Lateral Bone Condensing and Expansion for Placement of Endosseous Dental Implants: A New Technique

10.1563/786.1 ◽  
2006 ◽  
Vol 32 (2) ◽  
pp. 87-94 ◽  
Author(s):  
Azfar A. Siddiqui ◽  
Mark Sosovicka

Abstract Placement of endosseous dental implants can be a problem due to bone resorption if the patient has been missing teeth for a considerable period of time. In the literature, bone-grafting techniques have shown variable results. Additionally, bone grafting requires a longer treatment time and a need for a second surgery, and it adds significant cost to the treatment. These factors often discourage patients from having dental-implant treatment. Another technique for placement of dental implants in narrow bone ridges is repositioning and remodeling of alveolar bone by condensing and expansion with the help of bone osteotomes. This article presents 2 cases, 1 in the maxilla and 1 in the mandible, for placement of endosseous dental implants with the use of a new bone-expansion osteotome kit that utilizes a screw-type configuration for bone condensing and expansion.

2021 ◽  
Vol 10 (20) ◽  
pp. 1479-1482
Author(s):  
Akshata Rao ◽  
Chethan Hegde

BACKGROUND In this study, we wanted to assess the awareness, knowledge, and acceptance of dental implants as a treatment modality among patients visiting A.B Shetty Memorial Institute of Dental Sciences, Mangalore, Karnataka. METHODS A cross-sectional survey was conducted among 100 patients visiting A.B. Shetty Memorial Institute of Dental Sciences, Mangalore, using a self-explanatory questionnaire. RESULTS The results of this survey indicate that 51 % of the patients were not aware of implant therapy as a treatment option for replacing missing teeth and 44.9 % were aware about it. 38 % of the patients received information about implants from dentist and 38 % of them received from books / magazine / internet. 44.3 % of the patients were willing to undergo implant therapy as a treatment option if needed but 25.8 % of the patients were not willing. 29.9 % of them were open to the idea of implants but were not sure. 58.8 % of the patients rated implant treatment as not affordable and 41.2 % rated it as affordable. The most common reason listed for not opting implant treatment was found to be the cost of the treatment (45.1 %), 27.5 % of the patients were not clear about the procedure and 11.8 % of them stated long treatment time as the disadvantage of implant therapy. CONCLUSIONS This study revealed a low level of awareness (44.9 %) among the patients regarding dental implants although, 44.3 % showed a positive attitude towards implant therapy. The study also revealed the need for further studies involving the general population as majority of the patients in this study were from a low socio-economic background. KEY WORDS Implant Supported Prosthesis, Awareness, Acceptance, Prosthodontic Rehabilitation


2010 ◽  
Vol 4 (1) ◽  
pp. 165-171 ◽  
Author(s):  
Sompop Bencharit ◽  
Debra Schardt-Sacco ◽  
Michael B Border ◽  
Colin P Barbaro

Oral rehabilitation for a patient with severe loss of alveolar bone and soft tissue resulting from severe periodontitis presents a challenge to clinicians. Replacing loosening natural teeth with fixed prostheses supported by dental implants often requires either gingival surgery or bone grafting. The outcome of the bone grafting is sometimes unpredictable and requires longer healing time and/ or multiple surgeries. The presence of periodontal inflammation and periapical lesions often delay the placement of bone grafts as well as dental implants. Here we present a clinical case of a patient undergone full mouth reconstruction with implant-supported fixed prostheses. We demonstrated that early placement of implants (three weeks after extractions) with minimal bone grafting may be an alternative to conventional bone grafting followed by implant placement. We believe that primary stability during implant placement may contribute to our success. In addition, composite resin gingival material may be indicated in cases of large fixed implant prostheses as an alternative to pink porcelain.


