Effect of antiplatelet and anticoagulant medications on implant survival: a long-term retrospective cohort study.

Purpose: This large-scale retrospective study aimed to examine the long-term effect of antiplatelet and anticoagulant medications intake on dental implant treatment outcome.

Materials And Methods: This study retrospectively examined data from patients who underwent dental implant procedures at several university dental clinics within the BigMouth network between 2011 and 2022. Patients' characteristics including age, gender, ethnicity, race, tobacco use, systemic medical conditions and intake of antiplatelets and anticoagulants were analyzed.

The Importance of Multidisciplinary Treatment Planning: Revision Treatment for Maxillary and Mandibular Arches Following Catastrophic Failure of Initial Implant Reconstruction.

The high success rate of current dental implant protocols makes studies of catastrophic failures a rarity; however, this article presents a case study in which faulty medical intervention was the direct cause of traumatic implant failure. The patient, who had been treated with implants that successfully osseointegrated, ultimately experienced a life-threatening medical incident due to an ill-fitting definitive prosthesis. This case report includes a detailed narrative of how this patient, who began his dental journey with compromised and missing teeth, became edentulous and then, following an arduous recovery, was restored to full function with a meticulously planned revision treatment.

A Review of Sinus Floor Elevation Techniques: Lateral Window, Transcrestal, Graft Materials, and Biologics.

Various approaches to implant placement in the atrophic posterior maxilla are currently advocated in the literature. Such strategies range from the use of block bone graft, to short, tilted, and zygomatic implants, to sinus floor elevation (SFE). SFE has shown to be a predictable surgical procedure to increase bone height in the posterior maxilla.

From Conventional to Complex Treatments, Digital Technologies Are Simplifying Implant Dentistry.

In the past decade, the shifting of dentistry into the digital world has become obvious to any dentist or dental specialist. Many restorative dentists now consider themselves "digital dentists," performing all their crown and bridge restorative planning and fabrication in a digital environment. In preparation for this article, the author asked both a prosthodontist and the owner of a large state-of-the-art dental laboratory with whom he has worked closely the following questions: "These days, what percentage of your crown and bridge cases are being done fully digital?" Then, "What is the answer to the same question 5 years ago?" The prosthodontist answered that for crowns and bridges (with some exceptions for bridges), including implants (but not full arches), "close to 100 percent" of cases are now fully digital, while "maybe 25 percent" were 5 years ago (personal communication with Jason Sauer, DDS, of Westchester Prosthodontics, White Plains, New York, March 29, 2024).

Prevalence of temporomandibular joint dysfunction among the indigenous population of India.

Purpose: Primary dental care facilities and awareness about temporomandibular disorders are lacking among the indigenous population of Kerala. The aim of the study was to determine the prevalence of temporomandibular joint dysfunction (TMD) disorders among the indigenous populations of Kerala.

Methodology: This cross-sectional study included adults aged 18 years and above, visiting primary health care centre in the tribal hamlet in the town of Kalpetta, Wayanad District, Kerala, India, for reasons other than dental.

Implant Placement When an Impacted Tooth and Supernumerary Teeth Are Present in the Maxilla.

The presence of impacted and/or supernumerary teeth in the maxillary anterior region can cause complications when attempting to perform restorations with implants. Extracting these structures can lead to adverse issues related to the adjacent dentition and require osseous grafting to provide a base to house the planned implant, but such an approach increases treatment time and cost. In this case report, a patient presented with an impacted permanent canine oriented on the horizontal plane with several supernumerary teeth coronal to the impacted canine.

The Role of Radiographic Imaging in the Diagnosis and Management of Periodontal and Peri-Implant Diseases.

This article highlights the role of dental imaging techniques, including periapical, bitewing, panoramic, and cone-beam computed tomography images, in the diagnostic and therapeutic decision-making process for patients with periodontal and peri-implant disease. A brief overview of common radiographic findings of periodontal disease, including periodontitis, and peri-implantitis is also provided.

