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Journal of Dental Implants最新文献

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Comparison of clinical and microbiological status of osseointegrated dental implant with natural tooth 骨结合种植体与天然牙的临床及微生物状况比较
Pub Date : 2017-07-01 DOI: 10.4103/JDI.JDI_3_17
Arun Kumar, Abhishek Kawadkar, Dimple Mathew, S. Hegde, R. Shankar
Aims: This study is aimed at investigation of microflora around healthy implants and comparison of the clinical and microbiological status of osseointegrated dental implant with that of a natural tooth. Materials and Methods: Ten patients with healthy osseointegrated dental implants were further subdivided into two groups according to sites evaluated for clinical and microbiological parameters, Group A-Subgingival site corresponding to periimplant mucosa. Group B – subgingival site corresponding to natural tooth distal to implant. Oral prophylaxis was carried out for all the subjects at baseline, and they were recalled after 3 months for the assessment of clinical parameters such as probing depth, sulcus bleeding index, and plaque index. Subgingival plaque samples were taken on the same day and subjected to microbiological analysis by polymerase chain reaction. Statistical analysis was done using Mann–Whitney test and Fisher's exact test. Results: There existed a definite correlation between clinical parameters such as sulcular bleeding index, plaque index, and periodontal pockets and the presence of these microorganisms, i.e., Porphyromonas gingivalis, Prevotella intermedia, Tannerella forsythia, and Aggregatibacter actinomycetemcomitans between the two groups. Conclusions: Although the ecological environment around dental implant may differ, the microbial findings of implants are similar to that of the natural tooth.
目的:研究健康种植体周围的微生物区系,比较种植体与天然牙的临床和微生物状况。材料与方法:将10例健康种植体患者根据临床及微生物学参数评估部位进一步分为两组:a组龈下部位与种植周周黏膜相对应。B组-龈下部位对应于种植体远端的天然牙。所有受试者在基线时均给予口腔预防,3个月后召回,评估探查深度、沟出血指数、菌斑指数等临床参数。当日取龈下菌斑标本,采用聚合酶链反应进行微生物学分析。统计分析采用Mann-Whitney检验和Fisher精确检验。结果:两组患者龈出血指数、菌斑指数、牙周袋等临床参数与牙龈卟啉单胞菌、中间普雷沃氏菌、连翘Tannerella、放线菌聚集菌的存在有一定的相关性。结论:虽然种植体周围的生态环境不同,但种植体的微生物特征与天然牙相似。
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引用次数: 2
Short implants: Are they worthy alternatives? 短植入物:它们是值得选择的替代品吗?
Pub Date : 2017-01-01 DOI: 10.4103/JDI.JDI_3_18
S. Shetty
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引用次数: 0
Rehabilitation with dental implants after mandibular reconstruction with microvascular fibula flap with previous osteoradionecrosis 微血管腓骨瓣下颌骨重建术后种植牙的康复
Pub Date : 2017-01-01 DOI: 10.4103/JDI.JDI_10_17
Rafael Martin-Graniz, D. Correa-Muñoz
This article discusses how the microvascularized fibula flap with or without cutaneous component has become the reconstructive option of choice for mandibular defects due to its length,the ability to be molded, its acceptable and consistent vascular pedicle, and the relative ease to obtain. Since this bone has shown, due to its vascularization, to maintain the bone mass in time, which gives a potential advantage over other free bone flaps, and therefore, the possibility of rehabilitation with dental implants. However, this can be a challenge because most of these patients have large oncologic resections, frequent medical comorbidity, and often require associated radiotherapy. Initially we review some published works about changes over time in height and bone mass of fibula bone in patients treated for osteoradionecrosis (ORN), and therefore, about the success or failure of the implant rehabilitation in these patients was performed. After, the case of a male patient aged 40 is presented who underwent mandibular reconstruction with fibula free flap after an oncological resection which showed a picture of ORN managed with previous surgical therapy and hyperbaric oxygen as adjuvant therapy and on whom rehabilitation was then performed with implant-supported prostheses with favorable development during 7 years follow-up. Therefore we conclude that the microvascularized fibula bone can receive a functional dental rehabilitation with osseointegrated implants even if there has been a previous history of properly treated ORN.
