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Access Statistics 2017 | January-April | Issue 1

 

Case Report
Kuntal S Kadam, Shankar P Dange, Kishore Mahale, Smita A Khalikar, Arun Khalikar

Implant-supported Overdenture

[Year:2017] [Month:January-April] [Volumn:8 ] [Number:1] [Pages:33] [Pages No:22-25]


ABSTRACT

Edentulous patients often experience problems with their mandibular complete dentures. Patients with the resorbed mandibular ridge often complain of lack of stability and retention of the mandibular denture, together with a decreased chewing ability. While implant-supported fixed prosthesis offers many advantages, they are very expensive and not indicated in many conditions. Implantsupported removable prosthesis can be a choice of treatment in such cases. This clinical report describes a method to rehabilitate a patient with resorbed mandibular ridge with implant-supported overdenture.

Keywords: Implant, Restoration, Tooth replacement.

How to cite this article: Kadam KS, Dange SP, Mahale K, Khalikar SA, Khalikar A. Implant-supported Overdenture. Int J Oral Implantol Clin Res 2017;8(1):22-25.

Source of support: Nil

Conflict of interest: None

1174

Research Article
Dhruvi H Shukla, Sonal M Anchlia, Nisarg P Patel, Vipul Nagavadiya, Rohit K Panwar, Hardi L Domadiya

Submerged Plateau Implants: A Practical Solution for Mandibular Posterior Region

[Year:2017] [Month:January-April] [Volumn:8 ] [Number:1] [Pages:33] [Pages No:5-11]


ABSTRACT

Introduction: Placement of endosseous plateau implants represents a valid treatment in the setting of limited alveolar bone height. This study’s objectives were to evaluate the effect of submerging and platform switching on crestal bone loss and redistribution of occlusal forces, the advantage of plateau design in providing more surface area for osseointegration, and the outcome of autogenous bone grafting from the implant osteotomy site as an alternate to exogenous bone graft.

Materials and methods: A prospective study of 10 patients with mandibular posterior edentulism was selected. Preoperative alveolar bone height (mean 11.87 mm) and width (8.22 mm) were measured on cone beam computed tomography. Twostaged implants were placed with 2.0 mm of submergence, which remained below the alveolar crest. The distribution of site according to bone quality and implant dimension was D2. Patients were followed up after 7 days for pain, infection, soft tissue dehiscence, and paresthesia followed by an average period of 1 year and evaluated for bone gain over implant shoulder, crestal bone loss, and peri-implant radiolucency.

Results: One-year postloading survival rates for submerged plateau implants was 100.0% in D2 bone, with no peri-implant radiolucency and statistically insignificant (ç-0.8 mm) crestal bone loss.

Conclusion: Submerged plateau implants have excellent survival rates and crestal bone level maintenance. The results of this study support the hypothesis that plateau implants can be successfully used in mandibular areas with limited bone height.

Keywords: Autogenous bone graft, Crestal bone loss, Plateau, Platform switch, Sloping shoulder, Submerged.

How to cite this article: Shukla DH, Anchlia SM, Patel NP, Nagavadiya V, Panwar RK, Domadiya HL. Submerged Plateau Implants: A Practical Solution for Mandibular Posterior Region. Int J Oral Implantol Clin Res 2017;8(1):5-11.

Source of support: Nil

Conflict of interest: None

825

Research Article
Farhan Durrani, Dhananjay S Yadav, Arpit Galohda, Patricia Ome Borang , Faizia Rahman

Dimensional Changes in Periodontium with Immediate Replacement of Tooth by Socket Shield Technique: Two-year Follow-up

[Year:2017] [Month:January-April] [Volumn:8 ] [Number:1] [Pages:33] [Pages No:17-21]


