This case report describes the immediate placement of a dental implant into the extraction socket of a fractured maxillary central incisor tooth. The tooth was extracted atraumatically without flap reflection. A dental implant was immediately placed into the prepared socket and achieved primary stability. A provisional restoration was placed on the same day. Follow up over 12 months showed good osseointegration of the implant with no clinical or radiographic complications. Immediate implant placement and provisionalization can preserve alveolar bone and soft tissues while providing immediate esthetics and function.
Extraction and Immediate Implant Placement, and Provisionalization with two Y...Abu-Hussein Muhamad
Extraction and Immediate Implant Placement, and Provisionalization with two Years Follow-up: A Case Report. PDF
Abu-Hussein Muhamad, Bajali Musa, Abdulgani Azzaldeen
Periodontally accelerated osteogenic orthodontics: A perio-ortho ambidextrous...Dr. Anuj S Parihar
The interdisciplinary collaboration of periodontics and orthodontics has allowed teeth to be moved 2–3 times faster, reducing the time required for traditional orthodontic therapy considerably. Periodontally accelerated osteogenic orthodontics (PAOO), also known as Wilckodontics, is a combination of a selective decortication facilitated orthodontics and alveolar augmentation. With this technique, there is no dependence on the pre‑existing alveolar volume. This case report describes the treatment of permanent mandibular molar protraction in a 14‑year‑old patient undergoing orthodontic therapy using PAOO with piezosurgery.
Healing of Periapical Bone Lesion After Periradicular Surgery And Graft Place...QUESTJOURNAL
Objectives: 1.To clinically evaluate the healing process following periapical surgery with Chitra granules 2.To radiographically evaluate healing, following periapical surgery with Chitra granules. 3.To compare the bone healing in the study group, clinically and radiographically following the modalities of treatment, with that of the control group (without graft). Materials: 1.Chitra hydroxyapatite granules. 2. Gutta-percha — for root canal obturation by lateral condensation. 3. High Copper amalgam used as retrofilling materials. To evaluate healing after periapical surgery using Chitra granules, 22 patients were selected from out patient section of Department of Conservative Dentistry and Endodontics, Govt. Dental College, Kozhikode,based on clinical and radiographical evaluation. The study group consisted of 13 males and 9 females. All were of the age group 15-35 years. After selection they were randomly divided into two groups A and B. In group A the Chitra granule were placed in the bony defect and in group B the defect were left as such after surgery. Results: Clinical parameters showed better early symptom free condition in group A compared to group B. But data found statistically insignificant (t-7.27,df-1.8, P >0.05). Radiographical evaluation data analysis showed statistically significant difference among group A and group B. Conclusion: Biocompatible Chitra granule not only obliterates the cavity but act as a scaffold for bone growth and prevent scar tissue formation.It is osteoconductive. In comparison to the conventional periapical surgery, the placement of Chitra granules facilitates bone regeneration more easily. The material is found to be very cost effective, easily available, easy to manipulate and involves least complication to both clinicians and patients.
“Program on Ridge Split and Ridge Augmentation for Implant Placement”- Two lectures on “Concepts of Ridge Augmentation” and “Novel and Simpler Approaches to Ridge Augmentation”. Event organized by the Dental Experts and held at Paneenya Mahavidyalaya Institute of Dental Sciences, Hyderabad, India on 18/11/2016.
Analysis of buccolingual dimensional changes of the extraction socket using t...MD Abdul Haleem
Journal Club Presentation - Analysis of buccolingual dimensional changes of the extraction socket using the "ice cream cone" flapless grafting technique
Extraction and Immediate Implant Placement, and Provisionalization with two Y...Abu-Hussein Muhamad
Extraction and Immediate Implant Placement, and Provisionalization with two Years Follow-up: A Case Report. PDF
Abu-Hussein Muhamad, Bajali Musa, Abdulgani Azzaldeen
Periodontally accelerated osteogenic orthodontics: A perio-ortho ambidextrous...Dr. Anuj S Parihar
The interdisciplinary collaboration of periodontics and orthodontics has allowed teeth to be moved 2–3 times faster, reducing the time required for traditional orthodontic therapy considerably. Periodontally accelerated osteogenic orthodontics (PAOO), also known as Wilckodontics, is a combination of a selective decortication facilitated orthodontics and alveolar augmentation. With this technique, there is no dependence on the pre‑existing alveolar volume. This case report describes the treatment of permanent mandibular molar protraction in a 14‑year‑old patient undergoing orthodontic therapy using PAOO with piezosurgery.
Healing of Periapical Bone Lesion After Periradicular Surgery And Graft Place...QUESTJOURNAL
Objectives: 1.To clinically evaluate the healing process following periapical surgery with Chitra granules 2.To radiographically evaluate healing, following periapical surgery with Chitra granules. 3.To compare the bone healing in the study group, clinically and radiographically following the modalities of treatment, with that of the control group (without graft). Materials: 1.Chitra hydroxyapatite granules. 2. Gutta-percha — for root canal obturation by lateral condensation. 3. High Copper amalgam used as retrofilling materials. To evaluate healing after periapical surgery using Chitra granules, 22 patients were selected from out patient section of Department of Conservative Dentistry and Endodontics, Govt. Dental College, Kozhikode,based on clinical and radiographical evaluation. The study group consisted of 13 males and 9 females. All were of the age group 15-35 years. After selection they were randomly divided into two groups A and B. In group A the Chitra granule were placed in the bony defect and in group B the defect were left as such after surgery. Results: Clinical parameters showed better early symptom free condition in group A compared to group B. But data found statistically insignificant (t-7.27,df-1.8, P >0.05). Radiographical evaluation data analysis showed statistically significant difference among group A and group B. Conclusion: Biocompatible Chitra granule not only obliterates the cavity but act as a scaffold for bone growth and prevent scar tissue formation.It is osteoconductive. In comparison to the conventional periapical surgery, the placement of Chitra granules facilitates bone regeneration more easily. The material is found to be very cost effective, easily available, easy to manipulate and involves least complication to both clinicians and patients.
