Download or read book Comparative Evaluation of Bony Window Preparation and Coverage in Maxillary Sinus Floor Augmentation written by Molnar Balint and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Lateral bony window coverage utilizing collagen membranes in maxillary sinus floor augmentation by lateral approach delivers favorable results (Pjetursson et al. 2008). The piezoelectric approach allows for repositioning the sinus bony wall (Choung et al.1997), nevertheless data is scarce on the efficacy compared to collagen membrane coverage. The preliminary clinical results of an ongoing prospective, randomized, controlled clinical, radiographical and histological trial are presented. Aims: To demonstrate the non-inferiority of bony wall repositioning compared to collagen membrane coverage in maxillary sinus flooraugmentation. Primary outcome parameter: Histological evaluation. Secondary outcome parameters: duration of surgery and window preparation, perforations, patient morbidity.Materials and methods: 8 healthy patients with at least one missing maxillary premolar or molar with not more than 5mm bone height below the sinus weretreated at the Department of Periodontology, Semmelweis University, Budapest, Hungary by lateral maxillary sinus flooraugmentation. Patients were randomized in two groups: Test (4 patients): lateral sinus window preparation with a piezoelectric device (NSK Variosurg 3), sinus bony wall repositioning. Control (4 patients) lateral sinus window preparation with rotary burs at 400 rpm, bony window covered by resorbable collagen membrane (Botiss Colprotect). Hard tissue grafting was performed using a particulatexenogenic material (Botiss Cerabone) in both groups. Following parameters were registered: duration of surgery and windowpreparation in minutes; percentage of sinus membrane perforations, postoperative patient complaints subjectively evaluated by visual analogue scale, objectively evaluated by number of non-steroid inflammatory drugs taken.Results: Initial healing was uneventful, primary wound healing occurred in all cases, no postoperative infections were observed. Duration of surgery was 50.5u00b19.6 min in test compared to 56.50u00b114.1 min in control. Duration of window preparation was 5.0u00b10.8 min in test compared to 4.8u00b11.7 min in control. Percentage of sinus membrane perforations was 50% in test compared to 50% in control. Postoperative patient complaints subjectively evaluated by visual analogue scale was 24.5u00b130.7 in test compared to 42.3u00b125.6 in control on the day of surgery, 13.5u00b121.4 in test compared to 30.5u00b125.1 in control 1 day postoperatively, 12.5u00b117.7 in test compared to 12.5u00b13.5 in control 2 days postoperatively. Postoperative patient complaints objectively evaluated by number of non-steroid inflammatory drugs taken was 1.5u00b10.6 in test compared to 2u00b10 in control on the day of surgery, 1u00b11.2 in test compared to 0.75u00b10.5 in control 1 day postoperatively, 0u00b10 in test compared to 0.5u00b10.7 in control 2 days postoperatively.Conclusions: According to the preliminary clinical results of the ongoing prospective, randomized, controlled clinical, radiographical and histological trial, duration of surgery, duration of window preparation, percentage of sinus membrane perforations were comparable in test and control. Subjective and objective postoperative complaint evaluation showed more favorable outcomes in the test group, indicating less patient morbidity following piezoelectric sinus window preparation and bony wall repositioning.

