When planning a prosthetic rehabilitation in the maxillary anterior, crown lengthening surgery is frequently indicated to adjust the position of the gingival margin and expose sufficient tooth structure for an ideal restoration. A surgical template can be used to prescribe the ideal postsurgical gingival architecture. However, producing a template that both seats onto the existing dentition and relates the desired gingival margin position is a clinical challenge. The digital workflow presented in this report employs a hybrid model merging the pre-prosthetic coronal tooth structure with the proposed postsurgical gingival margins. Using this model, the 3D printed surgical guide facilitates precise crown lengthening of the maxillary dentition.
{"title":"Digital Workflow for Interdisciplinary Communication in Crown Lengthening Surgery","authors":"","doi":"10.54289/jdoe2400113","DOIUrl":"https://doi.org/10.54289/jdoe2400113","url":null,"abstract":"When planning a prosthetic rehabilitation in the maxillary anterior, crown lengthening surgery is frequently indicated to adjust the position of the gingival margin and expose sufficient tooth structure for an ideal restoration. A surgical template can be used to prescribe the ideal postsurgical gingival architecture. However, producing a template that both seats onto the existing dentition and relates the desired gingival margin position is a clinical challenge. The digital workflow presented in this report employs a hybrid model merging the pre-prosthetic coronal tooth structure with the proposed postsurgical gingival margins. Using this model, the 3D printed surgical guide facilitates precise crown lengthening of the maxillary dentition.","PeriodicalId":73703,"journal":{"name":"Journal of dentistry and oral epidemiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141348890","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}
{"title":"A Novel Technique Using Extracted Primary Maxillary Canines in an Essix Retainer","authors":"","doi":"10.54289/jdoe2400112","DOIUrl":"https://doi.org/10.54289/jdoe2400112","url":null,"abstract":"","PeriodicalId":73703,"journal":{"name":"Journal of dentistry and oral epidemiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141106342","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}
Andrew S Ryser, Mitchell J Akey, Ivan S Koutsopatriy, Jennifer V Sabol, Steven E Handel, Sloan D. McLaughlin
Making an accurate impression is a crucial step in fabricating a removable prosthesis that fits the patient with retention, stability, and support. Numerous impressions materials and techniques exist for making dental impressions. The clinical technique discussed in this article utilizes a 3D printed custom tray, and a dual tray impression technique, to fabricate an immediate denture for a patient with terminal maxillary anterior dentition. This technique utilizes digital dentistry to make a well adapted impression that captures the anatomy of the soft tissue, functional margins, and compromised dentition using polyvinylsiloxane for the edentulous area and alginate for the dentate area. Keywords: Digital Dentistry; Removable Prosthodontics; Impressions; Dentures; 3D Printing Abbreviations: CAD-CAM: Computer Aided Design- Computer Aided Manufacturing
制作准确的牙模是制作可摘义齿的关键步骤，它能使患者的义齿具有固位性、稳定性和支撑性。目前有许多印模材料和技术用于制作牙科印模。本文讨论的临床技术利用 3D 打印定制托盘和双托盘印模技术，为一名上颌前牙末端患者制作即刻义齿。该技术利用数字牙科技术制作适应性良好的印模，在无牙区使用聚乙烯硅氧烷，在有牙区使用藻酸盐，从而捕捉到软组织的解剖结构、功能边缘和受损牙列。关键词数字牙科；可摘义齿修复；印模；假牙；3D 打印 缩写：CAD-CAM：计算机辅助设计-计算机辅助制造
{"title":"Split/Dual Tray Impression Technique with a Digital Workflow","authors":"Andrew S Ryser, Mitchell J Akey, Ivan S Koutsopatriy, Jennifer V Sabol, Steven E Handel, Sloan D. McLaughlin","doi":"10.54289/jdoe2400111","DOIUrl":"https://doi.org/10.54289/jdoe2400111","url":null,"abstract":"Making an accurate impression is a crucial step in fabricating a removable prosthesis that fits the patient with retention, stability, and support. Numerous impressions materials and techniques exist for making dental impressions. The clinical technique discussed in this article utilizes a 3D printed custom tray, and a dual tray impression technique, to fabricate an immediate denture for a patient with terminal maxillary anterior dentition. This technique utilizes digital dentistry to make a well adapted impression that captures the anatomy of the soft tissue, functional margins, and compromised dentition using polyvinylsiloxane for the edentulous area and alginate for the dentate area. Keywords: Digital Dentistry; Removable Prosthodontics; Impressions; Dentures; 3D Printing Abbreviations: CAD-CAM: Computer Aided Design- Computer Aided Manufacturing","PeriodicalId":73703,"journal":{"name":"Journal of dentistry and oral epidemiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141008878","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}
