Clinical Outcomes of Short Implants Placed in the Posterior Maxilla with the Indirect Sinus Elevation Technique and in the Posterior Mandible

Clinical Outcomes of Short Implants Placed in the Posterior Maxilla with the Indirect Sinus Elevation Technique and in the Posterior Mandible PDF Author: Nabil Nadji
Publisher:
ISBN:
Category :
Languages : en
Pages :

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Short Implants

Short Implants PDF Author: Boyd J. Tomasetti
Publisher: Springer Nature
ISBN: 3030441997
Category : Medical
Languages : en
Pages : 334

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Book Description
This comprehensive guide to short implants will take the reader through their research and development, explain the clinical indications, evaluate the outcomes achieved with various implants, and explore restorative and laboratory considerations. Short implants have steadily gained greater market share in the last decade as practitioners sought alternatives to traditional length implants in order to avoid grafting procedures. Current manufacturers offer a variety of implant lengths and widths, allowing surgeons and restorative dentists the ability to select the best implant for each clinical circumstance. Cutting edge information is provided on the research and clinical results achieved utilizing a range of implants, specifically those developed by Nobel Biocare, Straumann, Jack Hahn, and Bicon. Readers will also find an extensive description of the role of ultra-short implants involving reconstruction in both cleft patients and cancer patients who have lost portions of their mandible and/or maxilla. This book is a must-have for those interested in learning how the use of short and ultra-short implants offers both surgeons and restorative dentists an opportunity to stand out from those that use only the traditional length implants.

Short Implants (6mm) Versus Longer Implants (11mm) in Combination With Sinus Elevation Procedure in the Atrophic Maxilla: Retrospective Analysis of a 5 Year Follow Up of a Randomized Clinical Trial

Short Implants (6mm) Versus Longer Implants (11mm) in Combination With Sinus Elevation Procedure in the Atrophic Maxilla: Retrospective Analysis of a 5 Year Follow Up of a Randomized Clinical Trial PDF Author: Pierluigi Balice
Publisher:
ISBN:
Category : Electronic dissertations
Languages : en
Pages :

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AIM: To compare, clinically and radiographically, short dental implants (6 mm) to long implants (11-15 mm) placed with sinus grafting. METHODS: Participants with 5-7 mm of bone height in the posterior maxilla were randomly allocated to receive short implants (GS) or long implants with sinus grafting (GG). Implants were loaded with single crowns 6 months after placement (PR). Patients were re-evaluated up tp 60 months after loading (FU-5 years). Outcome variables included: marginal bone level alteration (MBL), implant success and survival rate, periodontal probing depth (PPD), bleeding on probing (BoP), plaque control record (PCR) and crown-to-implant ratios (C/I). Statistical analysis was performed using non-parametric tests. RESULTS: 13 patients, 15 implants were re-evaluated at FU-5 years. Intergroup comparison reported no statistical differences in marginal bone loss from baseline to 5 years (GS,-0.33 ± 0.29/GG, +0.32 ± 0.9, p=0.233). No statistical differences were found for PD, BoP and PCR. CONCLUSION: Both treatment modality provided similar outcomes.

Sinus Floor Elevation Procedures

Sinus Floor Elevation Procedures PDF Author: Hideaki Katsuyama
Publisher: Quintessenz Verlag
ISBN: 3868674969
Category : Medical
Languages : en
Pages : 381

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Book Description
The fifth volume of the ITI Treatment Guide series presents the materials and techniques associated with sinus augmentation procedures. The volume opens with a review of the current literature and the relevant ITI Consensus Statements derived from the ITI Consensus Conference held in Stuttgart, Germany, in 2008. This is followed by a discussion of the preoperative assessment of the posterior maxilla, including a detailed description of the anatomy and radiologic examination. Different treatment options are then presented, along with guidelines for choosing the appropriate technique based on thorough risk evaluation and the relative complexity of each option. Various procedures are demonstrated with comprehensive patient case studies, and detailed illustrations serve to clarify potential ambiguities in protocol and technique. The text is completed with a section on intraoperative and postoperative complications to avert the most common pitfalls in clinical practice.