“Program on Ridge Split and Ridge Augmentation for Implant Placement”- Two lectures on “Concepts of Ridge Augmentation” and “Novel and Simpler Approaches to Ridge Augmentation”. Event organized by the Dental Experts and held at Paneenya Mahavidyalaya Institute of Dental Sciences, Hyderabad, India on 18/11/2016.
Analysis of buccolingual dimensional changes of the extraction socket using t...MD Abdul Haleem
Journal Club Presentation - Analysis of buccolingual dimensional changes of the extraction socket using the "ice cream cone" flapless grafting technique
jornal club on Tissue Engineering for Lateral Ridge Augmentation withRecombi...Shilpa Shiv
JC on Tissue Engineering for Lateral Ridge Augmentation withRecombinant Human Bone Morphogenetic Protein 2Combination Therapy: A Case Report. IJPRD 2015.
Journal Club On Pre-extractive Interradicular Implant Bed Preparation: Case P...Shilpa Shiv
Journal Club On Pre-extractive Interradicular Implant Bed Preparation: Case Presentations of a Novel Approach to Immediate Implant Placement at Multirooted Molar Sites, IJPRD 2013.
“Perio-Implant Synergy”- Two lectures on “Lost Buccal Plate- Complications and Management” and “Failing to Plan is Planning to Fail”. Organized by the Society of Periodontists and Implantologists of Kerala” at PMS Dental College, Trivandrum, India on 17/9/2018.
Dental Implant Laser Cosmetic Centre Ahmedabad IndiaDr Viral Patel
Newer techniques in implant dentistry to improve cosmetic & functional outcome of dental implants. This will help dentists to understand the latest trends in dental implant practice.
http://www.drviralpatel.com
“Horizontal Ridge Augmentation- Worth or Vain?”- Guest lecture as a part of “Perio Interactions- Edition IX” conducted by Saveetha Dental College and Hospitals, Chennai on 20/12/2017.
“One-Piece” Immediate-Load Post-Extraction Implant In Maxillary Central IncisorAbu-Hussein Muhamad
Abstract: This case report describes extraction of a fractured left maxillary central incisor tooth, followed by immediate placement of an one-piece implant in the prepared socket and temporization by a bonded restoration.
Materials And Methods: The tooth was extracted with minimal hard and soft tissue trauma and without flap reflection. The socket was prepared to the required depth and a Implant was inserted.
Results: The atraumatic operating technique and the immediate insertion of the one-piece Implant resulted in the preservation of the hard and soft tissues at the extraction site.
Conclusion: The “One-piece” dental implant and provisional restoration provided the patient with immediate esthetics, function, comfort and most importantly preservation of tissues. The one-piece implant design resulted in a high cumulative implant survival rate and beneficial marginal bone levels.
Terminologies
Introduction
Implant treatment options at the extraction site
Timing for immediate implants
Indications of immediate implants
Contraindications of immediate implants
Advantages of immediate implants
Disadvantages of immediate implants
Rule of 5 triangles
Deciding factors for immediate implant treatment modality in extraction socket
Armamentarium required for atraumatic extraction
Jumping distance or critical space
Immediate implantation in the extraction socket of anterior maxilla
Immediate implantation in the extraction socket of anterior mandible
Immediate implantation in the extraction socket of multi-rooted posterior teeth
Clinical guidelines for esthetic outcomes when using immediate implant protocol.
Hard tissue changes after immediate implant placement
Soft tissue changes after immediate implant placement
Criteria and guidelines for immediate implant placement site
Risk and complication in immediate implant placement
Loading options for the immediately inserted implant
Survival and success rate of immediate implants
Recent advances: socket shield
Review of Literature
Conclusion
References
Quinidine, Albino rats, Pentylenetetrazole, Gap junctionsiosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
“Perio-Implant surgery: Expanding the Horizons”- Three lectures on “Sinus lifts- Alternative techniques and Strategies”, “Preparing PRF- What to do, what not to do” and “When not to use regenerative materials” organized by the Society of Periodontists and Implantologists of Kerala” at Kochi, India on 24/07/2016.
“Sinus lifts- Alternative techniques and Strategies” and “When not to use regenerative materials”- Guest lecture as a part of Dr NTRUHS Zonal CDE programme in G Pulla Reddy Dental College and Hospital, Kurnool, India on 07/10/2016.
Socket Preservation is a procedure in which graft material or scaffold is placed in the socket of an extracted tooth at the time of extraction to preserve the alveolar ridge.
jornal club on Tissue Engineering for Lateral Ridge Augmentation withRecombi...Shilpa Shiv
JC on Tissue Engineering for Lateral Ridge Augmentation withRecombinant Human Bone Morphogenetic Protein 2Combination Therapy: A Case Report. IJPRD 2015.