This pilot study compared military service member’s preference between the modified ProSomnus IA TM and TAP 3 TM appliances for the treatment of obstructive sleep apnea (OSA) and sleep bruxism. Thirteen patients diagnosed with OSA and bruxism were referred for fabrication of a mandibular advancement device (MAD). Using a random allocation process, patients were treated for one month with either the modified ProSomnus IA TM or the TAP 3 TM MAD. After one month, the patients received the other appliance. By the end of the study, all patients were treated with both devices for a one-month period. During the final appointment, the patients were asked which device was preferred for long-term treatment of OSA and sleep bruxism. Eight of 13 patients enrolled in this study preferred the modified ProSomnus IA TM over the TAP 3 TM MAD for the treatment of OSA. One patient was unable to tolerate either device; two dropped out of the study. The two patients who preferred the TAP 3 TM also used a CPAP simultaneously. The modified ProSomnus IA TM was the preferreddevice for most patients with OSA and sleep bruxism. Patients who used a CPAP with the MAD preferred the TAP 3 TM over the modified ProSomnus IA TM during the 2-month study period.
这项试点研究比较了军人对改良型 ProSomnus IA TM 和 TAP 3 TM矫治器治疗阻塞性睡眠呼吸暂停（OSA）和睡眠磨牙症的偏好。13 名被诊断为 OSA 和磨牙症的患者被转诊到医院接受下颌前突矫正器 (MAD) 的制作。通过随机分配程序，患者接受了为期一个月的改良型 ProSomnus IA TM 或 TAP 3 TM MAD 治疗。一个月后，患者接受另一种矫治器的治疗。研究结束时，所有患者都接受了为期一个月的两种矫治器治疗。在最后一次就诊时，患者被问及在长期治疗 OSA 和睡眠磨牙症时更喜欢哪种矫治器。与 TAP 3 TM MAD 相比，13 位参加本研究的患者中有 8 位更倾向于使用改良型 ProSomnus IA TM 治疗 OSA。一名患者无法耐受两种装置，两名患者退出了研究。两名选择 TAP 3 TM 的患者还同时使用了 CPAP。改良型 ProSomnus IA TM 是大多数 OSA 和睡眠磨牙症患者的首选设备。在为期 2 个月的研究期间，使用 CPAP 和 MAD 的患者更喜欢 TAP 3 TM，而不是改良型 ProSomnus IA TM。
{"title":"Soldier Preference in Mandibular Advancement Devices in Patients Who Brux","authors":"","doi":"10.54289/jdoe2400110","DOIUrl":"https://doi.org/10.54289/jdoe2400110","url":null,"abstract":"This pilot study compared military service member’s preference between the modified ProSomnus IA TM and TAP 3 TM appliances for the treatment of obstructive sleep apnea (OSA) and sleep bruxism. Thirteen patients diagnosed with OSA and bruxism were referred for fabrication of a mandibular advancement device (MAD). Using a random allocation process, patients were treated for one month with either the modified ProSomnus IA TM or the TAP 3 TM MAD. After one month, the patients received the other appliance. By the end of the study, all patients were treated with both devices for a one-month period. During the final appointment, the patients were asked which device was preferred for long-term treatment of OSA and sleep bruxism. Eight of 13 patients enrolled in this study preferred the modified ProSomnus IA TM over the TAP 3 TM MAD for the treatment of OSA. One patient was unable to tolerate either device; two dropped out of the study. The two patients who preferred the TAP 3 TM also used a CPAP simultaneously. The modified ProSomnus IA TM was the preferreddevice for most patients with OSA and sleep bruxism. Patients who used a CPAP with the MAD preferred the TAP 3 TM over the modified ProSomnus IA TM during the 2-month study period.","PeriodicalId":73703,"journal":{"name":"Journal of dentistry and oral epidemiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140692745","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}
Introduction: Without a unified standard for what constitutes endodontic competence for the new general dentist, predoctoral endodontic directors (PEDs) are left with the great responsibility of educating their learners in a manner that they believe best serves patients. Given different influencing factors and varying amounts of resources, these PEDs must ensure the achievement of meaningful objectives utilizing conceptual frameworks of competence. It is essential for dental educators and other stakeholders to gain an understanding of what current endodontic competence means to enable more accurate needs assessments to advise future curriculum development. The purpose of this study was to explore how endodontic competence for the new general dentist is conceptualized by predoctoral endodontics directors and their respective institutions while identifying perceived facilitators and barriers to its achievement. Methods: Following the development of a semi-structured interview guide and its piloting, qualitative interviews were conducted with 10 PEDs. Interviews were transcribed and coded. The constant comparative method was utilized for data analysis. Results: Interviews were conducted until thematic saturation was achieved. Conceptualization of endodontic competency seemed to be informed by three primary themes: the existing paradigmatic approaches of PEDs and their institutions, their concerns regarding validity evidence especially as it related to assessment, and the presence of institutional and logistical barriers. Conclusion: Despite differences between their institutional definition and personal conceptualization of endodontic competence, PEDs report success at graduating new general dentists competent in endodontic diagnosis, case difficulty assessment, palliative treatment, and routine non-surgical root canal therapy on single-canal teeth of minimal difficulty.
