The restoration of partially and completely
|
|
- Amie Edwards
- 6 years ago
- Views:
Transcription
1 CLINICAL MANAGEMENT OF DENTAL IMPLANT FRACTURES. ACASE HISTORY Firas A. M. AL Quran, PhD, MSc Med; Bashar A. Rashan, MS; Ziad N. AL-Dwairi, PhD The widespread use of endosseous osseointegrated implants to replace missing natural teeth increases the chances of implant complications and failures, despite the high initial success rate reported in the literature. Implant fracture is one possible complication that results in ultimate failure of the dental implant. Such a complication poses a management crisis even for the most experienced clinician. This article reports on a case of implant fracture, its possible causes, and how the case was managed. Key Words: fracture, implant, partial denture INTRODUCTION The restoration of partially and completely edentulous patients with dental implants has become a first-choice treatment modality in modern dentistry for certain clinical situations. Prospective and longitudinal studies related to partial edentulism have indicated cumulative implant success rates ranging from 89 to 95.3% and cumulative survival rates ranging from 93.6 to 96.7% 3 7 years after loading. This treatment modality is not problem-free however, and is associated with multiple complications that can lead to failure. One unfortunate complication immediately results in implant fracture. Such a complication poses a management crisis even for the most experienced clinician. This article reports on the fracture of a dental implant, and how the case was managed. Firas A. M. AL Quran, PhD, MSc Med, is Head of the Department of Allied Dental Sciences and Associate Professor in Prosthetic Dentistry, Faculty of Dentistry/Faculty of Allied Medical Sciences, Bashar A. Rashan, MS, is Assistant Professor in Prosthetic Dentistry, Department of Prosthetic Dentistry, Faculty of Dentistry, and Ziad N. AL- Dwairi, PhD, is Assistant Professor in Prosthetic Dentistry, Department of Prosthetic Dentistry, Faculty of Dentistry, Jordan University of Science and Technology. Address correspondence to Dr AL Quran at Department of Prosthetic Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, PO Box 3030, Irbid, Jordan. ( firasalquran@yahoo.com) CASE REPORT A 67-year old female presented with a complaint that her existing maxillary removable partial denture had poor fit and retention (Figure 1). Clinical examination revealed 2 metal-ceramic crowns on the maxillary right 2nd bicuspid and 1st molar (Figure 1), and a class I Kennedy classification provisional acrylic removable partial denture restoring the maxillary right 2nd molar and all dentition spanning from the maxillary right 1st bicuspid to the maxillary left 2nd molar. The existing mandibular restorations were a tooth-supported, metal-ceramic, fixed partial denture extending from the left 2nd bicuspid to 2nd molar, a metal-ceramic crown on the right 1st bicuspid and a removable partial denture restoring the right 2nd bicuspid to 2nd molar in a Kennedy class II partially edentulous jaw (Figure 2). After completing clinical and diagnostic evaluations, an optimal treatment plan was formulated to place 2 implants in the areas of the maxillary left 1st bicuspid and 1st molar to support a three-unit fixed partial denture, and a Kennedy class IV removable partial denture to restore the ridge from the maxillary right 1st bicuspid to the left cuspid. Two dental implants (Bicon Dental Implants, Bicon, Boston, Mass) were placed in the areas of the maxillary left 1st bicuspid and 1st molar in March 1999 (Figure 3). The implants were 3.5 mm in diameter and 11 mm in length. After a healing period of 4 months, the implants were restored in July 1999 with the proposed 3-unit, metal-ceramic, fixed partial denture with a 2nd bicuspid bound pontic. A Kennedy 210 Vol. XXXV/No. Four/2009
2 Firas A. M. AL Quran et al FIGURES 1 6. FIGURE 1. The maxillary arch of a 67 year old female with existing restorations were 2 metal-ceramic crowns on the right 2nd bicuspid and 1st molar teeth. FIGURE 2. The existing mandibular restorations were a tooth-supported metal-ceramic fixed partial denture extending from the left 2nd bicuspid to 2nd molar, a metal-ceramic crown on the right 1st bicuspid and a removable partial denture restoring the right 2nd bicuspid to 2nd molar. FIGURE 3. Periapical radiograph of the 2 dental implants placed in the area of the maxillary left 1st bicuspid and 1st molar. FIGURE 4. Abutments placed on implants. FIGURE 5. A 3-unit metal-ceramic fixed partial denture that had a bound pontic in the 2nd bicuspid area and a Kennedy class IV removable partial denture with acrylic teeth was fabricated to restore the partially edentulous ridge from the right 1st bicuspid to the left cuspid restoring definitive prostheses inserted in position. FIGURE 6. Periapical radiograph showing fractured distal implant. Journal of Oral Implantology 211