Facially Driven Digital Workflow for Maxillary and Mandibular Milled Implant- Retained Overdentures Using Two Different Unsplinted Attachment Systems: Case Report.

Unsplinted attachment systems for implant overdentures offer various benefits for edentulous patients, including cost-effectiveness, enhanced cleansability, and less need for manual dexterity. This article describes a facially driven digital workflow for fabricating a maxillary implant overdenture retained by conometric-style attachments (Atlantis® Conus) with a palateless design opposing an implant overdenture retained by standard attachments (LOCATOR®). This procedure provides a predictable and accurate technique to digitally scan the master casts with wax rims for articulation and to guide the digital teeth design set-up for a predictable esthetic outcome.

Full-arch restoration with the NEXUS IOS® system: A retrospective clinical evaluation of 37 restorations after a one year of follow-up.

Objectives: Report the results with a novel workflow of digital restoration for completely edentulous patients with implant supported full arch fixed dental prostheses (ISFDP).

Methods: This multicenter retrospective clinical study was based on the evaluation from a cohort of 29 patients restored with 37 ISFDP designed and manufactured from the data captured by a direct intraoral scan, using a novel full digital system (NEXUS IOS®, Osteon Medical, a Keystone Dental Group company, Melbourne, Australia). Data was collected over a 3-year period, in six different dental centers.

What's New in Glue: Utilizing Universal Resin Cement for Non-Ideal Situations in Prosthodontics.

Dentists frequently encounter the need to cement indirect restorations in clinical situations that are less than ideal, and the longevity and predictability of the indirect restorative materials used in such cases is largely predicated on the chemical and/or mechanical bond formed between the natural tooth or abutment and the cement. These non-ideal scenarios have been a significant driver in the continued evolution of self-adhesive resin cements (SARCs) with added functional monomers, such as 10-MDP. This article discusses three real-world case studies in which a newly developed universal SARC was utilized and combined with the use of an optional adhesive-enhancing primer that employs a proprietary "touch-cure" technology, or a light-cured adhesive, to improve the bond strength of the resin cement and enhance patient outcomes.

The Reverse Scan Body Protocol: Completing the Digital Workflow.

Recently developed extraoral techniques have allowed for an alternative approach for the digital acquisition of implant positions in fully edentulous patients. The "reverse scan body protocol" digitally simulates the traditional back-pouring technique long utilized in analog workflows. This article presents two cases in which an extraoral scanning technique was used to capture implant positions, design a prototype, and fabricate the definitive monolithic zirconia full-arch prosthesis.

Hard- and Soft-Tissue Reconstruction in the Anterior Maxilla for Esthetic Implant Therapy.

Implant rehabilitation in the esthetic zone is often challenged by vertical bone defects and soft-tissue deformities. This article describes a combined hard- and soft-tissue restorative approach that involves staged guided bone regeneration, implant placement, and two soft-tissue augmentation procedures to achieve optimal esthetic outcomes at multiple implant sites in the anterior zone. The staged bone augmentation procedure, performed with a mixture of autogenous and xenogeneic bone graft and a nonresorbable membrane, allowed for the placement of three implants in ideal positions after 9 months.

Using Three Familiar Radiographic Shapes to Improve Dental Implant Longevity.

From novice to master, clinicians of all levels can benefit from helpful tools that make implant dentistry simpler and more manageable. Such aids can provide insight into treatment options and allow practitioners to work with greater confidence in their approach. From the implant location and design to the prosthesis configuration, force factors, and more, various dynamics must be considered when attempting to optimize an implant solution, and many of these considerations can be confusing regardless of the clinician's training and experience.

Immediate Implant Placement, Immediate Load With Same-Day Fully Digital Fabrication of a Screw-Retained Provisional Implant Prosthesis.

