The Journal of Implant & Advanced Clinical Dentistry
CLICK HERE TO SUBSCRIBE >

6 Year Multi-Center Study on Osseofuse Dental Implants

Tuesday, August 29th, 2017

6. Osseofuse HexaPlus Dental Implants: A 6-Year Retrospective Follow-Up of Over 250 Implants

Advances in technology have allowed contemporary dental implant systems to achieve success rates that routinely exceed 95% across all brands and models. With such predictable success, clinicians often base their choice for dental implants on certain unique features associated with different systems. While some clinicians focus on costs associated with dental implant systems, others seek ease of use and simplicity. The following retrospective report documents use of more than 250 Osseofuse® HexaPlus™ dental implants by multiple private practicing clinicians and provide a discussion regarding the unique attributes that compelled these clinicians to choose this system over others.

16. Immediate Implant Post-Extraction of Impacted Maxillary Canine: A Clinical Case Report

This clinical report outlines the surgical and restorative steps involved when a patient presented with an impacted maxillary canine. The patient was treated with extraction and immediate implant placement. This was a challenge due to the bone resorption frequently associated with complex tooth extraction that often necessitates bone regeneration in these cases. This report suggests that this treatment for maxillary impacted canines with dental implants is viable with a good outcome both functionally and aesthetically, although more work is needed to strengthen an adequate protocol of this treatment alternative.

22. An Economical Approach to the Establishment of Occlusal Guidances: A Case Report

Whenever treatment is performed on a patient that does not have a concrete foundation of evidence in the literature, one must always consider the ethical considerations before performing irreversible treatment. At all costs, respecting patient autonomy and practicing within a standard of care that is nonmaleficence must always occur. The topic of occlusal rehabilitation and the value of the literature available on the topic are of much discussion in dentistry. After an exhaustive literature search, the same conclusions can be drawn time after time, more research is needed, however many of the research articles analyzed gave recommendations to provide a functional and optimal standard of care when modifying or establishing occlusal scheme in a patient.

30. Prosthetic Implant Management of Extraction Site after the Removal of a Single Anterior Tooth

The EDS classification has its importance in helping the clinician in establishing appropriate plan for surgical implant treatment. This classification came short and no detailed recommendation of the provisional stage was described before and after surgical treatment for the esthetic zone. The purpose of this paper is to describe all possible provisional techniques available to restore a single tooth in the anterior esthetic zone and to give recommendations to the preferable techniques during site development and implant placement according to the EDS classification. It is strongly advisable to have a preplanning session for the preparation of a vacuum heat formed template and ovate pontic(s).

Custom Emergence Profile Around Implants

Wednesday, July 26th, 2017

6. An Innovative Approach for the Selection, Generation and Recording of a Custom Emergence Profile Around Implants

Currently the clinical dexterity required along with the time and cost involved has been a constant obstacle for the evolvement of the process of custom emergence profile development to a standard of care. This is the first report on the protocol of use of a novel system (VPI EPMS) that can assist the clinicians select, generate and record a custom emergence profile in a predictable way and a time and cost effective manner. 1 year post treatment evaluation, the hard and soft tissues were clinically and radiographically within normal limits.

20. Partial Enucleation of the Nasopalatine Canal for Implant Placement: A Novel Procedure

One of the anatomical obstacles for dental implants placement in the upper anterior region of the oral cavity is the incisive canal or the nasopalatine canal. Presence of the incisive canal jeopardizes the ideal position of the implants placement. As a result, enucleation of the canal content and placement of bone graft or substitute are necessary to improve the bone bed. In order to prevent any change in sensation (even a temporarily one) and having bone augmentation at the same time, partial removal of the canal’s contents and placement of allograft bone is presented in this case report.

26. Clinical and Radiographic Evaluation of Short Dental Implants in Posterior Atrophic Ridges with a Follow-up Period of 1 Year after Loading: A Controlled Clinical Trial

Objective: to evaluate clinically and radiographically the performance of short dental implants in the posterior atrophic ridges (maxilla and mandible) with deficient vertical bone height as an alternative treatment modality to other more invasive procedures. Conclusion: Short dental implants seem to be an effective alternative treatment for atrophic ridges with a very high success rate in the mandible. They minimize the need for bone grafting procedures and increase the patients` acceptance, as well as, maximizing dental implant placement possibilities.

36. A New Standard Classification System for Dental Implant Drills and Role of Implant Drills in Successful Osseointegration

Implant drill use is common and clinicians are acutely aware of the implant drills for the system which they are using. It is the demand of the time that we should formulate a classification system to categorize these drills for ease to remember and identification. Attempts have been made through this article to shed some light on various types of implant drills along with a simplified system of their classification. Another aspect included in this article is various factors influencing the drilling process and causing overheating in osteotomy site.