本文讨论了带或不带皮肤成分的微血管化腓骨皮瓣由于其长度、成型能力、可接受和一致的血管蒂以及相对容易获得而成为下颌缺损重建的选择。由于这种骨的血管化,可以及时保持骨量,这比其他游离骨瓣有潜在的优势,因此,种植牙的康复是可能的。然而,这可能是一个挑战,因为大多数这些患者都有较大的肿瘤切除术,经常出现医疗合并症,并且经常需要相关的放疗。首先,我们回顾了一些已发表的关于骨放射性坏死(ORN)患者腓骨高度和骨量随时间变化的研究,并因此对这些患者进行了植入康复的成功或失败进行了研究。之后,我们报道了一位40岁的男性患者,他在肿瘤切除后用腓骨游离皮瓣进行下颌骨重建,显示了先前手术治疗和高压氧辅助治疗的ORN图片,然后在7年的随访中使用种植体支持的假体进行康复,并取得了良好的进展。因此,我们得出结论,微血管化腓骨可以接受骨整合种植体的功能牙科康复,即使以前有适当治疗的ORN的历史。
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引用次数: 1
Evaluation of peri-implant soft tissues and hard tissues in titanium implants in immediate and delayed cases: A comparative study 钛种植体即刻与延迟病例对种植体周围软组织和硬组织的评价:比较研究
Pub Date : 2017-01-01 DOI: 10.4103/jdi.jdi_1_17
J. Edward, J. George, D. Prakash
Background and Objective: Immediate implant placement may preserve the alveolar anatomy and helps to maintain the bony crestal height. There are not enough studies addressing other outcome measures that determine the quality of survival such as the peri-implant hard and soft tissue integrity. The objective of this study was to evaluate and compare the peri-implant soft tissues, crestal bone resorption, and peri-implant bone healing in immediate and delayed implants in the esthetic zone of maxilla. Materials and Methods: Selective sampling done among the patients who reported to our center for implant placement. A total sample size of 100 implant sites in the esthetic zone of maxilla were selected from 77 patients (52 females and 25 males) with fifty sites in immediate implant group and fifty in delayed implant group. Samples from both groups were evaluated on follow-ups at 1st week, 1st month, 3rd month, and 6th month postoperatively. Evaluation was based on (1) assessment of peri-implant soft tissue by means of implant esthetic score, (2) radiographic assessment of peri-implant crestal bone loss, (3) peri-implant bone densitometry by grayscale assessment of radiograph. Results: Unpaired t-test was performed for each parameter, which showed a very high level of significance for implant esthetic score, high significance for gray scale assessment, and no significance for peri-implant crestal bone loss. Interpretation and Conclusion: The present study showed that immediate implants had better esthetic and functional outcome in terms of peri-implant soft tissue and peri-implant bone healing. However, there were no statistically significant data suggesting a lesser alveolar crestal bone loss in immediate implants.