Journal Club On Pre-extractive Interradicular Implant Bed Preparation: Case P...Shilpa Shiv
Journal Club On Pre-extractive Interradicular Implant Bed Preparation: Case Presentations of a Novel Approach to Immediate Implant Placement at Multirooted Molar Sites, IJPRD 2013.
“Perio-Implant Synergy”- Two lectures on “Lost Buccal Plate- Complications and Management” and “Failing to Plan is Planning to Fail”. Organized by the Society of Periodontists and Implantologists of Kerala” at PMS Dental College, Trivandrum, India on 17/9/2018.
Dental Implant Laser Cosmetic Centre Ahmedabad IndiaDr Viral Patel
Newer techniques in implant dentistry to improve cosmetic & functional outcome of dental implants. This will help dentists to understand the latest trends in dental implant practice.
http://www.drviralpatel.com
“Horizontal Ridge Augmentation- Worth or Vain?”- Guest lecture as a part of “Perio Interactions- Edition IX” conducted by Saveetha Dental College and Hospitals, Chennai on 20/12/2017.
“One-Piece” Immediate-Load Post-Extraction Implant In Maxillary Central IncisorAbu-Hussein Muhamad
Abstract: This case report describes extraction of a fractured left maxillary central incisor tooth, followed by immediate placement of an one-piece implant in the prepared socket and temporization by a bonded restoration.
Materials And Methods: The tooth was extracted with minimal hard and soft tissue trauma and without flap reflection. The socket was prepared to the required depth and a Implant was inserted.
Results: The atraumatic operating technique and the immediate insertion of the one-piece Implant resulted in the preservation of the hard and soft tissues at the extraction site.
Conclusion: The “One-piece” dental implant and provisional restoration provided the patient with immediate esthetics, function, comfort and most importantly preservation of tissues. The one-piece implant design resulted in a high cumulative implant survival rate and beneficial marginal bone levels.
Terminologies
Introduction
Implant treatment options at the extraction site
Timing for immediate implants
Indications of immediate implants
Contraindications of immediate implants
Advantages of immediate implants
Disadvantages of immediate implants
Rule of 5 triangles
Deciding factors for immediate implant treatment modality in extraction socket
Armamentarium required for atraumatic extraction
Jumping distance or critical space
Immediate implantation in the extraction socket of anterior maxilla
Immediate implantation in the extraction socket of anterior mandible
Immediate implantation in the extraction socket of multi-rooted posterior teeth
Clinical guidelines for esthetic outcomes when using immediate implant protocol.
Hard tissue changes after immediate implant placement
Soft tissue changes after immediate implant placement
Criteria and guidelines for immediate implant placement site
Risk and complication in immediate implant placement
Loading options for the immediately inserted implant
Survival and success rate of immediate implants
Recent advances: socket shield
Review of Literature
Conclusion
References
Quinidine, Albino rats, Pentylenetetrazole, Gap junctionsiosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
“Perio-Implant surgery: Expanding the Horizons”- Three lectures on “Sinus lifts- Alternative techniques and Strategies”, “Preparing PRF- What to do, what not to do” and “When not to use regenerative materials” organized by the Society of Periodontists and Implantologists of Kerala” at Kochi, India on 24/07/2016.
“Sinus lifts- Alternative techniques and Strategies” and “When not to use regenerative materials”- Guest lecture as a part of Dr NTRUHS Zonal CDE programme in G Pulla Reddy Dental College and Hospital, Kurnool, India on 07/10/2016.
Socket Preservation is a procedure in which graft material or scaffold is placed in the socket of an extracted tooth at the time of extraction to preserve the alveolar ridge.
Minimally Invasive Extraction and Immediate Implant Placement with Single-Sta...Abu-Hussein Muhamad
This case report describes extraction of a fractured left maxillary lateral incisor tooth, followed by immediate placement of a dental implant in the prepared socket and temporization by a bonded restoration. Materials And Methods: The tooth was extracted with minimal hard and soft tissue trauma and without flap reflection. The socket was prepared to the required depth and a Implant was inserted. An impression was made 4 months after implant insertion, and a definitive restoration was placed. Results: The atraumatic operating technique and the immediate insertion of the Implant resulted in the preservation of the hard and soft tissues at the extraction site. The patient exhibited no clinical or radiologic complications through 12 months of clinical monitoring after loading. Conclusion: The dental implant and provisional restoration provided the patient with immediate esthetics, function, comfort and most importantly preservation of tissues.
Immediate implant placement following tooth extraction a case reportAbu-Hussein Muhamad
Immediate dental implants are an attractive option to patients and dentists. This paper report the management of a
fractured right permanent maxillary central incisor with extraction of the root followed by immediate implant placement
with two years follow-up.
Immediate Implants Placed Into Infected Sockets: Clinical Update with 3-Year ...Abu-Hussein Muhamad
Dental implants can be placed immediately into healthy extraction sites with high success and survival rates. It has been suggested, however, that immediate placement of implants into infected extraction sites is contraindicated due to the pathology interfering with osseointegration resulting in decreased implant survival and success With many potential implant sites presenting with a preexisting periapical or periodontal infection, treatment protocols have been advocated for immediate placement of implants in these infected sites. Advancements in surgical techniques and implant surface technology have made immediate placement of implants a more predictable and accepted treatment option; however, there is still debate about whether infected extraction sites should be used for immediate implant treatment approaches. The purpose of this clinical update is to report on the success and survival of implants placed immediately into infected extraction sites.
