Option For Replacement Of Teeth Research Articles

Root Elongation After Autotransplantation in 58 Transplanted Premolars: The Radiographic Width of the Apex as a Predictor

Autotransplantation of premolars with incomplete root development is a reliable treatment option for tooth replacement. Nevertheless, little is known about root development after transplantation of teeth. The aim of this study was to evaluate preoperative root development stage and radiographic width of the apex as predictors for root elongation after autotransplantation. A retrospective cohort study was implemented and composed of patients who underwent autotransplantation of at least 1 premolar. Using panoramic radiographs (orthopantomograms), calibrated measurements were taken to record the root development stage of the donor tooth, width of the apex, and root length of the transplanted tooth. Forty-five patients (58 transplants) were included. Mean follow-up time was 12months (range, 4 to 26months). Fifty-three transplanted teeth (91.4%) showed root elongation. Mean root elongation at end of follow-up was 1.9mm (range, 0.0 to 4.3mm). A wide-open apex before transplantation was significantly associated with root elongation after autotransplantation (P<.01). Root development stage (P=.82) did not show significant associations with root elongation. A wide-open apex (>2.0mm) is an important predictor of root elongation after autotransplantation of premolars. This might be a better predictor for root development than preoperative root development stage.

Knowledge and awareness about dental implant as an option for replacement of teeth: a survey among saudi adults

Knowledge and awareness about dental implant as an option for replacement of teeth: a survey among saudi adults

Awareness Regarding Implant Supported Dental Prosthesis; A Survey In Tertiary Care Set Up

Objective: This research was aimed to assess the awareness and attitude regarding implant-retained prosthesis as the most advanced option for tooth replacement amongst residents of Karachi visiting tertiary care centre. Methodology: This cross-sectional survey was conducted in the department of Prosthodontics at Bahria University Dental Hospital, Karachi. Undertaking the demographic characteristics of patients, the objective was to determine the awareness and attitude toward implant supported prosthesis. Results: Amongst 380 responses retrieved, 9.8% of respondents were aware about the dental implant treatment. While correlating awareness with demographics features, awareness statistically increased with educational level (p= 0.00) and occupational category(p=0.01) of the participants. The friends and relative s(40.5%) were the main source of information regarding dental implant treatment modality. 54.1% were unwilling to undergo treatment with dental implant whereas high cost (55.2%)was the major limiting factor for implant treatment. 64.9% demanded dental insurance for getting the treatment. 45.9% had no knowledge regarding maintenance of implant supported prosthesis .73.0% had no idea regarding longevity of dental implant where as 86.5% were unaware of it’s impact on systemic health. Conclusion: The overall awareness regarding implant supported prosthesis was found to be minimal. This underlines the need of efforts and measures that should be made to raise the awareness and thus alter attitude towards dental implant therapy. Expensive rates (55.2%) was found to be the major limiting factor that should be relieved in the form of health insurance policies, especially in the developing countries like ours.

The importance of communication in the construction of partial dentures.

Removable partial dentures (RPDs) are still a very important treatment modality in general dentistry to replace missing teeth. With the increase in popularity of implants, RPDs are sometimes seen as an 'old-fashioned' treatment option and if not carefully designed can be damaging to oral tissue and aesthetically less favourable. However, there is still a significantly large cohort of patients for whom RPDs are the best option for replacement of teeth either due to a failing dentition, inappropriate anatomy or financial considerations. This article explores the importance of effective three way communication with the patient, the laboratory and the dental nurse to support the provision of reliable and predictable prosthodontic outcomes.

The Current Evidence on Retaining or Prosthodontically Replacing Retained Deciduous Teeth in the Adult Hypodontia Patient: A Systematic Review.

This systematic review aims to evaluate the survival of retaining or replacing deciduous teeth in hypodontia patients with a variety of prosthetic tooth replacement options, to evaluate prognostic factors associated with retaining deciduous teeth, and report on patient based outcomes with these treatment modalities. MEDLINE, The Cochrane Central Register of Controlled Trials and Science Direct databases were searched (01/1980 - 08/2017) for studies reporting outcomes associated with retaining or replacing deciduous teeth via prosthetic means in adult hypodontia patients. Twenty-one articles were included. The following survival figures were reported; retaining deciduous tooth/teeth (83%-93%), resin-bonded bridgework (59-96.9%) and implants (86-100%). No survival data was reported for fixed or removable partial dentures. Prognostic factors for deciduous tooth survival, quality of life and patient satisfaction data were also reported. Within the limits of this review, retaining deciduous teeth have reasonable survival; however, studies beyond the third decade of life are lacking. Dental implants appear to be a highly successful long-term tooth replacement option with high patient satisfaction within this patient group, as have resin-bonded bridgework, albeit over the short to medium term. Tooth replacement options in the form of fixed and removable partial dentures were poorly reported upon.

