From terminal dentition to full-mouth implant reconstruction: Evidence-based.
Journal name: Journal of Indian Society of Periodontology
Original article title: Terminal dentition to functional esthetic full-mouth implant reconstruction: Evidence-based approach
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:
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Farhan Durrani, Himani Painuly, Akanksha Shukla, Rakhshinda Nahid, Samidha Pandey
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Terminal dentition to functional esthetic full-mouth implant reconstruction: Evidence-based approach
Year: 2021 | Doi: 10.4103/jisp.jisp_479
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
The case presented discusses the challenges and successful outcomes of full-mouth rehabilitation using implant-supported fixed dental prostheses in a young female patient who had lost all her teeth due to extensive caries. Young individuals with edentulism often face significant functional, aesthetic, and psychological challenges, making effective treatment planning crucial. This case illustrates how periodontal infections and periapical conditions can complicate implant surgery, but with careful planning and execution, successful rehabilitation is possible.
Importance of Strategic Implant Placement
The case highlights the importance of strategic placement of dental implants for optimal reconstruction outcomes. Specifically, six implants were placed in both the maxilla and mandible, using techniques such as osseodensification and tilting implants to maximize stability and load distribution. The study references existing literature that indicates the long-term survival rate of implants improves significantly when they are placed strategically, including the advantages of tilting posterior implants for better support. This evidence-based approach ensured that the patient received a prosthesis designed for optimal esthetic and functional performance, while also minimizing stress on surrounding bone structures.
Conclusion
The rehabilitation of a young individual with extensive tooth loss is a complex challenge that requires comprehensive treatment planning. This case demonstrates that with appropriate techniques and strategic implant placements, it is possible to restore masticatory function and aesthetics successfully. The patient reported a significant improvement in her quality of life post-treatment, demonstrating the psychological and functional benefits of restoring oral health. Overall, this case underscores the necessity of tailored dental care and the potential for positive patient outcomes through innovative rehabilitation practices.
FAQ section (important questions/answers):
What is an implant-supported fixed dental prosthesis?
An implant-supported fixed dental prosthesis is a lasting solution for edentulism, providing stable support for artificial teeth anchored to dental implants. This treatment improves masticatory function, phonetics, and esthetics compared to traditional dentures, especially beneficial for young individuals.
What challenges do young patients face with tooth loss?
Young patients losing teeth due to caries or periodontitis face significant challenges, including compromised masticatory function, altered phonetics, and reduced esthetic appeal. Treatment options can be complex, requiring careful diagnosis and planning.
What was the treatment plan for the case presented?
The treatment plan involved complete extraction of the remaining teeth, strategic placement of twelve implants, and the creation of a screw-retained detachable fixed prosthesis for both upper and lower arches, emphasizing esthetics and long-term success.
How was the surgical procedure conducted?
The surgical procedure included phased tooth extractions, implant placements using surgical templates with osseodensification, and augmentation techniques to ensure sufficient bone support. Healing was allowed before attaching healing screws and creating impressions for the final prosthesis.
What were the outcomes of the treatment described?
The treatment resulted in successful functional and esthetic rehabilitation for the patient, significantly enhancing masticatory efficiency and overall confidence. Follow-ups indicated healthy peri-implant tissues and patient satisfaction with the aesthetic results.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “From terminal dentition to full-mouth implant reconstruction: Evidence-based.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Table:
In the context of a dental study, a 'table' could refer to a data table that consolidates information regarding patient outcomes, treatment methods, or statistics related to dental implants or oral health conditions. It serves to provide clarity and aid in analyzing patterns and results efficiently when comparing different treatment approaches or patient demographics.
2) Relative:
The term 'relative' refers to comparisons made between various treatment outcomes based on factors like age, health status, and dental conditions. In the context of oral rehabilitation, evaluating the relative effectiveness of different dental treatment paradigms (such as implants versus dentures) can guide clinicians in making informed decisions tailored to individual patient needs.
3) Surface:
In dentistry, 'surface' commonly pertains to the area of teeth or dental implants that is exposed or interacts with soft tissues and the oral environment. The characteristics of these surfaces (e.g., hydrophobic or hydrophilic) affect biofilm formation, plaque accumulation, and ultimately, the success of dental prostheses and implants.
4) Study (Studying):
A 'study' in the dental context often refers to clinically significant research that explores various aspects of dentistry, such as treatment efficacy, patient satisfaction, or biological responses to dental materials. These studies contribute to the evidence base, guiding clinical practice and improving patient outcomes in oral rehabilitation.
5) Hygiene (Hygienic):
The term 'hygiene' in dental practice refers to the maintenance of oral cleanliness to prevent disease. Proper oral hygiene is vital for patients, particularly those with dental implants, to minimize plaque accumulation, gingivitis, and peri-implantitis, significantly affecting the longevity and success of dental restorations.
6) Pur:
In the context of this discussion, 'poor' refers to inadequate habits or conditions that lead to negative oral health outcomes, such as poor oral hygiene or neglect of dental care. Poor dental health can contribute to conditions like caries and periodontal diseases, complicating rehabilitation efforts.
7) Bleeding:
The term 'bleeding' is commonly associated with periodontal disease, indicating the inflammatory response of tissues surrounding the teeth. Presence of bleeding gums serves as an important clinical sign that necessitates attention to hygiene practices. It signals underlying health issues that may complicate surgical interventions in dental rehabilitation.
