Pub Date : 2023-08-18DOI: 10.58624/svoade.2023.04.0145
Irineu Gregnanin Pedron, Débora Nascimento de Sá, Marcelo do Lago Pimentel Maia, Marcelo Yoshimoto, Munir Salomão
Implantoprosthetic rehabilitation has become the main method to reestablish totally or partially edentulous patients, with a high success rate. However, some complications can cause implant loss. The main one is periimplantitis, with bone loss around the osseointegrated implant. However, implant fractures or incorrect implant position may compromise implant rehabilitation and require implant removal. Several techniques can be used for implant explantation, and the dental surgeon should opt for the easiest and most conservative technique, ensuring the greatest preservation of remaining bone tissue and aiming at the future reinstallation of another osseointegrated implant. Sometimes, associated Guided Bone Regeneration techniques may be necessary in conjunction with future implant installation, using various procedures or biomaterials. The purpose of this article is to present the case of a patient who underwent explantation of a fractured implant. A polypropylene membrane (BoneHealTM) was used and an implant was reinstalled 8 months after explantation.
{"title":"Guided Bone Regeneration with BoneHealTM Membrane after Explantation of Fractured Implant: Case Report","authors":"Irineu Gregnanin Pedron, Débora Nascimento de Sá, Marcelo do Lago Pimentel Maia, Marcelo Yoshimoto, Munir Salomão","doi":"10.58624/svoade.2023.04.0145","DOIUrl":"https://doi.org/10.58624/svoade.2023.04.0145","url":null,"abstract":"Implantoprosthetic rehabilitation has become the main method to reestablish totally or partially edentulous patients, with a high success rate. However, some complications can cause implant loss. The main one is periimplantitis, with bone loss around the osseointegrated implant. However, implant fractures or incorrect implant position may compromise implant rehabilitation and require implant removal. Several techniques can be used for implant explantation, and the dental surgeon should opt for the easiest and most conservative technique, ensuring the greatest preservation of remaining bone tissue and aiming at the future reinstallation of another osseointegrated implant. Sometimes, associated Guided Bone Regeneration techniques may be necessary in conjunction with future implant installation, using various procedures or biomaterials. The purpose of this article is to present the case of a patient who underwent explantation of a fractured implant. A polypropylene membrane (BoneHealTM) was used and an implant was reinstalled 8 months after explantation.","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41611357","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}
Pub Date : 2023-08-18DOI: 10.58624/svoade.2023.04.0144
E. J. de Moraes, Yerko Leigthon, Sergio Olate, Luis Eduardo Benevides De Moraes
Background: The extrasinus approach is a technique, with an implant placement of zygomatic implants with approach outside of the maxillary sinus. The technique reduces the risk of sinusitis and favors prosthetic rehabilitation, but there is a risk of soft tissue recession, exposure of the implant threads and contamination of the implant surface. Purpose: The objective of this retrospective clinical study is to prove and present the benefits of the use of the Buccal Fat pad flap technique and its feasibility in preventing soft tissue complications in rehabilitations with zygomatic implants. Materials and Methods: Patients from authors clinics in Brazil (IDM - Clinic – Rio de Janeiro) and Chile (Universidad de Los Andes – Santiago and Universidad de La Frontera – Temuco) with severe maxillary atrophy rehabilitated by maxillary full fixed prosthesis with zygomatic implants. Were installed two implants one in each side associated to conventional implants and in more critical conditions of bone atrophy, four zygomatic implants, two in each side were used. In cases with risk of an oroantral communication and were used extrasinusal approach (ZAGA concept), the buccal fat pad flap technique was used. The peri-implant soft tissue recession (PISTR) was evaluated by clinical examination and recession was scored on an ordinal scale: I = no recession; II = slight recession (implant head visible); III = recession with up to seven exposed threads. Results: In the period from May 2005 to January 2013, a total of 147 zygomatic implants were installed in 52 patients (Men = 22 and Women = 30) with mean age of 56,9 years old, were submitted to surgery of zygomatic implants. In all cases, the buccal fat pad flap technique was used to prevent complications such as: mucosal resection or frenestration and exposure of the implants or oroantral communication, depending on the positioning of these implants. The patients were followed over the years and in 5 cases (3,4%) there was tissue retraction and exposure of the threads of an implant. Conclusion: It can be concluded that the use of the buccal fat pad flap proved to be a simple and effective technique in the prevention of complications of soft tissue recession associated with the surgery of zygomatic implants installed with the extrasinusal technique.
