Volume 5 Issue 8
Ligaplants: The Rising Star of Dental Implantology
Arpit Sikri and Jyotsana Sikri
The first treatment of choice for restoring prosthetics has always
been dental implants. The renewal of periodontal ligament
fibers and their implantation on the root surface might lead to
new attachment. The bone loss brought on by an increased occlusal
load or an infection has been blamed for implant failure.
After implant insertion, there is a recorded bone loss of roughly
0.2 mm annually. Therefore, the ultimate objective has changed
from osseointegration alone to periodontium preservation and
halting the spread of disease in the surrounding hard and soft tissue.
We all know that the lack of the periodontal ligament, which
not only aids in the anchorage but also supports bone development
around the native tooth, is what distinguishes implants from
natural teeth. It can spontaneously regenerate, restoring the innervation
and strength of the tissue.
Volume 5 Issue 8
Comprehensive CBCT - Evaluation of Facial Anatomic Variations as a Critical
Factor in Implant Treatment Planning
Thomas G Wiedemann, Schablowski Isabel and Herrera Antonio Miguel
Anatomic variations affecting the maxillary sinus and the mandibular canal are relevant findings in CBCT imaging for dental
implant planning. An awareness of these alterations is important for implant surgery since some of them might require treatment
or cause complications or even make modifications in surgical and prosthetic treatment planning necessary. Localisation of sinus
septa, patency of the osteomeatal complex, endosseous vascular anastomoses, variation of course of the IAN and its anterior loop,
accessory foramina and lingual undercuts in the mandible are critical and must be properly taken into consideration in the course of
surgical and prosthetic implant treatment planning. Inadequate preoperative CBCT evaluation of these individual variations leads to
unnecessary surgical complications and even to unfavorable implant outcomes.
Conclusion: Various parameters should be checked in CBCT images of paranasal sinuses and course of the mandibular canal other
than the width and height of the residual ridge. Each of them may have a significant impact on the results of implant placements, bone
graft harvesting and open sinus lift surgery and can lead to intra-/postoperative complications or even implant failure.
Volume 5 Issue 8
Transnasal and Pterygoid Implants as an Alternative to Quad Zygoma in Atrophic Total Maxilla:
Case Report with Immediate Loading and 12 Months Follow-Up
Marcio Aurelio Foletto, Carlos da Silva, Caroline Gonçalves dos Santos, Andrey Carlos Locatelli, Marcia Ribeiro
de Alcantara-Nascimento and Irineu Gregnanin Pedron
The severely atrophic maxilla results from advanced bone resorption and becomes a limiting condition for patient rehabilitation.
The dental surgeon requires extensive anatomical and technical knowledge to perform major surgical procedures, such as the use of
bone grafts and the installation of zygomatic implants. These techniques are, most of the times, procedures that present high morbidity
and risks and possible complications. In this perspective, the option for more conservative techniques can favor implantoprosthetic
rehabilitation. The purpose of this article was to present the alternative technique of transnasal and pterygoid implantation to avoid
the Quad Zygoma, using extralong implants as a new anchorage alternative in atrophic jaws, thus aiding immediate loading. The
patient has been under follow-up for 12 months.
Keywords: Atrophic Maxila; Transnasal Implant; Zygomatic Implant; Quad Zygoma; Oral Rehabilitation
Volume 5 Issue 8
Globalization and its Effects on the Public Health and the Professionalization of Healthcare Professions in Societies in Transition
One of the most important features of dentistry is its autonomy, based on the sound social contract of respect for the patient’s interest to be given the highest standard of care he/she actually needs and explicitly demands. This did not change during the years of social development since the second half of the 19th century. Paradoxically, today, even the noticeable market character of the dental care provision, under the Covid 19 challenge, we are eyewitnesses of another trait of the dental profession - the growing idea of social service based on the solidarity and understanding of social expectations and trends in public health and public healthcare.
Volume 5 Issue 8
Nicolau Syndrome as Complication of Aesthetic Procedures
Irineu Gregnanin Pedron
Recently, in Brazil, a case of Nicolau Syndrome was reported due
to an alectomy procedure performed by a dental surgeon . Alectomy
is the bilateral partial removal of the distal part of the nasal
wings, promoting the thinning of the nose. It has been presented as
a more conservative proposal in relation to structured rhinoplasty.
However, in this procedure, the cartilages that support the nose
are also removed to allow air to pass through.
Volume 4 Issue 11
Clinical Performance and Antibacterial Effect of Two Luting Cements Used
with CAD-CAM Zirconia Space Maintainer
Ibrahim Barakat, Mohamed Galal Aboelsoud and Salem Abdelhakim
Background: Premature loss of primary molars plays a significant role in the malfunction of the masticatory apparatus and
considerable malocclusion. Space maintainers referred to appliances that preserve the space for adequate eruption of permanent
teeth. In modern civilization, the era of esthetics has the main interest of people; therefore, the introduction of new materials and
techniques is required.
