DENTAL IMPLANT BOOK
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PDF | On Sep 14, , Pauline Smith and others published Dental Implants Book's chapter. Purchase Dental Implant Prosthetics - 2nd Edition. Print Book & E-Book. ISBN , This new book focuses on dental implants used in conjunction with other prosthetic devices in the general dentist's office, designed to help the partially or .
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Related Posts. All Rights Reserved. Many articles have confirmed that implant surgery in patients receiving oral bisphosphonate therapy does not result in BRONJ. The prognosis of dental implants that have been placed remains uncertain, and the use of osseointegrated dental implants is controversial.
AAOMS does not contraindicate dental implant placement in patients who have been taking bisphosphonates orally for less than three years prior to surgery, provided that they do not present other risk factors such as medications with corticosteroids or advanced age e. It has been reported that oral bisphosphonates had a lower risk because they took longer to develop bisphosphonate-induced osteonecrosis given their slower accumulation rates in bone Ruggiero et al.
Moreover, a drug holiday is recommended 3 to 6 months in duration before dental implant placement in patients with a history of oral bisphosphonate use for longer than 3 years Ruggiero et al. Finally, current guidelines contraindicate the placement of dental implants in cancer patients treated with intravenous bisphosphonates Ruggiero et al. Although bisphosphonates tend to accumulate in sites of active bone remodeling like the jaws, surgical trauma to the alveolar bone during implant surgery could further stimulate the postoperative accumulation of the drug in the implanted site.
The localized interference of bisphosphonates on areas of bone turnover may reduce the peri-implant bone resistance to oral bacteria in the long term, thus increasing the risk of peri-implantitis. However, at least one study has reported a reduced incidence of BRONJ in patients who were given prophylactic antibiotics Montefusco et al.
In addition, the use of perioperative antibiotics and a chlorhexidene mouth wash have been suggested.
Book review: Implant restorations: a step-by-step guide, 3rd edition
Great attention should be paid to the oral hygiene and plaque control of implant-prosthetic restorations Bedogni et al. Patients treated with bisphosphonates who receive implants should be followed for long periods of time.
All patients treated with oral bisphosphonates must be informed of the potential complications of implant failure and BRONJ development in both the short and long term before the placement of dental implants Bedogni et al. Complications associated with maxillary sinus lift 3.
Dental Implant Prosthetics
Schneiderian membrane perforation The Schneiderian membrane, which is characterized by periosteum overlaid with a thin layer of pseudociliated stratified respiratory epithelium, constitutes an important barrier for the protection and defense of the sinus cavity. The integrity of the sinus membrane is essential in maintaining the healthy and normal function of the maxillary sinus Ardekian et al. The mucociliary apparatus protects the sinus against infection while the membrane also acts as a biologic barrier.
If a perforation occurs, the membrane perforation could represent a window for bacterial penetration and invasion into the grafted area Zijderveld et al. Failure to atraumatically elevate the Schneiderian membrane may result in graft migration or loss, exposure of the graft or the implant to the sinus, and postoperative site infection.
In addition to contaminating the recipient site, disruption of the mucosa may alter the normal mucociliary flow patterns, causing retention of secretions and infections around the foreign body Ward et al. The risk of membrane perforation increases when anatomical variations such as a maxillary sinus septum, spine, or sharp edge are present Chanavaz, ; van den Bergh et al. Very thin or thick maxillary sinus walls create higher risks of perforating the Schneiderian membrane.
The angulation between the medial and lateral walls of the maxillary sinus seemed to exert an especially large influence on the incidence of membrane perforation.
For example, sharper angles observed at the inner walls of the sinus in the vicinity of the second upper bicuspid presents a higher risk of perforation Zijderveld et al. The occurrence of iatrogenic sinus membrane perforations during surgery does not seem to be related to sinusitis in healthy people Ardekian et al. However, large tearscan cause sinusitis, graft infection, or graft displacementinto the sinus, which could compromise new boneformation and implant survival Reiser et al.
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To minimize Schneiderian membrane perforations, surgeons must evaluate the maxillary sinus anatomy while considering the lateral thickness of the lateral wall, slope of the sinus wall, location of septa, membrane thickness through the radiography and CT analysis before maxillary sinus augmentation. Piezoelectric surgery is usually more time-consuming than other techniques, though the frequency and number of Schneiderian membrane perforations or lacerations are generally lower.
If the bony lateral wall is thick, a reduction of the thickness of the wall before formation of the lateral window is recommended. In cases involving a very thin maxillary sinus wall, careful reflection of the mucoperiosteum is recommended while the Schneiderian membrane already shines a dark grayish-bluish color through the sinus wall.
It is advised that clinicians not begin the lateral door preparation with a round stainless-steel burr; they should use a round diamond bur directly, thereby reducing the risk of a membrane perforation Zijderveld et al. To prevent a perforation, some additional small holes in the suction device are recommended to diminish the suction power and to avoid the direct contact of the suction device with the Schneiderian membrane Zijderveld et al.
If a tear in the membrane occurs along the periphery of the osteotomy and it is difficult to reengage the membrane, this situation can be managed by extending the outline of the osteotomy several millimeters past the original window and reestablishing contact with the membrane Greenstein et al. Larger tears do not lend themselves to closure by infolding, and they would need additional methods to contain the graft in its desired position.
It has been reported that large sinus membrane perforationsshould be repaired with collagen or a fibrin adhesive.
In severe perforations, some investigators have even suggested abandoning the procedure for 6 to 9 months while the membrane regenerates Karabuda et al. Hemorrhage The blood supply of the maxillary sinus is derived from the infraorbital artery, the greater palatine artery and the posterior superior alveolar artery Chanavaz, ; Uchida et al.
Posterior single tooth replacement Maxillary anterior single tooth replacement Principles of cement-retained fixed implant prosthodontics: Principles of screw-retained prostheses Occlusal considerations for implant-supported prostheses: Progressive bone loading Scientific rationale of immediate load and implant dentistry Maxillary denture opposing an implant prosthesis and modified occlusal concepts Maintenance of dental implants Implant quality of health scale: We are always looking for ways to improve customer experience on Elsevier.
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Dental Implant Prosthetics
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Search for books, journals or webpages All Pages Books Journals.Therefore, the use of a systemic decongestant, such as pseudoephedrine, and a nasal spray containing a vasoconstrictor, such as phenylephrine, is recommended after implant surgery Regev et al.
Maxillary sinusitis can occur as a result of contamination of the maxillary sinus with oral or nasal pathogens or via ostial obstruction caused by postoperative swelling of the maxillary mucosa, hematoma and seroma. Product details Hardcover: Maintenance of normal maxillary sinus physiology should be a major goal while ostium patency must be preserved.
If the bony lateral wall is thick, a reduction of the thickness of the wall before formation of the lateral window is recommended. But you can also follow books bu Local Authors which are also good but with little mistakes which should be in mind. Friend Reviews. Step-by-step procedures guide practitioners through challenging clinical situations and assist them in refining their technique.
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