[Implant prostheses].
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Silicone-Silastic implants to restore continence and potency have been used in one hundred twenty and twenty-five patients, respectively, and in eight patients a combined anti-impotence and anti-incontinence operation has been performed. The results have been gratifying, the complication rate has been minimal with fewer than five patients in our series having infection and a draining perineal sinus after the incontinence implant, and in no patient have delayed problems with the penile implants developed. Because of the design of the penile implants, fracture is extremely unlikely to occur, and the rods can be replaced if necessary because of inadequate length or asymmetry.
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OBJECTIVE: To compare framework passive fit, subjective evaluations, and short-term clinical outcomes between conventional impressions (CI) and intraoral scanning (IOS) for complete-arch implant-supported fixed dental prostheses (CIFDPs). METHODS: In this randomized controlled trial, 22 patients were allocated to the CI or IOS groups. All participants received a definitive one-piece CIFDP. The primary outcome was framework passive fit, assessed using the Vision and Tactile Score (V&T score), which included framework lift-off, the single-screw test, the full-screw test, smoothness of screw insertion, and radiographic gap assessment. Secondary outcomes included operator evaluation, patient satisfaction using a visual analog scale (VAS), early implant survival, marginal bone loss (MBL), modified Plaque Index (mPII), and complications at the 6-month follow-up. RESULTS: Twenty-two patients were enrolled (CI: n = 11; IOS: n = 11), and one patient in the CI group was lost to follow-up. No statistically significant difference in the V&T score was observed between the CI and IOS groups (4.66 ± 0.17 vs. 4.65 ± 0.28; P = 0.93). The operator reported greater nervousness during the CI procedure than during IOS (21.82 ± 15.69 vs. 8.64 ± 7.47; P < 0.05). Patients in the CI group reported significantly greater discomfort, including nausea and anxiety, than those in the IOS group (P < 0.05). At the 6-month follow-up, the early implant survival rate was 100% in both groups. No significant differences were found between the groups in MBL (0.09 ± 0.09 vs. 0.06 ± 0.10 mm; P = 0.43) or mPII (0.10 ± 0.12 vs. 0.10 ± 0.28; P = 0.99). CONCLUSION: IOS and CI achieved comparable short-term clinical outcomes in patients who met the predefined inclusion criteria, including controlled implant number, spacing, and angulation. IOS provided a more favorable experience for both operators and patients. CLINICAL SIGNIFICANCE: In complete-arch implant restorations, intraoral scanning may provide clinical outcomes comparable to those of conventional impressions while improving patient comfort.
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An 8 cm long Dallon prosthesis was implanted into defects of the abdominal aorta of dogs, and the following changes were found: the blood flow through the vascular prosthesis induced a shortening of the blood clotting time and the heparin-thrombin time and a slight increase in the prothrombin consumption. It has a favourable effect of the sealing of pores in the prosthesis and covering its internal surface with a fibrin membrane.
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Regarding the neurophysiological requirements for implanted cochlear prostheses, we have discussed (i) the complexity of speech sounds, (ii) problems of intensity, then (iii) the frequency problem, and (iv) finally the possibility of a frequency transposition to the genuine frequency range of a single fibre of any mechanoreceptor and its connecting nerve fibre (less than 1 kHz) for the construction of an intracochlear prosthesis. In general it would seem necessary to seek compromises based on the fact that speech, at least the vowels, contains redundancy and that the use of additional sensory channels might be helpful for cochlear implants. Certainly besides other preprocessing techniques for speech information, the multichannel stimulation set-up of special electrodes has to be used to convey a sufficient amount of speech information to restore the faculty of speech perception in completely deaf patients. Decompression of intensity range and compression of frequency range might be especially useful.
Mandibular prostheses supported by implants placed between the mandibular foramina restrict the length of the distally cantilevered components to minimize torque-related stress to the supporting implants. Additional posterior implants used as abutments with rigid attachments better distribute occlusal forces and reduce cantilever torque to the anterior implants. Because of the phenomenon of mandibular flexure, these posterior implants could be subjected to stress-induced microdamage to the bone-implant interface. The use of posterior abutments for support of the cantilever without connection reduces the potential hazard of stress-induced microdamage.
Surgical experience with thirty-one implantable Silastic penile prostheses in 28 patients is reviewed, with success in all but 2 patients. Surgical technique, indications for the procedure, postoperative complications, and results are reviewed. It is suggested that consideration be made for use of an implantable penile prosthesis in patients with organic or psychogenic impotence unresponsive to other therapeutic techniques.
The basic research plan for this evaluation is presented here along with a description of the logistics of transporting the subjects from their homes to the laboratory for evaluation.
Masticatory forces associated with porcelain and acrylic resin occlusal surfaces on osseointegrated implant-supported prostheses opposing natural teeth were studied in five healthy subjects. A three-channel electronic force transducer carrying a fixed prosthesis with either acrylic resin or porcelain occlusal surfaces and balanced articulation was used to record masticatory forces while the subjects chewed various foods. It was found that mean peak masticatory forces varied considerably from subject to subject but were consistent within each subject. No differences related to tooth material could be detected in the load rates. Forces directed away from the implants were noted in all subjects.
Eighty-six edentulous patients provided with Brånemark implants were randomly selected for fixed prostheses with modified framework designs. This study describes alternative laboratory techniques in which premachined titanium components are welded together to form the framework. Clinical experience, following the patients for 1 year after placement, indicates that it is a predictable technique with a similar pattern of complications as experienced by patients with cast frameworks supported by implants. The prostheses are considered to be slightly more bulky than cast frameworks, but seem to have, on a clinical level, a better fit to the implants.
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The selection of proper incision is an important problem when removing immense tumors of mammas with immediate or delayed implantation of silicone prosthesis. Transversal incision facilitates - from the technological point of view - the removal of mammary gland. The same goal may be obtained applying incision in submammary furrow. The operation of this type may be done in selected cases of mammary cancers.
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