8) Accumulation (Accumulating, Accumulate):
In dentistry, 'accumulation' refers to the build-up of plaque, calculus, or bacteria on the teeth and around dental implants. This can lead to adverse conditions, such as caries or periodontal disease. Managing accumulation is crucial in ensuring the success of prosthetic treatments and maintaining overall oral health.
9) Inflammation:
The term 'inflammation' in a dental context often refers to the body's response to infection, irritation, or damage, such as observed in periodontal diseases. Chronic inflammation can negatively impact the healing and integration of dental implants. Recognizing inflammation can help in prioritizing treatment strategies for better outcomes.
10) Measurement:
In dental practices, 'measurement' is critical for various procedures, especially during implant placement and restorative dentistry. Accurate measurement ensures that treatments are tailored specifically to the dimensions of the patient’s anatomy, influencing the success of the prosthesis and the long-term satisfaction of the patient.
11) Discussion:
In a research context, 'discussion' refers to the section where findings are analyzed, interpreted, and contextualized within existing literature. It provides insights into the implications of the study results for clinical practice, patient care, and future research directions in dental rehabilitation.
12) Knowledge:
The term 'knowledge' encompasses the understanding of dental implant procedures, oral hygiene best practices, and patient management techniques. Continuing education and effective communication are vital in empowering patients and guiding them in post-treatment care, ensuring favorable long-term outcomes in dental rehabilitation.
13) Suffering:
In a dental context, 'suffering' may refer to the physical and emotional distress caused by tooth loss, poor dental health, or inadequate treatment outcomes. Addressing the suffering of patients, particularly those undergoing rehabilitation, is key to enhancing their quality of life and psychological well-being.
14) Composite:
In dentistry, 'composite' often refers to a type of tooth-colored material used in dental restorations. Composites are utilized for a variety of restorative procedures, offering both aesthetic and functional advantages, which can significantly enhance the appearance and functionality of a patient's dentition following rehabilitation.
15) Swelling:
The term 'swelling' is indicative of an inflammatory response, often observed after surgical procedures in dentistry. Managing swelling is essential to ensure patient comfort and monitor healing processes. Excessive swelling can signal complications such as infection, which should be addressed promptly during the dental rehabilitation phase.
16) Activity:
In this context, 'activity' could refer to the biological activities that occur during tissue healing around implants or during oral health practices. Understanding activity levels in response to treatments is essential for improving surgical outcomes and maintaining long-term health and stability of dental restorations.
17) Quality:
In dentistry, 'quality' relates to the effectiveness and durability of dental materials and procedures. High-quality treatments can lead to better patient satisfaction and improved outcomes. Assessing quality also encompasses evaluating the patient’s experience and the clinical results of rehabilitative oral procedures.
18) Species:
In a microbiological context within dentistry, 'species' refers to specific bacterial organisms that can colonize the oral cavity. Understanding the various species present can aid in diagnosing periodontal disease, influencing treatment plans, and predicting implant success rates by shaping oral microbiome interactions.
19) Reason:
In a clinical setting, 'reason' pertains to the justification or justification for particular treatment choices. Analyzing the reasons for treatment options guides clinicians in personalizing patient care, aiming for better oral health outcomes and ultimately enhancing patients’ quality of life through effective rehabilitation strategies.
20) Silver:
In the dental field, 'silver' can refer to the use of silver-based alloys or components within restorative materials. Silver has antimicrobial properties that can be beneficial in preventing bacterial colonization around restorations and is often utilized in certain types of crowns and fillings for its durability and clinical advantages.
21) India:
The term 'India' may refer to the geographical and demographic context in which dental practices are being discussed. Recognizing regional differences in oral health challenges, treatment accessibility, and patient demographics can help tailor dental approaches and policies within the Indian healthcare landscape.
22) Food:
In terms of oral health, 'food' pertains to dietary habits that significantly influence dental well-being and hygiene. Certain foods can contribute to the development of caries or periodontal diseases, while others promote oral health, emphasizing the importance of educating patients on nutritional choices post-rehabilitation.
23) Diet:
The word 'diet' relates to the overall nutritional intake of an individual. In the dental context, diet plays a critical role in oral health and hygiene, impacting conditions like caries and periodontal disease. Providing dietary guidance can help improve patient outcomes and enhance the success rate of rehabilitation efforts.
24) Sign:
In dental practice, a 'sign' refers to an observable indication of a medical condition, such as swelling or bleeding gums. Recognizing significant signs can help clinicians diagnose conditions early, ensuring timely intervention and better patient management during dental treatments and rehabilitation.
25) Post:
In the dental domain, 'post' can refer to a dental post used to support a restoration for a tooth that is severely decayed or damaged. Additionally, it may pertain to the post-operative care and follow-up needed after surgical procedures, which are essential for ensuring successful healing and rehabilitation.
Other Science Concepts:
Discover the significance of concepts within the article: ‘From terminal dentition to full-mouth implant reconstruction: Evidence-based.’. Further sources in the context of Science might help you critically compare this page with similair documents:
Tooth loss, Chronic periodontitis, Bleeding gum, Dental implant, Periapical infection, Full Mouth Rehabilitation, Maxilla and mandible.