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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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1.  CASE REPORT
Nonsyndromic Maxillary Double Lip: A Case Report and Review of Literature
Ganapathy Sriram, Kanchan Shah
[Year:2015] [Month:September-December] [Volume:6 ] [Number:3] [Pages:28] [Pages No:82-84] [No of Hits : 1260]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10012-1142 |

ABSTRACT

Double lip is an uncommon facial anomaly which may be either congenital or acquired. Most often it is nonsyndromic, however it is also known to present as syndrome associated with other systemic disorders. Besides treating the orofacial defect, it is essential to recognize and diagnose the possible systemic disorders with this anomaly. This manuscript reports on management of a case of nonsyndromic double lip with a relevant review of literature.

How to cite this article: Sriram G, Shah K. Nonsyndromic Maxillary Double Lip: A Case Report and Review of Literature. Int J Oral Implantol Clin Res 2015;6(3):82-84.

Source of support: Nil

Conflict of interest: None

 
2.  Research Article
Immediate Implant Placement along with Bone Graft and Delayed Implants Placement in a Grafted Socket: A Comparative Study
Sujeet Singh, Hemant Gupta, Deepak Kumar, Rashmi Agrawal, Subodh Shankar Natu, Niharika Gupta
[Year:2015] [Month:May-August] [Volume:6 ] [Number:2] [Pages:28] [Pages No:40-47] [No of Hits : 866]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10012-1134 | FREE

ABSTRACT

Purpose: A prospective study was performed to observe clinical outcomes of dental implants placed immediately after extraction with grafting of voids vs delayed implant placement in grafted socket after extraction of tooth/root.

Materials and methods: A total of 12 patients were enrolled in the study and randomly divided into two groups. In group I, implants were placed immediately with simultaneous bone grafting following the atraumatic extraction and osteotomy as required. In group II after extraction, socket preservation was done with alloplastic bone graft (synthetic tri-calcium phosphate and hydroxyapatite granules) on followed by implant placement after 3 months. The implant survival rates were assessed clinically and radiographically over a minimum of 3 months of follow-up.

Results: In the present study, with the help of the intraoral periapical radiograph, the distance from the marginal osseous level to the implant platform was measured in millimeters, on mesial and distal aspects of each implant for both the groups we found bone loss, invariably in both the groups, of which, bone loss was higher in group II than in group I at all the instances and was statistically significant. None of the other investigated factors (age, gender, pain, swelling, implant mobility, peri-implant mucosal inflammation and postoperative satisfaction) were statistically significant modifiers of success.

Conclusion: This study concludes that immediate implants with graft have less crestal bone loss and the graft within the socket consolidates more as compared to delayed implants with graft.

Keywords: Delayed implant, Hydroxyapatite bone graft, Immediate implant, Socket preservation.

How to cite this article: Singh S, Gupta H, Kumar D, Agrawal R, Natu SS, Gupta N. Immediate Implant Placement along with Bone Graft and Delayed Implants Placement in a Grafted Socket: A Comparative Study. Int J Oral Implantol Clin Res 2015;6(2):40-47.

Source of support: Nil

Conflict of interest: None

 
3.  Research Article
Evaluation of Clinical Efficacy of Cissus quadrangularis in Pain Management and Bone Healing after Implant Placement: A Pilot Study
Anil Maruti Managutti, Disha Naveen Shah, Jigar Chandrakantbhai Patel, Nagaraj Yallappa Puttanikar, Dishan Sunilkumar Shah, Sunita Anil Managutti
[Year:2015] [Month:May-August] [Volume:6 ] [Number:2] [Pages:28] [Pages No:35-39] [No of Hits : 739]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10012-1133 | FREE

ABSTRACT

Background: The ancient ayurveda science of medicine describes various herbal preparations that achieve the hastening of bone healing and relieve from pain and swelling.

Aim: To evaluate the clinical efficacy of Cissus quadrangularis in pain management and bone healing after implant placement.

Objective: To evaluate the clinical and biochemical parameters using C. quadrangularis after implant placement in terms measurements of pain, swelling and serum alkaline phosphatase level.

Type of study: Prospective randomized control study.

Materials and methods: The patients were divided in two groups-study group and control group. Three patients in each group received implants either single implants or multiple implants. Study group was given C. quadrangularis without any additional medicine and control group was given routine antibiotics (amoxicillin 500 mg and diclofenac sodium). Pain was assessed using visual analog scale (VAS) at 3rd, 5th days and, after 1 week, swelling was checked in form of mild, moderate and severe. And, serum alkaline phosphatase was recorded preoperatively and 4th and 8th weeks of postoperative to evaluate bone healing.

Results: Pain and swelling are minimal, and bone healing is maximum in study and in control groups. There was an increase in serum alkaline phosphatase level at different follow-up in study groups compare to control group.