{"title":"The Buccal Fat Pad Technique an Option to Prevent Complications in Zygomatic Implants Surgery: 5 -13 Years Follow Up","authors":"E. J. de Moraes, Yerko Leigthon, Sergio Olate, Luis Eduardo Benevides De Moraes","doi":"10.58624/svoade.2023.04.0144","DOIUrl":"https://doi.org/10.58624/svoade.2023.04.0144","url":null,"abstract":"Background: The extrasinus approach is a technique, with an implant placement of zygomatic implants with approach outside of the maxillary sinus. The technique reduces the risk of sinusitis and favors prosthetic rehabilitation, but there is a risk of soft tissue recession, exposure of the implant threads and contamination of the implant surface. Purpose: The objective of this retrospective clinical study is to prove and present the benefits of the use of the Buccal Fat pad flap technique and its feasibility in preventing soft tissue complications in rehabilitations with zygomatic implants. Materials and Methods: Patients from authors clinics in Brazil (IDM - Clinic – Rio de Janeiro) and Chile (Universidad de Los Andes – Santiago and Universidad de La Frontera – Temuco) with severe maxillary atrophy rehabilitated by maxillary full fixed prosthesis with zygomatic implants. Were installed two implants one in each side associated to conventional implants and in more critical conditions of bone atrophy, four zygomatic implants, two in each side were used. In cases with risk of an oroantral communication and were used extrasinusal approach (ZAGA concept), the buccal fat pad flap technique was used. The peri-implant soft tissue recession (PISTR) was evaluated by clinical examination and recession was scored on an ordinal scale: I = no recession; II = slight recession (implant head visible); III = recession with up to seven exposed threads. Results: In the period from May 2005 to January 2013, a total of 147 zygomatic implants were installed in 52 patients (Men = 22 and Women = 30) with mean age of 56,9 years old, were submitted to surgery of zygomatic implants. In all cases, the buccal fat pad flap technique was used to prevent complications such as: mucosal resection or frenestration and exposure of the implants or oroantral communication, depending on the positioning of these implants. The patients were followed over the years and in 5 cases (3,4%) there was tissue retraction and exposure of the threads of an implant. Conclusion: It can be concluded that the use of the buccal fat pad flap proved to be a simple and effective technique in the prevention of complications of soft tissue recession associated with the surgery of zygomatic implants installed with the extrasinusal technique.","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49285446","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}
Pub Date : 2023-08-07DOI: 10.58624/svoade.2023.04.0143
Irineu Gregnanin Pedron
After dental extraction, bone resorption of the alveolar walls and invagination of the gingival tissue are expected. Bone resorption is usually greater in thickness than in height. In addition, the loss of gingival tissue can favour peri-implant mucosal defects, causing a risk to the integrity of this natural mechanical barrier, which is the peri-implant gingival tissue. Guided Tissue Regeneration and Guided Bone Regeneration techniques and procedures can be applied, although the success rate is variable and sometimes difficult to achieve. The use of polypropylene membrane has been widely used after dental extraction to maintain blood clot. This in turn is a natural endogenous precursor, consisting of pluripotent cells necessary for bone neoformation. The purpose of this article is to present the case of maintaining the peri implant keratinised gingiva strip - as a mechanical barrier to protect the implant neck - after tooth extraction and osseointegrated implant installation.
