Download or read book Long term Cases of Sinus Floor Elevation Using the Plate Shaped Bone Substitute written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Sinus floor elevation is often applied to the molar region of the atrophic maxilla to increase in bone mass between the alveolar crestand the sinus floor. Although autogenous bone graft is, so far, gold standard, limitations of donor site bone volume and post-operativemorbidity could be disadvantages. Thus, artificially synthesized bone substitutes, hydroxyapatite (HA) and tricalcium-phosphate(TCP), might be considerably useful materials compared to the autogenous bone. We have developed a novel technique of the sinus floor elevation using plate-shaped beta-TCP in order to perform surgery lessinvasively and to reduce the stress of patients. In this study, we evaluated the prognosis of this technique and the newly developedbiomaterials. Thirteen patients were recruited in this study. The diameter and thickness of plate-shaped beta-TCP were approximately 10 mm and2 mm, respectively. The bony windows were prepared on the lateral wall of the sinus and the sinus membrane was carefully removedand elevated. Then the TCP plate was inserted and supported with dental implants or micro-screws. Finally, bio- resorbablemembrane was placed to cover the bony window and to avoid soft tissue infiltration. The panolamic X-ray and the cone beam CT wastaken every year after the operations to evaluate the volume of newly formed bone, the implant stability, and the remodeling of TCPplates. This clinical research was approved by Ethics Committee, School of Dentistry, Iwate Medical University, and the patient'sconsent was also obtained. Thirteen operations of the sinus floor elevation with plate-shaped beta-TCPs have been performed since 2011. This study consistedof three men and ten women. The average age of all the patients was 53.3 years old. Four of those were staged approach and nine ofthose were simultaneous approach. Ten of 13 patients have had no complications concerning the abnormalities of the maxillary sinusfrom the postoperative to the present, and it passed well. In most cases, newly formed bone in the sinus was observed on X-rayphotos 6 month after the operation. The good stability of the dental implant, at the second stage surgery, was confirmed. TCP platesremained in the same position and achieved the secure space making for long time. Panoramic X-ray and X-ray CT analysesrevealed that TCP-plates were resorbed in 5 years post operation in most cases. There were two patients who complain ofuncomfortable feeling and TCP plates were removed surgically. One TCP plate was spontaneously excreted. In this clinical trial, a new bone formation was observed in the empty space between the TCP plate and the original sinus floor. TCP isa bone-conductive material and might have accelerated bone formation. Applying the newly developed technique with artificiallysynthesized bone substitutes could be a useful method to reduce patientsu2019 stress. This newly established sinus floor elevation maybring better long term prognosis.
Download or read book Quantitative Evaluation of Sinus Floor Elevation Using the Plate Shaped Bone Substitute written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Sinus floor elevation is often applied to the molar region of the atrophic maxilla to increase bone mass between the alveolar crest andthe sinus floor. Although autogenous bone graft is, so far, gold standard, limitations of donor site bone volume and post-operativemorbidity could be disadvantages. Thus, artificially synthesized bone substitutes, hydroxyapatite (HA) and tricalcium-phosphate(TCP), might be advantageous useful materials compared to the autogenous bone.We have developed a novel technique of the sinus floor elevation using plate-shaped beta-TCP . In this study, changes of graftedbone volume were quantitatively evaluated with cone-beam computed tomography (CBCT) and image analyzing software before and1, 2, and 5 years after the surgery. Ten cases were recruited in this study. The bony windows were prepared on the lateral wall of the sinus and the sinus membrane wascarefully removed and elevated. Subsequently, the TCP plate was inserted and supported with dental implants or micro-screws.Then, CBCT scan was performed to estimate temporal changes of the bone volume before surgery and at the time points of one, two,and five years after the surgery. Digital Imaging and Communication in Medicine (DICOM) files of CBCT were converted intoStereolithography (STL) files, using dedicated image analysis software for bone volume measurement and superimposing image datawith the best fit method. The difference of the image data representing the bone volume before and after the surgery was amalyzedthree-dimensionally, and the rate of change was calculated. This clinical research was approved by Ethics Committee, School ofDentistry, Iwate Medical University, and the patient's consent was also obtained. Ten cases of the sinus floor elevation with plate-shaped beta-TCPs have been performed since 2011. This study consisted of threemen and seven women. The average age of all the patients was 53.3 years old. Bone volume decreased slightly until 2 years after thesurgery and then increased again until 5 years after the surgery. There had no complications concerning the abnormalities of themaxillary sinus since the postoperative to the present, and it passed well. In most cases, newly formed bone in the sinus wasobserved on X-ray photos 6 month after the operation. The good stability of the dental implant, at the second stage surgery, wasconfirmed. TCP plates remained in the same position and achieved the secure space making for long time. Panoramic X-ray andX-ray CT analyses revealed that TCP-plates were resorbed in 5 years post operation in most cases. The results of our study demonstrated that it is possible to evaluate the change of bone volume of the sinus floor elevationquantitatively using the data of the STL form which converted DICOM. In this clinical trial, a new bone formation was observed in theempty space between the TCP plate and the original sinus floor. TCP is a bone-conductive material and might have accelerated boneformation. This newly established method for sinus floor elevation could bring better long-term prognosis.
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 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 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 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 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 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 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 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 Surgery of the Paranasal Sinuses written by Andrew Blitzer and published by W.B. Saunders Company. This book was released on 1991 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: An updated edition of a text focusing on paranasal sinus surgery, from anatomical to managerial issues. Topics discussed include endoscopic and laser surgery, and new to this edition is a chapter on the rhinologic manifestations of AIDS.
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.
Download or read book Textbook of Periodontics written by Shalu Bathla and published by Jaypee Brothers Medical Publishers. This book was released on 2021-02-10 with total page 699 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Maxillary Sinus Surgery and Alternatives in Treatment written by Tiziano Testori and published by Quintessence Publishing (IL). This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Inspired by an idea originating at the Consensus Conference on Maxillary Sinus of the Italian Society of Oral Surgery in 2001, the authors of this book have created a new, up-to-date text that brings together the most recent scientific discoveries and innovative clinical protocols for maxillary sinus augmentation as well as possible alternatives to these techniques. The book begins with anatomy, otorhinolaryngologic implications, and bone healing, then progresses to diagnostic, surgical, and patient-monitoring phases. An invaluable resource for both students and professional clinical experts. [editor].
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 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 Clinical Case Studies for the Family Nurse Practitioner written by Leslie Neal-Boylan and published by John Wiley & Sons. This book was released on 2011-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.