Download or read book Bony Wall Window Repositioning in Sinus Floor Elevation a Comparative Randomized Controlled Trial written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Application of resorbable membranes for lateral bony window coverage delivers favorable results in sinus floor elevation by increased graft protection. The piezoelectric approach allows repositioning of the sinus bony wall as opposed to rotary window preparation. This may represent a valuable treatment alternative to the placement of collagen membranes for window coverage.Aim/Hypothesis: Our aim was to present the clinical, radiographic and histological results of a prospective, randomized, controlled trial on sinus bony wall repositioning compared to rotary window preparation with membrane coverage.Matrial and methods: 40 patients with at least one missing maxillary premolar/molar were treated by lateral maxillary sinus floor augmentation. Patients were randomized to Test (20 patients): piezoelectric window preparation (NSK VarioSurg3), bony wall repositioning. Control (20 patients) rotary window preparation, resorbable collagen membrane coverage (botiss collprotect). A particulate xenograft (botiss cerabone) was utilized in both groups. Following clinical parameters were registered: duration of surgery, bony window, sinus mucosa preparation; number of sinus perforations; postoperative patient complaints by visual analogue scale (VAS); number of non-steroid inflammatory drugs (NSAID) taken. Qualitative radiographic evaluation was performed on pre- and postoperative CBCT scans. Hard tissues were analyzed histologically in biopsies retrieved at 6months re-entry prior to implant placement (Straumann Tissue Level) by guided surgery (SMART Guide).Results: Duration of surgery was 45u00b111min in test compared to 49u00b111 min in control. Duration of window preparation was 4.45u00b11.36min in test compared to 5.85u00b13.65min in control. Duration of mucosa elevation was 5.8u00b13.3min in test compared to 7.15u00b13.2min in control. Percentage of sinus perforations was 30% in test compared to 35% in control. VAS scores demonstrated lower morbidity in test compared to control: 30.85u00b131.26 vs. 44.5u00b127.07 on the day of surgery, 19.75u00b126.09 /29.40u00b126.6 1 day-, 12.9u00b120,31 / 24.8u00b123.17 2 days-, 9,5u00b116.5 / 17.63u00b121.13 3 days postoperatively. Number of NSAID taken was 1.42u00b10.61 in test compared to 1.75u00b10.91 in control on the day of surgery, 0,89u00b10,94 / 1.15u00b10.93 1 day-, 0.71u00b10.78 / 1.14u00b11,02 2 days-, 0.32u00b10.58 / 0.75u00b10.97 3 days postoperatively. Differences were not significant. Radiographical and histological analysis confirmed favorable hard tissue reconstruction at all sites in both treatment groups. Conclusion and clinical implications: Duration of surgery and window preparation, number of sinus perforations were lower following piezoelectric window preparation and bony wall repositioning with less patient morbidity. Quality and quantity of newly formed hard tissues were comparable to rotary preparation and membrane coverage. Piezoelectric preparation and sinus bony wall repositioning represents a valuable treatment alternative by eliminating the need for membrane application for window coverage in sinus floor elevation.

Download or read book Bone Reformation written by Stefan Lundgren (D.D.S.) and published by Quintessence Publishing (IL). This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book includes didactic step-by-step presentations of different techniques for augmentation in all kinds of challenging bone deficiency situations and is intended for use prior to or in conjunction with endosseous implant placement. Reconstruction of severely atrophic edentulous jaws, posttrauma treatment in the anterior maxilla, and augmentation of the posterior maxilla and mandible are some of the topics covered. Clinical and experimental results of close follow-up of extensive patient groups are presented, as the book shows how careful monitoring with controlled incremental changes of the surgical protocol has led to development of new surgical methods. More than 20 scientific papers justify the methods presented in the book, representing more than 15 years of experience in reconstruction of the alveolar process.

Download or read book Sinus Grafting Techniques written by Ronald Younes and published by Springer. This book was released on 2015-01-21 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Short Implants written by Boyd J. Tomasetti and published by Springer Nature. This book was released on 2020-07-07 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Dental Implant Complications written by Stuart J. Froum and published by John Wiley & Sons. This book was released on 2015-11-23 with total page 736 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dental implants have become one of the most popular and rapidly growing techniques for replacing missing teeth. While their predictability, functionality, and durability make them an attractive option for patients and clinicians alike, complications can arise at any stage from patient assessment to maintenance therapy. Dental Implant Complications: Etiology, Prevention, and Treatment, Second Edition, updates and expands the hallmark first edition, which was the first comprehensive reference designed to provide clinicians of all skill levels with practical instruction grounded in evidence-based research. Featuring cases from a variety of dental specialties, the book covers the most commonly occurring implant complications as well as the unique. Dental Implant Complications: Etiology, Prevention, and Treatment, Second Edition, is organized sequentially, guiding the reader through complications associated with the diagnosis, treatment planning, placement, restoration, and maintenance of implants at any stage. Complications associated with various bone augmentation and sinus lift procedures are also discussed in detail with emphasis on their etiology and prevention. Each chapter utilizes a highly illustrated and user-friendly format to showcase key pedagogical features, including a list of “take home tips” summarizing the fundamental points of each chapter. New chapters include discussions of complications from drug prescribing, implant naturalization, cemented restorations, loose implant restoration syndrome, and craniofacial growth. Readers will also find more case presentations to see how complications have been managed in real-world situations. Dental Implant Complications: Etiology, Prevention, and Treatment, Second Edition, brings together contributions from leading experts in the field under the superior editorship of Dr. Stuart Froum. With its pragmatic approach to preventing and managing implant complications, this expertly crafted text continues to serve as an indispensable clinical reference and guide for all dentists placing or restoring implants.