{"title":"Preservation of Peri-Implant Mucosa by the Use of Polypropylene Membrane After Dental Extraction: A Case Report","authors":"Irineu Gregnanin Pedron","doi":"10.58624/svoade.2023.04.0143","DOIUrl":"https://doi.org/10.58624/svoade.2023.04.0143","url":null,"abstract":"After dental extraction, bone resorption of the alveolar walls and invagination of the gingival tissue are expected. Bone resorption is usually greater in thickness than in height. In addition, the loss of gingival tissue can favour peri-implant mucosal defects, causing a risk to the integrity of this natural mechanical barrier, which is the peri-implant gingival tissue. Guided Tissue Regeneration and Guided Bone Regeneration techniques and procedures can be applied, although the success rate is variable and sometimes difficult to achieve. The use of polypropylene membrane has been widely used after dental extraction to maintain blood clot. This in turn is a natural endogenous precursor, consisting of pluripotent cells necessary for bone neoformation. The purpose of this article is to present the case of maintaining the peri implant keratinised gingiva strip - as a mechanical barrier to protect the implant neck - after tooth extraction and osseointegrated implant installation.","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44856337","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}
Pub Date : 2023-07-27DOI: 10.58624/svoade.2023.04.0142
Agbogidi Failat Olushola
Purpose: Comparative evidence of the effectiveness of bilateral infraorbital nerve block for immediate postoperative pain management in infants after cleilorrhaphy especially in Africans is lacking. This study aimed to compare the efficacy of bilateral infraorbital nerve block using Bupivacaine with intravenous Pentazocine for the control of immediate postoperative pain in an infant age group following cleft lip repair. Methods: This was a prospective randomized controlled clinical study. The sampled population was patient aged 3 to 12 months undergoing cleft lip repair at a tertiary health facility in Lagos, Nigeria. Study patients were randomly allocated to either group 1 (Bupivacaine infraorbital nerve block) or group 2 (intravenous Pentazocine). Primary outcome was the duration of analgesia following the administration of both drugs. Assessment of immediate postoperative pain was done using the FLACC (Face, Leg, Activity, Cry, Consolablity) pain scale. Scoring was done at hourly intervals postoperatively, observing the child for 1 minute at each hour and rescue analgesia (intravenous paracetamol) given when FLACC score exceeds 3. The duration of analgesia was the time of from administration of the intervention to the time rescue analgesia was administered. Calculated sample size was 20 participants per group. Descriptive and comparative statistics were computed using SPSS and the p-value was set at <0.05. Results: Analysis of result included 44 participants. Mean age was 5.2 months and 52.5% were females. The mean duration of analgesia in the Bupivacaine group was 291.80 ± 95.4 minutes i.e 4 hours 52 minutes and that of Pentazocine group was 151.50 ± 24.9 minutes i.e 2 hours 32 minutes. This difference was statistically significant (p=0.001). At the 3rd hour, 75% of participants in the Pentazocine group received rescue analgesia, in contrast to only 10% in the Bupivacaine group. Only participants in the Bupivacaine attained the 8th hour. Conclusion: A bilateral infraorbital nerve block with 0.5% plain Bupivacaine at 2mg/kg provided a longer duration of analgesia in the postoperative period in comparison with intravenous Pentazocine 0.5mg/kg in an infant age group following cleft lip repair.
{"title":"A Comparative Study of Bilateral Infraorbital Nerve Block with Intravenous Pentazocine on The Immediate Postoperative Pain Management Following Cleft Lip Repair in Infants","authors":"Agbogidi Failat Olushola","doi":"10.58624/svoade.2023.04.0142","DOIUrl":"https://doi.org/10.58624/svoade.2023.04.0142","url":null,"abstract":"Purpose: Comparative evidence of the effectiveness of bilateral infraorbital nerve block for immediate postoperative pain management in infants after cleilorrhaphy especially in Africans is lacking. This study aimed to compare the efficacy of bilateral infraorbital nerve block using Bupivacaine with intravenous Pentazocine for the control of immediate postoperative pain in an infant age group following cleft lip repair. Methods: This was a prospective randomized controlled clinical study. The sampled population was patient aged 3 to 12 months undergoing cleft lip repair at a tertiary health facility in Lagos, Nigeria. Study patients were randomly allocated to either group 1 (Bupivacaine infraorbital nerve block) or group 2 (intravenous Pentazocine). Primary outcome was the duration of analgesia following the administration of both drugs. Assessment of immediate postoperative pain was done using the FLACC (Face, Leg, Activity, Cry, Consolablity) pain scale. Scoring was done at hourly intervals postoperatively, observing the child for 1 minute at each hour and rescue analgesia (intravenous paracetamol) given when FLACC score exceeds 3. The duration of analgesia was the time of from administration of the intervention to the time rescue analgesia was administered. Calculated sample size was 20 participants per group. Descriptive and comparative statistics were computed using SPSS and the p-value was set at <0.05. Results: Analysis of result included 44 participants. Mean age was 5.2 months and 52.5% were females. The mean duration of analgesia in the Bupivacaine group was 291.80 ± 95.4 minutes i.e 4 hours 52 minutes and that of Pentazocine group was 151.50 ± 24.9 minutes i.e 2 hours 32 minutes. This difference was statistically significant (p=0.001). At the 3rd hour, 75% of participants in the Pentazocine group received rescue analgesia, in contrast to only 10% in the Bupivacaine group. Only participants in the Bupivacaine attained the 8th hour. Conclusion: A bilateral infraorbital nerve block with 0.5% plain Bupivacaine at 2mg/kg provided a longer duration of analgesia in the postoperative period in comparison with intravenous Pentazocine 0.5mg/kg in an infant age group following cleft lip repair.","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47769806","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}
Pub Date : 2023-07-25DOI: 10.58624/svoade.2023.04.0141
Irineu Gregnanin Pedron
As from the admission of patients to the Intensive Care Unit (ICU), one must consider the increased risk of opportunistic infections, either stomatological or systemic. Subsequently, the need for pharmacological therapy, particularly antibiotic therapy, hospitalization costs, with possible increase in morbidity and mortality rates are increased. Considering also the post-pandemic period of COVID-19, in which prevention should be projected to the maximum, the aim is to reduce the permanence rate of patients in hospital bed occupation. Hospital Dentistry has been practiced in clinical and surgical hospital environments with the proposal of management and preventive and curative dental conducts to favor the oral health of hospitalized patients. In this perspective, the purpose of this article was to review the role of Hospital Dentistry in reducing the rates of ventilator-associated pneumonia, by the institution of oral hygiene protocols; reduction of antibiotic administration; reduction of morbidity, mortality rates and rates of hospital bed stays; reduction of costs (to the patient and to the hospital); and improvement of quality of life rates.