背景与目的:即刻种植可保留牙槽解剖结构,并有助于维持骨嵴高度。目前还没有足够的研究来解决其他决定生存质量的结果指标,如种植体周围的软组织和硬组织的完整性。本研究的目的是评估和比较上颌美观区即刻种植和延迟种植的种植周围软组织、嵴骨吸收和种植周围骨愈合情况。材料和方法:对到本中心就诊的患者进行选择性取样。从77例患者(女52例,男25例)中选取上颌美观区种植体100个位置,即刻种植组50个,延迟种植组50个。两组患者分别于术后第1周、第1个月、第3个月、第6个月随访。评估基于(1)种植体美学评分对种植体周围软组织的评估,(2)种植体周围嵴骨损失的x线片评估,(3)种植体周围骨密度的x线片灰度评估。结果:各参数进行非配对t检验,结果显示种植体美观评分具有非常高的显著性,灰度评价具有很高的显著性,种植体周围牙冠骨丢失无显著性。解释和结论:本研究表明,即刻种植体在种植体周围软组织和种植体周围骨愈合方面具有更好的美学和功能结果。然而,没有统计学上显著的数据表明直接种植的牙槽嵴骨丢失较少。
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引用次数: 4
A simple technique for fabrication of a surgical guide for predictable placement of dental implants 一种简单的技术,用于制造可预测放置牙种植体的外科指南
Pub Date : 2017-01-01 DOI: 10.4103/JDI.JDI_18_16
M. S. Suresh Sajjan, PremSagar Yekula, SaiSudha Kovvuri, Rama Venkata Alluri
Surgical guide plays a crucial role to facilitate optimal positioning and angulation of implants. Nonlimiting designs guide only the position but not the angulation of implant placement. This article describes a simplified technique of fabricating a surgical guide to limit the freedom of implant placement. In addition, it also has an advantage of holding the flap away from the operating site by means of a flange extended onto the buccal slope, allowing adequate visibility during the osteotomy preparation.
手术引导在促进植入物的最佳定位和角度方面起着至关重要的作用。非限制性设计仅指导种植体放置的位置,而不指导种植体放置的角度。这篇文章描述了一种简化的技术来制作外科指南,以限制植入物的自由放置。此外,它还有一个优点,通过延伸到颊坡的法兰使皮瓣远离手术部位,在截骨准备过程中有足够的能见度。
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引用次数: 3
Influence of gender and age on nasopalatine canal: A cone-beam computed tomography study 性别和年龄对鼻腭管的影响:锥束计算机断层扫描研究
Pub Date : 2017-01-01 DOI: 10.4103/JDI.JDI_15_17
Richa Mishra, V. Thimmarasa, P. Jaju, Ritu Mishra, Arpan Shrivastava
Background and Aim: The incisive canal (or nasopalatine duct) is located palatal to the maxillary central incisors and connects the palate to the floor of the nasal cavity. A branch of the greater palatine artery, the nasopalatine artery, and the nasopalatine nerve passes through this canal. A proper three-dimensional image of the incisive canal and foramen before any surgical intervention in the anterior maxilla is highly important since it can help determine the morphology and position of the canal in relation to the surrounding structures. The aim of this article is to analyze the influence of gender and age on the morphology and length of nasopalatine canal (NPC) using cone-beam computed tomography (CBCT). Study Design: This retrospective study analyzed 100 CBCT scans of patients between 15 and 75 years enrolled at a CBCT center in Bhopal, India. The images were acquired using Sirona's Orthophos SL. Two oral and maxillofacial radiologists examined all images to analyze the morphology and length of NPC with respect to gender and age. Results: Morphologically, there were four different shapes of NPC in sagittal CBCT section, and most common was cylindrical both in males and females. Least common shape seen was spindle shape in both genders. The NPC length decreased with increase in age. The length of the canal was found to be longer in men. Conclusion: This study highlights the importance of morphology of NPC during surgical procedures such as implant planning.
背景与目的:鼻腭管位于上颌中切牙的腭侧,连接腭和鼻腔底。腭大动脉、鼻腭动脉和鼻腭神经的一个分支穿过这条管。在上颌骨前的任何手术介入之前,一个正确的切管和孔的三维图像是非常重要的,因为它可以帮助确定与周围结构相关的切管的形态和位置。本文目的是利用锥束计算机断层扫描(CBCT)分析性别和年龄对鼻腭管(NPC)形态和长度的影响。研究设计:本回顾性研究分析了100例在印度博帕尔CBCT中心登记的15至75岁患者的CBCT扫描。使用Sirona's Orthophos SL获取图像。两名口腔颌面放射科医生检查所有图像,分析鼻咽癌的形态和长度与性别和年龄的关系。结果:在形态上,鼻咽癌在矢状位CBCT切片上有四种不同的形状,男性和女性均以圆柱形最常见。在两性中最不常见的形状是纺锤形。NPC长度随年龄的增加而减小。研究发现,男性的运河长度更长。结论:本研究强调鼻咽癌形态学在外科手术如植入物规划中的重要性。
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引用次数: 8
Dental rehabilitation of patient with complex odontoma: A case report and review of literature 复杂牙瘤患者的牙齿康复:1例报告及文献复习
Pub Date : 2017-01-01 DOI: 10.4103/JDI.JDI_11_16
Parit Ladani, A. Shetye, Meghal Shah
Odontomas are the most common odontogenic tumors. These tumors are asymptomatic and are generally diagnosed on radiographic examination. The sole management depends on the early diagnosis, histopathological examination, and excision of the pathological tissue. This article presents surgical management of excision complex odontoma in 22-year-old female patient followed with prosthetic rehabilitation with dental implants for replacement of missing teeth. After excision, bone grafts may be necessary depending on the need for further treatment. The present case emphasizes that new bone formation can take place without using any graft materials for the placement of dental implants in a cases of benign pathology.