Conclusion: Use of C. quadrangularis after implant placement showed significant effect on pain and swelling management. Also rising level of serum alkaline phosphatase indicates new bone formation thus helps in osteointegration.

Keywords: Cissus quadrangularis, Implants, Osteointegration, Pain, Serum alkaline phosphatase, Swelling.

How to cite this article: Managutti AM, Shah DN, Patel JC, Puttanikar NY, Shah DS, Managutti SA. Evaluation of Clinical Efficacy of Cissus quadrangularis in Pain Management and Bone Healing after Implant Placement: A Pilot Study. Int J Oral Implantol Clin Res 2015;6(2):35-39.

Source of support: Nil

Conflict of interest: None

 
4.  CASE REPORT
Cold Shoulder to Basal Implant: Its Time to Acknowledge Endosteal Implant
Vaibhav Shukla, Dharti Gajjar, Reema Shukla, Sorabh R Jain
[Year:2015] [Month:September-December] [Volume:6 ] [Number:3] [Pages:28] [Pages No:73-75] [No of Hits : 645]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10012-1140 |

ABSTRACT

Introduction: Basal implant being a boon in implant dentistry but sometimes behavioral outcome is whimsical.

Aim: Replacing basal implants with endosteal implants.

Case description: This article refers to the management phases for failing basal implants. Although fractured portion of basal implant was cumbersome to remove leading to bone defect and hence endosteal implant with bone graft was successfully placed.

Conclusion: Management of broken basal implants with endosteal implants.

Clinical significance: Though basal implants failure rate is less, but in such a case where fracture may occur, can be managed by replacing with endosteal implants with the protocol.

Keywords: Bicortical implants, Implant failure, Endosteal implants, Bone graft.

How to cite this article: Shukla V, Gajjar D, Shukla R, Jain SR. Cold Shoulder to Basal Implant: its Time to Acknowledge Endosteal Implant. Int J Oral Implantol Clin Res 2015;6(3):73-75.

Source of support: Nil

Conflict of interest: None

 
5.  Case Report
Rehabilitation of a Completely Edentulous Patient with a Mandibular Overdenture-supported by two Immediately Loaded Single Piece Implants
Kartik Kapoor, K Harshakumar, S Lylajam, R Ravichandran
[Year:2015] [Month:May-August] [Volume:6 ] [Number:2] [Pages:28] [Pages No:53-57] [No of Hits : 592]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10012-1136 | FREE

ABSTRACT

For completely edentulous mandible, the rehabilitation modality of an implant retained overdenture on two implants placed in anterior mandible is a simple, acceptable and predictable treatment option. It contributes significantly to patients psychological and social well-being. Increased retention results in greater patient satisfaction than conventional removable complete denture. This case report describes the use of two single piece implants with ball attachments to retain an implant retained mandibular overdenture in order to rehabilitate a completely edentulous male patient. It also illustrates the approach of prosthetically driven implant placement.

Keywords: Dental implant, Immediate dental implant loading, Implant-supported denture, Overdenture.

How to cite this article: Kapoor K, Harshakumar K, Lylajam S, Ravichandran R. Rehabilitation of a Completely Edentulous Patient with a Mandibular Overdenture-supported by two Immediately Loaded Single Piece Implants. Int J Oral Implantol Clin Res 2015;6(2):53-57.

Source of support: Nil

Conflict of interest: None

 
6.  CASE REPORT
Retrieval of Cold Welded Dental Implant Cover Screw using a New Technique
Ravishankar Krishna, Rashmi Kejriwal, J Suma
[Year:2015] [Month:September-December] [Volume:6 ] [Number:3] [Pages:28] [Pages No:69-72] [No of Hits : 521]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10012-1139 |

ABSTRACT

Background: Cold welded cover screw is a rare mechanical complication. There is barely any literature on the etiology and removal techniques for the same. However, it can pose a serious problem and the screw needs to be removed, without damaging the internal threads of the implant, to initiate the prosthetic phase of implant therapy.

Aim: The aim of this paper is to report our experience with the retrieval of cold welded dental implant cover screw.

Case description: The present situation illustrates a new technique to retrieve a cold welded cover screw.

Conclusion: Removing a cold welded cover-screw from an implant can be difficult. There is no method of screw removal that can be universally applied. In this particular case, the screw was successfully removed using the prescribed technique. Therefore, this new technique may be used when removing a cold welded coverscrew from the implant.

Clinical significance: This technique is cost-effective, simple, and applicable to all available dental implant systems and can be effectively incorporated into the clinical situations in which the cold welded screws are not retrievable by conventional techniques.

Keywords: Case report, Cover screw, Cold welding, Dental implant, Screw retrieval technique.

How to cite this article: Krishna R, Kejriwal R, Suma J. Retrieval of Cold Welded Dental Implant Cover Screw using a New Technique. Int J Oral Implantol Clin Res 2015;6(3):69-72.