2005 ◽  
Vol 42 (3) ◽  
pp. 318-326 ◽  
Author(s):  
Hiroki Kita ◽  
Shoko Kochi ◽  
Yoshimichi Imai ◽  
Atsushi Yamada ◽  
Tai Yamaguchi

Objective Documentation of the application of maxillary distraction osteogenesis using rigid external distraction (RED) with skeletal anchorage combined with predistraction alveolar bone grafting (ABG) in cleft maxilla. Design Case report. Patient A patient with numerous congenital missing teeth and severe maxillary deficiency related to complete bilateral cleft lip and palate with large alveolar bone defect. Intervention The patient received preoperative orthodontic treatment, predistraction ABG, and maxillary distraction osteogenesis using RED with skeletal anchorage. Results Predistraction ABG completely united the cleft maxilla. The united maxilla was successfully advanced by the RED system with skeletal anchorage, despite unsound dentition with numerous congenital missing teeth. Conclusion The present study demonstrates that the combination of predistraction ABG and RED system with skeletal anchorage is effective for the treatment of severe maxillary deficiency related to complete bilateral cleft lip and palate with large bone defect and numerous congenital missing teeth.


2011 ◽  
Vol 37 (5) ◽  
pp. 595-603 ◽  
Author(s):  
Jun-Beom Park

The anatomic limitations of the residual alveolar bone may cause problems for the insertion of dental implants because implant placement requires an adequate quantity and quality of bone. Ridge augmentation has been performed to reconstruct alveolar ridges as support for the placement of dental implants with a high success rate. However, a staged approach requires multiple surgeries and more treatment time. In this report, the patients were treated with dental implantation with simultaneous ridge augmentation in both submerged and nonsubmerged cases. The prostheses were well in function without any probing depth or gingival inflammation up to final evaluation. It may be suggested that dental implantation with simultaneous bone grafting may be an option when the graft material can be well stabilized around the implants. Further evaluations over long periods of time are needed to monitor the clinical results.


2013 ◽  
Vol 14 (1) ◽  
pp. 115-118 ◽  
Author(s):  
AR Yusuf Ahammed ◽  
Suprakash Boddu ◽  
Amit Thareja ◽  
Raghavendra Kandaswamy ◽  
Nilesh Kumar ◽  
...  

ABSTRACT Objective The present study was undertaken to access the level of knowledge and attitude of patients toward implant treatment as an option for replacement of missing teeth. Materials and methods An epidemiological study was conducted among 440 subjects who attended the OPD of two Departments (Prosthodontics and Oral and Maxillofacial Surgery). A self-administered structured closed ended questionnaire pretested through a pilot survey was used in the study. The data were analyzed using the SPSS version 15.0. The Student's t-test and ANOVA test were used as test of significance. Results Out of 440 subjects asked about the knowledge and attitude about implants, only 33.3% had heard of implants as a treatment modality and dentists were the main source of information. Very few people had undergone implant surgery. The level of awareness increased with education. The main factor for not having implants was due to its high treatment charges. However, they were interested to know more about the implant treatment modality. Conclusion The survey was conducted in a dental institute and majority of the participants were unaware about dental implants. It also showed that need for providing more information to the patients about this treatment modality. How to cite this article Suprakash B, Ahammed ARY, Thareja A, Kandaswamy R, Kumar N, Bhondwe S. Knowledge and Attitude of Patients toward Dental Implants as an Option for Replacement of Missing Teeth. J Contemp Dent Pract 2013;14(1):115-118.


2017 ◽  
Vol 6 (2) ◽  
pp. 62-70
Author(s):  
Harpoonam Kalsi ◽  
Jose M Rodriguez ◽  
Ulpee Darbar ◽  
Kalpesh Bavisha

This is the second paper in a two-part series discussing the management of common restorative dental emergencies. The first paper focussed upon problems relating to conventional fixed and removable restorations, and this paper discusses the management of common dental implant related emergencies. With dental implant treatment becoming an increasingly popular method of replacing missing teeth, it is very likely that dentists working in general practice will routinely come across patients who have previously undergone this form of treatment, even if they themselves are not directly involved in placing or restoring dental implants. This paper is aimed at general dental practitioners (GDPs) who have some experience in managing dental implants, and those who want to gain further insight into how such situations may be managed.