Immediate replacement of nonrestorable molar with impacted third molar: An experimental study

Background: Autogenous transplantation of impacted third molars in place of nonsalvageable first or second molars can prove to be a good option. Hence, the present study evaluated the replacement of maxillary or mandibular nonrestorable molars with immediate autotransplantation of impacted third molar. Materials and Methods: Forty-two impacted third molars having complete root formation were extracted and autotransplanted into the extraction socket of nonrestorable first or second molars on 42 participants in the age range of 22–50 years. Follow-up period for the study was of 1 year at regular intervals. Participants were analyzed for pain, tooth mobility, ankylosis, and root resorption at follow-up intervals. Data obtained were analyzed using SPSS software. Results: Out of the 42 participants, 9 participants required extraction of autotransplanted tooth due to resorption and Grade 2 mobility. One tooth showed ankylosis. Success rate of the autotransplantation was 78%. Conclusion: It was concluded that immediate autotransplantation is a successful and more economical tooth replacement option provided that proper case selection and procedure should be followed.

A short report on tooth replacement in an older suburban population in Nigeria.

To determine: the knowledge of the participants about removable dentures, importance of tooth replacement; prevalence of tooth loss and denture use; and factors associated with its non-use among an elderly population in Nigeria. Tooth loss without replacement can impact negatively on the quality of life of the elders, thus making use of denture a basic requirement for those with partial or complete edentulous arches in developed countries. It is, however, not known if this is the case among elders in suburban Nigeria. A cross-section of 392 consenting elderly participants aged ≥65years residing at Idikan, Ibadan, Nigeria, were interviewed on their biodata, knowledge of removable denture and importance of tooth replacement, history of use of denture and reasons for non-use where applicable. Oral examinations for the presence of missing teeth and denture were conducted by an examiner. Data were analysed with SPSS and P value set at ˂.05. The mean age of the participants was 73 (SD=9.2) years. About 39% of the participants believed that it was important to replace missing teeth, 56.0% had poor knowledge about tooth replacement options, and 47.7% had at least a missing tooth. Only 7.1% of those with missing teeth had them replaced and all were using removable acrylic partial dentures. Financial constraint was the main reason for non-replacement of missing teeth (80.1%). Age, gender, occupation before retirement, income, level of education and presence of physical impairment were associated with non-use of denture (P˂.05). Many elderly individuals had poor knowledge about removable dentures and the importance of tooth replacement. About half of the participants had full complement of teeth and only 7.1% of those with tooth loss reported denture wear. Major reasons for non-use of dentures were due to economic reasons.

Patients’ Awareness toward Implant-supported Prosthesis: An Observational Study

Implant-supported prosthesis has high predictability and success and improves quality of life. This study aims at assessing awareness among the patients regarding implant-supported prosthesis. A cross-sectional study was conducted among 391 study participants. A structured questionnaire was distributed to assess implant-related awareness among the study participants. The questionnaires were analyzed for the responses. Among the 391 respondents, 37.5% of the respondents reported having moderate knowledge regarding the tooth replacement options. Nearly 50% considered implants as a viable treatment option. The majority of them enlisted the dentist as the major source of information regarding implants, and media had a share of about 7.03% only. High cost was a major barrier in selecting implants as a treatment option. This survey showed that awareness among people was low regarding the dental implants. Efforts need to be directed to increase the awareness levels by utilizing media as a tool to achieve the target. A patient who is aware of the advantages of the implant-supported dentures will make an informed decision for better functional stability and retention of the denture, especially in the mandibular arch.

Long-term Stability of Autotransplanted Premolars as a Substitute for Molars in Adults

Autotransplantation is a viable treatment option for tooth replacement when a suitable donor tooth is available. This case report presents 2 cases that describe successful treatment outcome and prognosis after autotransplantation of a mature premolar as a missing molar. The first premolar was extracted for orthodontic purposes and transplanted to the missing first molar site in the mandible. The transplanted tooth was monitored up to 7 years. The transplant was functional and maintained a normal bone level throughout the follow-up period. Clinical examination showed normal physiologic movement without any signs of ankylosis and root resorption. Autotransplantation of a mature premolar to a molar site is a viable treatment option showing successful results. The selection of a functional donor tooth, adequate surgical procedures, and timely application of orthodontic movement may have positively contributed to the favorable prognosis.

Success and survival of autotransplanted premolars and molars during short-term clinical follow-up.