{"title":"The Importance of Hospital Dentistry in Improving the Quality of Life of Patients in the Intensive Care Unit (ICU)","authors":"Irineu Gregnanin Pedron","doi":"10.58624/svoade.2023.04.0141","DOIUrl":"https://doi.org/10.58624/svoade.2023.04.0141","url":null,"abstract":"As from the admission of patients to the Intensive Care Unit (ICU), one must consider the increased risk of opportunistic infections, either stomatological or systemic. Subsequently, the need for pharmacological therapy, particularly antibiotic therapy, hospitalization costs, with possible increase in morbidity and mortality rates are increased. Considering also the post-pandemic period of COVID-19, in which prevention should be projected to the maximum, the aim is to reduce the permanence rate of patients in hospital bed occupation. Hospital Dentistry has been practiced in clinical and surgical hospital environments with the proposal of management and preventive and curative dental conducts to favor the oral health of hospitalized patients. In this perspective, the purpose of this article was to review the role of Hospital Dentistry in reducing the rates of ventilator-associated pneumonia, by the institution of oral hygiene protocols; reduction of antibiotic administration; reduction of morbidity, mortality rates and rates of hospital bed stays; reduction of costs (to the patient and to the hospital); and improvement of quality of life rates.","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44527206","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}
Pub Date : 2023-07-25DOI: 10.58624/svoade.2023.04.0140
Ignacio Christian Marquez
Numerous studies have shown the existence of a close relationship between oral and systemic health, and a two-way interaction is likely to exist in some instances; however, as of today, the mechanisms involved in such an interaction are not completely understood. The scientific evidence demonstrating that people suffering from periodontal infections are more susceptible to metabolic endotoxemia, inflammation, obesity, type 2 diabetes, and other related systemic complications allows to conclude that periodontal diseases represent a risk factor for a wide array of clinically important systemic diseases. Research on the effects of endocrine-disrupting chemicals (EDCs) on obesity, type 2 diabetes, and associated metabolic disorders is a relatively new discipline; nevertheless, a growing number of epidemiological studies reveals associations between EDCs body burdens and a variety of diseases. Future research goals might be aimed at exploring the diverse mechanisms that hint to a certain connection between periodontal infections and EDCs.
