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 »  Home  »  Dental Implant 1
Dental Implant 1

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» Restoration of the Atrophied Mandible Using Basal Osseointegrated Implants and Fixed Prosthetic Superstructures
By JDI editor | Published 01/13/2001 | Dental Implant 1 | Unrated
Stefan Ihde, Dr med dent
Senior Dentist, Gommiswald Dental Clinic, Uetliburg/SG, Switzerland.


The atrophied mandibular alveolar ridge can be restored using basal osseointegrated implants, allowing the integration of complete fixed dentures. As a rule, the laterally inserted implants can be subjected to moderate loads immediately. The basal osseointegration procedure is advantageous for the patient because it allows speedy reconstruction of the masticatory function, and the cost of treatment is very moderate. Additional surgical interventions to facilitate access to screw threads in the mandible are not required. Basal osseointegration procedures allow the insertion of complete fixed dentures both in the maxilla and in the mandible.
» Rehabilitation of A Patient With Severe Dentoalveolar Injuries
By JDI editor | Published 01/9/2001 | Dental Implant 1 | Unrated
James A. Miller, DDS
Private Practice Oral and Maxillofacial Surgery, Clinical Director, Implant Dentistry Centre, St. John’s, NF, Canada.


This clinical report describes the emotional and physical rehabilitation of a young man. The impact of the injuries sustained and repeated failure of traditional dental treatment methods had caused the patient to become quite withdrawn. A successful outcome followed surgical placement of multiple titanium plasma-sprayed cylindrical fixtures in severely damaged dental supporting tissues to serve as intermediary abutments for complex maxillary and mandibular fixed prostheses. The loss of crestal bone during the postprosthetic years is determined. The advantages only implant dentistry could bring are identified.
» Advanced Alveolar Crest Atrophy: An Alternative Treatment Technique for Maxilla and Mandible
By JDI editor | Published 01/6/2001 | Dental Implant 1 | Unrated
Rainer Bocklage, Dr. med. Dent.
DUI, Private Practice, Dormagen, Germany.


This clinical case is representative of numerous patients. The Diskimplant procedure presented has been in use for >8 years. High, long-term success rates are obtained with this treatment concept if the oral implantologist applies correct implant and prosthodontic techniques.
» Immediate Loading of Implant-Fixed Mandibular Prostheses
By JDI editor | Published 01/4/2001 | Dental Implant 1 | Unrated
Lino Esteve Colomina, MD, DDS
Private Practice, Alicante, Spain.


The preliminary results of this small clinical trial corroborate the results of previously mentioned authors, which show that immediate loading of anterior lower jaw implants is a viable technique if a proper primary fixation is achieved and the patient does not have any major risk factors. This therapeutic approach has proven to be highly advantageous for the comfort of patients, increasing their treatment acceptance and overall satisfaction. However, long-term results as well as larger case studies are needed before this protocol can be recommended for general use. In addition, experimental studies are necessary to identify the risk factors that can contraindicate immediate loading. They are also needed to find a reliable method of measuring boneimplant stability so that immediate and early loading can be conducted in a less haphazard manner.
» Pain and Dental Implantology: Sensory Quantification and Affective Aspects. Part I: At the Private Dental Office
By JDI editor | Published 01/2/2001 | Dental Implant 1 | Unrated
Ernesto Muller, Dr Odont,
Director, Dental Implant Center, Universidad Santa Maria, School of Dentistry, Adjunct Professor of Periodontology and Oral Biology, Goldman School of Dental Medicine, Boston University, Boston, MA, USA.


Maria del Pilar Rios Calvo, Odont, MScD
Coordinator of Prosthetics, Dental Implant Center, Universidad Santa María, School of Dentistry, Private Practice limited to Prosthetic Dentistry, Centro Profesional Tamanaco, Caracas, Venezuela.


Does dental implantology hurt? The results of this research have demonstrated that the occurrence of pain is minimal and that the possibility of the onset of pain could be associated with the amount of trauma produced during the surgical procedures. At first-phase surgery, pain during swallowing and chewing can be expected. Pain in the implanted areas is anticipated to take place at a low intensity. The pain present after surgery can be easily managed following our presurgical and postsurgical medication protocol. Pain medication is generally not needed for more that 24 hours. Edema was the most prominent sign observed in the postoperative period after first-phase surgery; especially during the first 2 days. Hematoma was the second most common occurrence. The presence and intensity of edema will vary between patients. At second-phase surgery, slight discomfort that does not reach the level of pain is to be expected. However, strong postoperative pain that required pain medication was present in all patients who received acellular dermal grafts. This pain was easily controlled with the pain relief medications as prescribed in the standard presurgical and postsurgical medication instruction sheet, but had to be taken for a longer period of time. At second-phase surgery, edema and hematoma were not usually observed.


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