Methods: In the present study, clinical and antimicrobial evaluation of two luting types of cement [(glass ionomer cement (group A)
and resin cement (group B)] under custom made zirconia space maintainers.
Results: Twenty-four space maintainers (96%) remain in position and function after three months of evaluation for group A and
92% for group B. Also, there was no significant difference in the antibacterial properties between the two groups.
Conclusion: Both luting types of cement provided a sufficient success rate during the clinical evaluation period.
Keywords:Space Maintainers; Zirconia; GIC; Resin Cement; Streptococcus mutans
Volume 4 Issue 11
Digital Dentistry: The Future is Here
Nessma Adel Muhammed
With the presenting of modern technology in our lives, everything
became so much easier, faster and the impossible turned to
possible in almost every field. This includes the dental field, as before
the invention of the great technologies; no one thought that
it’s possible to limit too many appointments in the dental office to
only one visit.
Digital dentistry is a term that means the use of computerbased
or digital components to carry the dental procedures rather
than using electrical or mechanical ones.
Volume 5 Issue 4
Management of a Primary Periodontal - Secondary Endodontic Lesion by Combination of
Periodontal and Endodontic Therapy Along with Placement of a Regenerative Collagen Membrane
at the Furcal Area - A Case Report
Kazi Hossain Mahmud, Rina Niroula and Moktadir Hossain
Endodontic-periodontal lesions or retrograde pulpitis can be caused by the bacteria in periodontal pockets affecting the dental
pulp. More than half of all tooth problems are caused by pulpal and periodontal disorders. Inflammatory periodontal disease and
pulpal problems might make diagnosis and treatment planning more complex. The efficiency of a bio absorbable barrier membrane
in the therapy of a furcation defect linked with an endo-perio lesion in a left mandibular first molar is examined in this case report.
The hard and soft tissue lesions have completely healed on follow-up radiographs. For a long-term prognosis, the tooth with endoperio
lesions should be extensively examined for any cracks or fractures, particularly in the furcation zones. It was demonstrated in
this case study that a three-month treatment interval between endodontic therapy and periodontal surgery has no negative impact
on periodontal tissue healing.
Keywords: Endo-Perio Lesion; Mandibular Molar; Furcation; Treatment Interval
Volume 5 Issue 4
Dental Corono-Radicular Fractures in Adult Subjects: Epidemiology, Etiopathogeny,
Anatomic Pathology and Therapeutic Indications
Adou Akpe Jonas, Kouame Patrice A, Amantchi D, Adouko Aka, Aye M, Kouyate V and Angoh Yapoh
Introduction: Coronoradicular fractures are a frequent reason for consultation today in Ivory Coast and they pose the problem of the
conservation of the tooth, yet awaiting a final or prosthetic restoration.
Methods: This is a descriptive cross-sectional study carried out on 100 cases of coronary radicular fractures in adult patients seen
during our consultations. Thus, for each patient, we will note the reason for the consultation, the tooth concerned, living or not, with
root canal treatment or not, bearing a filling or not, the type of fracture, the buccal, palatal or lingual movable pan and the presence
adjacent or opposing teeth.
Results: Epidemiologically, there is a 9% frequency of coronary radicular fractures diagnosed during our consultations. Chewing
is the main circumstance of occurrence and in 70% of cases and gum pain caused by mobility of the fractured pan (80%) or pulp
exposure (10%) motivates the consultation. The teeth were pulped in 85% of the cases and the antagonist tooth exists in all the cases
and often alive. 60% of oblique fractures are subgingival, 40% supragingival and the mobile part is most often vestibular 70 when the
tooth is maxillary and in 60% lingual when the tooth is mandibular. maxillary teeth are the most represented in our sample (60%).
Conclusion: Coronal radicular fractures are quite worrying for the practitioner because of their frequency and their etiopathogenesis.
They are generally teeth already treated or at the end of treatment with a prosthetic project or not. These oblique corono-radicular
fractures raise the question of whether or not the tooth is preserved. This will depend on the type of fracture and the height of the
fracture, especially at the root level.
Keywords: Fractures; Pain; Prosthesis
Volume 5 Issue 5
CBCT-A Promising Diagnostic Tool for Radix Entomolaris
Preeti Chawla Arora, Aman Arora and Jasmeen Kaur
Presence of an additional supernumerary distolingual root in the mandibular molar is termed as Radix Entomolaris (RE). It is
common in mandibular first molar, but its occurrence in mandibular second molar is scarcely reported in literature. Two-dimensional
imaging can diagnose anatomical root canal variations when taken with different horizontal angulations. With the recent innovations
in three-dimensional diagnostic imaging, cone beam computed tomography (CBCT) can aid in unfolding the complexities of
the root canal system. Accurate diagnosis by CBCT leads to the success of endodontic treatment. A rare case of radix entomolaris in
mandibular second molar is reported here with three-dimensional imaging with CBCT.
Keywords: Cone Beam Computed Tomography; Additional Root; Mandibular Second Molar; Radix Entomolaris; Distolingual Root; Radix