Source of support: Nil

Conflict of interest: None

 
7.  Case Report
Vascularized Interpositional Periosteal Connective Tissue Flap Technique to correct Soft Tissue Defect around Maxillary Anterior Implant
Chitra Agarwal, AB Tarun Kumar, MG Triveni, Dhoom Singh Mehta
[Year:2014] [Month:January-April] [Volume:5 ] [Number:1] [Pages:37] [Pages No:24-28] [No of Hits : 2615]
Full Text PDF | Abstract | DOI : 10.5005/JP-Journals-10012-1110 | FREE

ABSTRACT

The esthetic outcome of implant-supported restorations has become increasingly important, especially for single-tooth implants in the esthetic zone. Because of the morphologic alterations that occur following tooth extraction, augmentation procedures are often necessary before, during, or after implantation to achieve an esthetically pleasing result. There are many periodontal plastic surgery procedures available to esthetically reconstruct deficiencies in both hard and soft tissues; however each technique has its own limitation. A newer technique, vascularized interpositional periosteal connective tissue flap has been introduced as an alternative to these techniques which allows the clinician to perform large volume soft tissue augmentation in esthetic sites with a single procedure. In the present case report, long-term result of soft tissue augmentation with VIP-CT flap is presented were in peri-implant recession was noted as a complication.

Keywords: VIP-CT flap, Soft tissue augmentation, Esthetic.

How to cite this article: Agarwal C, Kumar ABT, Triveni MG, Mehta DS. Vascularized Interpositional Periosteal Connective Tissue Flap Technique to correct Soft Tissue Defect around Maxillary Anterior Implant. Int J Oral Implantol Clin Res 2014;5(1):24-28.

Source of support: Nil

Conflict of interest: None

 
8.  Clinical Technique
Tilted Implant Concept for Full Mouth Immediate Loading Restoration
Ajay Vikram Singh, Sunita Singh
[Year:2014] [Month:January-April] [Volume:5 ] [Number:1] [Pages:37] [Pages No:12-23] [No of Hits : 2354]
Full Text PDF | Abstract | DOI : 10.5005/JP-Journals-10012-1109 | FREE

ABSTRACT

Conventional techniques of full arch/full mouth implantation works on placement of implants and leaving them undisturbed for subgingival healing until they get osseointegrate into the jaw bone. These implants are uncovered after the subgingival healing of 3 to 6 months depending on various factors, such as bone density, implant dimensions, occlusal load, etc. and restored in function once the soft tissue has healed in next 3 to 4 weeks. The vertical ridge loss along with maxillary sinus pneumatization restrict the clinician to place adequately long implants into posterior maxilla without performing sinus augmentation procedures. Further, many patients who have the chronic sinus pathologies do not qualify to receive the sinus graft and refused by the dentists for the fixed implant prosthesis. Uncontrolled diabetics are also not good candidates for the sinus grafting. In the implant dentistry, such patients have simply been treated with the implant over dentures by avoiding posterior maxilla. In the similar fashion, the vertically resorbed posterior mandible has also been a big challenge for the implant dentists in the cases where the dentist find insufficient bone dimensions to place even shortest available implants above the mandibular canal. In implant dentistry, various procedures, such as onlay block grafting, nerve repositioning, etc. have been advocated to manage the resorbed posterior mandible. Such procedures are more invasive, require multiple surgical steps, elongate the treatment time and also cause the tissue morbidity to some extent. Moreover, the full mouth work is not very simple in most cases because most of edentulous patients do not step in with adequate bone dimensions in all four parts of the jaws to place implants with adequate dimensions. Conventional way of treating edentulous patients with full mouth implant supported fixed prosthesis may require placement of multiple number of implants, bone augmentation procedures, longer treatment span and multiple number of surgical steps. Thus, such techniques are not always comfortable and also affordable to the patients. In comparison to the posterior segments, anterior parts of the jaws offer the bone with larger volume and higher density which enables the dentist to place longer implants with higher initial stability by stabilising implant apices into the opposing cortices/ basal bone (nasal floor, mandibular symphysis).
In this tilted implant concept, the back implants are slanted distally to place the implant head at the second premolar or first molar position which enables to place longer implants, stabilizing their apices into the anterior higher density bone, and reduces the distal cantilever of the prosthesis. Total four implants are used in this technique where two straight implants are placed close to the midline and rest two implants are placed anterior to the maxillary sinus (in maxilla) or mental foramina (in mandible) which are slanted distally to reach the second premolar or first molar position. A 10 to 12 unit screw-retained metal to plastic (hybrid) splinted prosthesis is placed over these implants. Hence, it is a graft less implant placement procedure for restoring the edentulous jaws by tilting posterior implants for utilizing maximum amount of bone and stabilizing them into highest possible bone density. This facilitates an optimal support for an acrylic prosthesis that can be immediately fixed over the inserted implants to restore the esthetics and functions within few hours after the implant insertion surgery. This paper aims to explain the graft less approach for full arch immediate rehabilitation on 4 to 6 implants placed in one arch by smartly tilting the back implants to avoid vital structures, such as maxillary sinus and mandibular canal and stabilizing into the high density bone. This clinical study was done on total 80 implants to evaluate their success under the tilted positioning and immediate load conditions. The technique was performed on both diabetic and nondiabetic patients and no variation was found on the success rate between both the groups. None of the tilted implant got failed in 3 years follow-up but four implants got failed at anterior positions which immediately replaced with new implant placed at the adjacent position and restored in function. The mean values of bone loss relative to the implant platforms at 1 year follow-up were 0.8 mm for the maxilla and 0.5 mm for the mandible. The average bone loss for the maxilla and mandible respectively, at 3 years of follow-up were 1.3 mm. Thus, very promising results were found in this clinical study. Hence, the conclusion is that the tilted implant immediate function concept for completely edentulous patients has proven to be clinically effective technique, patient pleasing and applicable in various clinical situations where otherwise more invasive, complicated and expensive bone augmentation procedures would have been indicated.

