 1 mm) under 2 different vertical loads (30 N vs 200 N) for implants placed in posterior jaw sites.
View Article and Find Full Text PDFBased on our collective experiences with gap management around immediate dental implants, we have proposed a classification of gap type based on the location in relation to implant periphery. Seven types are proposed, and all but one type should heal without gap grafting provided that flap-less surgery and atraumatic extraction have been achieved. The exception is our Type II gap where the implant has been placed too far buccally leaving a gap only on the lingual/palatal.
View Article and Find Full Text PDFBackground: The study's purpose was to study buccal pouch grafting (BPG) with xenograft, freeze-dried bone allograft (FDBA), or FDBA + decalcified FDBA (DFDBA) on alveolar ridge width preservation and overlying soft tissue thickness at dog premolar extraction sites.
Materials And Methods: In this animal study, 4 dogs had their mandibular first premolar (P1) and distal roots of P2, P3, and P4 extracted (after endodontic treatment of the mesial roots) bilaterally. A small buccal pouch was created at each extraction socket and four treatments tested: nothing, xenograft, FDBA, or FDBA + DFDBA.
Background: One of the most common problems in edentulous patients is the low stability of lower dentures. The most effective method to overcome this problem is implant-supported overdentures. After placing an implant, for the process of osseointegration to be complete and successful, it is better that patients do not use their denture for few months.
View Article and Find Full Text PDFBackground: Atherosclerosis is the most common cause for heart attack and stroke. In the last decade, several epidemiological studies have found an association between periodontal infection and atherosclerosis. The aim of this research was to determine the possible association between chronic periodontal disease and severity of atherosclerosis.
View Article and Find Full Text PDFBackground: The aim of this study was to evaluate apical transportation and centering ability of single-file instruments, WaveOne primary, with full rotation versus reciprocation movement using cone-beam computed tomography (CBCT) analysis in curved mesiobuccal (MB) root canal of human mandibular molars.
Materials And Methods: Thirty MB canals of mandibular molars were randomly divided into two groups according to the instrument motion (n = 15): Group 1, reciprocation/WaveOne primary; Group 2, continuous rotation/WaveOne primary. After preparation, the amount of apical transportation and centering ability were assessed by evaluating pre- and post-instrumentation CBCT scans in three section (1, 3, and 5 mm from apical foramen).
Clin Implant Dent Relat Res
December 2016
Background: Immediate implant placement in molar extraction sites has become a treatment option for experienced clinicians.
Purpose: The aim of this study was to provide a systematic review and meta-analysis of outcomes from recent clinical studies with immediate molar implants.
Materials And Methods: A systematic review was undertaken of relevant literature published from November 2008 to May 2015.
Introduction: The aim of this study was to compare the changes that occur in the danger zone (DZ) after preparation of curved mesiobuccal (MB) canals of mandibular first molars with WaveOne instruments in two different movements [reciprocation (RCP) and counter-clockwise rotation (CCWR)] by means of cone-beam computed tomography (CBCT).
Methods And Materials: MB canals of 30 mandibular molars were randomly divided into 2 groups (n=15); WaveOne/RCP and WaveOne/CCWR. Pre- and post-instrumentation CBCT images were assessed for changes in the dentin thickness in DZ (2 and 4 mm below the highest point of the root furcation) in both groups.
The keratoameloblastoma is a rare histologic variant of ameloblastoma. Fewer than 15 cases of keratoameloblastoma have been documented in the literature. We report a new case of keratoameloblastoma in a 21-year-old female patient with a unilocular radiolucent lesion between the roots of the right mandibular incisors.
View Article and Find Full Text PDFInt J Periodontics Restorative Dent
October 2015
This paper summarizes current knowledge on the benefits of laserablated microgrooves in neck regions of endosseous dental implants. Like machine-tooled coronal microthreads with particle-blasted surfaces, laser-ablated microgrooves help to preserve crestal bone. However, they also appear to uniquely favor a true gingival connective tissue attachment comparable to that of natural teeth.
View Article and Find Full Text PDFBackground: Local anesthesia (LA) with epinephrine have an important role in pain and bleeding control. However, most clinicians believe LA + epinephrine may cause rapid raise in blood pressure (BP) and heart rate (HR). The aim of this research was to compare the changes in HR and BP after administration of lidocaine with and without epinephrine 1/80000 in two infiltration (INF) and inferior alveolar nerve block methods (IANB).
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