{"title":"Endodontic Competence of the New General Dentist as Conceptualized by Predoctoral Educators: A Qualitative Exploration","authors":"","doi":"10.54289/jdoe2400109","DOIUrl":"https://doi.org/10.54289/jdoe2400109","url":null,"abstract":"Introduction: Without a unified standard for what constitutes endodontic competence for the new general dentist, predoctoral endodontic directors (PEDs) are left with the great responsibility of educating their learners in a manner that they believe best serves patients. Given different influencing factors and varying amounts of resources, these PEDs must ensure the achievement of meaningful objectives utilizing conceptual frameworks of competence. It is essential for dental educators and other stakeholders to gain an understanding of what current endodontic competence means to enable more accurate needs assessments to advise future curriculum development. The purpose of this study was to explore how endodontic competence for the new general dentist is conceptualized by predoctoral endodontics directors and their respective institutions while identifying perceived facilitators and barriers to its achievement. Methods: Following the development of a semi-structured interview guide and its piloting, qualitative interviews were conducted with 10 PEDs. Interviews were transcribed and coded. The constant comparative method was utilized for data analysis. Results: Interviews were conducted until thematic saturation was achieved. Conceptualization of endodontic competency seemed to be informed by three primary themes: the existing paradigmatic approaches of PEDs and their institutions, their concerns regarding validity evidence especially as it related to assessment, and the presence of institutional and logistical barriers. Conclusion: Despite differences between their institutional definition and personal conceptualization of endodontic competence, PEDs report success at graduating new general dentists competent in endodontic diagnosis, case difficulty assessment, palliative treatment, and routine non-surgical root canal therapy on single-canal teeth of minimal difficulty.","PeriodicalId":73703,"journal":{"name":"Journal of dentistry and oral epidemiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140373979","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}
Objective: Biological effects of infrared laser energy at various exposure parameters have been characterized in previous in vitro and animal studies. However, the impact of pulse repetition rate (PRR) has not been evaluated in this context. The purpose of this investigation was to assess the influence of PRR on cytokine secretion from peripheral blood mononuclear cells (PBMCs) subjected to pulsed neodymium-doped yttrium aluminum garnet (Nd:YAG) laser energy. Materials and Methods: Rat PBMCs were cultured in vitro then stimulated using a lipopolysaccharide concentration of 0 or 100 ng/ml. Cultures received Nd:YAG laser radiation (1064 nm, 5 W, 30 s) at PRR of 0 (untreated controls), 20, 30, 40, or 60 Hz. Concentrations of tumor necrosis factor-α (TNF-α), macrophage inflammatory protein (MIP)-1α, macrophage inflammatory protein (MIP)-2, monocyte chemoattractant protein-1 (MCP-1), interferon-gamma-induced protein (IP)-10, interleukin (IL)-6, and IL-10 were recorded using a magnetic microsphere immunoassay. The main effects of PRR and LPS stimulation on cytokine concentrations, and the interaction between PRR and LPS stimulation, were assessed using two-way analysis of variance. Bonferroni post hoc tests were used to identify pairwise differences between groups. Results: The main effect of PRR was statistically significant for MIP-1α (P = 0.018), TNF-α (P = 0.025), MCP-1 (P < 0.001), MIP-2 (P = 0.013), and IL-6 (P = 0.031). Five of six pro-inflammatory cytokines exhibited significantly lower mean concentrations in laser-exposed compared with control cultures at one or more PRR. However, no statistically significant differences were found between PRR groups. Conclusions: Under the described conditions, statistically significant differences in cytokine secretion were observed between laser-exposed and control cultures, consistent with prior reports. However, PRR appears to be an irrelevant factor in immunomodulation of PBMCs.