Immediate Implant Placement And Restoration With Natural Tooth In The Maxilla...Abu-Hussein Muhamad
Anterior tooth loss and restoration in the esthetic zone is a common challenge in dentistry today. The prominent visibility of the area can be especially distressing to the patient and requires a timely and esthetically pleasing solution. Immediate single-tooth implantation followed by immediate provisionalization is becoming an increasingly desirable treatment that offers numerous benefits over conventional delayed loading. Provisionalization for immediately-placed implants using the patient’s existing tooth can enhance the final aesthetic outcome if certain steps are
followed. If the natural tooth is intact and can be used as a provisional, the emergence profile can be very similar to the preoperative condition. This article outlines a technique to use the patient’s natural tooth after extraction to provisionalize an implant.
Clinical Replacement Therapy and the Immediate Post-extraction Dental ImplantAbu-Hussein Muhamad
Immediate dental implants have greatly reduced the treatment time and the number of surgical intervene tions. Recently it has been noted that this treatment modality can be used in aesthetically demanding cases especially the anterior maxilla. The aim of this article is to describe a clinical case in which a fractured maxillary canine was replaced by an osseointegrated implant using a simplified technique in a patient who was a smoker and presented poor oral hygiene. The technique adopted permits a reduction of the number of implant components and consequently a lower cost of treatment, while at the same time maintaining acceptable aesthetic and functional outcomes.
The content covers majority of the aspect of immediate implant placement - why immediate implants?, case selection, decision making, classifications, surgical technique, healing following immediate implant placement, immediate implants in infected sockets/periapical infections, literature reviews and recommendations for clinical practice.
Atrophied Edentulous Mandible with Implant-Supported Overdenture; A 10-year f...Abu-Hussein Muhamad
Abstract: Severe atrophy of the inferior alveolar process and underlying basal bone often results in problems with a lower denture. These problems include insufficient retention of the lower denture, intolerance to loading by the mucosa, pain, difficulties with eating and speech, loss of soft-tissue support, and altered facial appearance. These problems are a challenge for the prosthodontist and surgeon. In this case report, patient with resorbed edentulous mandible was successfully rehabilitated using two dental implants placed in the interforaminal region with ball abutments opposing conventional maxillary complete denture. Key Words: dental implants; dental prosthesis, implant-supported; resorption,
Atrophied Edentulous Mandible with Implant-Supported Overdenture; A 10-year f...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Periodontally Accelerated Osteogenic Orthodontics: A Surgical Technique and C...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Abstract
Background: We set out to determine the possibility of radiographically evaluating the degree of marginal bone loss in humans after functional loading of implants at sites of guided bone regeneration (GBR) with autogenous tooth-based bone graft (ATBBG) material (AutoBT®, Korea Tooth Bank, Seoul, Korea).
Materials and Methods: Using ATBBG material, GBR procedures were performed on the extraction sockets with bone defects such as buccal dehiscence and 6 months of healing was allowed. Dental implants were installed and prosthetic procedures were done after another 6 months of healing. Marginal bone levels (MBLs) were radiographically measured following functional loading (mean duration, 10 months; range, 4–18 months) in 10 patients among 19 patients initially enrolled in this study (4 men and 6 women; age range, 39–65 years; mean age, 55.4 years) who maintained follow-up visits after entire surgical and prosthetic procedures.
Results: No significant MBL differences were noted immediately after GBR, implant placement and prosthesis delivery (F=0.245, P>0.05). Changes in the MBLs were not affected by gender.
Conclusion: The ATBBG material is viable for GBR and can yield a stable MBL even after functional loading of implants. The degree of marginal bone loss after loading with ATBBG is stable.
Congenital absence of maxillary lateral incisors is a frequent clinical challenge which must be solved by a multidisciplinary approach in order to obtain an
esthetic and functional restorative treatment. . Fixed prosthodontic and removable prostheses, resin bonded retainers, orthodontic movement of maxillary
canine to the lateral incisor site and single tooth implants represent the available treatment modalities to replace congenitally missing teeth. This case report
demonstrates the team approach in prosthetic and surgical considerations and techniques for managing the lack of lateral incisors. The aims of this case
report of replacement of bilaterally congenitally missing maxillary lateral incisors with dental implants.
Aesthetic Management of Fractured Anteriors: A Case ReportAbu-Hussein Muhamad
Introduction: Coronal fracture of anterior teeth is an important topic for esthetic dentistry. Such fractures may jeopardize esthetics, function, tissue biology
and occlusal physiology, thus endangering tooth vitality and integrity. Coronal fractures resulting from dental trauma most frequently occur to the maxillary
anterior teeth of adolescents and less frequently to mandibular teeth. Adult teeth may also suffer traumatic fracture, although less frequently than for
adolescents.
Case Report: In our case, an economical and time-saving novel technique has been described for direct composite restoration in a young patient with
uncomplicated fractured maxillary anterior tooth.
Conclusion: As restoring a fractured tooth is a complex procedure, this technique can prove as a simple, effective and appropriate technique that will fulfill all
the requirements of dental personnel. This technique can also prove to be easy for inexperienced beginner clinicians without requiring special skills in
providing the patients with direct composite restorations.