The MIMS Technique for Gingival Grafting

Thursday, June 22nd, 2017

6. The MIMS Technique – A Case Report: A First Look at a New Method for Optimizing Esthetic Gingival Grafting

Suturing in the esthetic zone can be unsightly and difficult for patients post-operatively. Moreover, when clinically presented with a very thin tissue biotype needing soft tissue grafting to repair a mucogingival defect, approaches may be far and wide. Therefore, this article shows a new method of suturing that was created to address both lack of tissue resiliencyand esthetics when working the smile zone. When presented with thin tissue biotypes and/or mucogingival defects in the esthetic zone, utilizing the Modified Internal Mattress Sling technique can greatly aid in securing and concealing soft tissue grafting for patients.

12. Socket Preservation Using a Small Particulate Xenograft: A Case Report

Soon after tooth extraction a cascade of bone remodeling starts which result in bone resorption. Procedures such Socket Seal Surgery can be employed to preserve future implant site. There are various grafts which can used for the same purpose. The best method to observe a graft’s healing is surgical re-entry and or histopathology. The aim of this Case Report is to document the use of Smartbone ® xenograft for socket preservation. After 5 months of healing, histopathological core sampling revealed good osteoconduction of the graft.

18. Crestal Bone Loss: A Comparative Study Among Men And Women In One Stage Dental Implants

Dental implantology is the state of the art technique to replace missing teeth. Crestal bone loss along implant surface jeopardizes its longevity and success of treatment. The present study was performed to evaluate and compare the crestal bone loss along the implant surface between men and women six months after the implant placement. Six months after the implant placement, radiographic evaluation on digital IOPA showed a mean crestal bone loss of 0.66 mm on the mesial side of implant and 0.46 mm on distal side of implant. Gender had significant difference in bone loss

30. Maxillary Split-Crest Technique with Immediate Implant Placement in a 13-year old Patient with Two Years Follow up: A Case Report

This case report presented a divergent approach in which a modified split-crest technique using the piezoelectric tip, one drill and tapered implants was applied. The split-crest surgery was performed with immediate placement of two tapered self-tapping dental implants in the anterior maxilla of a young 13-year old female patient. The patient lost four of her maxillary anterior teeth as a result of an accident at the age of 9 years with subsequent severe alveolar ridge resorption.

Custom Made Auricular Prosthesis

Monday, May 1st, 2017

6. A Custom Made Implant Supported Auricular Prosthesis Designed by Rapid Prototyping for Compromised Bone Support: A Case Report

Implant supported auricular prosthesis requires a minimum of 6mm bone depth in the temporal bone area behind external auditory meatus. Extra oral implants are available from 4mm to 7mm length with 5 to 6mm diameter flange. When the bone height is compromised and when only few regions have favorable positions which are not part of the slot area all the existing extra oral systems cannot be used. In cases with compromised bone condition, a custom made implant is the best choice that can offer good prognosis.

12. Guided Bone Regeneration in Peri-Implantitis Bone Defect After Free Gingival Graft: A Case Report

Peri-implantitis is among the most common pathological conditions encountered in the field of implant dentistry, where regenerative therapy, when possible to perform, is needed. One of the reasons why bone regeneration in peri-implantitis defects is difficult: due to prosthetic reasons, submerged healing is often not possible to perform. Another difficulty arises particularly in cases of insufficient attached keratinized mucosa (KM), where the mobility of alveolar mucosa can increase leakage of grafting materials from the treated defect.  After a healing period of 5 months, an implant was placed in position #30 with further bone augmentation.

20. Computer Based Textural Evaluation of Concentrated Growth Factors (CGF) in Osseointegration of Oral Implants in Dental Panoramic Radiography

Concentrated growth factors (CGF) have positive impact in the field of regenerative medicine. The osseointegration properties of CGF around loaded oral implants were evaluated in this study by means of computerized textural analysis in Panoramic Radiographs.  All selected features achieved Area- Under-Curve (AUC) values within 0.77–0.81 range in the group with CGF employment and manage to capture the significant temporal textural differentiation that can be attributed to CGF properties.

30. Extraction and Immediate Placement of Dental Implants in Mandibular Anterior Site with Delayed Prosthetic Loading Protocol in a Chronic Generalized Periodontitis Patient: A Case Report

In last few decades, implant dentistry has emerged as a fully accepted discipline in dentistry. During this period of development, its concepts, treatment modalities and material science have undergone tremendous changes. The key to successful restorative driven implant therapy is appropriate examination, diagnosis and treatment planning to achieve optimal functional and esthetic results.

