With advancement in the technology & medical science there has been also increase in the various diseases & disorders due to lifestyle changes, dietary changes, etc. Due to increase in the aspect of dentistry, there is a need to know about the medical condition of patients because many dental procedures may cause stress to the patient and their proper management is required in case if patient health status is not so good. Also, in invasive dental procedures that involve implants, extractions or jaw surgeries also need a proper dental as well medical management depending upon different conditions likewise there is a risk of bleeding that could be fatal in bleeding disorders, overdose of LA may precipitate the epileptic attack and many more. Here in this article we are going to discuss briefly about dental management in medically compromised patients, and also it's the duty of dentist to have the knowledge of such conditions and he should know how to manage those patients in his or her dental operatory.
In the last few decades implant has emerged overall in all countries and there are different loading protocols for the placement of implants like early loading delay loading or conventional loading. Here in this article, we are going to give a review on loading protocols in implants for the better understanding of general dentist as well as for implantologists. Different protocols have been discussed briefly by us for the selection of loading technique in implant dentistry.
Immediate loading of dental implant in the anterior tooth region has been a growing trend and eliminates the compromised esthetics, function, discomfort, and inconvenience associated with traditional two-stage implant procedures. This case report presents the clinical application of implant placement with immediate loading using leukocyte-platelet-rich fibrin (L-PRF) in the anterior esthetic region.The implant was planned to rehabilitate in the anterior missing tooth region. As per the patient’s desire, the implant was immediately loaded and L-PRF membrane was placed around the implant under local anesthesia on the day of surgery.The use of L-PRF for the maintenance of crestal bone and soft tissue at the implant sites provided an adequate clinical condition for better esthetics.
Platelet rich fibrin is a part of platelet concentrate, that is derived from human blood and made through the process of centrifugation. It is an autogeneous bio material, which basically constitutes various growth factors, and cytokines that are entrapped in its matrix of fibrin. Platelet rich fibrin provides ideal environment for healing of the wound and the regeneration of the tissue. Platelet rich fibrin helps in regulating the inflammation process and increases the healing process.
The causes of maxillary defects can be congenital or acquired in nature and management of these defects often require surgical removal of a part or almost the whole of the maxilla. This may result in establishment of oro-antral communication which ultimately hampers the daily routine activities of the patients such as speaking, swallowing, sneezing and coughing. Improvement of the defects with obturator prosthesis has been found to be beneficial to the patients. However, one of the main obstacles in restoring a large defect is the heaviness of the prosthesis which makes it non-retentive. To conquer these difficulties, diverse techniques are used to build up hollow bulb obturators. Here we report a case of large maxillary defect in a 75 year old male with Class I Aramany’s defect which was restored by a provisional obturator designed in the shape of a close hollow bulb using a clear and streamlined method for fabrication.
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