{"title":"The Influence of Neodymium-Doped Yttrium Aluminum Garnet Laser Pulse Repetition Rate on Cytokine Secretion from Peripheral Blood Mononuclear Cells in Vitro","authors":"","doi":"10.54289/jdoe2400106","DOIUrl":"https://doi.org/10.54289/jdoe2400106","url":null,"abstract":"Objective: Biological effects of infrared laser energy at various exposure parameters have been characterized in previous in vitro and animal studies. However, the impact of pulse repetition rate (PRR) has not been evaluated in this context. The purpose of this investigation was to assess the influence of PRR on cytokine secretion from peripheral blood mononuclear cells (PBMCs) subjected to pulsed neodymium-doped yttrium aluminum garnet (Nd:YAG) laser energy. Materials and Methods: Rat PBMCs were cultured in vitro then stimulated using a lipopolysaccharide concentration of 0 or 100 ng/ml. Cultures received Nd:YAG laser radiation (1064 nm, 5 W, 30 s) at PRR of 0 (untreated controls), 20, 30, 40, or 60 Hz. Concentrations of tumor necrosis factor-α (TNF-α), macrophage inflammatory protein (MIP)-1α, macrophage inflammatory protein (MIP)-2, monocyte chemoattractant protein-1 (MCP-1), interferon-gamma-induced protein (IP)-10, interleukin (IL)-6, and IL-10 were recorded using a magnetic microsphere immunoassay. The main effects of PRR and LPS stimulation on cytokine concentrations, and the interaction between PRR and LPS stimulation, were assessed using two-way analysis of variance. Bonferroni post hoc tests were used to identify pairwise differences between groups. Results: The main effect of PRR was statistically significant for MIP-1α (P = 0.018), TNF-α (P = 0.025), MCP-1 (P < 0.001), MIP-2 (P = 0.013), and IL-6 (P = 0.031). Five of six pro-inflammatory cytokines exhibited significantly lower mean concentrations in laser-exposed compared with control cultures at one or more PRR. However, no statistically significant differences were found between PRR groups. Conclusions: Under the described conditions, statistically significant differences in cytokine secretion were observed between laser-exposed and control cultures, consistent with prior reports. However, PRR appears to be an irrelevant factor in immunomodulation of PBMCs.","PeriodicalId":73703,"journal":{"name":"Journal of dentistry and oral epidemiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140374474","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}
Background: Expansion of three-dimensional (3D) printing technology and improvements in planning software have led to increased accuracy and precision in dental implant positioning and new applications for surgical templates in implantology. The objective of this report is to demonstrate the application of locally printed surgical templates in various dental implant surgeries and site development procedures. Methods: Nine patients were referred to the Department of Periodontics, Army Postgraduate Dental School, Postgraduate Dental College, Fort Eisenhower, GA, USA, for replacement of missing or hopeless teeth using dental implants. All surgeries were planned virtually and completed using customized surgical templates produced within the local facility. The presented cases demonstrate use of surgical templates to simplify surgery across a wide spectrum of clinical scenarios—placement of multiple adjacent implants, immediate implant placement, immediate provisionalization, sinus elevation in dentate and edentulous patients, removal of a retained root fragment in conjunction with implant surgery, alveoloplasty to increase interarch distance, and fully guided implant surgery. Results: In the presented dental implant surgeries, use of locally produced surgical templates permitted transfer of the planned implant positions to the patients with high reliability. Use of surgical templates in sinus elevation procedures ensured augmentation in the appropriate positions and simplified intraoperative management of complex anatomy. Conclusions: Specialized surgical templates have the potential to reduce the duration of surgery, limit patient morbidity, enhance communication among clinicians, and simplify the restorative phase of therapy. Accessibility to new technology has allowed implant surgeons to move beyond the era of accurate implant placement into a period characterized by creative solutions to clinical problems.