3 MANAGEMENT OF DENTAL IMPLANT FRACTURES FIGURES FIGURE 7. The fixed partial denture was sectioned and the crown on the mesial implant was retained and cemented back in place. FIGURE 8. Picture showing crown with fractured mesial implant. FIGURE 9. Periapical radiograph showing fractured mesial implant. FIGURE 10. Mesial crown and fractured fixture fragment after removal. class IV removable partial denture with acrylic teeth was fabricated to restore the partially edentulous ridge from the right 1st bicuspid to the left cuspid. The treatment was finished by August 1999 (Figures 4 and 5). Five years later, the patient presented on an emergency visit complaining of pain and mobility in the implant-supported, fixed partial denture area. Clinical examination revealed that the fixed partial denture exhibited some mobility. On removing the prosthesis part of the distal implant came out with the denture. The distal implant was fractured in the middle third (Figures 6 and 7). The fixed partial denture, along with the coronal portion of the fractured implant, was retrieved under local anesthesia. The plan was to remove the abutment on the mesial implant and replace it with an O-ring abutment, then fabricate a Kennedy Class II maxillary overdenture to restore the ridge from the 1st bicuspid to the left 2nd molar. According to the manufacturer (Bicon) abutments are retrievable and could be removed utilizing an extracting forceps and applying a pull and rotation force. Attempts to retrieve the abutment using this technique failed, however, and the abutment could not be removed from the remaining mesial dental implant. As a result, the treatment plan was modified. The fixed partial denture was sectioned and the crown on the mesial implant was retained and cemented back in place (Figure 8). The removable partial denture was modified by adding 2 teeth and delivered back to the patient. In March 2005 the patient presented with part of the remaining dental implant in her hand. The implant in the first premolar region was fractured (Figures 9 and 10). A treatment plan was made for the patient to receive new a dental implant with modifications in the implant and prosthetic designs. DISCUSSION Dental implant fracture generally occurs as a rare late complication of dental implant treatment. The report- 212 Vol. XXXV/No. Four/2009
4 Firas A. M. AL Quran et al ed incidence of this complication varies in the literature. Dental implants are government regulated devices in the United States. All failed, retrieved, including fractured, implants that are returned to companies are reported to the Food and Drug Administration (FDA) by law. This information is available from the FDA for every implant system. Regarding the Branemark dental implant system, in a long long-term multicenter study Adell et al. 1 reported a cumulative implant fracture rate of less than 5% in both the maxilla and the mandible over a period of 10 to 15 years, with the exception of one study group where the fracture rate reached 16% in the maxilla. Eckert et al. 2 reported an implant fracture rate of 0.6% in both the maxilla and the mandible. 2 More implant fractures occur in partially edentulous arches (1.5%) compared to completely edentulous arches (0.2%). 2 Jemt and Lekholm 3 reported the fracture of 1 implant out of 259 implants loaded. Dental implant fracture is primarily attributable to fatigue stress that results from repeated loading of the dental implant. Absence of the periodontal ligament present within natural teeth and the direct apposition to bone would not allow the dental implant to move under loading to accommodate for occlusal forces. This may result in excessive overloading leading to mechanical failures. With most dental implant systems, the screws are the usual weak link resulting in screw loosening and/ or fracture. This does not apply to dental implants (Bicon) in this report, which do not have connecting screws. The connection between the abutment and the implant is obtained through a 1.5u locking taper mechanism, which eliminates the need for screws. Adverse loads generated by occlusal forces induce wide varieties of mechanical failures in the dental implant components ranging from screw loosening to fractures of both screws and implants. This mechanical rupture and failure is higher in the posterior region compared to the anterior region and is magnified in the event of single- or two-implant configurations, the presence of a cantilevered prosthesis, nonaxial loading, or with bruxism and heavy occlusal forces. Another probable risk factor involved is crestal bone resorption which can occur over time. 4 This risk factor is aggravated by the increased occlusal loading resulting in crater-like crestal bone loss as seen in animal studies. 5 This results in increasing the crownroot ratio as well as the torque forces and flexure on the dental implants leading to fatigue stress fracture. In this clinical case, the patient occlusal loads were excessive, as revealed by the wear facets and attrition of the incisal edges of the mandibular anterior teeth (Figure 11). FIGURES FIGURE 11. Wear facets of the mandibular anterior natural teeth. FIGURE 12. Metal-ceramic crowns opposed by acrylic mandibular removable partial denture (ceramic vs. acrylic). FIGURE 13. The implant-supported metal-ceramic fixed partial denture opposed the metal-ceramic partial denture (ceramic vs. ceramic). The narrow diameter of the implants that replaced the 1st molar and the 1st premolar could also have contributed to the fracture. One other dynamic factor in this patient is the opposing occlusion. The maxillary right 2nd bicuspid and 1st molar are metal-ceramic crowns and are opposed by the acrylic teeth of the definitive mandibular removable partial denture (ceramic vs. acrylic) (Figure 12). The implant-supported metal-ceramic fixed partial denture is opposed by the Journal of Oral Implantology 213
