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Implantology

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What are some of the implant complications associated with systemic disorders and medications?

This summary is based on information found in Dental Implant Complications: Etiology, Prevention, and Treatment, 2 (Wiley Publishing, 2015) Key messages Patient selection is the critical factor for implant success and survival in any medically complex situation. When medical conditions are managed wisely, most patients have improved overall health with fixed replacements as opposed to removable appliances. Exceptional care must be taken so that any implants placed will be successful and safe for the clinician and the patient. It is essential to routinely review the literature and expect that protocols for patients with systemic diseases or taking medications will be regularly updated as our knowledge of dental implants advances.   Although ...

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Implant Complications: What is the Scope of the Problem?

This summary is based on information found in Dental Implant Complications: Etiology, Prevention, and Treatment, 2nd Edition (Wiley Publishing, 2015) The introduction of endosseous dental implants as an option for restoring partially and fully edentulous patients has revolutionized dental treatment. High survival rates reported for single and multiple missing tooth replacements have validated the use of implant-supported restorations as a predictable method for oral rehabilitation (1–9). Problems with implant complications have grown in number and complexity and that is reflected in the increased number of articles, journals, and continuing education conferences that have recently been devoted to the topic of implant complications (12–31). Reasons for the increased numbers of implant complications The ...

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Patterns of Antibiotic Prescription in Implant Surgery in Sweden

Drs. Bodil Lund and Dalia Khalil spoke with Dr. Suham Alexander about their latest research into the patterns of antibiotioc prescription in Sweden. Highlights Antibiotic prophylaxis is often required to prevent bacterial infection pre- or post-procedure. Controversy exists regarding the benefits of prescribing antibiotics for routine implant placement surgery. The risks associated with improper or overuse of antibiotics is well-documented – emergence of resistant strains, side-effects, drug interactions and allergies. This investigation studied the prescription patterns of Swedish dentists before and after the publication of recommendations on dental implant procedures and antibiotic use (2008 and 2012, respectively). The study results ...

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Implant-Related Nerve Injuries: Avoidance Strategies and Management

This summary is based on the article published in Dental Clinics of North America: Implant-related Nerve Injuries (April 2015) Ricardo A. Boyce, DDS, FICD; Gary Klemons, DDS Context Nerve injuries in the maxillofacial region may happen as a result of trauma, neoplasms, infections, or secondary to a surgical procedure. Because of the limitations of such investigations there is a large range in the rates of injury reported from study to study.1 To complicate the issue further, the data are usually stratified, separating transient impairment from permanent loss of function, and only occasionally is the presence or absence of painful neuralgias ...

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How do you treatment plan for restorative implantology?

This summary is based on the article published in Dental Clinics of North America: Treatment Planning for Restorative Implantology (April 2015) Ricardo A. Boyce, DDS, FICD; Gary Klemons, DDS Context More than 30 million people Americans are missing their teeth, according to the American Academy of Implant Dentistry. The restorative dentist should inquire about: If there were any surgical complications, Insertion torque, If there was a need for bone grafting or sinus lift, The size/diameter of the platform and length of the implant, The implant manufacturer, The estimated time of placement of the healing cap, and The clearance from the ...

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What are the basic concepts and techniques of dental implants?

This summary is based on the article published in Dental Clinics of North America: Basic Concepts and Techniques of Dental Implants (April 2015) Jonathan M. Tagliareni, DDS; Earl Clarkson, DDS Context Dental implants provide a predictable, effective, and reliable means for tooth replacements. Additionally, dental implants provide completely edentulous and partial edentulous patients the function and esthetics they had with natural dentition. It enables patients to regain normal masticatory function, esthetics, speech, smile, and deglutition. In patients with orofacial pain, it may resolve painful symptoms as well as improve facial esthetics and appearance. Key Points Biological and Functional Considerations Osseointegration is ...

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Should retention of a tooth be an important goal of dentistry?

This summary is based on the article published in the Australian Endodontic Journal: Should retention of a tooth be an important goal of dentistry? (April 2015) Jessica J. Zachar Context Whether a questionable tooth should be treated endodontically or extracted, is still a dilemma that clinicians encounter every day. With advances in technology such as implantology, deciding whether or not to save a tooth is still not clear. Local site-specific factors and patient-related factors that may affect the longevity of a particular tooth should be considered in preparing the treatment plan. Long-term success rates for root canal therapy and implant-supported ...

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What are the key local and surgical factors related to implant failure

This summary is based on the article published in Dental Clinics of North America: Key Local and Surgical Factors Related to Implant Failure (January 2015) Mohanad Al-Sabbagh, DDS, MS, Ishita Bhavsar, BDS Context Dental implants are now the preferred line of treatment for the replacement of missing teeth. Additionally, implant-supported full-mouth prostheses are a good treatment option for patients who are completely edentulous, achieving a comprehensive and functional oral rehabilitation.2 Although endosseous implants have a predictable outcome and long-term success, they sometimes fail. 3, 4 Implant failures are categorized as primary (early), when the body is unable to establish osseointegration, or ...

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