{"title":"Periodontal and Systemic Health - Shaping the Future of our Knowledge","authors":"Ignacio Christian Marquez","doi":"10.58624/svoade.2023.04.0140","DOIUrl":"https://doi.org/10.58624/svoade.2023.04.0140","url":null,"abstract":"Numerous studies have shown the existence of a close relationship between oral and systemic health, and a two-way interaction is likely to exist in some instances; however, as of today, the mechanisms involved in such an interaction are not completely understood. The scientific evidence demonstrating that people suffering from periodontal infections are more susceptible to metabolic endotoxemia, inflammation, obesity, type 2 diabetes, and other related systemic complications allows to conclude that periodontal diseases represent a risk factor for a wide array of clinically important systemic diseases. Research on the effects of endocrine-disrupting chemicals (EDCs) on obesity, type 2 diabetes, and associated metabolic disorders is a relatively new discipline; nevertheless, a growing number of epidemiological studies reveals associations between EDCs body burdens and a variety of diseases. Future research goals might be aimed at exploring the diverse mechanisms that hint to a certain connection between periodontal infections and EDCs.","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42412484","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}
Pub Date : 2023-07-18DOI: 10.58624/svoade.2023.04.0139
Chen-Che Hung, Ting Liu
Maxillary sinus floor elevation is a reliable surgical procedure to establish oral rehabilitation using implant prostheses in the atrophic maxilla. Both lateral sinus floor elevation (LSFE) and crestal sinus floor elevation (CSFE) are viable to augment inadequate alveolar bone height. Still, the results of post-surgical trauma, complications, and patient-reported outcome measures (PROMs) vary. Furthermore, combining bone grafting for maxillary sinus augmentation (MSA) is suggested to increase the volume of the alveolar ridge, yet more researches have demonstrated outcomes of the graftless method. This clinical report describes a graftless sinus augmentation with simultaneous implant placement utilizing Densah burs implementing CSFE through the osseodensification method.
{"title":"Graftless Sinus Augmentation via Crestal Sinus Floor Elevation using Densah Burs with Simultaneous Implant Placement: A Clinical Report after Two Years in Service","authors":"Chen-Che Hung, Ting Liu","doi":"10.58624/svoade.2023.04.0139","DOIUrl":"https://doi.org/10.58624/svoade.2023.04.0139","url":null,"abstract":"Maxillary sinus floor elevation is a reliable surgical procedure to establish oral rehabilitation using implant prostheses in the atrophic maxilla. Both lateral sinus floor elevation (LSFE) and crestal sinus floor elevation (CSFE) are viable to augment inadequate alveolar bone height. Still, the results of post-surgical trauma, complications, and patient-reported outcome measures (PROMs) vary. Furthermore, combining bone grafting for maxillary sinus augmentation (MSA) is suggested to increase the volume of the alveolar ridge, yet more researches have demonstrated outcomes of the graftless method. This clinical report describes a graftless sinus augmentation with simultaneous implant placement utilizing Densah burs implementing CSFE through the osseodensification method.","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48995020","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}
Pub Date : 2023-07-10DOI: 10.58624/svoade.2023.04.0137
R. Leoncavallo
Today it is more and more frequent to find ourselves faced with severe atrophy of the upper jaw due to bone defects of various kinds, physiological, pathological and iatrogenic. With the help of extraoral bone anchorage it is possible to solve those cases that cannot be solved with traditional implantology. Zygomatic implantology can manage these types of atrophies by rehabilitating the patient with a fixed prosthesis and, where possible, with immediate loading. These solutions represent an alternative to bone grafts (graftless solutions) which provide for much longer healing times and with patient discomfort given the contraindication to immediate loading. The same goes for the lower arch which involves rehabilitation with a low number of implants, two of which tilted to avoid noble anatomical structures such as mental nerves in order to reach the posterior areas (premolar area) minimizing the prosthetic cantilever. I present a clinical case where through the use of zygomatic and pterygoid implants for the upper jaw and four lower implants it was possible to restore function and aesthetics by installing two screw-retained temporary fixed prostheses.