5 MANAGEMENT OF DENTAL IMPLANT FRACTURES metal-ceramic fixed partial denture restoring maxillary left 2nd bicuspid and 2nd molar and the natural 1st premolar (ceramic vs. ceramic) (Figure 13). The acrylic teeth of the maxillary removable partial denture opposed the natural mandibular teeth ranging from the left 1st bicuspid teeth to the right canine and the metal-ceramic crown on the right 2nd bicuspid (acrylic vs. natural teeth and ceramic) (Figures 12 and 13). The combined effect of the heavy occlusal loading and the type of opposing tooth contacts may have resulted in load concentration over the implantsupported fixed partial denture in both centric and excentric occlusion. This load could have increased gradually with time as the acrylic tooth contacts wore out by the opposing dentition in areas other than the implant-supported fixed partial denture. This extra loading probably resulted in the fracture of both implants with time. It is suggested that careful, periodic occlusal evaluation and analysis before and after implant restorations should be carried out. A sound adoption of biomechanical principles must also be considered in the planning of combined tooth and implant supported partial dentures. REFERENCES 1. Wedgwood D, Jennings KJ, Critchlow HA, et al. Experience with ITI osseointegrated implants at five centers in the UK. Br J Oral Maxillfac Surg. 1992;30: Buser D, Mericske-Stern R, Bernard JP, et al. Long-term evaluation of non-submerged ITI implants. Clin Oral Implants Res. 1997;8: Jemt and Leckholm 4. Spiekermann H, Jansen VK, Richter EJ. A 10-year follow-up study of IMZ and TPS implants in the edentulous mandible using bar-retained overdentures. Int J Oral Maxillofac Implants. 1995;10: Duyck J, Ronold H J, Van Oosterwyck H, Naert I, Vander Sloten J, Ellingsen JE. The influence of static and dynamic loading on marginal bone reactions around osseointegrated implants: an animal experimental study. Clin Oral Implants Res. 2001;12: ten Bruggenkate CM, Asikainen P, Fatzik C, Krekeler G, Sutter F. Short (6 mm) nonsubmerged dental implants: results of a multicenter clinical trial of 1 to 7 years. Int J Oral Maxillofac Implants. 1998;13: Behneke A, Behneke N, d Hoedt B, Wagner W. Hard and soft tissue reactions to ITI screw implants: 3-year longitudinal results of a prospective study. Int J oral Maxillofac Implants. 1997;12: Grunder U, Polizzi G, Goene R, et al. A 3-year prospective multicenter follow-up report on the immediate and delayedimmediate placement of implants. Int J Oral Maxillofac Implants. 1999;14: Tolman DE, Laney WR. Tissue-integrated prosthesis complications. Int J Oral Maxillofac Implants.1992;7: Balshi TJ. An analysis and management of fractured implants: a clinical report. Int J Oral Maxillofac Implants. 1996;11: Adell R, Eriksson B, Lekholm U, Branemark PI, Jemt T. Longterm follow-up study of osseointegrated implants in the treatment of totally edentulous jaw. Int J Oral Maxillofac Implants. 1990;5: Eckert SE, Meraw SJ, Cal E, Ow RK. Analysis of incidence and associated factors with fractured implants: a retrospective study. Int J Oral Maxillofac Implants. 2000;15: Morgan J, James D, Pillar M. Fractures of the fixture component of osseointegrated implant. Int J Oral and Maxillofac Implants. 1993;8: Kallus T, Bessing C. Loose gold screws frequently occur in full-arch fixed prostheses supported by osseointegrated implants after 5 years. Int J Oral Maxillofac Implants. 1994;9: Schwarz MS. Mechanical complications of dental implants. Clin Oral Implants Res. 2000;11(Suppl 1): Velasquez-Plata D, Lutonsky J, Oshida Y, Jones R. A closeup look at an implant fracture: a case report. Int J Periodontics Restorative Dent. 2002;22: Rangert B, Krogh PH, Langer B, Van Roekel N. Bending overload and implant fracture: a retrospective clinical analysis. Int J Oral Maxillofac Implants. 1995;10: Vol. XXXV/No. Four/2009
Mechanical and technical risks in implant therapy.
Mechanical and technical risks in implant therapy. Salvi GE, Brägger U. Int J Oral Maxillofac Implants. 2009;24 Suppl:69-85. Department of Periodontology, School of Dental Medicine, University of Bern,
More informationProsthetic Options in Implant Dentistry. Hakimeh Siadat, DDS, MSc Associate Professor
Prosthetic Options in Dentistry Hakimeh Siadat, DDS, MSc Associate Professor Dental Research Center, Department of Prosthodontics & Dental s Faculty of Dentistry, Tehran University of Medical Sciences
More informationImplant osseointegration and successful restoration
Prosthodontic Complications in a Prospective Clinical Trial of Single-stage Implants at 36 Months Jacqueline P. Duncan, DMD, MDSc 1 /Elena Nazarova, DMD, PhD 2 /Theodora Vogiatzi, DDS 1 / Thomas D. Taylor,
More informationRetrospective Cohort Study of the Clinical Performance of 1-Stage Dental Implants
Retrospective Cohort Study of the Clinical Performance of 1-Stage Dental Implants Alan B. Carr, DMD, MS 1 /Yong-Geun Choi, DDS, MPH, MPH 2 / Steven E. Eckert, DDS, MS 1 /Ronald P. Desjardins, DMD, MS 3
More informationOsseointegrated implant-supported
CLINICAL SCREWLESS FIXED DETACHABLE PARTIAL OVERDENTURE TREATMENT FOR ATROPHIC PARTIAL EDENTULISM OF THE ANTERIOR MAXILLA Dennis Flanagan, DDS This is a case report of the restoration of a partially edentulous
More informationAreview of recent studies concerning molar. Single Molar Replacement with a Progressive Thread Design Implant System: A Retrospective Clinical Report
Single Molar Replacement with a Progressive Thread Design Implant System: A Retrospective Clinical Report George E. Romanos, Dr med dent 1 /Georg H. Nentwig, Prof Dr med dent 2 Many clinical studies have
More informationEtiology, risk factors and management of implant fractures
Journal section: Oral Surgery Publication Types: Review doi:10.4317/medoral.15.e504 Etiology, risk factors and management of implant fractures Arturo Sánchez-Pérez 1, Mª José Moya-Villaescusa 1, Alfonso
More informationA retrospective study on separate single-tooth implant restorations to replace two or more consecutive. maxillary posterior teeth up to 6 years.