Impacted Maxillary Central Incisors: Surgical Exposure and Orthodontic Treat...Abu-Hussein Muhamad
The maxillary permanent central incisor develops early in life and forms part of an aesthetic smile. Disruption of the formation or eruption of the permanent
central incisor has multiple etiological factors. Treatment options depend to some extent on the cause of failure of eruption of the central incisor. Generally,
the earlier treatment is provided, the higher the likelihood of success and the less the complexity. Our results suggest that close monitoring and interdisciplinary
cooperation during the treatment phases led to a successful esthetic result, with good periodontal health and functional occlusion.
Excess of space in the dental arch is diagnosed as a
generalised spacing or a local divergence, often
observed in the maxillary anterior region, as a median
diastema, traumatic loss of central incisors, or
congenital absence of lateral incisors. Furthermore,
spacing is observed in aging individuals, due to
pathological migration of teeth caused by
periodontitis. Finally, adult individuals with partial
edentulous jaws demand pre-prosthetic orthodontic
treatment from functional aspects. Thus, indication for
orthodontic treatment in subjects with spacing of teeth
exists for aesthetic reasons, but also for facilitating
prosthetic restorations with optimal occlusalstability.
Dental implants represent one of the most successful treatment modalities in dentistry.
However, failures do occur in the range from 5 to 8% for routine procedures and up to 20% in major grafting
cases after at least 5 years of function . The majority of implant losses may be explained as biomechanically
induced failures, since low primary implant stability, low bone density, short implants and overload have been
identified as risk factors . Hence, achievement and maintenance of implant stability are pre-conditions for a
successful clinical outcome with dental implants.
The review focuses on different methods used to assess implant stability and recent advances in this field.
Aesthetic Management of Fractured Anteriors: A Case ReportAbu-Hussein Muhamad
Introduction: Coronal fracture of anterior teeth is an important topic for esthetic dentistry. Such fractures may jeopardize esthetics, function, tissue biology
and occlusal physiology, thus endangering tooth vitality and integrity. Coronal fractures resulting from dental trauma most frequently occur to the maxillary
anterior teeth of adolescents and less frequently to mandibular teeth. Adult teeth may also suffer traumatic fracture, although less frequently than for
adolescents.
Case Report: In our case, an economical and time-saving novel technique has been described for direct composite restoration in a young patient with
uncomplicated fractured maxillary anterior tooth.
Conclusion: As restoring a fractured tooth is a complex procedure, this technique can prove as a simple, effective and appropriate technique that will fulfill all
the requirements of dental personnel. This technique can also prove to be easy for inexperienced beginner clinicians without requiring special skills in
providing the patients with direct composite restorations
Orthodontic tooth movement is basically a biologic response towards a mechanical force. Osteoclast and osteoblast cells mediate bone resorption and apposition, which eventually produces tooth movement. Researches showed that the rate of orthodontic tooth movement can be altered by certain drugs locally or systemically. The Objective of this article is to discuss the current data concerning the effect of drugs on orthodontic tooth movement.
Multidisciplinary Approach in the Rehabilitation of Congenitally Maxillary C...Abu-Hussein Muhamad
Objective: This case report describes the multidisciplinary
approach to treat a congenitally missed maxillary canine, how to
improve patient’s smile using orthodontic fixed appliance, endosseous
dental implant, and porcelain veneer to achieve the treatment results of
function and esthetic.
Materials and procedures: Unilateral agenesis of the permanent
maxillary canines in healthy individuals is extremely rare. This
paper presents the case of a female patient diagnosed with congenital
unilateral agenesis of the permanent maxillary canines as well as
occlusal abnormalities in the form of left-side crossbite. To restore the
proper aesthetics and function, interdisciplinary therapeutic treatment
was implemented. In the case presented in this paper, the aim of
oral rehabilitation was to restore a functional balance by obtaining
proper skeletal relationships, creating optimal occlusal conditions and
obtaining arch continuity.
Conclusion: Interdisciplinary treatment combined of orthodontics,
implant surgery, and prosthodontics was useful to treat a nonsyndromic
oligodontia patient. Especially, with the new strategy, implantanchored
orthodontics, which can facilitate the treatmentand make it
more simply with greater predictability.
The multifactorial factors influenc cleft Lip-literature review Abu-Hussein Muhamad
Congenital cleft-Lip and cleft palate have been the subject of many genetic
studies, but until recently there has been no consensus as to their modes of
inheritance. In fact, claims have been made for just about every genetic
mechanism one can think of. Recently, however, evidence has been
accumulating that favors a multifactorial basis for these malformations. The
purpose of the present paper is to present the etiology of cleft lip and cleft palate
both the genetic and the environmental factors. It is suggested that the genetic
basis for diverse kinds of common or uncommon congenital malformations may
very well be homogeneous, whilst, at the same, the environmental basis is
heterogeneous.
Dental implants represent one of the most successful treatment modalities in dentistry.
However, failures do occur in the range from 5 to 8% for routine procedures and up to 20% in major grafting cases after at least 5 years of function . The majority of implant losses may be explained as biomechanically induced failures, since low primary implant stability, low bone density, short implants and overload have been identified as risk factors . Hence, achievement and maintenance of implant stability are pre-conditions for a successful clinical outcome with dental implants.