2014 ◽  
Vol 40 (5) ◽  
pp. 601-602 ◽  
Author(s):  
Osman A. Etoz ◽  
Umut Demetoglu ◽  
Hakan Ocak

The aim of this technique is to provide adequate interocclusal distance (3 mm) allowing preprosthetic management. A bone block was cut with piezosurgery and extracted, leaving the crestal cortical bone intact. The free crestal alveolar bone was fixed to the maxilla with 2 dental implants. After 3 months of follow-up, abutment surgery was performed and osseointegration was evident with adequate interocclusal height (7 mm) allowing prosthetic management.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1032-1035
Author(s):  
Madulla Ravi Teja ◽  
Padma Ariga ◽  
Dhanraj Ganapathy

Regular oral conditions have been appeared to substantially affect prosperity and quality of life. The loss of at least one common teeth often brings about incapacity, as basic day by day living exercises, for example, talking and eating are hindered, and furthermore in a handicap, for instance, by diminished social communication as a result of humiliation related with dental replacement wearing. The primary characterization of prosthodontics is the restoration of function following tooth loss. The study aimed to understand awareness among rural patients about implants for replacing missing teeth. This survey was done among 100 subjects in rural zones using a self-administered questionnaire. The mean age of the participants of 36.5yrs. Information pertaining to awareness of dental implants, reasons for replacement, and information sources over dental implants were obtained.The collected data were collected and analyzed.Out of 100 subjects, 55 were males and 45 females. Around 35% of the subjects were aware of dental implants. 64% seeked replacement for masticatory reasons,32% for esthetic reasons, and 4% for phonetics. Dentists were the primary source of information about implants (73%) followed by mass media (15%) and friends (12%). The greater part of the participants were not having awareness with respect to implants and not many had undergone implant treatment. It additionally demonstrated the requirement for giving more information to patients regarding this treatment modality.


2021 ◽  
Author(s):  
Nhan Van Vo ◽  
Nguyen Quan Pham ◽  
Chien Dac Ho ◽  
Son Van Le ◽  
Ha Manh Nguyen

Alveolar cleft bone graft in the second stage of surgery was a crucial part of the cleft palate treatment protocol with many advantages: reconstructing bone for tooth eruption, supporting the periodontal structure for the teeth adjacent to the cleft, supporting and lifting the arch and preventing from collapsing of maxillary arch. Grafting technique and material are selected based on the treatment purpose that for orthodontic moving tooth into the arch or for dental implant rehabilitation. Cancellous material provides rapid vascularization and healing facilitating for tooth moving into the cleft site but easy to resorb that unsuitable for dental implant placement. While dense material is difficult to move teeth into the cleft but increase initial stability. Therefore, we offered a method that limit bone resorption, easily obtain the implant initial stability, quick osseointegration called two iliac cortical bone blocks sandwich technique for a purposes of dental implant rehabilitation. Treatment protocol started with orthodontic treatment prior alveolar bone grafting to create proper space for implant restoration. Our clinical experience with 32 cleft sites using two iliac cortical bone blocks sandwich had shown potential clinical application in follow-up time up to 96 months. Evaluation criteria of bone grafting for alveolar cleft included soft tissue condition of graft area, nasal fistula closure, bone grafting outcome, success in osseointegration and implant prosthesis. This chapter described in detail treatment procedure and outcomes of a new technique of two iliac cortical bone blocks sandwich for alveolar cleft in patients with unilateral cleft palate.


Author(s):  
A. M. Tsitsiashvili ◽  
A. M. Panin ◽  
E. V. Volosova

The article presents the results of the analysis of the success of treatment and survival of dental implants in the treatment of patients with bone deficiency in the framework of multi-stage and single-stage approaches for bone grafting operations using standard-sized dental implants and in the framework of the approach using narrow/short dental implants without bone augmentation surgery. Based on the results obtained, the degree of expediency (p0.05) of choosing an approach to treatment can be selected depending on the type, location of the defect and the number of missing teeth.


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