ABSTRACT

Extraction socket healing and osseous remodeling take 120 to 180 days. Healing results in 50% reduction in the buccolingual bone in 12 months. Buccal bone loss of the extraction socket exceeds more than two-thirds with reduction in apicocoronal height by approximately 0.8 mm within 3 months of healing. Bundle bone is the portion of alveolar bone where fibers from the periodontal ligament (PDL) insert. A clinical technique was developed to preserve the bundle bone and the surrounding PDL through retention of buccal tooth root portion. This clinical case describes about immediate tooth replacement with an implant by preserving the buccal root in the anterior maxillary region with a 2-year follow-up. The hard tissue comparative correlation pre- and postoperative was measured using multislice computed tomography scanner (MSCT) and soft tissue by pink esthetic score (PES). The result after 2 years of evaluation was promising with negligible changes in hard and soft tissues. The study predicts encouraging results for immediate replacement of hopeless tooth in anterior maxilla without the use of augmentation materials. The surgeon should be experienced as the skills require expertise and knowledge.

Keywords: Buccal bone, Esthetic zone, Extraction socket, Immediate implant, Socket shield.

How to cite this article: Durrani F, Yadav DS, Galohda A, Borang PO, Rahman F. Dimensional Changes in Periodontium with Immediate Replacement of Tooth by Socket Shield Technique: Two-year Follow-up. Int J Oral Implantol Clin Res 2017;8(1):17-21.

Source of support: Nil

Conflict of interest: None

823

Case Report
Prathmesh R Mehta, Rishi A Bhimani, Anand N Badavannavar

Mini-implant supported Orthodontic Molar Intrusion: An Unconventional Approach for Pre-implant Prosthetics

[Year:2017] [Month:January-April] [Volumn:8 ] [Number:1] [Pages:33] [Pages No:26-30]


ABSTRACT

Aim: To demonstrate two cases in which mini-implant-supported orthodontic molar intrusion has been performed to regain ideal crown height space (CHS) for implant prosthesis.

Background: Tooth loss is associated with esthetic, functional, and psychological consequences on an individual. Replacement of missing teeth by dental implants has gained significant importance due to promising advantages of implants over conventional prosthesis. Edentulism often results in supra-eruption of antagonistic teeth into the edentulous site, resulting in reduced vertical dimension for tooth replacement, posing a restorative challenge for clinicians. Hence, it is necessary to regain the lost vertical dimension prior to the implant prosthesis, either conventionally by endodontic and prosthetic intervention or by orthodontic intrusion with the aid of temporary anchorage devices (TADs). Mini-implants are a category of TADs that provide a minimally invasive technique for molar intrusion.

Case report: Two patients with missing mandibular molars desiring tooth replacement presented with supra-eruption of antagonist teeth, posing a difficulty during prosthetic treatment. Orthodontic intrusion using mini-implants was performed to regain the lost vertical space simultaneously along with dental implant placement followed by prosthetic rehabilitation.

Conclusion: The present twin case report demonstrates the successful role of mini-implants in orthodontic molar intrusion for establishing an ideal CHS for implant prosthesis to reestablish masticatory function.

Clinical significance: The twin case report demonstrates miniimplant- supported orthodontic molar intrusion as a replacement for conventional gross tooth reduction, for regaining the lost vertical space in cases of supra-eruption of maxillary molar associated with edentulism.

Keywords: Implants, Intrusion, Mini-implant, Preprosthetic orthodontics, Temporary anchorage device.

How to cite this article: Mehta PR, Bhimani RA, Badavannavar AN. Mini-implant supported Orthodontic Molar Intrusion: An Unconventional Approach for Pre-implant Prosthetics. Int J Oral Implantol Clin Res 2017;8(1):26-30.

Source of support: Nil

Conflict of interest: None

698

Research Article
Anil M Managutti, Ravish Tongya, Michael Prakasm, Supriya Manvi, Jigar Patel, Dishan Shah, Sunita Managutti

Comparative Evaluation of Clinical and Radiological Outcomes of Immediate and Delayed Dental Implant Rehabilitation: A Prospective Study

[Year:2017] [Month:January-April] [Volumn:8 ] [Number:1] [Pages:33] [Pages No:12-16]


ABSTRACT

Introduction: The original implant surgical protocol proposed by Bran Mark et al involves open flap access, stepwise osteotomy of the bony ridge, and implant placement followed by good primary closure.

Objectives: To compare the radiographic marginal bone loss, pocket depth, clinical outcome associated with immediate and delayed implants, and success rates 2 years after the placement of implants.