Download or read book The Sinus Bone Graft written by Ole T. Jensen and published by Quintessence Publishing (IL). This book was released on 1999 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: While an oral surgery resident in training at the University of Michigan in 1977, I observed a strange phenomenon in a maxillary fracture patient. A unilateral ossification of the maxillary antrum occurred following a Le Fort III fracture that had been treated the year before. I wondered how trauma around the antrum due to an impacted maxilla and the inferiorly displaced orbital rim could lead to an ossified maxillary sinus. The trauma was bilateral, yet only one side responded by ossification. Furthermore, there appeared to be no functional impairment of the sinus. This unusual finding remained a mystery to me for many years. It wasn't until 1980, when Phil Boyne published the first paper on the sinus augmentation graft, that the mystery began to be solved. He found that preservation of the elevated sinus membrane created a confined space in which bone had the potential to form. Dr Boyne went on to show, in a primate study, that bone would readily form in the sinus floor, but that the newly formed bone would completely resorb over a period of a year unless dental implants were placed to help maintain the bone. Many other workers began to experiment with various bone-grafting materials, both in animals and clinically. Remarkably, most of the materials demonstrated new bone formation in the graft sites. Because dental implants were generally used as the measure of bone graft success and since there were very few implant failures reported in the literature, confusion resulted as to which grafting material to use. It seemed they all worked. To sort this out, a few patients with 5 to 7 mm of available bone were treated with sinus elevation and Gore-Tex over the lateral osteotomy site only. Despite no graft material be used, bone formed. As long as the sinus membrane remained intact, bone formed beneath the sinus membrane that had been tented up by simultaneously placed implants. The need to use any graft material at all appeared to be brought into question. At the same time, practitioners lined up in two camps: those who placed implants in delayed fashion after graft maturation and those who preferred simultaneous implant placement. Both approaches published a high level of success seeming to substantiate their protocols, but once again the measure of success was hampered by the lack of any human evidence for efficacy. A 5-year implant retrieval study was undertaken using standard titanium mini-implants that had been placed simultaneously with grafting. Interestingly, bone did not form well around these implants in this setting despite positive reviews in animal studies. Could we conclude that the delayed approach was preferred, or was there another factor, such as the implant surface, that could be important? Hydroxyapatite-coated, titanium plasma-sprayed, and acid-etched titanium implant surfaces seemed to do well in the grafted bone. Could this be the answer for implants placed into sinus bone grafts? As these developments are progressing, new interest is generated in jump-starting the natural inductive processes of bone formation through pharmacokinetics. Early results of human studies now appear to be favorable for using bone morphogenetic protein as a graft alternative that stands to modify all of the protocols in use to date. How these various approaches work toward definitive answers to the basic biologic and clinical questions is what this book is all about. The authors attempt to answer the how, why, when, and where of sinus grafting. It is hoped that the state of the art of sinus grafting will be elucidate for the reader in the ongoing quest for scientific knowledge and its clinical appilcation that will ultimately lead to excellence in patient care.

Download or read book Bone and Soft Tissue Augmentation in Implantology written by Fouad Khoury and published by Quintessenz Verlag. This book was released on 2021-11-11 with total page 1395 pages. Available in PDF, EPUB and Kindle. Book excerpt: With contributions from: R. Gruber, Th. Hanser, Ph. Keeve, Ch. Khoury, J. Neugebauer, J. E. Zöller Bone and Soft Tissue Augmentation in Implantology addresses useful methods of bone grafting procedures in implant treatment based on current biologic principles and constitutes a unique reference in this field. The book describes, in over 760 pages and 2837 mostly color illustrations, the different possibilities available to augment the bone volume in width and height. The information presented includes not only the underlying scientific concepts of the different augmentation techniques with autogenous bone, but also the associated soft tissue management, from safe approaches to different possibilities for soft tissue augmentation and papilla reconstruction techniques. The book provides surgeons with a basic understanding of the biologic response to bone grafting procedures. Experienced implantologists will benefit from the in-depth background information, details of high-level surgical techniques, and scientific results, which will enable them to optimize their surgical procedures. Each chapter offers a wealth of information on the specific topic covered, with much attention given to the scientific concepts behind each one. Extensive case reports with step-by-step documentation allow readers to gain an impression of what is possible today in the 3D reconstruction procedures of the alveolar crest. Important criteria for success are presented as well as possible complications and their treatment. Bone and Soft Tissue Augmentation in Implantology is a must-read for every implantologist, oral and maxillofacial surgeon, and any dentist interested in surgery.