{"title":"Full Oral Rehabilitation - Quad Zygoma with Extra-Sinusal Implants Placement Technique with Pterygoid Implants and Four Traditional Implants in The Lower Jaw with Immediate Loading: A Case Report","authors":"R. Leoncavallo","doi":"10.58624/svoade.2023.04.0137","DOIUrl":"https://doi.org/10.58624/svoade.2023.04.0137","url":null,"abstract":"Today it is more and more frequent to find ourselves faced with severe atrophy of the upper jaw due to bone defects of various kinds, physiological, pathological and iatrogenic. With the help of extraoral bone anchorage it is possible to solve those cases that cannot be solved with traditional implantology. Zygomatic implantology can manage these types of atrophies by rehabilitating the patient with a fixed prosthesis and, where possible, with immediate loading. These solutions represent an alternative to bone grafts (graftless solutions) which provide for much longer healing times and with patient discomfort given the contraindication to immediate loading. The same goes for the lower arch which involves rehabilitation with a low number of implants, two of which tilted to avoid noble anatomical structures such as mental nerves in order to reach the posterior areas (premolar area) minimizing the prosthetic cantilever. I present a clinical case where through the use of zygomatic and pterygoid implants for the upper jaw and four lower implants it was possible to restore function and aesthetics by installing two screw-retained temporary fixed prostheses.","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45773447","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}
Pub Date : 2023-07-10DOI: 10.58624/svoade.2023.04.0138
Jorge Enrique Valledor Alvarez, Diana Rosa Mena Madrazo, Mileydis Viñas García, Manuel Pereira Mengana
Background: Oral health is a basic human right that, due to the high incidence and prevalence of oral diseases, represents a priority health problem. Oral diseases such as dental caries, periodontal disease and malocclusion are in high demand in dental services around the world. Aim: to describe the oral health behavior of an adult population attended in the last semester of 2022 at the Ciudad Libertad dental clinic, Havana province, Cuba. Material and Method: A descriptive, cross-sectional study was carried out on oral health behavior in an adult population who came requesting dental care during the last semester of 2022 at the Ciudad Libertad dental clinic, Havana province, Cuba. A random sample of 100 adult patients over 20 years of age was taken. The variables used were: age, which was represented by age groups; sex, male and female; reason for consultation, review, prophylaxis, filling, pain, extraction and prosthesis; risk factors, poor oral hygiene, cariogenic diet, onychophagia, tongue dysfunction, consumption of hot food, mouth breathing and smoking; clinical diagnosis, dental caries, periodontal disease, masticatory dysfunction, pulp and periapical diseases, malocclusion. Conclusion: The female sex was the most represented, as well as the group from 20 to 34 years of age. The dental filling prevailed as the first reason for consultation. As risk factors, poor oral hygiene and cariogenic diet were the most present. Periodontal disease was the most diagnosed, affecting more than half of the population.
{"title":"Oral Health Behavior in a Cuban Dental Clinic","authors":"Jorge Enrique Valledor Alvarez, Diana Rosa Mena Madrazo, Mileydis Viñas García, Manuel Pereira Mengana","doi":"10.58624/svoade.2023.04.0138","DOIUrl":"https://doi.org/10.58624/svoade.2023.04.0138","url":null,"abstract":"Background: Oral health is a basic human right that, due to the high incidence and prevalence of oral diseases, represents a priority health problem. Oral diseases such as dental caries, periodontal disease and malocclusion are in high demand in dental services around the world. Aim: to describe the oral health behavior of an adult population attended in the last semester of 2022 at the Ciudad Libertad dental clinic, Havana province, Cuba. Material and Method: A descriptive, cross-sectional study was carried out on oral health behavior in an adult population who came requesting dental care during the last semester of 2022 at the Ciudad Libertad dental clinic, Havana province, Cuba. A random sample of 100 adult patients over 20 years of age was taken. The variables used were: age, which was represented by age groups; sex, male and female; reason for consultation, review, prophylaxis, filling, pain, extraction and prosthesis; risk factors, poor oral hygiene, cariogenic diet, onychophagia, tongue dysfunction, consumption of hot food, mouth breathing and smoking; clinical diagnosis, dental caries, periodontal disease, masticatory dysfunction, pulp and periapical diseases, malocclusion. Conclusion: The female sex was the most represented, as well as the group from 20 to 34 years of age. The dental filling prevailed as the first reason for consultation. As risk factors, poor oral hygiene and cariogenic diet were the most present. Periodontal disease was the most diagnosed, affecting more than half of the population.","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48879844","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}
Pub Date : 2023-06-19DOI: 10.58624/svoade.2023.04.0136
Singla Sapna, Talwar Manjeet, Lehl Gurvanit
The primary goal of orthodontic treatment is to support a functionally stable occlusion surrounded by sound periodontium. Orthodontic-periodontic interactions are mutually beneficial. Certain periodontal techniques can be supportive to the Orthodontic treatment and vice versa. A harmonious coordination of the periodontist and the orthodontist offers great possibilities for the treatment of various orthodontic-periodontal problems
{"title":"Symbiotic Relationship between Orthodontics and Periodontics - A Review","authors":"Singla Sapna, Talwar Manjeet, Lehl Gurvanit","doi":"10.58624/svoade.2023.04.0136","DOIUrl":"https://doi.org/10.58624/svoade.2023.04.0136","url":null,"abstract":"The primary goal of orthodontic treatment is to support a functionally stable occlusion surrounded by sound periodontium. Orthodontic-periodontic interactions are mutually beneficial. Certain periodontal techniques can be supportive to the Orthodontic treatment and vice versa. A harmonious coordination of the periodontist and the orthodontist offers great possibilities for the treatment of various orthodontic-periodontal problems","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49539567","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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