Keywords: Tilted implant concept, Dental implant, Graft less approach for full arch implant restoration, Multiunit abutment, All-on-4, All-on-6, Immediate loading.

How to cite this article: Singh AV, Singh S. Tilted Implant Concept for Full Mouth Immediate Loading Restoration. Int J Oral Implantol Clin Res 2014;5(1):12-23.

Source of support: Nil

Conflict of interest: None

 
9.  REVIEW ARTICLE
Implant Abutment Selection: A Literature Review
Ronak Mukundkumar Shah, Meena Ajay Aras, Vidya Chitre
[Year:2014] [Month:May-August] [Volume:5 ] [Number:2] [Pages:48] [Pages No:43-49] [No of Hits : 2213]
Full Text PDF | Abstract | DOI : 10.5005/JP-Journals-10012-1114 | FREE

ABSTRACT

Dental implantology has come a long way since its introduction into the realm of dentistry. A variety of implant abutments have been made available in the market in correspondence to various techniques and materials used. This puts the clinician in a dilemma to select a scientifically based appropriate abutment for his case. This paper thus aims to give a simple classification of the wide array of implant-abutment prototypes available in the market and an overview of each specific type for its clinical applicability.

Keywords: Classification, Abutment connection, Prosthesis retention, Abutment material.

How to cite this article: Shah RM, Aras MA, Chitre V. Implantabutment Selection: A Literature Review. Int J Oral Implantol Clin Res 2014;5(2):43-49.

Source of support: Nil

Conflict of interest: None

 
10.  Original Research
Titanium Hypersensitivity: A Clinical Study
Soumyadev Satpathy, CL Satish Babu, Shilpa Shetty, Mohammed Fayaz Pasha, Giriyanna Gowda
[Year:2014] [Month:January-April] [Volume:5 ] [Number:1] [Pages:37] [Pages No:8-11] [No of Hits : 1486]
Full Text PDF | Abstract | DOI : 10.5005/JP-Journals-10012-1108 | FREE

ABSTRACT

Titanium implants are extensively used to replace the missing natural teeth in prosthodontics. However, allergic reactions to titanium in dentistry has not received its due attention. Literature reports sensitivity to titanium ranging from 0.6 to 5% of the general population. The allergic reactions in patients who are sensitive to titanium ranges from type I to IV with symptoms ranging from vague pain, skin rashes to implant failure. The aim of this study was to evaluate the presence of titanium allergy by anamnesis and examination of subjects using titanium dioxide 0.5% in patch test methodology. A sample size of four hundred healthy subjects with no previous history of immunosuppression were included. Titanium dioxide 0.5% concentration in petrolatum was used to conduct the patch test. A history of allergy to any other allergen was recorded as a part of the study. Under the limitations of this study, it was concluded that, titanium can induce hypersensitivity response in susceptible patients. From this study it was observed that the hypersensitivity reactions to titanium was 0.3% in all the subjects tested. It was also observed that the individuals with a prior history of allergy to other known allergens were more susceptible to allergic reactions to titanium. Limitations of the study was the absence of a wider age group of population for this study. Future research is recommended by considering a wider age group of population and a long-term follow-up of patients.

Keywords: Titanium patch test, Dental implants, Titanium allergy.

How to cite this article: Satpathy S, Satish Babu CL, Shetty S, Pasha MF, Gowda G. Titanium Hypersensitivity: A Clinical Study. Int J Oral Implantol Clin Res 2014;5(1):8-11.

Source of support: Nil

Conflict of interest: None

 
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