{"title":"Advances in Surgical Template Design in Dental Implantology","authors":"","doi":"10.54289/jdoe2400108","DOIUrl":"https://doi.org/10.54289/jdoe2400108","url":null,"abstract":"Background: Expansion of three-dimensional (3D) printing technology and improvements in planning software have led to increased accuracy and precision in dental implant positioning and new applications for surgical templates in implantology. The objective of this report is to demonstrate the application of locally printed surgical templates in various dental implant surgeries and site development procedures. Methods: Nine patients were referred to the Department of Periodontics, Army Postgraduate Dental School, Postgraduate Dental College, Fort Eisenhower, GA, USA, for replacement of missing or hopeless teeth using dental implants. All surgeries were planned virtually and completed using customized surgical templates produced within the local facility. The presented cases demonstrate use of surgical templates to simplify surgery across a wide spectrum of clinical scenarios—placement of multiple adjacent implants, immediate implant placement, immediate provisionalization, sinus elevation in dentate and edentulous patients, removal of a retained root fragment in conjunction with implant surgery, alveoloplasty to increase interarch distance, and fully guided implant surgery. Results: In the presented dental implant surgeries, use of locally produced surgical templates permitted transfer of the planned implant positions to the patients with high reliability. Use of surgical templates in sinus elevation procedures ensured augmentation in the appropriate positions and simplified intraoperative management of complex anatomy. Conclusions: Specialized surgical templates have the potential to reduce the duration of surgery, limit patient morbidity, enhance communication among clinicians, and simplify the restorative phase of therapy. Accessibility to new technology has allowed implant surgeons to move beyond the era of accurate implant placement into a period characterized by creative solutions to clinical problems.","PeriodicalId":73703,"journal":{"name":"Journal of dentistry and oral epidemiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140221221","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}
Background: The 2017 World Workshop on the Classification of Periodontal and Peri-implant Diseases and Conditions established a periodontitis staging and grading scheme that—for the first time—integrates an assessment of disease severity with an appraisal of therapeutic complexity and risk for disease progression. Individuals exhibiting attachment loss attributable to third molar malposition or extraction represent a large cohort of non-periodontitis patients highly likely to respond favorably to treatment. The purpose of this clinical report is to illustrate the value in formally categorizing this common periodontal condition. Case Description: Two male patients were referred to the Department of Periodontics, Army Postgraduate Dental School, for evaluation of bone and attachment loss limited to distal surfaces of mandibular second molars. Each patient was treated using a combination of guided tissue regeneration and bone replacement grafts. Favorable clinical and radiographic outcomes were observed over follow-up periods ranging from 4 months to 4 years. Practical Implications: Many patients experiencing bone and attachment loss attributable to third molar malposition or extraction lack periodontitis risk factors/indicators, have low susceptibility to the disease, and are highly likely to respond favorably to treatment. Future classification systems of periodontal diseases and conditions should formally categorize this commonly encountered periodontal condition.
{"title":"Attachment Loss Attributable to Third Molar Malposition/Extraction: The Case for Classification","authors":"","doi":"10.54289/jdoe2400107","DOIUrl":"https://doi.org/10.54289/jdoe2400107","url":null,"abstract":"Background: The 2017 World Workshop on the Classification of Periodontal and Peri-implant Diseases and Conditions established a periodontitis staging and grading scheme that—for the first time—integrates an assessment of disease severity with an appraisal of therapeutic complexity and risk for disease progression. Individuals exhibiting attachment loss attributable to third molar malposition or extraction represent a large cohort of non-periodontitis patients highly likely to respond favorably to treatment. The purpose of this clinical report is to illustrate the value in formally categorizing this common periodontal condition. Case Description: Two male patients were referred to the Department of Periodontics, Army Postgraduate Dental School, for evaluation of bone and attachment loss limited to distal surfaces of mandibular second molars. Each patient was treated using a combination of guided tissue regeneration and bone replacement grafts. Favorable clinical and radiographic outcomes were observed over follow-up periods ranging from 4 months to 4 years. Practical Implications: Many patients experiencing bone and attachment loss attributable to third molar malposition or extraction lack periodontitis risk factors/indicators, have low susceptibility to the disease, and are highly likely to respond favorably to treatment. Future classification systems of periodontal diseases and conditions should formally categorize this commonly encountered periodontal condition.","PeriodicalId":73703,"journal":{"name":"Journal of dentistry and oral epidemiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140236132","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}
The second wave of COVID-19 in April 2021 witnessed a new mutated variant of SARS-CoV2 known as B.1.617 resulting in Mucormycosis. Inhalation, ingestion, or contamination of ulcerated mucosa by fungal spores results in infection and cause Mucormycosis. Objective: To highlight how a complex case of oral mucormycosis can be misdiagnosed due to its similar clinical presentations with other periodontal diseases and benefits of prosthetic rehabilitation of surgical defects with definitive obturator which improves the quality of life by restoring oral function and aesthetics. Case report: A 35-year-old female reported with chief complaint of pain, pus and mobility in upper front teeth region of 2 months and swelling of mid-face. Darkening of skin, swelling with tenderness over bilateral malar- infraorbital regions with epiphora and blurred vision in right eye and discharge from right nostril. She had multiple abscess in attached gingiva in incisor and premolar region of maxilla having probing depths ≤ 4mm with mobility. Conclusion: A precise diagnosis is prerequisite to specific treatment of any disease. Treatment often requires an extensive surgical resection causing facial deformation, masticatory, swallowing and speech problems. It is important to rehabilitate these patients by correcting the defects with the help of obturators and improve their lifestyle.