This article describes the use of technology capable of converting a failed dentition to a full-arch screw-retained implant-supported provisional restoration in one day using a fully digital restorative protocol. With this expedited digital treatment, the transition to a restored dentition is completed without the need for any physical impressions. Predicated on facially driven virtual smile designs, sophisticated engineering designs, complex algorithms, artificial intelligence, and novel laboratory and clinical workflows, the protocol allows for streamlined, same-day digital delivery of an in-house 3D-printed provisional prosthesis after implant placement surgery.

Restoration of a Maxillary Anterior Defect With a Rotational Path Removable Partial Denture: Clinical Report of a Patient With Cleidocranial Dysplasia.

Cleidocranial dysplasia (CCD) is an uncommon genetic condition that affects teeth and bones, potentially leading to delayed ossification, dental abnormalities, and craniofacial changes, which can be treated through a combination of orthodontic and prosthodontic therapies. This case report describes the diagnostic evaluation, laboratory procedures, and prosthodontic treatment for a patient with CCD who had two missing maxillary anterior teeth. Following occlusal device therapy and the achievement of occlusal equilibration, restorative treatment was performed, consisting of a maxillary central incisor survey crown, rest seat preparations, and a lateral rotational path removable partial denture (RPD).

A Simple Technique to Create Accurate, Esthetic Immediate Implant Provisional Restorations: Hurricane Anti-rotation Wing.

Inserting a presurgically fabricated provisional restoration at the time of implant placement can be problematic if and when the provisional does not fit. The 3-dimensional position of the implant in the mouth typically is not as critical as the long-axis rotational orientation of the implant, which is known as "timing." During implant placement, it is often desirable to have one of the implant's internal hexagon flats in a specific rotational position (ie, timing) that enables the use of orientation-specific hexed abutments.

Influence of contemporary ceramo-metallic crown decontamination on the surface roughness, color stability, and disinfection. An in vitro analysis.

Aim: To assess the antimicrobial effects, surface roughness (Ra), and color change (ΔE) of Morinda Citrofolia, Sapindus Mukorossi, Indocyanine green photosensitizer, and 2% NaOCl on metal ceramic crown colonized with C. Albicans, S aureus, S. mutans, and E.

Implant Placement Lateral to the Inferior Alveolar Nerve: Selective Indications and Treatment Outcomes-A Case Series.

Replacement of missing posterior mandibular teeth in severely atrophied jaws can be quite challenging. Various treatment options have been proposed for the rehabilitation of the deficient posterior mandible with implant-supported prostheses. Depending on the clinical situation, it may be feasible to place implants lateral to the inferior alveolar nerve, which represents a viable treatment option under the proper circumstances.

Periodontists' Trends in the Management of Peri-implant Diseases.

Purpose: The scarce standard therapeutic protocols for the management of peri-implant diseases results in the empirical application of therapeutic modalities. The objective of this study was to carry out a survey to analyze the therapeutic trends of professionals with different academic backgrounds and levels of expertise.

Materials And Methods: An exploratory cross-sectional internet-based study survey of board-certified members of the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP) was conducted.

A Blended Prosthesis Design for an Implant-Supported Fixed Complete Denture to Manage Restricted Restorative Space.

With new materials and manufacturing techniques being constantly introduced in dentistry, in order to provide optimal patient care clinicians need to know the properties and limitations of these materials before incorporating them into practice. In the past, with fewer restorative material options available, the patient's biological tissues often needed to be surgically prepared to optimize the physical properties of the materials. With today's newer materials and technology, restorative dentists have more choices for restoring oral structures without having to sacrifice or alter biological tissue.

Risk indicators of long-term outcome of implant therapy in patients with a history of severe periodontitis or no history of periodontitis: A retrospective cohort study.

Objective: The aim of this retrospective cohort study was to assess factors associated with peri-implant disease in partially edentulous patients with a history of severe periodontitis or no history of periodontitis.

Methods: Partially edentulous patients with a history of severe periodontitis/without history of periodontitis who received implant surgery within the past 6 to 8 years were recalled. Clinical and radiographic examinations were recorded.