Technique for mounting computer-generated models for subperiosteal implants: the Brookdate tube and Stylus Centric System.
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Biomedical subjects
Publications and source records attributed to A N Cranin.
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This is a report of the fracture of Core-Vent 2.0-mm-O.D. cementable abutments. A technique for removal and replacement of these inserts is described, which enables the clinician to retain the original mesostructure bar.
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Hydroxylapatite was evaluated in two separate parallel studies in humans as ridge maintenance implant materials. The techniques for the use of each, the methods of analyzing them and the postoperative results were reported and compared. Particulate H/A (20 mesh) served more reliably and predictably than the same material in cone form, when used in alveoli after dental extractions as an immediate grafting material for ridge maintenance in humans.
A technique is described that is designed to augment the severely atrophied edentulous mandible by the use of a bone or bone-hydroxylapatite filled mesh tray attached to the inferior border. This method permits the intraoral environment to remain unchanged, causing neither a decrease of intermaxillary distance nor placement of graft material on the ridge crest, which would offer a less stable and predictable base for acceptance of a subperiosteal implant. Lower facial length becomes augmented, inferior labial posture is improved, redundant cervical tissue is eliminated, and masticatory function is enhanced.
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The case of a woman with a massive recurrent anterior mandibular ameloblastoma of 45 years' duration that showed metastasis is presented. The aggressive nature of the tumor, its management, and the eventual outcome are discussed. Ameloblastomas, particularly after their first recurrence, must be viewed as potentially life-threatening lesions. Adequate resection early in the onset of such tumors may result in more successful and predictable results.
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The survival percentage for the transosteal implant is 80.9% +/- 0.04 and predictably satisfactory host site responses may be anticipated at the 100% level after the second successful year in situ. The benefits of the transosteal implant are its unsophisticated design with a straight uncomplicated cervix, a simple surgical technique, economy, immediate fixation and readiness for use, modesty of size, versatility (it may be used singly or in diverse multiples in association with teeth or other implants), ease of removal when indicated, and universality of application to a broad variety of anatomic and prosthetic situations.
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Histiocytosis X, a term comprising three well-known disease complexes, may have dental mobility as a prodromal or major symptom. In each of three patients described, an oral finding predated the other symptoms. The earliest symptom in one patient was loosened teeth; in another, periodontosis-like symptoms were documented ten years before the patient's report of pelvic pain which led to a diagnosis of eosinophilic granuloma; in the third patient, premature eruption of the primary teeth the gingival bleeding was the prodromal symptom. The clinician should understand the significance of each finding and investigate them until a confirmatory diagnosis is made.