Autotransplantation is an elegant therapy for single tooth replacement that is too often overlooked in patients with missing teeth. Especially, autotransplantation of third molars to replace heavily damaged or missing molars is often not considered. This study investigated the success and survival of autotransplanted premolars and molars during clinical follow-up. The medical files and radiographs of 97 consecutive patients were retrospectively investigated. Seventy-nine patients could be included in this study. Autotransplantation of 97 premolars and 14 molars (111 procedures) was performed. The median follow-up time was equal to 13.4 months. In this study group, 82.0% of transplanted teeth were classified as successful and 98.2% were present at the end of follow-up. No transplants were extracted during standard follow-up of 1 year. The 5-year tooth survival probability was 87.5% (95%CI 64.5-100). One premolar and one molar were extracted, respectively, 4 and 9 years after autotransplantation. These results show that autotransplantation is associated with high success and survival rates and can provide a reliable treatment option for tooth replacement in young patients. Further research regarding long-term outcome is necessary to assess if the transplanted teeth function as normal teeth after clinical follow-up.

Dental implants as tooth replacement option among patients in government hospitals Lagos, South-West Nigeria

Objective: To assess awareness of dental implant as a treatment option, among patients requiring replacement of missing teeth in government hospitals in Lagos Nigeria. Methodology: This cross-sectional study was carried out among subjects attending dental clinics in government hospitals using an interviewer-administered questionnaire. The structured questionnaire included information on educational background, source of knowledge of implants and willingness to have implants as a treatment option for replacing their missing teeth. The Chi-square test of association was used where appropriate. The difference was taken as significant at an alpha level of P Results: A total of 425 subjects were surveyed, 49.2% males and 50.8% females, the mean was 35.87 ±14.07) years. Awareness of dental implant was indicated by 20.2% of the participants. Knowledge about implants among those aware showed 36% did not know where implants are placed while 35 (40.7%) were not willing to have implant placements. Cost (48.6%) and fear of surgical procedure (40%) were among reasons given for not wanting implants placement. Dentists formed the major (38.6%) source of information on implants. There was a significant increase in the knowledge of implants with increased level of education ( P = 0.00). Conclusion: Awareness and knowledge about dental implant among the population studied were low. Majority of them displayed incomplete and incorrect information. There is a need for dental education on the merits of implant placement and patients must be able to access accurate information from the dentist and other modes of spreading information.

Outcome of immediate implant placement with bone augmentation in the anterior maxillary supporting partial denture

Background: Immediate implantation was suggested to reduce the number of surgical interventions and to preserve the alveolar ridge. Implant placement demands a thorough understanding of anatomic, biologic, surgical, and prosthetic principles. Purpose: The aim of the present study was to evaluate the 18 months survival rate of osseointegration, on the basis of clinical and radiographic examinations, for simultaneous bone grafting with immediate implants supporting partial denture with locator attachment in the maxillary esthetic area. Materials and Methods: A total of twenty patients randomly assigned received 45 immediate implants with bone graft supporting maxillary partial overdentures. The clinical analysis of probing depth, bleeding index, plaque index, and radiographic analysis of crestal bone level at a follow-up interval of 6, 12, and 18 months was evaluated. Results: All implants achieved successful osseointegration. The soft tissue architecture remained stable throughout the healing period of the implants as well as after final prostheses delivery, contributing to esthetically pleasing and biologically sound results. Conclusions: Immediate implants with locator attachment supporting maxillary partial denture can be safe, reliable, and a predictable option for the replacement of teeth in the anterior maxillary zone, providing stability to the peri-implant soft tissue.

Success is not about Height; Short Implants: A Case Report

During the past decades, implant treatment has been a successful option for tooth replacement. After tooth loss, however, severely atrophic residual alveolar ridges are quite common, especially in patients who have been edentulous for a longer period of time. Posterior areas of the maxilla and mandible are areas of greater anatomical constraints. Lots of research and advances have occurred in field of Oral Implantology and short dental implants are one of them. But success rates for these short dental implants were also considered dubious. Most important factor that was to be considered was crown-implant ratio. Over the period of time and with improvisation of implant designs, even short dental implants have provided predictable results. The purpose of this case report is to reveal success journey of short dental implants.

A fixed movable resin-bonded fixed dental prosthesis – A 16 years clinical report

PatientsThis report describes the case of a 48-year-old female patient who initially received a 4-unit fixed-fixed (FF) resin-bonded fixed dental prosthesis (RBFDP) for replacement of mandibular left second premolar and first molar. Twenty-one months later, debond of the RBFDP was found at one of retainers. A new fixed-movable RBFDPs with a modified non-rigid connector as well as increased resistance form features was placed and successfully retained at the 16-year clinical review. DiscussionRBFDPs are a conservative tooth replacement option that requires minimum tooth preparation and retention by a resin cement to etched enamel. However debonding is the most frequently seen complication and has been attributed to the relative movement between abutment teeth during function that stress the bonding interface. This case report highlights the use of modified non-rigid connector which allows relative movement between abutment teeth and therefore a reduced stress on the bonding interface. ConclusionIt is proposed that the use of modified non-rigid connectors that allow independent movement between the abutment teeth during function was responsible for the long term clinical success of fixed-movable RBFDPs.