牙瘤是最常见的牙源性肿瘤。这些肿瘤无症状,通常通过x线检查诊断。唯一的治疗依赖于早期诊断、组织病理学检查和病理组织切除。本文报告一位22岁女性病患的复杂牙瘤切除后的手术处理,并以种植体修复缺失的牙齿。切除后,根据进一步治疗的需要,可能需要骨移植。本病例强调,在良性病理的情况下,新的骨形成可以在不使用任何移植材料的情况下进行牙种植体的放置。
{"title":"Dental rehabilitation of patient with complex odontoma: A case report and review of literature","authors":"Parit Ladani, A. Shetye, Meghal Shah","doi":"10.4103/JDI.JDI_11_16","DOIUrl":"https://doi.org/10.4103/JDI.JDI_11_16","url":null,"abstract":"Odontomas are the most common odontogenic tumors. These tumors are asymptomatic and are generally diagnosed on radiographic examination. The sole management depends on the early diagnosis, histopathological examination, and excision of the pathological tissue. This article presents surgical management of excision complex odontoma in 22-year-old female patient followed with prosthetic rehabilitation with dental implants for replacement of missing teeth. After excision, bone grafts may be necessary depending on the need for further treatment. The present case emphasizes that new bone formation can take place without using any graft materials for the placement of dental implants in a cases of benign pathology.","PeriodicalId":212982,"journal":{"name":"Journal of Dental Implants","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117240881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Two narrow implants replacing a mandibular right first molar: A case study 两个狭窄种植体替代下颌右第一磨牙:一个案例研究
Pub Date : 2016-07-01 DOI: 10.4103/0974-6781.202153
Zankhana Shah, Amar Shah, Priyanka Raiyani
The most frequent single molar to be replaced is the first mandibular molar because this tooth is lost first. Implantation in the posterior area is a predictable procedure over time. The low rate of complications in addition to the high long.term success rate makes implant restoration a reliable solution to treat posterior partial edentulism. The use of two implants to replace a single molar seems a logical treatment solution. The following case deals with the replacement of the lower right first molar having a previously failed root canal treatment with two narrow implants of diameter 3.5. mm and height 10. mm. Replacing a single missing molar with two narrow dental implants serves as a viable treatment option providing good and predictable long.term results.
