Aim: The present review aimed to summarize and evaluate the available literature regarding the survival rate and outcomes of dental implants in patients with Papillon-Lefèvre syndrome (PLS).
Materials And Methods: An extensive search of the literature was conducted on PubMed, Scopus and Web of Science databases for all data published from January 1996 till April 2020 using a combination of the following keywords: 'Papillon Lefévre Syndrome', 'prosthodontic rehabilitation' and 'dental implant' according to the PRISMA guidelines for the focused research question constructed using the PICO criteria. Clinical trials and observational studies on implant placement in PLS patients reported in English language were included in the study.
Results: A total of 10 studies (nine case reports and one case series) comprising 124 dental implants placed in 13 PLS patients were included. The follow-up period ranged from 4 months to 9 years. With regard to implant loading, 9 studies reported delayed loading, while one study did not provide any information regarding the nature of implant loading. The design of prosthodontic superstructure was either a removable or fixed prosthesis. Out of the 124 inserted implants, 20 (16%) were reported as failed. The overall survival rate was 84%.
Conclusion: The limited available evidence suggests that the survival rate of dental implants in patients with PLS is lower than that among healthy individuals. Nevertheless, no strict contraindication for implant-supported prosthesis seems to be justified in this group of patients. Further longitudinal studies with adequate follow-up periods are highly warranted.
Clinical Significance: The prognosis of implant treatment for PLS patients has not yet been established. Dental practitioners should follow a careful approach in planning the dental implant treatment for this cohort of patients.
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Head Neck
December 2024
Department of Maxillofacial Surgery and Stomatology, Nantes Université, CHU Nantes, Nantes, France.
Background: Dental implantation of bone reconstructions in oncologic situations improves patients' orofacial function and quality of life. There are currently no recommendations on the timing of implantation.
Methods: This systematic review with meta-analysis aimed to compare primary and secondary dental implantation of free bone flaps in reconstructions for malignant tumors of the oral cavity.
BMC Oral Health
December 2024
Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Pathumwan, Bangkok, 10330, Thailand.
Background: The selection guideline for the implant-supported bar connectors (ISBC) of hybrid denture is lacking. This study investigated the maximum von Mises stress (vMS), stress distribution, and displacement of various geometric ISBC in mandibular hybrid dentures, as well as the maximum principal stress (σmax) in the acrylic resin part, through finite element analysis.
Methods: Four different geometric cross-sectional patterns for mandibular ISBC-L, Y, I, and Square-of equal volume, based on the "All-on-4" concept, were created.
Cureus
November 2024
Department of Removable Prosthodontics, Syrian Arab Republic Damascus University Faculty of Dental Medicine, Damascus, SYR.
Background: Determining the distal cantilever length in All-on-Four (All-on-4) implant-supported prostheses is a major factor in the long-term success of these prostheses. The difference in mechanical properties of materials used in the fabrication of these prostheses, such as polyether ether ketone (PEEK), may have an impact on the determination of the cantilever length that best distributes stress.
Aim: To study the distribution of stress in All-on-4 mandibular prostheses in the bone, implants, and framework according to difference cantilever length in PEEK prosthetic framework using three-dimensional finite element analysis.
Iran Biomed J
December 2024
Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
J Craniomaxillofac Surg
December 2024
Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel; Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel; Department of Oral and Maxillofacial rehabilitation, Rambam Health Care Campus, Haifa, Israel.
As maxillofacial surgery becomes increasingly digitized and the transformative impact of pre-surgical scanning and computer simulation is recognized, this clinical paper presents an algorithm for the selection of interventions in severe congenital oligodontia with Angle class-III malocclusion (OCIII) utilizing such technologies. A complex, multifactorial condition with varying degrees of craniofacial involvement, OCIII is associated with edentulous facial appearance, mandibular prognathism and deep underbite, as well as malocclusion. Our methodology involves the integration of CBCT imaging, intra- and extra- oral scanning, and 3D planning with the assessment of bone volume, number of missing teeth, skeletal discrepancies, and patient compliance in the selection of suitable treatments.
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