International Journal of Clinical Implant Dentistry

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2015 | August | Volume 1 | Issue 2

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Satyanarayana Raju Mantena, Suresh Sajjan, A Rama Raju, Bheemalingeshwar Rao

Implant Failures—Diagnosis and Management

[Year:2015] [Month:] [Volume:1] [Number:2] [Pages:9] [Pages No:51 - 59]

   DOI: 10.5005/jp-journals-10004-1034  |  Open Access |  How to cite  | 


Despite the high success rates and stability of dental implants, failures do occur. While surgical trauma together with bone volume and quality are generally believed to be the most important etiological factors for early implant failures, the etiology of late failures is more controversial. Early detection and treatment of early progressive bone loss around dental implants by mechanical debridement, antimicrobial therapy, and regenerative therapy are the keys for saving early failing implants. The decision-making tree should be aimed at assisting and simplifying the process of selecting the appropriate alternative once a failure has occurred.



Himanshu Gupta, Siddharth Priyadarshi, Syed Mohd Yusuf, Shitij Srivastava

Various Treatment Modalities for Retrieval of Broken Abutment Screw in Implant Prosthodontics

[Year:2015] [Month:] [Volume:1] [Number:2] [Pages:6] [Pages No:60 - 65]

   DOI: 10.5005/jp-journals-10004-1035  |  Open Access |  How to cite  | 


Dental implants made of titanium for replacement of missing teeth are widely used because of ease of technical procedure and high success rate, but are not free of complications and may fail. Out of all the failures related to implants, prosthetic failures amounts the most. Among prosthetic failures, fracture of the prosthetic screw is very common and continues to be a problem in restorative practice and it is a great challenge to remove the fractured screw conservatively. There are various techniques and instrument kits which are available for retrieval of fractured abutment screw. However, there is a lot of ambiguity among the implantologist regarding their use and practice. This article reviews the basic instrumentation concept, stepwise procedure and other technicalities related to the same. This article also enlightens various unconventional methods which are reported in the literature.



Leonzio Fortunato, Antonio Crispino

The Reconstruction Purposes Implant Deficits Bone Ridge Edentulous

[Year:2015] [Month:] [Volume:1] [Number:2] [Pages:6] [Pages No:66 - 71]

   DOI: 10.5005/jp-journals-10004-1036  |  Open Access |  How to cite  | 


The objective of this review was to analyze the studies in the literature, concerning the procedures to increase bone volume in order implant and to evaluate (A) the results of different surgical approaches for the reconstruction of alveolar bone deficits and (B) the percentages of survival/success of implants placed in homes rebuilt with different techniques. The present revision is based on original articles including both randomized clinical trials both clinical studies that include more than 10 patients treated and followed for a minimum period of 12 months. We analyzed the success rates of the various techniques, success rates and/or survival of implants placed in areas with increased bone volume.



Sharad Vaidya, Sharad Gupta, Charu Kapoor

Cold-welded Healing Cap: A Unique Implant Complication and its Management

[Year:2015] [Month:] [Volume:1] [Number:2] [Pages:5] [Pages No:72 - 76]

   DOI: 10.5005/jp-journals-10004-1037  |  Open Access |  How to cite  | 


Biological and mechanical implant complications and failures are still present in clinical practice that frequently compromise oral function. Mechanical failures involving implant components are frustrating to a restorative dentist. Prudent knowledge of mechanical components and their functioning helps to achieve stable connections between implant-abutment/healing cap. Any misjudgement by the clinician can result in total fiasco of the procedure. Cold-welding of healing cap with implant collar is one such complication that occurred in this particular case and was managed by preparation of healing cap as conventional abutment using carbide burs. Clinical relevance: An innovative method has been described to combat an unusual implant complication. Possible reasons for cold-welding and its management is described in this article.



Panna Mangat, Gagan Sabharwal

Immediate Temporization Loading of Multiple Implants in the Maxillary Esthetic Zone: A Clinical Report

[Year:2015] [Month:] [Volume:1] [Number:2] [Pages:5] [Pages No:77 - 81]

   DOI: 10.5005/jp-journals-10004-1038  |  Open Access |  How to cite  | 


Early or delayed loading is a fundamental problem in fully understanding the dynamic nature of implant loading is the confusion that exists regarding the torque load delivered to the implant complex, the initial force transformation/stress/strain developed within the system of implant complex assembly. In our clinical case report, maxillary anterior teeth were replaced using immediate implant supporting provisional restoration. During the provisional phase, the occlusion was adjusted so, there is no centric or eccentric contact with the antagonist teeth. An impression was made and final restoration was cemented after 4 months. By implementing this protocol, an optimal definitive result could be achieved, together with immediate patient satisfaction. However, cooperation among several disciplines and careful patient selection is required.



Harpreet Singh Grover, Himanshu Deswal, Yogender Singh Deswal

A New Innovative Approach for Treatment of Gingival Recession: A Clinical Case

[Year:2015] [Month:] [Volume:1] [Number:2] [Pages:3] [Pages No:82 - 84]

   DOI: 10.5005/jp-journals-10004-1039  |  Open Access |  How to cite  | 


Gingival recession is characterized by the apical migration of tissue margin apical to cement enamel junction. These defects give rise to both functional and esthetic challenges. A new innovative technique of periodontal plastic surgery was used in which periosteum was incised and mobilized at the apical part of the mucoperiosteum flap to cover the defect. The purpose of this case report was to clinically evaluate the use of periosteum eversion technique to cover gingival recession defect.



N Kalavathy, Nikhil Anantharaj, Anmol Kapoor, Anuradha Venkataramani

Implant Retained Fixed Prosthesis

[Year:2015] [Month:] [Volume:1] [Number:2] [Pages:10] [Pages No:85 - 94]

   DOI: 10.5005/jp-journals-10004-1040  |  Open Access |  How to cite  | 


Rehabilitation of completely edentulous patients is a challenge to prosthodontists. This is more so with mandible as the resorption rate is 4 times more than that of maxilla. This article describes a case report of a completely edentulous patient with resorbed mandible who insisted on better esthetic and masticatory comfort. The treatment plan included fixed implant prosthesis with titanium framework and ceramic restoration for the mandible and removable complete denture prosthesis for maxilla. All procedures including surgical, prosthetic and lab procedures were explained in detail to the patient and the treatment was completed. Satisfactory results were obtained.


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