Early Clinical Outcomes of a New Implant Design Used in Graft-less Sinus Floor Augmentation

Early Clinical Outcomes of a New Implant Design Used in Graft-less Sinus Floor Augmentation PDF Author:
Publisher:
ISBN:
Category :
Languages : en
Pages :

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BackgroundExtraction of posterior maxillary teeth can result in severe bone resorption, which may preclude the placement of dental implants. Traditionally, techniques involving bone graft material are used to overcome this loss of bone volume. Less invasive and more cost-effective graft-less procedures have also been shown to be clinically effective. Here, we evaluated a new implant design in graft-less sinus floor elevation using both lateral and crestal approaches. AimIn this open prospective clinical study, we investigated the clinical performance of a new reverse spiral flute implant design (Nobel Biocare AB, Gothenburg, Sweden) used in lateral and crestal graft-less sinus floor elevation protocols. One-year outcomes are presented. Materials and MethodsPatients seeking implant-supported restoration of the posterior maxilla and requiring sinus floor augmentation with a residual bone height less than 8 mm at implant site were included. Implants were placed using either a lateral or crestal graft-less sinus floor elevation protocol. Crestal at residual bone height of 6 to 8 mm, Lateral in bone heights less than 6 mm. The new implant design features an anodized surface, a rounded apex and a sharp cutting flute oriented in the opposite direction of the implant threads with the aim to deliver bone chips into the sinus cavity to facilitate new bone formation. Implants were placed in healed sites and loaded with screw-retained temporary fixed restorations after 6 months of submerged healing. Final restorations were placed after 2 months of function. Clinical and radiographic data including implant and patient level cumulative survival rate (CSR), implant stability quotient (ISQ), and implant complications were assessed at regular intervals. Results132 implants were placed in 60 patients of both sexes with a mean age of 58 years. In 40 patients, 98 were placed with the lateral technique and in 20 patients, 34 implants with the crestal one. At 1 year follow up 3 implant failed, 2 in the lateral and 1 in the crestal group. CSR was 97.7% at implant level and 95.0% at patient level.u2028All surviving implants were stable at the 1year follow up (n=129). For the resonance frequency analysis, mean ISQ values were 66.4, 74.5 and 79.1 for the lateral approach and 75.3, 80.7, and 84.0 for the crestal approach at implant placement, at 6- and 8-month follow-ups, respectively. The sinus membrane was accidentally perforated during the sinus elevation procedure in 12 patients. In another 6 patients the perforation was on purpose due to simultaneously removal of intra sinusal cysts. No perforations were caused from implant insertion. Radiographic analysis of 3D bone remodeling is currently ongoing and will be reported at the time of presentation. ConclusionsIn situations of severe bone resorption in a pneumatized maxilla, the reverse spiral flute implant has excellent stability, indicated by increasing ISQ values at subsequent follow-ups, and good survival rates after 1 year of function when placed using a graft-less lateral or crestal sinus floor elevation protocol.

Sinus Grafting Techniques

Sinus Grafting Techniques PDF Author: Ronald Younes
Publisher: Springer
ISBN: 3319114484
Category : Medical
Languages : en
Pages : 260

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Book Description
Placement of endosseous implants in the posterior maxilla is often difficult because of a lack of supporting bone. Sinus augmentation procedures have therefore been extensively used for the treatment of the edentulous atrophic posterior maxilla prior to implant placement. This book describes in detail the most widely used sinus grafting techniques as well as some innovative variations, with full coverage of both lateral and crestal approaches. A key aim is to assist the practitioner in selecting the appropriate sinus grafting technique based on the evaluation of a number of parameters that are described in detail and codified in a simple and practical way. Up-to-date information is also provided on grafting materials and on potential complications of sinus augmentation procedures and their treatment.