Original Article A retrospective study on separate single-tooth implant restorations to replace two or more consecutive maxillary posterior teeth up to 6 years follow up Myat Nyan Department of Prosthodontics,
More informationMandibular implant-supported hybrid prostheses
Occlusal Contacts of Edentulous Patients with Mandibular Hybrid Dentures Opposing Maxillary Complete Dentures Tetsuya Suzuki, DDS, PhD*/Hiroshi Kumagai, DDS, PhD**/ Nobuyuki Yoshitomi, DDS, PhD***/Edwin
More informationOcclusal Stability in Implant Prosthodontics Clinical Factors to Consider Before Implant Placement
C L I N I C A L P R A C T I C E Occlusal Stability in Implant Prosthodontics Clinical Factors to Consider Before Implant Placement Sebastian Saba, DDS, Cert. Pros. A b s t r a c t The success of any prosthetic
More informationEFFECTIVE DATE: 04/24/14 REVISED DATE: 04/23/15, 04/28/16, 06/22/17, 06/28/18 POLICY NUMBER: CATEGORY: Dental
MEDICAL POLICY SUBJECT: DENTAL IMPLANTS PAGE: 1 OF: 5 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product (including an Essential
More informationFixed Partial Dentures /FPDs/, Implant Supported. in implant prosthodontics
Fixed Partial Dentures /FPDs/, Implant Supported Prosthesis/ISP/ in implant prosthodontics Prof.dr.Tamas Divinyi Semmelweis University, Faculty of Dentistry Department of Oral and Maxillofacial Surgery
More informationA Long-term Retrospective Analysis of Survival Rates of Implants in the Mandible
A Long-term Retrospective Analysis of Survival Rates of Implants in the Mandible Thomas J. Balshi, DDS, PhD, FACP 1 /Glenn J. Wolfinger, DMD, FACP 2 / Brett E. Stein 3 /Stephen F. Balshi, MBE 4 Purpose:
More informationComponents Of Implant Protective Occlusion A Review
ISPUB.COM The Internet Journal of Dental Science Volume 7 Number 2 Components Of Implant Protective Occlusion A Review E Prashanti, K Sumanth, J Reddy Citation E Prashanti, K Sumanth, J Reddy. Components
More informationThe International Journal of Periodontics & Restorative Dentistry
The International Journal of Periodontics & Restorative Dentistry 827 Thirty-Two Year Success of Dental Implants in Periodontally Compromised Dentition Thomas J. Balshi, DDS, PhD, FACP 1 Glenn J. Wolfinger,
More informationNarrow-diameter implants in premolar and molar areas
2 Long-term follow-up of 2.5mm NDIs supporting a fixed prosthesis Narrow-diameter implants in premolar and molar areas EDUARDO ANITUA, DDS, MD, PHD¹,² A narrow-diameter implant (NDI) is an implant with
More informationHigh Crown to Implant Ratio as Stress Factor in Short Implants Therapy
10.1515/bjdm-2016-0015 BALKAN JOURNAL OF DENTAL MEDICINE ISSN 2335-0245 STOMATOLOGICAL SOCIETY High Crown to Implant Ratio as Stress Factor in Short Implants Therapy SUMMARY Background/Aim: The purpose
More informationThe Brånemark osseointegration method, using titanium dental implants (fixtures)
Early Failures in 4,641 Consecutively Placed Brånemark Dental Implants: A Study From Stage 1 Surgery to the Connection of Completed Prostheses Bertil Friberg, DDS/Torsten Jemt, DDS, PhD/Ulf Lekholm, DDS,
More informationDuring the last 30 years, endosseous oral
Influence of Variations in Implant Diameters: A 3- to 5-Year Retrospective Clinical Report Carl-Johan Ivanoff, DDS*/Kerstin Gröndahl, DDS, PhD**/Lars Sennerby, DDS, PhD***/ Christina Bergström, MSc****/Ulf
More informationOsseointegrated dental implant treatment generally
Placement of Dental Implants Without Flap Surgery: A Clinical Report Bader H. Al-Ansari, BDS, MScD*/Robert R. Morris, DMD** Traditionally, the procedure of implant placement requires a surgical periosteal
More informationBrånemark System Facts & Figures
Brånemark System Facts & Figures Brånemark System is synonymous with the revolution in dental care by the introduction of safe and effective implants. Professor Brånemark, its inventor, always put the
More informationBIOMECHANICS AND OVERDENTURES
Proceedings of the 6th International Conference on Mechanics and Materials in Design, Editors: J.F. Silva Gomes & S.A. Meguid, P.Delgada/Azores, 26-30 July 2015 PAPER REF: 5734 BIOMECHANICS AND OVERDENTURES
More informationCHAPTER. 1. Uncontrolled systemic disease 2. Retrognathic jaw relationship
CHAPTER 7 Immediate Implant Supported Restoration of the Edentulous Arch Stephen G. Alfano and Robert M. Laughlin Department of Oral and Maxillofacial Surgery, Naval Medical Center San Diego, San Diego,
More informationConus Concept: A Rewarding Complete Denture Treatment
Conus Concept: A Rewarding Complete Denture Treatment Complete dentures have largely become the domain of the denturist due to the dissatisfaction general dentists feel with this treatment. Multiple visits,
More informationAO Certificate in Implant Dentistry Certificate
AO Certificate in Implant Dentistry Certificate The AO Certificate in Implant Dentistry provides an opportunity for AO members to demonstrate that they have attained a level of education and experience
More informationYoung-Jin Park, DDS,* and Sung-Am Cho, DDS, MS, PhD
J Oral Maxillofac Surg 68:1338-1344, 2010 Retrospective Chart Analysis on Survival Rate of Fixtures Installed at the Tuberosity Bone for Cases With Missing Unilateral Upper Molars: A Study of 7 Cases Young-Jin
More informationThe Use of Alpha-Bio Tec's Narrow NeO Implants with Cone Connection for Restoration of Limited Width Ridges
Case Study 48 The Use of Alpha-Bio Tec's Narrow NeO Implants with Cone Connection for Restoration of Limited Width Ridges Dr. Amir Gazmawe DMD, Specialist in Prosthodontics, Israel Dr. Amir Gazmawe graduated
More informationWhile the protocol for direct bone-to-implant
Immediate Functional Loading of Brånemark System Implants in Edentulous Mandibles: Clinical Report of the Results of Developmental and Simplified Protocols Glenn J. Wolfinger, DMD 1 / Thomas J. Balshi,
More informationThe high clinical success rate of endosseous
Clinical Evaluation of Short, Machined-Surface Implants Followed for 12 to 92 Months Georges Tawil, DDS, DSc.Od 1 /Roland Younan, DCD, DES 2 Purpose: Bone resorption following tooth loss often limits the
More informationImplants- immediate restoration of postextraction edentation both esthetically and functionally
Implants- immediate restoration of postextraction edentation both esthetically and functionally Otilia Stana (Gag), LileIoana Elena, Freiman Paul, Mugur Popescu, Elisei Gabriela, Sebesan Voicu, Vincze
More informationImplant Restorations: A Step-By-Step Guide
Implant Restorations: A Step-By-Step Guide Drago, Carl DDS, MS ISBN-13: 9780813828831 Table of Contents Contributors. Foreword. Acknowledgments. Chapter 1. Introduction To Implant Dentistry. 1. Introduction.
