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Biomedical subjects

T J Balshi

Publications and source records attributed to T J Balshi.

At least 19 recordsLinked to original sources
PubMed1992

Single, tuberosity-osseointegrated implant support for a tissue-integrated prosthesis.

Fixed prosthodontic rehabilitation can be accomplished in partially edentulous patients whose maxillary antrum prohibits successful placement of multiple fixtures. A single posterior fixture is placed in the tuberosity region to support a tissue-integrated prosthesis directly connected to a periodontally sound anterior abutment tooth. The treatment planning considerations and surgical aspects are described, and a case report is used to illustrate the technique.

Bicuspid↗
PubMed1992

Osseointegrated Brånemark implants used to retreat a fractured mandibular bone plate staple implant: a case report.

This article describes postimplant follow-up and retreatment of a 66-year-old patient with an esthetically compromising fixed maxillary tissue-integrated prosthesis and a mobile mandibular overdenture stabilized by precision attachments with a gold clip bar cemented to the transmucosal posts of a bone plate staple implant. Following successful completion of prosthodontic treatment, the patient returned with a fracture of the left transmucosal pin in the mandibular bone plate staple implant that was retreated with Brånemark implants and a fixed prosthesis.

Aged↗
PubMed1991

Oral prosthodontic rehabilitation for traumatic sports injuries.

Sports injuries to the mouth and oral cavity may be treated with a variety of prosthetic treatment methods. These may include a temporary removable appliance, especially when adjacent teeth are unrestored and free of caries. Other traditional forms of prosthetic rehabilitation can range from conventional clasped removable partial dentures to traditional fixed prosthesis. The use of clip bar overdentures has demonstrated their clinical acceptability, especially for athletes involved in contact sports. The optimal treatment for patients suffering tooth loss, however, is the use of the osseointegrated implant. This concept, developed and refined by P.I. Branemark, permits successful replacement of single as well as multiple lost teeth. Criteria for patient selection must be evaluated carefully, especially for immediate fixture placement in sockets of avulsed teeth. Professional athletes in high-impact contact sports should receive a resilient prosthesis and protective appliance to use during the sport season, followed by a screw-retained nonremovable prosthesis to be used in the off season. Considering all forms of prosthodontic treatment available to patients with missing teeth, the use of osseointegrated implants currently appears to be the most biologically conservative approach. Retrospective studies document the effectiveness of the treatment of partially edentulous jaws, results similar or better than those reported for fully edentulous patients indicate the effectiveness of the Branemark method of osseointegration.

Athletic Injuries↗
PubMed1991

Treatment of osseous defects using Vicryl mesh (polyglactin 910) and the Brånemark implant: a case report.

The effectiveness of using Vicryl mesh (polyglactin 910) in combination with a Brånemark titanium implant is described. A maxillary central incisor with an apical osseous defect resulting from endodontic failure was treated with the Brånemark method of osseointegration for single tooth replacement. Vicryl mesh was used over the osseous defect site and uncovered 5 months later. New bone formation filling the defect and around the implant was observed.

Adult↗
PubMed1990

First molar replacement with an osseointegrated implant.

The effective use of two osseointegrated Brånemark implants for the replacement of a single first molar is described. A first molar lost to endodontic failure was replaced using two 10-mm titanium fixtures in the area previously occupied by the mesial and distal roots of the molar. The use of multiple fixtures in the molar area provided a better distribution of forces to the alveolar bone. At 1-year recall, the patient exhibited excellent oral hygiene and normal function. Adequate bone dimensions are a prerequisite to this treatment.

Adult↗
PubMed1989

Preventing and resolving complications with osseointegrated implants.

Zarb36 has stated: "The technique of osseointegration is supported by compelling evidence of clinical longevity. It is an outgrowth of good science, painstakingly investigated, and meticulously executed. The success of edentulous patient treatment augers well for a diversified application of the technique." Along with scientific advancement and diversification of applied technologies are equally diverse challenges. A variety of potential complications, using osseointegrated implants, have been discussed. The objectives of this discussion is the development of concepts to prevent complications through careful treatment planning and meticulous execution of surgical and prosthetic treatment techniques. The six major categories of potential complications include: (1) esthetic, (2) phonetic, (3) functional, (4) biologic, (5) mechanical, and (6) ergonomic. The most frequently observed difficulty with any implant prosthesis relates to esthetics in the maxillary anterior and is followed then equally by phonetic, functional, biologic, and mechanical. Ergonomic complications should be minimal with continued improvement in instrumentation and clinical techniques. Complications are but a challenge to our professional knowledge and ingenuity. Ultimately they benefit both patient and profession alike.

Dental Implantation, Endosseous↗
PubMed1986

Gingival augmentation for osseointegrated implant prostheses.

A method of solving some problems inherent with osseointegrated implant prosthesis has been presented. A removable flange can reestablish lip support or block escape of unwanted air while allowing the access necessary for competent hygiene procedures. Overdentures may be indicated to provide the prosthetic gingival surface necessary for adequate food control or speech.

Dental Implantation, Endosseous↗