The review focuses on different methods used to assess implant stability and recent advances in this field
Over time, progressively shorter implants have been placed such that short implants are now available that are less than 6 mm in length. The viability and high success rates seen with short implants can be explained by osseointegration, the macro geometric design of the implant, as well as physics and the distribution of forces. This paper was aimed to review the stability and survival rate of short implants under functional loads. Numerical and clinical studies were reviewed. Keywords: Short dental implants, sinus augmentation, factors affecting bone regeneration in dental implantology
Porcelain laminate veneers are among the most esthetic means of creating a more pleasing and beautiful smile. Porcelain veneers within reason allow for the alteration of tooth position, shape, size and color. They require a minimal amount of tooth preparation, approximately 0.5 mm to 0.7mm of surface enamel reduction. This study describes the use of ceramic veneers without tooth wear, reinforcing the concept that minimally invasive porcelain laminate veneers could become versatile and conservative allies in the fi eld of esthetic dentistry. Keywords: Ceramics, dentin-bonding agents, esthetics
Immediate Restoration of Single Implants Replacing Lateral Incisor Compromis...Abu-Hussein Muhamad
Today, the diagnosis of internal root resorption is significantly improved by the three-dimensional imaging. Furthermore, the CBCT’s superior diagnosis accuracy resulted in an improved management of the resorptive defects and a better outcome of Implant therapy of teeth with internal resorption.Implant has become a wide option to maintain periodontal architecture. Diagnosis and treatment planning is the key factors in achieving the successful outcomes after placing and restoring implants placed immediately after tooth extraction. The purpose of this clinical update is to report on the success and survival of Immediate restoration of single implants replacing right lateral incisor compromised by internal resorption.
Clinical Management of Bilateral Impacted Maxillary CaninesAbu-Hussein Muhamad
Introduction: Impaction of maxillary canines is a frequently encountered clinical problem in orthodontic therapy. When a preventive
approach fails, treatment involves surgical exposure of the impacted tooth, followed by orthodontic traction to guide and align it into the
dental arch. The aim of the present report was to demonstrate by case reports of an adult patient with bilateral impacted maxillary canines
treated with surgical exposure and orthodontic treatment.
Material and Methods: A 15year-old female with various degrees of bilateral palatal impaction of maxillary canines were managed
by the described technique.
Results and Discussion: Autonomous eruption of the impacted canines after surgical uncovering was witnessed in all patients
without the need for application of a vertical orthodontic force for their extrusion.
Conclusion: The described method of surgical uncovering and autonomous eruption created conditions for biological eruption of the
palatally impacted canines into the oral cavity and facilitated considerably the subsequent orthodontic treatment for their proper alignment
in the dental arch.
Keywords: Impacted canines; Surgical; Tooth exposure; Orthodontic treatment
Single Visit Replacement of Central Maxillary Using Fiber-Reinforced Composi...Abu-Hussein Muhamad
Fiber reinforced composites are high strength filling materials composed of conventional composites and glass fibres. They exhibit extensive applications in different fields of dentistry. This clinical report present a case where FRC technology was successfully used to restore central maxillary incisor edentulous area in terms of esthetic-cosmetic values and functionality.
Zirconium Dental Implants And Crown for Congenitally Missing Maxillary Latera...Abu-Hussein Muhamad
Zirconia implants were familiarized into dental implantology. Zirconia appears
to be an appropriate implant material due to its low plaque affinity, tooth like color, biocompatibility and mechanical properties. The following a case presentations will show how the acid-etched zirconia Implant can be used to functionally and aesthetically replace congenitally missing left lateral incisor tooth germ in the maxilla, and achieve optimal soft tissues and health.
Surgery of Labially Impacted Canine & Orthodontic Management – A Case ReportAbu-Hussein Muhamad
Maxillary canines are one of the most common teeth that are impacted among patients seeking orthodontic treatment. Depending on the position of these impacted teeth, various surgical techniques have been employed for their exposure. His primary goal of surgical phase is to provide the means for correct position of orthodontic anchorage. Additionally, the technique used must ensure favorable tissue anatomy that will permit long-term maintenance of periodontal health. In the present case, a labially impacted maxillary left canine was surgically exposed using an apically positioned flap. Orthodontic extrusion was carried out further.
Taurodontism is a rare dental anomaly in which the involved tooth has an enlarged and elongated body and pulp chamber
with apical displacement of the pulpal floor. Endodontic treatment of a taurodont tooth is challenge to a clinician and
requires special handling because of the proximity and apical displacement of the roots. The present article describes the
diagnosis and management of hypertaurodontism by endodontic treatment in a left mandibular second molar.
Delivering Micro-Credentials in Technical and Vocational Education and TrainingAG2 Design
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IMMEDIATE IMPLANT PLACEMENT WITH ONE YEAR FOLLOW-UP: A CASE REPORT
1. Indian Journal of Fundamental and Applied Life Sciences ISSN: 2231-6345 (Online)
An Online International Journal Available at http://www.cibtech.org/jls.htm
2013 Vol. 3 (4) October-December, pp.177-185/Abdulgani et al.
Case Report
IMMEDIATE IMPLANT PLACEMENT WITH ONE YEAR FOLLOW-UP:
A CASE REPORT
Abdulgani Azzaldeen1, Bajali Musa1 and *Abu-Hussein Muhamad2
1
AlQuds University, Jerusalem, Palestine
2
Napoli University, Athens, Greece
*Author for Correspondence
ABSTRACT
This case report describes extraction of a fractured left maxillary central incisor tooth, followed by
immediate placement of a dental implant in the prepared socket and temporization by a bonded
restoration. The tooth was extracted with minimal hard and soft tissue trauma and without flap reflection.