Computer Guided Full Arch Immediately Loaded Dental Implants

Monday, February 27th, 2017

6. Computer Guided Full Arch Treatment Modality for the Edentulous Patient: A Case Report

Successful outcomes in the field of implantology often involve an amalgamation of good planning, execution of surgery and finally, accurate prosthetic rehabilitation. In the planning phase, it is possible for the surgeon to interact dynamically with a 3D reconstruction of the actual case scenario. The exact angulations and on the placement of implants can be pre-determined virtually. The virtual plan is then transferred to the clinical setting through the fabrication of a surgical guide. Advances in the prosthetic framework designs especially for a full arch implant reconstruction have led to superior final outcomes for both the patient and the clinician.

16. An Updated Primer on the Utilization of Amnion-Chorion Allografts in Dental Procedures

While placentally derived allografts have been utilized in medical procedures for over 100 years, their use in dental procedures is relatively new with only 10 years of continuous history. As in medical procedures, the initial applications of placental grafts in dental procedures were with amnion products. More recently, however, advanced placental allografts such as laminated amnion-chorion products have displaced the use of amnion-only products. The
addition of a chorion layer to amnion allograft has produced a number of improvements over amnion alone including increased thickness of the membrane and a 20-fold increase in growth factor content.

38. Full Mouth Rehabilitation of Completely Edentulous Patient with Full Arch Screw-Retained Prosthesis: A Case Report with 4 Year Follow Up

In completely edentulous patient’s rehabilitation with screw retained full arch fixed implant supported prosthesis, the achievement passive fit of superstructure to the implants is considered as major challenge to prosthodontist. This passive fit is supposed to be one of the most vital requirements for the maintenance of the osseointegration, otherwise unfavorable complications is expected. In this case report, full mouth rehabilitation of patient with all on-4 implant prosthesis was described.

46. A Review of Photofunctionalization of Dental Implants

UV photofunctionalization of titanium implants has shown promising results of the treatment outcomes. Photofunctionalized implants have shown promising findings in regards to bone implant contact, Osteoblast response & implant stability; hence opening up the avenue to be incorporated in daily implant practice. This article summarizes the findings of all the recent in vivo & in vitro research conducted.

Novel Ridge Augmentation Prior to Implant Treatment

Thursday, February 2nd, 2017

6. A Novel Combination Approach to Ridge Augmentation Procedure in a Severely Infected Alveolus Prior to Implant Supported Restorative Treatment: A Case Report

Acute and chronic odontogenic infections present a significant challenge to effective ridge augmentation procedures prior to dental implant placement. Medical ozone/ oxygen (MOZO) is an anti ineffective therapy that has experienced a resurgence in recent years for treating a variety of medical and dental infections. Recent data has suggested that PRF can be used as a barrier membrane in regeneration procedures. Within the limitation of this study, MOZO has the potential as an adjunct antiinfective therapy combined with the regenerative potential of PRF barrier membrane, providing a novel approach to ridge augmentation in an infected and severely resorbed alveolus.

16. Assessment of Risk Indicators of Peri-implant Diseases Among a Group of Sudanese Subjects Attending Khartoum Dental Teaching Hospital: A Hospital Based Cross-sectional Study

Data indicate that complications of dental implant occur in about 50% of patients after 5 years of function. Peri-implant disease following successful integration of an endosseous implant consider as biological complication of dental implant. Peri-implant diseases may affect the peri-implant mucosa only (peri-implant mucositis) or also involve the supporting bone (peri-implantitis). This study aimed to evaluate the prevalence of peri implant diseases in Khartoum Dental Teaching Hospital (KDTH) and to assess implants/patients characteristics as possible risk indicators for peri-implant diseases.

26. Efficacy of Biograft (β Tricalcium Phosphate) in Alveolar Ridge Preservation: A Randomized Controlled Clinical Study

The purpose of this study is to evaluate the efficacy of biograft (β tricalcium phosphate) in alveolar ridge preservation. Guided Bone Regeneration is a successful method of alveolar ridge preservation and that synthetic bone substitute (β- TCP) with a collagen membrane can be usefully utilized for this purpose.