{"title":"Prosthetic Rehabilitation of Post Covid Mucormycosis of Maxilla with Definitive Obturator Prosthesis- A 24 Month Follow Up Case Report","authors":"","doi":"10.54289/jdoe2400105","DOIUrl":"https://doi.org/10.54289/jdoe2400105","url":null,"abstract":"The second wave of COVID-19 in April 2021 witnessed a new mutated variant of SARS-CoV2 known as B.1.617 resulting in Mucormycosis. Inhalation, ingestion, or contamination of ulcerated mucosa by fungal spores results in infection and cause Mucormycosis. Objective: To highlight how a complex case of oral mucormycosis can be misdiagnosed due to its similar clinical presentations with other periodontal diseases and benefits of prosthetic rehabilitation of surgical defects with definitive obturator which improves the quality of life by restoring oral function and aesthetics. Case report: A 35-year-old female reported with chief complaint of pain, pus and mobility in upper front teeth region of 2 months and swelling of mid-face. Darkening of skin, swelling with tenderness over bilateral malar- infraorbital regions with epiphora and blurred vision in right eye and discharge from right nostril. She had multiple abscess in attached gingiva in incisor and premolar region of maxilla having probing depths ≤ 4mm with mobility. Conclusion: A precise diagnosis is prerequisite to specific treatment of any disease. Treatment often requires an extensive surgical resection causing facial deformation, masticatory, swallowing and speech problems. It is important to rehabilitate these patients by correcting the defects with the help of obturators and improve their lifestyle.","PeriodicalId":73703,"journal":{"name":"Journal of dentistry and oral epidemiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140259227","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}
A patient sought treatment at a prosthodontics practice to replace mobile maxillary centrals and exposed defective veneer margins on the maxillary laterals. Staged extractions and immediate implant placement were offered as the treatment option to preserve the hard and soft tissue around the implants and maximize the esthetic outcome. Staged extraction of adjacent teeth and immediate implant placement was performed to the maxillary central incisors. After osseointegration, custom impression copings were made to capture the gingival contours. The implants were restored with implant retained ceramic crowns and the maxillary laterals were restored with ceramic veneers. Although treatment time is lengthened staged extraction of adjacent anterior teeth and immediate implant placement can provide a predictable and successful treatment option to manage soft tissues and achieve a highly esthetic outcome. Keywords: Implants; Esthetics; Immediate Implants; Immediate Provisionals; Staged Extractions; Prosthetic Dentistry
{"title":"Staged Extractions and Implant Placement for Maxillary Central Incisors: A Case Report","authors":"","doi":"10.54289/jdoe2400104","DOIUrl":"https://doi.org/10.54289/jdoe2400104","url":null,"abstract":"A patient sought treatment at a prosthodontics practice to replace mobile maxillary centrals and exposed defective veneer margins on the maxillary laterals. Staged extractions and immediate implant placement were offered as the treatment option to preserve the hard and soft tissue around the implants and maximize the esthetic outcome. Staged extraction of adjacent teeth and immediate implant placement was performed to the maxillary central incisors. After osseointegration, custom impression copings were made to capture the gingival contours. The implants were restored with implant retained ceramic crowns and the maxillary laterals were restored with ceramic veneers. Although treatment time is lengthened staged extraction of adjacent anterior teeth and immediate implant placement can provide a predictable and successful treatment option to manage soft tissues and achieve a highly esthetic outcome. Keywords: Implants; Esthetics; Immediate Implants; Immediate Provisionals; Staged Extractions; Prosthetic Dentistry","PeriodicalId":73703,"journal":{"name":"Journal of dentistry and oral epidemiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140431330","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}
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