Residents' journal review

Residents' journal review

Vertical Bone Growth after Autotransplantation of Mature Third Molars: 2 Case Reports with Long-term Follow-up

Tooth autotransplantation is a viable treatment option for tooth replacement when a suitable donor tooth is available. These case reports described significant vertical bone growth after autotransplantation of a mature third molar. The left mandible third molars (n = 2) were transplanted to the missing tooth in the left mandible. The patient follow-up period was 10 years after transplantation. Clinical examination revealed no mobility of the transplanted tooth. Radiographic examination indicated that bone regeneration occurred around the transplanted tooth. Vertical bone growth was observed in the cervical area of the root surface and the recipient bone. In autotransplantation of mature teeth, long-term follow-up results indicate that vertical bone growth can be expected if viability of the periodontal ligament cells is maintained.

Patients awareness and attitude towards dental implants.

Aims:The aim of the study was to assess the awareness of the patients regarding implant-retained prosthesis as an option for tooth replacement and the knowledge about tooth replacement as a whole including source of information and attitude towards it amongst Malaysian population.Materials and Methods:Information on demographic characteristics, knowledge about implant as an option for missing tooth replacement, source of information and knowledge about other options of tooth replacement were obtained from patients visiting various dental outpatient departments of hospital and private dental clinics using nationwide self-explanatory survey.Results:Amongst the 1013 response retrieved, 27% of respondents felt moderately well informed about the dental implant treatment. Only 9% of the respondents had dental implant treatment before and 17% felt well informed about different alternatives of replacing missing teeth. The dentists were the main source of information regarding dental implant treatment modality followed by friends and electronic media. 55.6% respondents felt implant to be as good as own teeth during function whereas high cost was the major limiting factor for implant treatment.Conclusion:56% of Malaysian population was aware of dental implant as an alternative for replacing missing teeth. Necessary efforts and measures should be made to raise the awareness of dental implant treatment in the country.

Patients’ Awareness of a Dental Implant as an Option for Tooth Replacement: a Survey in Alkharj Province, Saudi Arabia

Patients’ Awareness of a Dental Implant as an Option for Tooth Replacement: a Survey in Alkharj Province, Saudi Arabia

Short-term improvement of masticatory function after implant restoration.

PurposeDental implants present several advantages over other tooth replacement options. However, there has been little research on masticatory function in relation to implant treatment. Therefore, the aim of the present study was to evaluate the improvement of masticatory function two weeks after implant restoration.MethodsMasticatory ability was evaluated with the subjective food intake ability (FIA) and objective mixing ability index (MAI) methods. Fifty-four subjects with first and second missing molars completed the study. The subjects were asked to complete a self-reported questionnaire about 30 different food items, and to chew wax samples 10 times both before and two weeks after implant restoration. A total of 108 waxes were analyzed with an image analysis program.ResultsDental implant restoration for lost molar teeth on one side increased the FIA score by 9.0% (P<0.0001). The MAI score also increased, by 14.3% after implant restoration (P<0.0001). Comparison between the good and poor mastication groups, which were subdivided based on the median MAI score before implant restoration, showed that the FIA score of the poor group was enhanced 1.1-fold while its MAI score was enhanced 2.0-fold two weeks after an implant surgery.ConclusionsUsing the FIA and MAI assessment methods, this study showed that masticatory function was improved two weeks after implant restoration. In particular, the enhancement of masticatory function by implant restoration was greater in patients with relatively poor initial mastication than in those with good initial mastication.

An Intraoperative Site-specific Bone Density Device: A Pilot Test Case

This paper reports a case of all-on-four rehabilitation where bone density at implant sites was assessed both through preoperative computed tomographic (CT) scans and using a micromotor working as an intraoperative bone density measurement device. Implant-supported rehabilitation is a predictable treatment option for tooth replacement whose success depends on the clinician's experience, the implant characteristics and location and patient-related factors. Among the latter, bone density is a determinant for the achievement of primary implant stability and, eventually, for implant success. The ability to measure bone density at the placement site before implant insertion could be important in the clinical setting. A patient complaining of masticatory impairment was presented with a plan calling for extraction of all her compromised teeth, followed by implant rehabilitation. A week before surgery, she underwent CT examination, and the bone density on the CT scans was measured. When the implant osteotomies were created, the bone density was again measured with a micromotor endowed with an instantaneous torque-measuring system. The implant placement protocols were adapted for each implant, according to the intraoperative measurements, and the patient was rehabilitated following an all-on-four immediate loading protocol. The bone density device provided valuable information beyond that obtained from CT scans, allowing for site-specific, intraoperative assessment of bone density immediately before implant placement and an estimation of primary stability just after implant insertion. Measuring jaw-bone density could help clinicians to select implant-placement protocols and loading strategies based on site-specific bone features.