34. A New Standard Classification System for Dental Implant Drills and Role of Implant Drills in Successful Osseointegration

Implant drills use is so common now a days and clinicians are aware about implant drills of the system which they are using. It is demand of the time that we should formulate a classification system to categories these drills for ease to remember and identification. Attempts have been made through this article to shed some light on various types of implant drills along with a simplified system of their classification. Another aspect included in this article is various factors influencing the drilling process and causing overheating in osteotomy site.

Implant-Supported Milled Bar Overdenture

Wednesday, December 28th, 2016

6. Implant-Supported Milled Bar Overdenture

Edentulism is a common condition affecting a significant portion of the population. A conventional approach to compensate for this condition is the fabrication and placement of dentures; however, traditional denture rehabilitation has its limitations. Implant-retained dentures provide increased retention, while implant-supported dentures provide ideal bracing and resolution of many patient
complaints. The implant-supported milled bar overdenture is an alternative approach to rehabilitation in which the patient can easily remove and clean their denture, maximizing oral hygiene. This approach is technically demanding but provides an accessible, cost-effective option

14. Full Mouth Rehabilitation of Patient with Advanced Chronic Periodontitis: A Case Report

In rehabilitation of patients with advance chronic periodontitis, a great concern to both patient and dentist is the effect of periodontal infection on the implant survival rate. In this case report, full mouth rehabilitation of patient with history of advanced chronic periodontics was described. The treatment performed includes full arch maxillary fixed implant supported prosthesis, mandibular anterior fixed teeth supported prosthesis and mandibular posterior fixed implant supported prosthesis.

22. MMP-8 Levels in Peri-Implant Sulcular Fluid from Platform-Switched and Conventional Implants

Despite clinical implications of the role of MMP-8 in gingival inflammation few studies have examined the correlation of MMP-8 to platform switching in implant dentistry. The objective of this study was to compare MMP-8 concentration in periimplant sulcular fluid associated with non-platform- switched and platform-switched implants. MMPs play central roles in wound healing and inflammatory response. However the current study suggests that MMP-8 levels may not be a consistent diagnostic indicator to assess clinical response post-function where the goal is to compare different implant abutment platform designs.

30. An investigation of the Availability of Consumer Prices for a Single Tooth Implant

This study assessed the availability and costs of replacing a single tooth with an implant and crown in academic and private practices. Prosthodontic departments were more likely to disclose the costs of placing and restoring an implant, and were cheaper. Geographic locations influenced costs. Future research should focus on evaluating the difference in fees between general dentists and specialists.

Reviews of Complications from Lateral and Crestal Sinus Lifts

Wednesday, November 23rd, 2016

6. Sinus Augmentation Complications: Part-I Associated with Lateral Technique (Direct Approach): A Review

Maxillary sinus augmentation procedures using crestal or lateral approach are the predictable treatment modalities for placing the implant in atrophic maxillary posterior area. Like any other dental procedures there is always risk of encountering the intra or postsurgical complications. This review article illustrates the complication, prevention and management associated with the lateral (Direct) technique.

14. Sinus Augmentation Complications: Part-II Associated with Crestal Technique (Indirect Approach): A Review

Treatment of the posterior edentulous maxilla can be complicated by atrophy of the edentulous ridge or by an aging-related increase in the pneumatization of the maxillary sinus. The technique of sinus floor elevation has expanded the prosthetic rehabilitation options for this region through the placement of dental implants. However, this technique can be quite aggressive and often patients would prefer an option that stresses minimalism. A less invasive alternative to the lateral window approach for sinus elevation was introduced by Summers in 1994. This review article illustrates the complications associated with the crestal i.e. indirect sinus lift.

22. Histologic Analysis of the Outcomes of Split-Mouth Maxillary Sinus Augmentation with Allograft and Xenograft Grafting Mediums

A histomorphometric analysis determined presence of good regenerative results in both groups. Presence of vital bone in the specimens was observed on the average of 97% (by the area of examination). Structural composition of the specimens indicated that on average 45% of the area observed under the microscope was filled with newly formed bone. Clinical analysis of the pre augmentation and post-augmentation measurements established that in all augmented sites a consistent and statistically measurable increase of the bone structure was achieved.

34. Temperature Changes During Implant Osteotomies Utilizing Three Different Implant Systems: A Pilot Study

Bone overheating may lead to failure of dental implant osseointegration. The purpose of this study was to compare three different implant drill designs in order to evaluate the temperature changes over the osteotomy area. The highest temperature was found with D1 initial drills (65.0±6.90C). The lowest temperature was noted with D2 initial drills (47.3±2.90C). For the D1 system, the use of irrigation resulted in statistically significant lower maximum temperature by 8.70C. For the D2 system, irrigation was found to significantly decrease the average maximum temperature by 7.10C.