The socket was prepared to the required depth and a biohorizon Implant was inserted. An impression was
made 4 months after implant insertion, and a definitive restoration was placed. The atraumatic operating
technique and the immediate insertion of the Implant resulted in the preservation of the hard and soft
tissues at the extraction site. The patient exhibited no clinical or radiologic complications through 12
months of clinical monitoring after loading. The dental implant and provisional restoration provided the
patient with immediate esthetics, function, comfort and most importantly preservation of tissues.
Key Words: Implant, Immediate Placement, Temporization
INTRODUCTION
Immediate implants are defined as the placement of implants in course of surgical extraction of the teeth
to be replaced. The insertion of implants immediately after extraction is not new, and in the 1980s, the
University of Tübingen advocated the procedure as the technique of choice for Tübingen and München
ceramic implants (Wagenberg and Ginsburg, 2001; Cooper et al., 2002). As a result of the success of the
protocol designed by Brånemark and his team for their dental implant system, other procedures were
largely relegated for many years. Initially, a healing period of 9-12 months was advised between tooth
extraction and implant placement. Nevertheless, as a result of continued research, a number of the
concepts contained in the Brånemark protocol and previously regarded as axiomatic; such as the
submerged technique concept, delayed loading, machined titanium surface, etc.; have since been revised
and improved upon even by actual creators of the procedur (Cooper et al., 2002; Di-Felice et al., 2011;
Gelb, 1999). Based on the time elapsed between extraction and implantation, the following classification
has been established relating the receptor zone to the required therapeutic approach:
a. Immediate implantation, when the remnant bone suffices to ensure primary stability of the implant,
which is inserted in the course of surgical extraction of the tooth to be replaced (primary immediate
implants)
b. Recent implantation, when approximately 6-8 weeks have elapsed from extraction to implantation, a
time during which the soft tissues heal, allowing adequate mucogingival covering of the alveolus
(secondary immediate implants)
c. Delayed implantation, when the receptor zone is not optimum for either immediate or recent
implantation. Bone promotion is first carried out with bone grafts and/or barrier membranes, followed
approximately 6 months later by implant positioning (delayed implants)
d. Mature implantation, when over 9 months have elapsed from extraction to implantation. Mature bone
is found in such situations (Di-Felice et al., 2011; Gelb, 1999; Barone et al., 2006; Zabalegui et al.,
2002).
The most frequently cited reasons for underutilization of endosseous implant therapy are that treatment
cost is perceived to be too high and treatment takes too long (Branemark’s original treatment protocols
required up to a year or more to complete treatment) An obvious area of focus has been to decrease the
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2. Indian Journal of Fundamental and Applied Life Sciences ISSN: 2231-6345 (Online)
An Online International Journal Available at http://www.cibtech.org/jls.htm
2013 Vol. 3 (4) October-December, pp.177-185/Abdulgani et al.
Case Report
amount of time necessary to complete implant therapy. Approaches to achieve this goal have dominated
clinical research and practice: delayed/immediate implant loading, improving implant surface technology
(promotion of quicker healing and better osseointegration), and immediate placement of an endosseous
implant after extraction of a natural toot (Wagenberg and Ginsburg, 2001). In this paper a case
presentation supporting the last of these three approaches will be shown. The definition for an immediate
endosseous implant is extraction of a natural tooth followed by immediate placement (within the same
surgical procedure) of an endosseous dental implant. Immediate implants have become widely accepted
despite controversial beginnings and the available literature consistently cites high levels of success
(ranging from 94-100% on average), immediate implants provide clinically recognizable benefits.
Broadly speaking, these benefits include reduction of morbidity, reduction of alveolar bone resorbtion
(Controlled clinical studies have demonstrated an average of 4.4mm of horizontal and 1.2mm of vertical
bone resorption six months after tooth extraction preservation of gingival tissues, preservation of the
papilla in the esthetic zone, and reduction of treatment cost and time (the healing phase is shorter in
general and there is a reduction in the number of procedures) (Wagenberg and Ginsburg, 2001; Cooper et
al., 2002; Di-Felice et al., 2011; Gelb, 1999; Barone et al., 2006). With the extraction socket as a guide,
the surgeon can also more easily determine the appropriate parallelism and alignment relative to the
adjacent and opposing residual dentition. To maximize the advantage of these benefits and to minimize
implant failure, case selection must be based on sound clinical and research criteria. Immediate placement
and provisionalisation for single tooth replacement allows for minimal disruption of the marginal soft
tissues, providing immediate prosthetic support for the peri-implant tissues through the use of a carefully
crafted provisional restoration. Primary implantation is fundamentally indicated for replacing teeth with
pathologies not amenable to treatment, such as caries or fractures. Immediate implants are also indicated
simultaneous to the removal of impacted canines (Barone et al., 2006; Hoffmann et al., 2006). Immediate
implantation can be carried out on extracting teeth with chronic apical lesions which are not likely to
improve with endodontic treatment and apical surgery (Zabalegui et al., 2002). Thε surgical requirements
for immediate implantation include extraction with the least trauma possible, preservation of the
extraction socket walls and thorough alveolar curettage to eliminate all pathological material. Primary
stability is an essential requirement, and is achieved with an implant exceeding the alveolar apex by 3-5
mm, or by placing an implant of greater diameter than the remnant alveolus. Esthetic emergence in the
anterior zone is achieved by 1-3 mm sub-crest implantation (Hoffmann et al., 2006; Zabalegui et al.,
2002).