More informationFrequency of the Various Classes of Removable Partial Dentures and Selection of Major Connectors and Direct/Indirect Retainers
Turk J Med Sci 31 (2001) 445-449 TÜB TAK Filiz KEYF Frequency of the Various Classes of Removable Partial Dentures and Selection of Major Connectors and Direct/Indirect Retainers Received: November 30,
More informationJohn P. Zarb, BA, DDS George A. Zarb, BChD, DDS, MS, MS, FRCD(C)
C L I N I C A L P R A C T I C E Implant Prosthodontic Management of Anterior Partial Edentulism: Long-Term Follow-Up of a Prospective Study John P. Zarb, BA, DDS George A. Zarb, BChD, DDS, MS, MS, FRCD(C)
More informationThe biologic predictability of dental implants has
Prosthetic Complications with Dental Implants: From an Up-to-8-year Experience in Private Practice Rabah Nedir, DMD 1 /Mark Bischof, DMD 2 /Serge Szmukler-Moncler, DMD, PhD 3 / Urs C. Belser, DMD 4 /Jacky
More informationFixed full-arch implant-supported acrylic resin prostheses
Tooth Fractures in Fixed Full-Arch Implant-Supported Acrylic Resin Prostheses: A Retrospective Clinical Study Javier Ventura, PhD, DMD 1 /Emilio Jiménez-Castellanos, PhD, DMD 2 / José Romero, PhD, DMD
More informationImplant-based fixed rehabilitation of
CLINICAL Treatment of a Maxillary Dento-Alveolar Defect Using an Immediately Loaded Definitive Zygoma Implant-Retained Prosthesis With 11-Month Follow-Up: A Clinical Report Mirza Rustum Baig, MDS, MRD
More informationRestoration of Congenitally Missing Lateral Incisors with Single Stage Implants: An Interdisciplinary Approach
10.5005/jp-journals-10012-1045 CASE REPORT Restoration of Congenitally Missing Lateral Incisors with Single Stage Implants: An Interdisciplinary Approach 1 Mitha M Shetty, 2 Akshai KR Shetty, 3 N Kalavathy,
More informationOcclusal Principles and Considerations for Implants: An Overview
Journal of Academy of Dental Education Journal of Academy of Dental Education, 17 21 ISSN (Print): 2348-1595 ISSN (Online) : 2348-2621 Occlusal Principles and Considerations for Implants: An Overview Siddhartha
More informationBrånemark System Facts & Figures
Brånemark System Facts & Figures Brånemark System is synonymous with the revolution in dental care by the introduction of safe and effective implants. Professor Brånemark, its inventor, always put the
More informationCase study 2. A Retrospective Multi-Center Study on the Spiral Implant
Case study 2 A Retrospective Multi-Center Study on the Spiral Implant Benny Karmon DMD, Jerry Kohen DMD, Ariel Lor DMD, Yiftach Gratciany DMD, Zvi Laster DMD, Gideon Hallel DMD MPA, Tsvia Karmon A Retrospective
More informationThe majority of the early research concerning
Gingival Recession Around Implants: A 1-Year Longitudinal Prospective Study Paula N. Small, DDS, MPH 1 /Dennis P. Tarnow, DDS 2 A longitudinal study was performed, which measured the soft tissue around
More informationSCD Case Study. Implant-supported overdentures
SCD Case Study Implant-supported overdentures An implant-retained overdenture may be indicated in patients with changed anatomy, neuromuscular disorders, significant gag reflex or considerable ridge resorption
More informationMANAGEMENT OF ATROPHIC ANTERIOR MAXILLA USING RIDGE SPLIT TECHNIQUE, IMMEDIATE IMPLANTATION AND TEMPORIZATION
Case Report International Journal of Dental and Health Sciences Volume 02, Issue 06 MANAGEMENT OF ATROPHIC ANTERIOR MAXILLA USING RIDGE SPLIT TECHNIQUE, IMMEDIATE IMPLANTATION AND TEMPORIZATION Rakshith
More informationEndosseous dental implants initially showed very
Five-mm-Diameter Implants without a Smooth Surface Collar: Report on 98 Consecutive Placements Franck Renouard, DDS*/Jean-Pierre Arnoux, DDS**/David P. Sarment, DDS*** In recent years, indications for
More informationCASE REPORT. CBCT-Assisted Treatment of the Failing Long Span Bridge with Staged and Immediate Load Implant Restoration
Computer Aided Implantology Academy Newsletter - Newsletter 20 - July 2009 CASE REPORT CBCT-Assisted Treatment of the Failing Long Span Bridge with Staged and Immediate Load Implant Restoration Case Report
More information1- Implant-supported vs. implant retained distal extension mandibular partial overdentures and residual ridge resorption. Abstract Purpose: This
1- Implant-supported vs. implant retained distal extension mandibular partial overdentures and residual ridge resorption. Abstract Purpose: This retrospective study in male patients sought to examine posterior
More informationMechanical and technical risks in implant therapy.
Mechanical and technical risks in implant therapy. Salvi GE, Brägger U. Int J Oral Maxillofac Implants. 2009;24 Suppl:69-85. To systematically appraise the impact of mechanical/technical risk factors on
More informationCase Study. Case # 1 Author: Dr. Suheil Boutros (USA) 2013 Zimmer Dental, Inc. All rights reserved. 6557, Rev. 03/13.