Xenograft Treatment of Multiple Recession Defects

Wednesday, October 26th, 2016

6. Creeping Attachment After Xenogenic Collagen Matrix Placement for Multiple Recessions Treatment: A Discussion of Two Case Reports

The combination of coronally advanced flap (CAF) with a subepithelial connective tissue graft (SCTG) is the gold standard for root coverage treatment. Xenografts represent a viable alternative to the SCTG. The following cases represent the application of repositioning of the cementoenamel junction (CEJ) where a xenogeneic collagen matrix (CM) was used in combination with a CAF for the treatment of multiple recession defects. The combination of CM, repositioning of the CEJ and strict post-operative protocol showed creeping attachment twelve months post-operatively. The creeping attachment noted, ranged from 0.5-2mm.

16. Effectiveness of a Novel Approach for Soft Tissue Augmentation in a Severe Reabsorbed Alveolar Ridge

Severe deformity of the alveolar ridge occurs frequently after traumatic teeth loss, causing severe bone resorption, esthetic/functional compromises, and represents a challenge for surgeons. This article aims to present the effectiveness of a novel approach for soft tissue augmentation in which a pedicle graft and connective tissue graft are used to rehabilitate severe defects in the aesthetic zone.

24. Histologic Analysis of the Newly Formed Bone after Maxillary Sinus Augmentation witMh Xenograft Material

The objective of this study was to evaluate the vitality of newly formed bone after maxillary sinus augmentation completed with Xenograft (NuOss XC SinusTM) Bone Composite. A histomorphometric analysis determined a clinically evident presence of vital, newly formed bone in the specimens with the average of 97% (by the area of examination). Clinical radiographic analysis of the pre-augmentation and post-augmentation measurements established that in all augmented sites a consistent and statistically measurable increase of the bone structure was achieved.

32. Rehabilitation of Partially Edentulous Patient with Mandibular Teeth Supported Bar Overdenture: A Case Report

The teeth-supported overdenture is one of the best and most comfortable modalities of treatment for the patients with few remaining teeth. The use of attachments can further increase the retention of the overdenture prosthesis, but is usually limited by the insufficient space available and cost factors. The availability of different types of attachments has enabled a wide variety of treatment options. Therefore, the modern clinician must consider use of overdentures whenever possible.

Horizontal Augmentation of the Deficient Alveolar Ridge

Wednesday, September 28th, 2016

6. Horizontal Augmentation of the Deficient Alveolar Ridge Associated with Concurrent Implant Placement: A Retrospective Analysis of Outcomes

The challenges of many clinical cases lie in difficulty of managing severely compromised ridge defects. History of previously sustained alveolar trauma, past surgical procedures and variable pathologic developments cause substantial alteration of normal bone structure requiring osseoregenerative procedures to restore an adequate volume and architecture of alveolar structure needed for implant placement. The objective of this retrospective study was to measure and analyze clinical benefits gained by completion of guided osseous tissue regeneration treatment with utilization of “Tunnel Approach” completed concurrently with dental implant placement.

18. An Analysis of Negative Online Reviews for Dental Practices in Multiple Metropolitan Markets

Modern consumers are increasingly relying on crowdsourced online reviews to assist with their purchasing decisions. This is especially true when evaluating intangible items such as services which cannot be physically evaluated by the consumer. A variety of factors such as Framing, Primacy Effect, and Valence of online reviews have significant impact on consumer perceptions of evaluated businesses. Negative reviews have been shown to have a dramatic impact on all of the factors that affect online reviews and thus, also impact business performance.

24. Smile Design with Immediate Implant Placement

The esthetic dentist should have a thorough knowledge and appreciation of the artistic principles that can be applied to the dentofacial complex and should combine artistic creativity with scientific discretion to effect an appreciable change in the dentition. The smile we create should be esthetically appealing and functionally sound and requires a comprehensive approach to patient care. Appropriate application of principles of smile designing for any restorative work can drastically improve the esthetics of the patients. Nowadays, patients do not accept even the shortest period of edentulism.

32. Bone Quality Assessment in Routine Dental Implant Treatment among Dental Implant Practitioners in the Kingdom of Saudi Arabia

A questionnaire was created that included shut inquiries about attitude and knowledge and also to assess for symptomatic routines of bone quality evaluation. The questionnaire was web-based and sent to the most of the dental practitioners who practice dental implants in dental schools, hospitals, and private clinics in Saudi Arabia. The questionnaire was designed for four groups: general practitioner, postgraduate resident, specialist, and consultant.