Contraindications
The existence of an acute periapical inflammatory process constitutes an absolute contraindication to
immediate implantation (Romanos, 2003; Novaes-Junior and Novaes, 1995).
In the case of socket-implant diameter discrepancies in excess of 5 mm, which would leave most of the
implant without bone contact, prior bone regeneration and delayed implantation may be considered
(Anitua and Orive, 2012). Avoid teeth with large or acute periapical infection; Teeth with labial bony
dehiscence or fenestration defects; Insufficient bone apically to ensure primary stability of the implant;
Systemic factors that may impair healing (e.g. smoking); Large bulbous root morphology, Interproximal
bone loss (aesthetic zone), active periodontitis (Strub et al., 1997).
CASES
A 53-year-old male patient presented with a history of trauma and crown fracture at the cervical area of
tooth 11 (figure 1, 2, 3) and requested an immediate solution. Clinical and radiological evaluation
revealed adequate alveolar bone, absence of periapical pathology but fracture line was below the crest of
alveolar bone and was limited to the tooth. So, it was decided to extract and place endosseous implant
immediately and place a provisional restoration to avail the benefits like preservation of bone and
emergence profile.
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3. Indian Journal of Fundamental and Applied Life Sciences ISSN: 2231-6345 (Online)
An Online International Journal Available at http://www.cibtech.org/jls.htm
2013 Vol. 3 (4) October-December, pp.177-185/Abdulgani et al.
Case Report
After administering appropriate antibiotic and analgesic, induction of local anaesthesia was carried out
using lignocaine with adrenaline. As preservation of alveolar bone is key to success of immediate
implants, extraction of tooth has to be atraumatic, so using periotomes and small periosteal elevators the
fragment was luxated without excessive enlargement of the socket, and using an innovative method where
endodontic file was used to engage the canal wall and tooth fragment was slowly luxated and pulled out
of the socket using the file (figure 4, 5).
The sockets were debrided with curettes and a BIOHORIZON implant was planned (4 x 12mm). The
drilling sequence was carried out without reflecting the flap to preserve the bone.
After checking for primary stability, which was achieved by wrenching the implant into the bone beyond
the apex of the socket, alloplast – BIO-OSS was packed between the implant and labial socket wall. The
cover screw was placed and interrupted sutures were placed. IOPA was taken to see the implant
placement (figure 6,7). It was found to be satisfactory. Post operative instructions were given to the
patient, and were asked to report after 1 week. The sutures were removed after 7 days and the patient
received temporary acrylic crown bonded to the adjacent teeth with fibre-reinforced composite on the
same day.
Figure 1: Initial retracted
Figure 2: Initial occlusal
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2013 Vol. 3 (4) October-December, pp.177-185/Abdulgani et al.
Case Report
Figure 3: Initial xray
Figure 4: Coronal portion of tooth removed
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5. Indian Journal of Fundamental and Applied Life Sciences ISSN: 2231-6345 (Online)
An Online International Journal Available at http://www.cibtech.org/jls.htm
2013 Vol. 3 (4) October-December, pp.177-185/Abdulgani et al.
Case Report
Figure 5: Tooth removed atraumatically, the facial plate was very thin
Figure 6: Immediate post op
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6. Indian Journal of Fundamental and Applied Life Sciences ISSN: 2231-6345 (Online)
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Case Report
Figure 7: Immediate post op
Figure 8: X-ray of immediate implant 4X12 Biohorizons internal hex
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Case Report
Figure 9: Stock abutment
Figure 10: Final crown retracted view
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An Online International Journal Available at http://www.cibtech.org/jls.htm
2013 Vol. 3 (4) October-December, pp.177-185/Abdulgani et al.
Case Report
Figure 11: Occlussal view of final crown
Figure 12: Final 12 months
The patient was recalled after four months for the prosthetic procedures and was given porcelain fused to
metal crown over the implant. He was recalled for prophylaxis and follow up every three months. The
clinical and radiographic appearances at six months and after one year show good aesthetic result and
acceptable osseo-integration of the implant (figure 8, 9, 10, 11, 12).
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9. Indian Journal of Fundamental and Applied Life Sciences ISSN: 2231-6345 (Online)
An Online International Journal Available at http://www.cibtech.org/jls.htm
2013 Vol. 3 (4) October-December, pp.177-185/Abdulgani et al.
Case Report
CONCLUSION
The implant therapy must fulfill both functional and esthetic requirements to be considered a primary
treatment modality. Aiming to reduce the process of alveolar bone resorption and treatment time, the
immediate placement of endosseous implants into extraction sockets achieved high success rate of
between 94-100%, compared to the delayed placement.
ACKNOWLEDGMENT
The authors would like to thank: Setergiou Bros Dental Laboratory, Athens, Greece; for the fabrication of
the cermic restorations.
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