The Sinus Bone Graft

The Sinus Bone Graft PDF Author: Ole T. Jensen
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 388

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Book Description
This completely revised and greatly expanded edition offers authoritative recommendations concerning all aspects of sinus bone grafting procedures for rehabilitation of the atrophic maxilla. Written for the uninitiated as well as the experienced clinician, this comprehensive clinical monograph also guides readers through the maze of new materials and techniques that have been introduced to improve upon or even supplant this procedure. It answers questions such as whether autogenous bone is necessary and where best to harvest it; which bone substitutes are most effective in regenerating bone and how safe they are to use; what contraindications exist, and what complications might be expected; what characteristics of size/shape/surface morphology are most important in choosing an implant; and many others. The last section of the book explores the future prospects for genetic engineering and other gene-based therapies that may one day eliminate the need for bone grafting.

A COMPARATIVE STUDY OF STABILITY OF SHORT IMPLANT IN THE POSTERIOR MAXILLA AND MANDIBLE

A COMPARATIVE STUDY OF STABILITY OF SHORT IMPLANT IN THE POSTERIOR MAXILLA AND MANDIBLE PDF Author: Cholathee Verochana
Publisher:
ISBN:
Category : Dental implants
Languages : en
Pages : 172

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Book Description
Objective: To compare the stability of short implants placed in the posterior maxilla and mandible within a 4-month healing period.Material and methods: A total of 24 patients who were partially edentulous in the posterior were enrolled in the study. Thirty short implants (4.2 mm in diameter and 7.5 mm in length) with rough surface were placed with 2-stage surgical approach (15 implants each in maxilla and mandible). Resonance frequency analysis (RFA) was used to measure implant stability at time of surgical placement, at 2 months, at 3 months, and at 4 months after surgical placement. Implant stability quotient (ISQ) values of maxillary and mandibular implants were compared using Mann Whitney test and Wilcoxon Signed Ranks test.Results: Within the 4-month healing period, the ISQ values increased gradually in both maxillary and mandibular implants. The mean ISQ values of implants in the mandible were significantly greater than those in the maxilla at every respective length of healing time. The success of short implants in this study was 96.7%. Conclusions: Short implants with rough surface in the posterior maxilla had less stability than those in the posterior mandible during the 4-month healing period. Our study indicated that short implants with rough surfaces can gain a high degree of osseointegration within 2 months in the mandible and within 3 months in the maxilla if good stability was achieved at implant placement.

Clinical Maxillary Sinus Elevation Surgery

Clinical Maxillary Sinus Elevation Surgery PDF Author: Daniel W. K. Kao
Publisher: John Wiley & Sons
ISBN: 0470960736
Category : Medical
Languages : en
Pages : 200

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Book Description
Maxillary sinus elevation, followed by placement of a wide variety of grafting materials, has been the generally accepted surgical protocol for the development of bone in the sinus cavity. Over the years, various techniques have been proposed for maxillary sinus elevation, which differ in surgical approach, bone graft materials, and advanced technology application for hard tissue and soft tissue management. Dr. Kao and a team of experts begin by discussing anatomy, radiographic image applications and limitations, and then provide step-by-step clinical procedures for the lateral window technique, including piezosurgery, and the trans-alveolar methods, including balloon and controlled hydostatic sinus elevation. Also included are chapters on post-operative care and complication management.

The Rationale and Techniques of Maxillary Sinus Lift

The Rationale and Techniques of Maxillary Sinus Lift PDF Author: Kshitij Pardeshi
Publisher: LAP Lambert Academic Publishing
ISBN: 9783659788420
Category :
Languages : en
Pages : 184

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Book Description
The posterior maxilla presents several challenges to the implantologist of which pneumatisation of the maxillary sinus is one such problem. The management of this problem in the most atraumatic way is important for long-term success of implants placed in this region. Implant dentistry has become an excellent treatment modality since its inception into the modern era of dentistry. Surgical technique that allowed the elevation of the sinus membrane and implant placement in the same surgical appointment has become routine procedure since last decade. The procedure may be one stage (i.e. placement of implant and graft material in one surgical procedure) or two-stage (i.e. implants are placed after few months of graft maturation). Sinus lift surgery can be done using different surgical techniques, viz. crestal approach (Osteotome technique, Cosci technique) lateral window technique, newer techniques such as Balloon Sinus lift, Sinus lifting by piezosurgery, Hydraulic sinus lift, etc. This book covers a detail description of all these techniques and materials and can surely be a handy for dental surgeons in general and the implantologist in particular.