The esthetic rehabilitation of anterior ridge defects and achieving patient satisfaction have become major clinical challenges for dentists and technicians. Poor diagnosis and treatment planning are frequently associated with multiple surgical procedures that fail to meet patient expectations. The loss of hard and soft tissues in anterior ridges results in an esthetically compromised zone that affects the rehabilitation prognosis. The presence of interdental papilla and papillary configuration play a decisive role in patient satisfaction. A treatment plan considering esthetic parameters, prosthetic needs, and morphological defects must be used to improve treatment outcomes. Therefore, this study aims to propose a treatment concept for anterior ridge defects that focuses on digital evaluation systems and is guided by an ideal facially driven smile design project. In addition, the relevance of the papilla for esthetic outcomes and treatment alternatives for anterior ridge defects are also addressed.
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http://dx.doi.org/10.1563/aaid-joi-D-20-00365 | DOI Listing |
Cureus
November 2024
Orthodontics, Rajendra Institute of Medical Sciences, Ranchi, IND.
Background: Adequate horizontal and vertical bone volume is an ideal prerequisite to achieving good primary stability, osseointegration, and long-term survival of an implant. Several techniques are available to achieve adequate bone volume for implant placement. Among the various non-subtractive methods, ridge expansion with motorized bone expanders is a commonly used method to expand bone volume in the anterior maxilla.
View Article and Find Full Text PDFJ Esthet Restor Dent
December 2024
Department of Periodontics, University of Washington, Seatte, WA, USA.
Objective: In the young and growing patient, tooth ankylosis impedes alveolar growth and presents a serious dilemma regarding the best treatment approach. Two common treatment approaches, extraction of the ankylosed tooth or a "wait and see" will result in a compromised alveolar ridge that can affect future prosthetic rehabilitation. The purpose of this article is to discuss five treatment strategies that can be utilized in the management of tooth ankylosis in the growing patient: (1) extraction, (2) decoronation or root submergence, (3) socket shield (partial extraction), (4) segmental osteotomy and (5) replacement with tooth autotransplantation.
View Article and Find Full Text PDFClin Ophthalmol
December 2024
Department of Refractive Surgery, Dr Om Parkash Eye Institute, Amritsar, India.
Purpose: To describe the "Ridge Sign" as a conclusive indicator for differentiating the anterior and posterior lenticular planes in Small Incision Lenticule Extraction (SMILE).
Methods: Femtosecond laser application for SMILE was performed. Anterior and posterior planes were dissected.
J Radiol Prot
December 2024
Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, New York, UNITED STATES.
Since 1968, the United States Transuranium and Uranium Registries (USTUR) has studied the biokinetics and tissue dosimetry of uranium and transuranium elements in nuclear workers. As part of the USTUR collaboration with the Million Person Study (MPS) of Low-Dose Health Effects, radiation dose to different parts of the human heart is being estimated for workers with documented intakes of 239Pu or 226Ra. The study may be expanded for workers with intakes of 238U and other radionuclides.
View Article and Find Full Text PDFCureus
November 2024
Neurosurgery, Centro Medico Nacional "20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico City, MEX.
Craniosynostosis is the premature fusion of one or more skull vault sutures, most commonly the sagittal sutures, leading to a long, narrow head shape known as scaphocephaly. Surgery is recommended to create space for brain growth to treat scaphocephaly. Delayed treatment may require more complex surgery to achieve the desired head shape.
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