最常见的单颗臼齿是下颌第一颗臼齿,因为这颗牙齿首先脱落。随着时间的推移,后路植入术是可以预测的。并发症发生率低,除长高外。长期成功率使种植体修复成为治疗后牙部分缺失的可靠方法。用两颗种植体代替一颗磨牙似乎是一种合乎逻辑的治疗方案。下面的病例是用两个直径为3.5的狭窄种植体替换右下第一磨牙,之前的根管治疗失败。毫米和高度10。用两个狭窄的牙种植体代替单个缺失的磨牙是一种可行的治疗选择,提供了良好的和可预测的长。词的结果。
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引用次数: 4
Awareness of dental implant treatment in an Indian metropolitan population 印度大城市人口对种植牙治疗的认识
Pub Date : 2016-07-01 DOI: 10.4103/0974-6781.202156
Amit S. Gharpure, P. Bhange, A. Gharpure
Introduction: As implant dentistry becomes popular with each passing, need to understand its awareness in the general population exists. The aim of this study was to assess the public awareness of dental implants as a treatment option and its demographic distribution in the Indian Metropolitan City of Mumbai. Materials and Methods: A questionnaire-based survey consisting of 12 questions on implant treatment awareness was conducted on randomly selected 1000 individuals attending eight dental clinics in the city of Mumbai, India. Distribution for each question was assessed using frequencies and percentages for various sociodemographic groups. Results: 32.30% of the participants were aware of dental implants as an option to replace missing teeth, without significant variance in gender and age groups ranging from 18 to 70 years. Awareness of dental implant treatment increased with the increase in socioeconomic status. Dentists were the main source of information on implants, followed by the internet. 46.8% of the participants wanted additional information on dental implants. Among those aware of implants, 62.85% of the participants regarded high cost of the treatment as the biggest disadvantage, 31.89% of the participants blamed their dental professional for the failure of implants, 48.92% of the participants thought implants would last a lifetime, and 85.45% of the participants were ready to restore their missing teeth with implant-based treatment options. Conclusion: This study reveals that there is a lack of awareness of dental implants and implant-based treatment in the population, especially in those with a low socioeconomic status. However, a significant portion of the population wanted to have more information on dental implants. Special efforts to improve doctor-patient communications will be needed to bridge the information gap.
简介:随着种植牙术的普及,需要了解其在普通人群中的存在意识。本研究的目的是评估公众对种植牙作为一种治疗选择的认识及其在印度大都市孟买的人口分布。材料与方法:对在印度孟买8家牙科诊所就诊的1000名患者进行问卷调查,调查内容包括12个问题。每个问题的分布使用不同社会人口群体的频率和百分比进行评估。结果:32.30%的参与者知道种植牙是替代缺牙的一种选择,性别和年龄在18 - 70岁之间没有显著差异。随着社会经济地位的提高,种植牙治疗的意识也随之提高。牙医是关于种植体的主要信息来源,其次是互联网。46.8%的参与者希望获得关于种植牙的更多信息。在对种植有一定了解的人群中,62.85%的人认为治疗费用高是最大的缺点,31.89%的人认为种植失败是牙科专业人员造成的,48.92%的人认为种植可以终生使用,85.45%的人愿意选择种植方式修复缺失的牙齿。结论:本研究揭示了在人群中,特别是在社会经济地位较低的人群中,对种植体和种植体治疗的认识不足。然而,很大一部分人希望获得更多关于种植牙的信息。需要特别努力改善医患沟通,以弥合信息鸿沟。
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引用次数: 14
Implant failure: A dentist's nightmare 植牙失败:牙医的噩梦
Pub Date : 2016-07-01 DOI: 10.4103/0974-6781.202154
Madhura Avinash Kate, S. Palaskar, Prakhar Kapoor
Dental implants are commonly used in clinical situations for replacement of natural teeth. Despite many advances in materials, techniques, and implant design, implant failure is a significant concern for the dentist and patient. Peri-implantitis and lack of osseointegration are considered to be the major factors leading to implant failure. Occlusal overloading, medical status of the patient, smoking, and implant characteristics are among the other causes for implant failure. The purpose of this concise review is to discuss the etiology of implant failures by highlighting the various classification put forth by different authors and formulating a new classification.
牙种植体是临床上常用的替代天然牙的方法。尽管在材料、技术和种植体设计方面取得了许多进步,但种植体失败对牙医和患者来说仍然是一个重要的问题。种植体周围炎和缺乏骨整合被认为是导致种植体失败的主要因素。咬合负荷过重、患者的医疗状况、吸烟和种植体特性是导致种植体失败的其他原因。这篇简明的综述的目的是通过强调不同作者提出的各种分类和制定一个新的分类来讨论种植体失败的病因。
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引用次数: 26
期刊
Journal of Dental Implants
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