Download or read book Implant Site Development written by Michael Sonick and published by John Wiley & Sons. This book was released on 2011-12-14 with total page 862 pages. Available in PDF, EPUB and Kindle. Book excerpt: With the desire for dental implant therapy ever escalating, clinicians are faced with the challenge of augmenting deficient natural physiology to provide effective sites for implantation. Implant Site Development helps the clinician decide if, when, and how to create a ridge site amenable to implantation. This practical book offers solutions to many implant site preservation scenarios, discussing different treatment options, timing, a variety of materials and techniques, and their application to the clinical practice. With a unique integrated clinical approach, Implant Site Development covers a range of site development techniques. Highly illustrated, Implant Site Development presents diagrams and clinical photographs to aid with clinical judgment and will prove useful for any dental professional involved in implant therapy, from general practitioners to prosthodontists, but especially surgeons. This literature-based, yet user-friendly, reference will be indispensable to the novice or veteran clinician.

Download or read book Basal Implantology written by Gérard M. Scortecci and published by Springer. This book was released on 2019-06-25 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: This manual will help oral implantologists to understand the principles that underlie the use of basal implants as a means to provide simple solutions to complex and highly demanding clinical situations without the need for prior bone grafting. It will also serve as a richly illustrated practical guide to application of the technique. The book is in three parts, the first of which discusses basic principles and related themes, including osteogenesis, osseointegration, cortical anchorage stability, biomechanics, surgical techniques, and basal implant prosthodontics. Step-by-step guidance is then offered on the application of these principles, focusing on operating techniques, 3D treatment planning, transitional and final screw-secured prostheses, and postoperative follow-up. The third part of the book addresses a wide range of clinical situations that can be treated by basal implantology, with particular attention to the treatment of high, thin alveolar ridges and the atrophic maxilla and mandible and to the correction of previous implant failures, as well as complications and postimplantation neuropathies.

Download or read book Bone Augmentation by Anatomical Region written by Zvi Artzi and published by John Wiley & Sons. This book was released on 2020-05-15 with total page 560 pages. Available in PDF, EPUB and Kindle. Book excerpt: Comprehensively describes bone augmentation techniques and their application to the different anatomical regions of the upper and lower jaws. Bone Augmentation by Anatomical Region is a unique, evidence-based guide focusing on each specific anatomical region – anterior maxilla, posterior maxilla, anterior mandible, and posterior mandible – in order to emphasize the correct implemented procedures needed to successfully perform oral osseous reconstruction. Numerous ridge augmentation techniques are covered, including: horizontal and vertical guided bone regeneration, autologous block transplantation, interpositional bone grafting, allogeneic blocks, sandwich technique, split-expansion ridge technique, and sinus floor grafting. Non-augmented approaches such as forced socket site extrusion and the installation of digitally printed implants are also presented and discussed. Guides readers on tackling bone augmentation via anatomical region of the jaws and their related surrounding muscles, vascularization and innervation Presents innovative augmentation techniques for the anterior maxilla, posterior maxilla, anterior mandible, and posterior mandible Includes clinical photographs in each section and a decision tree to help readers select the appropriate surgical modality Bone Augmentation by Anatomical Region is a specialist resource suitable for dentists who practice implant dentistry, oral surgeons, oral and maxillofacial surgeons, periodontists, and postgraduate dental students in the above-mentioned disciplines. Please note Due to recently developments, part of Chapter 2 Biologic Conditions for Bone Growth and Maintenance: Managing the Oxidative Stress has been amended which will be available in all future reprints. All electronic versions have been updated.

