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Results for “Denture, Complete, Immediate”

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Immediate loading of dental implants in the edentulous mandible: a preliminary case report from an international prospective multicenter study.

The ability to predictably achieve long-term osseointegration in patients with compromised anatomical resources has been demonstrated numerous times in modern oral implantology. Recently, clinical attention has focused on new methods of reducing treatment time. One-stage surgical procedures and immediate loading of implants at the time of placement are two techniques that have demonstrated promising clinical results. A prospective clinical study of immediately splinting and loading a new, one-stage implant is currently in progress in the United States and France. An overview of the implant design and presentation of one case study from the University of Pittsburgh demonstrates how this promising technique is performed.

Aged↗

Osseoretention? Comparative assessment of particulate hydroxyapatite inserted beneath immediate dentures.

This paper presents the results of a study to observe the effect on bone resorption and residual alveolar ridge form, of placement of dense non-resorbable hydroxyapatite granules into fresh canine sockets, at the time of immediate denture provision. Thirty five subjects were randomly divided into two groups cross matched for age and sex. All subjects required bilateral extraction of at least a lower canine and an adjacent tooth. Results demonstrate that six months post-extraction the control group had lost four times more bone than the implant group. These results were highly significant (P=0.000, LHS and P=0.001, RHS).

Adult↗

Immediate-loading dental endosteal implants and the elderly patient.

The concept of immediately loading dental implants has the potential of being a viable addition to treatment modalities. The major decision-making challenge in managing depleted dentitions and complete edentulism in an aging society lies in differentiating the treatment outcomes, especially patient-mediated assessments (including economic analyses) of the various prosthodontic options available for older adults. The ability to chew properly is of great importance to maintain a healthy nutrition and improve oral comfort and quality of life, particularly in the elderly years.

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The masseteric reflex evoked by tooth and denture tapping.

The characteristics of the masseter reflex evoked by tapping a maxillary incisor were compared with the reflex pattern evoked by tapping a corresponding denture tooth after insertion of an immediate denture. Up to three inhibitory phases (I-1, I-2 and I-3), followed by excitation, were found on an averaged EMG. The tapping force threshold for the early inhibitory phase was lower than for the late phases. The pattern of the reflex was generally the same before and after insertion of the denture, but the threshold values increased. After insertion of the denture, the threshold for I-1 increased from 1 +/- 0.3N to 2.2 +/- 0.4N, the threshold for I-2 increased from 2.4 +/- 0.8N to 3.8 +/- 0.9N, and the threshold for I-3 increased from 5.1 +/- 0.6N to 8.3 +/- 0.9N. The latency period for I-1 also increased from 12.3 +/- 0.5 ms to 13.1 +/- 0.3 ms after insertion of the denture. After relining, the threshold for evoking I-1 decreased from 2.7 +/- 1.2N to 1.2 +/- 0.6N. It was assumed that the mechanoreceptors situated in the mucosa under the denture base could take over the functional role of the periodontal mechanoreceptors for evoking the masseter reflex during tapping, and that these afferents probably had connections to the same interneurones.

Denture, Complete↗

A technique for making an esthetic maxillary complete denture surgical stent.

A technique for making an esthetic complete denture as a surgical stent to be used in conjunction with hydroxyapatite augmentation surgery of the maxillary arch is presented. The technique involves the use of an articulator, a remount jig, and duplication of a surgically prepared cast.

Alveolar Ridge Augmentation↗

Flexible denture flanges for patients exhibiting undercut tuberosities and reduced width of the buccal vestibule: a clinical report.

Buccal undercut of the maxillary tuberosity together with reduced width of the buccal vestibule can complicate denture fabrication. This clinical report describes the treatment options for this situation, the rationale for the design and use of flexible denture flanges in the maxillary posterior buccal vestibule, and the laboratory procedure for incorporation of flexible denture flanges in the undercut area.

Biocompatible Materials↗

Palatal impression template for a fully edentulous arch during stage I implant placement.

It is often desirable to insert a fixed provisional resin restoration at stage II surgery when the implants are uncovered. It satisfies the patient's esthetics, phonetics, and functional demands and helps create a good emergence profile for the healing gingival tissue. This article presents a procedure that enables the clinician to fabricate a full-arch maxillary provisional restoration for a fully edentulous patient, which can be delivered at second-stage surgery at the time of uncovering the implants.

Dental Implantation, Endosseous↗

Planning the transition to a comprehensive implant rehabilitation: a case report--Part I.

When the edentulous condition has existed for many years, extensive ridge resorption may complicate the ability to function with a conventional prosthesis. Implant therapy in conjunction with bone augmentation procedures may provide new options for the predictable restoration of the edentulous state. However, complex implant reconstruction may place considerable stress on the patient's ability to function throughout therapy. Providing stable interim prostheses and smooth transitions between procedures may alleviate the problem. This can be accomplished only with extensive diagnosis, treatment planning, and the judicious use of transitional prostheses. The first part of this case report focuses on the planning stages of a complex implant dental rehabilitation.

Aged↗

Reconstruction of severely resorbed atrophic maxillae and management with transitional implants.

The reconstruction of the severely resorbed maxilla requires complex surgical treatment sequencing. Often, multiple grafting procedures are required either before or in conjunction with implant placement. Regardless of the surgical modality, the grafting procedures and the placement of implants in poor quality bone require undisturbed healing during which no pressure is placed on the grafted implant ridge. The use of transitional implants allows the surgeon to provide stable temporary prostheses throughout the healing phase, while preventing pressure from being placed on the grafted or implant reconstructed ridge throughout the maturation. These transitional implant-supported temporaries allow the implant team to maintain vertical dimension, and they provide the patient with the benefits of implant-supported restorations during the time leading up to final prosthetic reconstruction.

Alveolar Ridge Augmentation↗

Continuing changes in the contour of the maxillary residual alveolar ridge.

Using a cast measuring technique, the change in contour of the residual maxillary alveolar ridge of patients who have worn dentures for a number of years and are then fitted with new dentures, has been investigated. The study confirmed that even after 30 years of denture wearing, further bone resorption may occur beneath new dentures.

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