Placement of a Zimmer Trabecular Metal Dental Implant with Simultaneous Ridge Augmentation and Immediate Non-Functional Loading Following Tooth Extraction and Orthodontic Treatment for Implant Site Development
More informationRESTORATION OF A FULLY EDENTULOUS PATIENT UTILIZING SIMPLE TECHNIQUES FOR IMPRESSION AND FABRICATION OF A HYBRID BRIDGE
Case Report International Journal of Dental and Health Sciences Volume 02,Issue 01 RESTORATION OF A FULLY EDENTULOUS PATIENT UTILIZING SIMPLE TECHNIQUES FOR IMPRESSION AND FABRICATION OF A HYBRID BRIDGE
More informationCHAPTER 1. General Introduction
CHAPTER 1 General Introduction Chapter 1 The loss of remaining natural teeth and provision of artificial removable dentition is a major and irreversible procedure for the patient. The main limitations
More informationOcclusal Rehabilitation in a Partially Edentulous Patient with Lost Vertical Dimension Using Dental Implants: A Clinical Report
Occlusal Rehabilitation in a Partially Edentulous Patient with Lost Vertical Dimension Using Dental Implants: A Clinical Report Azam Sadat Madani, DDS, MS; Amir Moeintaghavi, DDS, MS; Maryam Rezaeei, DDS,MS
More informationChapter 12. Prosthodontics
Chapter 12 Prosthodontics Golbarg Kolahi 1 Prosthesis [prahs-thee-sis] A replacement for a missing body part Golbarg Kolahi 2 Prosthesis In the dental field, it is a fixed or removable appliance replacing
More informationPALATAL POSITIONING OF IMPLANTS IN SEVERELY RESORBED POSTERIOR MAXILLAE F. Atamni, M.Atamni, M.Atamna, Private Practice Tel-aviv Israel
PALATAL POSITIONING OF IMPLANTS IN SEVERELY RESORBED POSTERIOR MAXILLAE F. Atamni, M.Atamni, M.Atamna, Private Practice Tel-aviv Israel Abstract: Objectives: To evaluate an alternative treatment for rehabilitation
More information..Bruxism is a potential risk factor for implants and superstructures. It increases the
Cairo Dental Journal (25) Number (1), 17:24 Janurary, 2009 Prosthetic Rehabilitation Of Partially Edentulous Bruxing Patients Using Dental Implants Ashraf Abdmoem Amer 1 and Ehab M. Abuelroos 2 1. 2. Assistant
More informationSamantha W. Chou, D.M.D N. Southport Ave. Chicago, Illinois Phone: Fax:
Samantha W. Chou, D.M.D. 2325 N. Southport Ave. Chicago, Illinois 60614 Phone: 312-608-6881 Fax: 773-296-0601 Samanthawchou@gmail.com What is our role as the dentist? "We live in a culture in which people
More informationDIAGNOSTIC/PREVENTIVE SERVICES
DIAGNOSTIC/PREVENTIVE SERVICES Diagnostic Services D0120 Periodic oral evaluation 100% 100% D0140 Limited oral evaluation problem focused 100% 100% D0150 Comprehensive oral evaluation 100% 100% D0160 Detailed
More informationRichard P. Kinsel, DDS 1 /Mindy Liss, MSc 2
Retrospective Analysis of 56 Edentulous Dental Arches Restored with 344 Single-Stage Implants Using an Immediate Loading Fixed Provisional Protocol: Statistical Predictors of Implant Failure Richard P.
More informationImplant Occlusion. Dora Kompotiati Boris Stein David Wilson
Implant Occlusion Dora Kompotiati Boris Stein David Wilson Disclaimer Currently, there is no evidence-based, implant-specific concept of occlusion Future studies are needed to clarify the relationship
More informationDental Implant Treatment Planning and Restorative Considerations
Dental Implant Treatment Planning and Restorative Considerations Aldo Leopardi, BDS, DDS, MS Practice Limited to Implant, Fixed and Removable Prosthodontics Greenwood Village, Colorado www.knowledgefactoryco.com
More informationThe success of dental implants is based primarily
Removal of a fractured implant abutment screw: A clinical report Ibrahim Nergiz, Dr, a Petra Schmage, Dr, b and Raed Shahin, BDS, Dr c Centre of Dental and Oral Medicine, University of Hamburg, Germany
More informationAdvanced restorative techniques and the full mouth reconstruction: the use of gold copings in bridgework
Clinical Advanced restorative techniques and the full mouth reconstruction: the use of gold copings in bridgework Paul Tipton 1 Introduction From the studies produced by Lindhe and Nyman, described earlier
More information"Designing a fixed partial denture without a pontic"- Case report
Article ID: ISSN 2046-1690 "Designing a fixed partial denture without a pontic"- Peer review status: No Corresponding Author: Dr. Khurshid Mattoo, Assistant Professor, Prosthodontics, College of Dental
More informationBone Reduction Surgical Guide for the Novum Implant Procedure: Technical Note
Bone Reduction Surgical Guide for the Novum Implant Procedure: Technical Note Stephen M. Parel, DDS 1 /Steven L. Ruff, CDT 2 /R. Gilbert Triplett, DDS, PhD 3 /Sterling R. Schow, DMD 4 The Novum System
More informationPatient s Presenting Complaint V.C. presented with discomfort and mobility from the crowned maxillary left central incisor tooth. Fig 1.