Download or read book A New Approach to Bone Regeneration written by Eduardo Anitua Aldecoa and published by . This book was released on 2001 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Oral and Maxillofacial Surgery for the Clinician written by Krishnamurthy Bonanthaya and published by Springer Nature. This book was released on 2021 with total page 1965 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is an open access book with CC BY 4.0 license. This comprehensive open access textbook provides a comprehensive coverage of principles and practice of oral and maxillofacial surgery. With a range of topics starting from routine dentoalveolar surgery to advanced and complex surgical procedures, this volume is a meaningful combination of text and illustrations including clinical photos, radiographs, and videos. It provides guidance on evidence-based practices in context to existing protocols, guidelines and recommendations to help readers deal with most clinical scenarios in their daily surgical work. This multidisciplinary textbook is meant for postgraduate trainees, young practicing oral surgeons and experienced clinicians, as well as those preparing for university and board certification exams. It also aids in decision-making, the implementation of treatment plans and the management of complications that may arise. This book is an initiative of Association of Oral and Maxillofacial Surgeons of India (AOMSI) to its commitment to academic medicine. As part of this commitment, this textbook is in open access to help ensure widest possible dissemination to readers across the world. ; Open access Unique presentation with contents divided into color-coded core competency gradations Covers all aspects of oral and maxillofacial surgery Supplemented with videos of all commonly carried out procedures as operative video Every chapter or topic concludes with "future perspective" and addresses cutting edge advances in each area Every topic has a pull out box that provides the most relevant systematic reviews/ key articles to every topic.

Download or read book Current Concepts in Dental Implantology written by Ilser Turkyilmaz and published by BoD – Books on Demand. This book was released on 2015-02-25 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt: Implant dentistry has changed and enhanced significantly since the introduction of osseointegration concept with dental implants. Because the benefits of therapy became apparent, implant treatment earned a widespread acceptance. Therefore, the need for dental implants has caused a rapid expansion of the market worldwide. Dental implantology continues to excel with the developments of new surgical and prosthodontic techniques, and armamentarium. The purpose of this book named Current Concepts in Dental Implantology is to present a novel resource for dentists who want to replace missing teeth with dental implants. It is a carefully organized book, which blends basic science, clinical experience, and current and future concepts. This book includes ten chapters and our aim is to provide a valuable source for dental students, post-graduate residents and clinicians who want to know more about dental implants.

Download or read book Handbook of Bioceramics and Biocomposites written by Iulian Vasile Antoniac and published by Springer. This book was released on 2016-05-05 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook describes several current trends in the development of bioceramics and biocomposites for clinical use in the repair, remodelling, and regeneration of bone tissue. Comprehensive coverage of these materials allows fundamental aspects of the science and engineering to be seen in close relation to the clinical performance of dental and orthopaedic implants. Bioceramics and biocomposites appear to be the most dynamic area of materials development for both tissue engineering and implantable medical devices. Almost all medical specialties will continue to benefit from these developments, but especially dentistry and orthopaedics. In this Handbook, leading researchers describe the use of bionanomaterials to create new functionalities when interfaced with biological molecules or structures. Also described are technologies for bioceramics and biocomposites processing in order to fabricate medical devices for clinical use. Another important section of the book is dedicated to tissue regeneration with development of new matrices. A targeted or personalized treatment device reduces drug consumption and treatment expenses, resulting in benefits to the patient and cost reductions for public health systems. This authoritative reference on the state-of-the-art in the development and use of bioceramics and biocomposites can also serve as the basis of instructional course lectures for audiences ranging from advanced undergraduate students to post-graduates in materials science and engineering and biomedical engineering.

Download or read book Clinical Emergency Radiology written by J. Christian Fox and published by Cambridge University Press. This book was released on 2017-03-16 with total page 653 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a highly visual guide to the radiographic and advanced imaging modalities - such as computed tomography and ultrasonography - that are frequently used by physicians during the treatment of emergency patients. Covering practices ranging from ultrasound at the point of care to the interpretation of CT scan results, this book contains over 2,200 images, each with detailed captions and line-art that highlight key findings. Within each section, particular attention is devoted to practical tricks of the trade and tips for avoiding common pitfalls. Overall, this book is a useful source for experienced clinicians, residents, mid-level providers, or medical students who want to maximize the diagnostic accuracy of each modality without losing valuable time.

Download or read book Minimally Invasive Oral and Maxillofacial Surgery written by Oded Nahlieli and published by Springer. This book was released on 2017-12-12 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Minimally invasive techniques, designed to reduce morbidity and risk while simultaneously improving outcomes, are increasingly being used in oral and maxillofacial surgery. This book covers the most recent technological developments and the advanced techniques used when performing such minimally invasive surgery in patients with common and rare oral and maxillofacial pathologies. The relevant basic science is reviewed, but the principal focus is on the surgical techniques themselves. These are described step by step with the aid of numerous superb color illustrations that will help the clinician to gain a full understanding of the technology and the procedures. In addition, still emerging techniques of endoscopy, navigation, and minimally invasive surgery are well covered. This text will be a premier resource for physicians who diagnose and treat oral and maxillofacial pathologies and injuries.