Materials and methods: Totally 62 dental implants were placed in 42 patients. They were randomly selected to the immediate or delayed group. Among those selected, 30 were immediate implants and 32 were delayed implants. The width and depth of marginal bone defects around the implants were measured clinically just after placement and 3 months later at the abutment surgery. Bone healing and marginal bone changes were evaluated radiographically and clinical parameters evaluated were pocket depth, local infection, altered sensation, soft tissue dehiscence, pus discharge, implant mobility, and patient’s satisfaction. All the collected data were subjected to statistical analysis using Statistical Package for the Social Sciences version 17 software. Statistical analysis was done using Z test.

Results: The results revealed that there was a significant difference in pocket depth and crestal bone loss in both groups. Mean pocket depth in immediate group was 3.285 mm and mean pocket depth in delayed group was 3.523 mm at 1 year. There were minimal crestal bone losses in the immediate group as compared with delayed implant group at 1-year follow-up. Also, there were reduced complications, such as local infection, altered sensation, soft tissue dehiscence, and pus discharge in immediate implant placement group and resulted in patient’s satisfaction.

Conclusion: We conclude that the immediate dental implant placement is signi.cantly superior over the delayed implant placement.

Keywords: Dental implants, Immediate and delayed implant placement, Osseointegration.

How to cite this article: Managutti AM, Tongya R, Prakasm M, Manvi S, Patel J, Shah D, Managutti S. Comparative Evaluation of Clinical and Radiological Outcomes of Immediate and Delayed Dental Implant Rehabilitation: A Prospective Study. Int J Oral Implantol Clin Res 2017;8(1):12-16.

Source of support: Nil

Conflict of interest: None

689

Original Article
Karunakaran Harshakumar, Nimisha B Abraham

“HN Turn to Drive Osteotome”: A Customized Device for Preparation of Osteotomy for Implant Placement

[Year:2017] [Month:January-April] [Volumn:8 ] [Number:1] [Pages:33] [Pages No:1-4]


ABSTRACT

The density of available bone in an edentulous site has a primary influence on the treatment planning and the surgical approach chosen for osteotomy. In situations of inadequate bone density, osteotomes are a special set of hand instruments developed to form and shape bone, in preparation to placement of dental implants. Conventional osteotomes are optimally used by pressing the instruments into the bone and malleting into place using a surgical mallet. This article describes a variant of the conventional osteotome, which was indigenously developed to use the handdriven force for implant placement and, henceforth, eliminate the drawbacks of malleting procedures. This would aid hassle-free implant placement in edentulous areas with compromised bone quality and quantity.

Keywords: Hand driven, Implant bed preparation, Osteotome.

How to cite this article: Karunakaran H, Abraham NB. “HN Turn to Drive Osteotome”: A Customized Device for Preparation of Osteotomy for Implant Placement. Int J Oral Implantol Clin Res 2017;8(1):1-4.

Source of support: Nil

Conflict of interest: None

656

Case Report
Sunil K Rath, Choudhury S Swain, Subhashree M Panda

Fractured Miniscrew Retrieval through Flapless Vibration Technique: A Mini Review and Case Report

[Year:2017] [Month:January-April] [Volumn:8 ] [Number:1] [Pages:33] [Pages No:31-33]


ABSTRACT

Nowadays, miniscrew anchorage system is encouraged to obtain better results in orthodontic treatment. This system also brings emergency complications like fractures during insertion of these miniscrews. According to protocol flap-raising technique, a periodontist should be consulted during retrieval of the fractured miniscrew. Here, we propose a new technique that can retrieve the fractured implant with uneventful healing by the vibration of micromotor blunt burs or ultrasonic scaler tips with reinsertion in 7 days.

Keywords: Flapless vibration technique, Microimplant fracture, Retrieval of implant.

How to cite this article: Rath SK, Swain CS, Panda SM. Fractured Miniscrew Retrieval through Flapless Vibration Technique: A Mini Review and Case Report. Int J Oral Implantol Clin Res 2017;8(1):31-33.

Source of support: Nil

Conflict of interest: None

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