Patient s Presenting Complaint V.C. presented with discomfort and mobility from the crowned maxillary left central incisor tooth. Fig 1. A longitudinal root fracture was suspected and confirmed when the
More informationIf we listen to our patients, our treatment acceptance can approach 100%
Module 2 ADVANCED TREATMENT PLANNING: CONCEPTS Treatment Planning: Edentulism Dentures: Standard or Turbyfill. Dentures: Mini-Implant Retained: Soft tissue supported denture. Dentures: Standard Implant
More informationTelescopic Retainers: An Old or New Solution? A Second Chance to Have Normal Dental Function
Telescopic Retainers: An Old or New Solution? A Second Chance to Have Normal Dental Function Joseph B. Breitman, DMD, FACP, 1,2 Scott Nakamura, DMD, 3 Arnold L. Freedman, DDS, 4 & Irving L. Yalisove, DDS
More informationInitially, Brånemark System (Nobel Biocare AB,
Clinical Application of Narrow Brånemark System Implants for Single-Tooth Restorations Giovanni Polizzi, MD, DDS*/Sandro Fabbro, MD**/Marco Furri, DDS**/ Irene Herrmann, DDS***/Sergio Squarzoni, MD****
More informationAn Innovative Technique to select Angled. Abutment using Inclination Gauge ORIGINAL ARTICLE ABSTRACT MATERIALS AND METHODS INTRODUCTION
ORIGINAL ARTICLE An Innovative Technique to select Angled 10.5005/jp-journals-10012-1149 Abutment using Inclination Gauge An Innovative Technique to select Angled Abutment using Inclination Gauge 1 Anshul
More informationDental Implant Treatment with Diffe Title for Sinus Floor Elevation-A Case Re. Sekine, H; Taguchi, T; Seta, S; Tak Author(s) T; Kakizawa, T
Dental Implant Treatment with Diffe Title for Sinus Floor Elevation-A Case Re Sekine, H; Taguchi, T; Seta, S; Tak Author(s) T; Kakizawa, T Journal Bulletin of Tokyo Dental College, 4 URL http://hdl.handle.net/10130/200
More informationRehabilitation of atrophic partially edentulous mandible using ridge split technique and implant supported removable prosthesis
CASE REPORT Rehabilitation of atrophic partially edentulous mandible using ridge split technique and implant supported removable prosthesis Dr Ashish Yadav 1, Dr Aratee Gupta 2, Dr Archana Singh 3, 1,3-
More informationEsthetic management of multiple missing anterior teeth A Case report
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861. Volume 13, Issue 1 Ver. II (Jan. 2014), PP 97-101 Esthetic management of multiple missing anterior teeth A
More informationم.م. طارق جاسم حممد REMOVABLE PARTIAL DENTURE INTRODUCTION
Lec.1 م.م. طارق جاسم حممد REMOVABLE PARTIAL DENTURE INTRODUCTION االسنان طب Prosthodontics is the branch of dentistry pertaining to the restoration and maintenance of oral function, comfort, appearance,
More informationFrequency and Type of Prosthetic Complications Associated with Interim, Immediately Loaded Full-Arch Prostheses: A 2-Year Retrospective Chart Review
Frequency and Type of Prosthetic Complications Associated with Interim, Immediately Loaded Full-Arch Prostheses: A 2-Year Retrospective Chart Review Carl Drago, DDS, MS, FACP 1,2,3 1 Department of Dental
More informationIn 1977, Lew1 developed a passive
CLINICAL AN OVERVIEW OF THE LEW ATTACHMENT: CLINICAL REPORTS Jack Piermatti, DMD Sheldon Winkler, DDS KEY WORDS Lew attachment Atrophic mandible Subperiosteal implant Root form implant Although the Lew
More informationThe surgical placement of dental implants has
Flapless Implant Surgery: A 10-year Clinical Retrospective Analysis Luis Dominguez Campelo, DDS 1 /Jose R. Dominguez Camara, MD, DDS 2 Purpose: This article is a retrospective clinical analysis of implants
More informationImmediate Loading of the Edentulous Mandible: Delivery of the Final Restoration or a Provisional Restoration Which Method to Use?
J Oral Maxillofac Surg 62:30-40, 2004, Suppl 2 Immediate Loading of the Edentulous : Delivery of the Final Restoration or a Provisional Restoration Which Method to Use? Paulino Castellon, DDS,* Michael
More informationConsensus Statements and Recommended Clinical Procedures Regarding Loading Protocols
Group 3 Consensus Statements Consensus Statements and Recommended Clinical Procedures Regarding Loading Protocols Hans-Peter Weber, DMD, Dr Med Dent 1 /Dean Morton, BDS, MS 2 /German O. Gallucci, DMD,
More informationInfluence of Patient Age on the Success Rate of Dental Implants Supporting an Overdenture in an Edentulous Mandible: A 3-year Prospective Study
Influence of Patient Age on the Success Rate of Dental Implants Supporting an Overdenture in an Edentulous Mandible: A 3-year Prospective Study Henny J. A. Meijer, DDS, PhD 1 /Rutger H. K. Batenburg, DDS,
More informationINDIAN DENTAL JOURNAL
ATTACHMENT RETAINED CAST PARTIAL DENTURE USING RHEIN 83 OT-CAP Dr. Charu Gupta 1 Dr. Harshul Sharma 2 Dr. Merrily Nongsiej 3 Dr. AbhinavShekhar 4 1 Senior Resident, Department of Prosthodontics, King George
More informationFabrication of a Hybrid Screw-Retained and Cement-Retained Implant Prosthesis: A Case Report
Journal Dental School 2012; 30(2):198-202 Case Report Fabrication of a Hybrid Screw-Retained and Cement-Retained Implant Prosthesis: A Case Report 1 Abolfazl Saboury * 2 Hamid Neshandar Asli 1 Associate
More informationA Novel Technique for the Management of a Maxillary Anterior Alveolar Defect with an Implant-retained Fixed Prosthesis: A Clinical Report
Neenu M Varghese et al Case Report 10.5005/jp-journals-10012-1148 A Novel Technique for the Management of a Maxillary Anterior Alveolar Defect with an Implant-retained Fixed Prosthesis: A Clinical Report
More informationThe International Journal of Periodontics & Restorative Dentistry
The International Journal of Periodontics & Restorative Dentistry 2011 BY QUINTESSENCE PUBLISHING CO, INC. PRINTING OF THIS DOCUMENT IS RESTRICTED TO PERSONAL USE ONLY.. 255 Multicenter Retrospective Analysis
More informationSince the early 1980s, when the concept of
Retention of Teeth Versus Extraction and Implant Placement: Treatment Preferences of Dental Faculty and Dental Students Peter M. Di Fiore, D.D.S., M.S.; Lawrence Tam, D.D.S.; Ha T. Thai, D.D.S.; Eugene
More informationMany of the problems reported by conventional
Maxillary Overdentures Retained by Splinted and Unsplinted Implants: A Retrospective Study Timo O. Närhi, DDS, PhD 1 /Miluska Hevinga, DDS 2 / Ralph A. C. A. Voorsmit, DDS, PhD 3 /Warner Kalk, DDS, PhD
More informationITI. Treatment Guide. Editors: D. Wismeijer, D. Buser, U. Belser. Not for Publication
ITI Editors: D. Wismeijer, D. Buser, U. Belser Treatment Guide Authors: D. Morton, J. Ganeles Volume 2 Loading Protocols in Implant Dentistry Partially Dentate Patients Publishing Co, Ltd Berlin, Chicago,
More informationCase study 25. Implantology Solutions for Atrophic Maxilla Using Short Implants. Dr. Ariel Labanca Mitre
Case study 25 Implantology Solutions for Atrophic Maxilla Using Short Implants Dr. Ariel Labanca Mitre Oral Implantology Specialist Prosthodontics Specialist Implantology Solutions for Atrophic Maxilla
More informationProsthetic RehabilitationofaPatientwithAlzheimersDiseaseusingaCombinedBallBarandClipRetainedImplantSupportedOverdentureA Case Report
Global Journal of Medical Research: J Dentistry & Otolaryngology Volume 17 Issue 2 Version 1.0 Type: Double Blind Peer Reviewed International Research Journal Publisher: Global Journals Inc. (USA) Online
More informationOverdenture: A Way of Preventive Prosthodontics
CASE REPORT Overdenture: A Way of Preventive Prosthodontics Gorakhnath B Shinde 1 and Wadkar AP 2 Quick Response Code ABSTRACT: doi:... 1 Post Graduate Student 2 Professor and PG Guide Department of Prosthodontics
More informationFeatured Patient Case #1: Complete Mouth Reconstruction with Hybrid Restorations
Philip L. Fava II, DMD, MDSc Robert A. Levine, DDS, FCPP, FISPPS 9880 Bustleton Ave, Suite 211 Philadelphia, PA 19115 PADentalImplants.com 215-677-8686 Featured Patient Case #1: Complete Mouth Reconstruction
More informationTOOTH SUPPORTED MANDIBULAR OVERDENTURE: A FORGOTTEN CONCEPT
TJPRC: International Journal of Prosthetic Dentistry & Research (TJPRC:IJPDR) Vol. 1, Issue 1, Jun 2017, 5-10 TJPRC Pvt. Ltd. TOOTH SUPPORTED MANDIBULAR OVERDENTURE: A FORGOTTEN CONCEPT ANSUIA GUPTA 1,
More informationAustralian Dental Journal
Australian Dental Journal The official journal of the Australian Dental Association SCIENTIFIC ARTICLE Australian Dental Journal 2012; 57: 440 445 doi: 10.1111/adj.12002 Load transfer in tilted implants
More informationSpecial reprint from
Special reprint from Copyright 2007 by Quintessence Publ Co, Inc Volume 27 Number 5 October 2007 451 Fig 1d (left) View of the 1.3-mm twist drill preparing the osteotomy for implant placement. Fig 1e
More informationIt has been proposed that partially edentulous maxillectomy
CLASSICAL ARTICLE Basic principles of obturator design for partially edentulous patients. Part II: Design principles Mohamed A. Aramany, DMD, MS* Eye and Ear Hospital of Pittsburgh and University of Pittsburgh,
More informationImmediate implant placement in the Title central incisor region: a case repo. Journal Journal of prosthodontic research,
Immediate implant placement in the Title central incisor region: a case repo Author(s) Sekine, H; Taguchi, T; Yamagami, M; Alternative Takanashi, T; Furuya, K Journal Journal of prosthodontic research,
More informationImplants are a part of IMPLANT TREATMENT IN AN URBAN GENERAL DENTISTRY RESIDENCY PROGRAM: A7-YEAR RETROSPECTIVE STUDY CLINICAL
CLINICAL IMPLANT TREATMENT IN AN URBAN GENERAL DENTISTRY RESIDENCY PROGRAM: A7-YEAR RETROSPECTIVE STUDY Clifford B. Starr, DMD Mohamed A. Maksoud, DMD KEY WORDS Dental implants General dentistry Resident
More informationA Clinical Study of Edentulous Patients Rehabilitated According to the All on Four Immediate Function Protocol
A Clinical Study of Edentulous Patients Rehabilitated According to the All on Four Immediate Function Protocol Roberto Crespi, MD, MS 1 /Raffaele Vinci, MD, DMD 2 /Paolo Capparé, MD 3 / George E. Romanos,
More informationoral implantology 52 Stoma.eduJ (2014) 1 (1) Abstract Introduction
Cite this article: Kempler J. An implant supported maxillary fixed prosthesis with a substructure/suprastructure design: a clinical case. Stoma Edu J. 2014; 1(1);52-58. oral implantology An Implant Supported
More informationModule 2 Introduction to immediate full arch fixed implant treatment - surgical options
Module 2 Introduction to immediate full arch fixed implant treatment - surgical options First Name Last Name Objectives Identify the need and opportunity to treat full arch patients with fixed detachable
More informationAMERICAN ACADEMY OF IMPLANT DENTISTRY
AMERICAN ACADEMY OF IMPLANT DENTISTRY 211 East Chicago Ave., Suite 750, Chicago IL 60611-2616 312/335-1550 GUIDELINES FOR CASE REPORTS FOR FELLOW MEMBERSHIP* General Information Each Fellow candidate must
More informationMULTIDIRECTIONAL APPROACH OF ORAL REHABILITATION WITH IMPLANTS IN A PATIENT WITH LIMITED MOUTH OPENING: A CASE REPORT
ISSN: 0976-2876 (Print) ISSN: 2250-0138 (Online) MULTIDIRECTIONAL APPROACH OF ORAL REHABILITATION WITH IMPLANTS IN A PATIENT WITH LIMITED MOUTH OPENING: A CASE REPORT ROMESH SONI a, HARAKH CHAND BARANWAL
More information