The aim of this study was to explore the literature for clinical and histological data of an unconventional treatment with implants placement in contact with dental tissue (IPICDT) and to try to clarify its indications and surgical procedure particularities.Relevant publications published until May 2019 on the IPICDT were thoroughly reviewed. Search strategy was developed using a controlled vocabulary combination.Medline’s exploration and manual research identified 397 articles; 15 of these were selected after screening. IPICDT was indicated in three clinical situations: impacted teeth, ankylosed teeth, or residual roots. Clinical and radiological follow-up were satisfied except for implants placed in contact with (and not through) roots. Histological analysis revealed different mineralized tissues formed on the implant surface: cementum on removed implants in human and osteodentin on implants placed in contact with animal teeth dentin and pulp. These findings were described as new concept of implants’ “Mineral integration.”According to this study, the follow-up results of implants placed in contact with roots were controversial. Some implants were stable and others were either removed or kept and disinfected after root extraction because of bacterial infection. However, implants placed through ankylosed or impacted teeth were stable. These findings suggest that the clinicians have to be cautious when applying this unconventional approach. Further studies are recommended to explore its long follow-up. It is also interesting to explore this technique in cases of syndromic dental diseases with several impacted teeth (such as cleidocranial dysplasia; or amelogenesis imperfecta).
This clinical report describes the oral rehabilitation of a 22‐year‐old‐man diagnosed with a variant of hypoplastic amelogenesis imperfecta. The treatment approach was multi‐disciplinary, and it included the surgical procedure of Lefort I osteotomy, surgical crown lengthening, and metal‐ceramic‐fixed dental prostheses. The patient was satisfied with the esthetic and functional outcome.
Aim:The aim of this study is to determine the complaints of patients wearing single complete removable dentures (SCRDs), to evaluate their satisfaction degree, and to identify the main construction faults committed. Materials and methods: One hundred patients with SCRDs were included. A questionnaire was prepared to investigate the patients' complaints and satisfaction. This questionnaire was supplemented by a professional examination of dentures. Results: Loss of retention and chewing difficulties were the most common complaints of the patients. Examination of the complete dentures by a professional in removable prosthodontics has shown prosthetic instability, lack of retention, and poor adaptation of the prosthetic bases in 49%, 42%, and 38% of the cases, respectively. Occlusal errors related to balanced occlusion, occlusal plane orientation, and occlusal vertical dimension were found successively in 41%, 37%, and 27% of the examined dentures, respectively. Sixty-three percent of the patients were overall dissatisfied with their dentures. This dissatisfaction was correlated to the quality of the denture (p < 10 −3 ).
Conclusion:The complaints expressed by the patients with their dentures are mostly justified. The design of a single removable denture does not seem to be mastered by many practitioners.
Objectives. The aim of this study was to explore the literature in order to assess systematically the association between amelogenesis imperfecta (AI) and caries development and to evaluate the DMF index among AI patients. Basic Research Design. PubMed was used to explore the database Medline. The key words used were “Amelogenesis Imperfecta” [Mesh], “Dental Caries” [Mesh], “Tooth Loss” [Mesh], “DMF Index” [Mesh], and “Dental Restoration, Permanent” [Mesh]. Moreover, an ad hoc search was performed in order to make the study as exhaustive as possible. Results. Fifty-five articles were retained. The total number of patients gathered was 499. A percentage of 68.8% of the articles dealt with cases with a relatively low dental caries process, 20.8% dealt with cases in which the dental caries process was relatively moderate, and 10.4% dealt with cases in which the dental caries process was severe. Teeth extraction due to dental caries was mentioned in 10 articles. Eleven articles, concerning 53 patients, mentioned dental fillings. Four patients did not have dental filling due to dental caries. DMF index was very low in 2 articles and low-to-high in 3 articles. Conclusion. Low dental caries susceptibility with AI patients was noticed in this study. A possible factor could be the lack of proximal contacts and elimination of fissures through enamel loss. The lack of dental caries susceptibility was also explained by the microbacterial specificity of hypoplastic AI patients. Moreover, it was also noted that the prevalence of dental caries among AI patients depends on sociodemographic change.
Acromegaly is a rare disease that can have serious consequences. This disease is not widely known by stomatologists, although cranio-facial manifestations are important and rapid changes in the oral cavity are frequent and sometimes dramatic. The prosthetic management of patients with acromegaly is not easy because it is necessary to wait for the stabilization of the disease. If this is not the case, the bone changes prevent the stability of prostheses over time. Moreover, because of bone remodeling, some treatments are contra-indicated, which limits our therapeutic choices. Through this clinical case, we will focus on the oral manifestations of patients with acromegaly and the method of prosthetic management.
The profile teleradiography finds its indication in removable denture each time that the complexity of the case requires it. It is used as a working tool with a clinical value for refining our diagnosis. The aim of this work is to establish, through a clinical case, the importance of this radiography in the diagnosis and prosthetic decision-making.
Quel que soit l’édentement, la prothèse partielle
amovible doit répondre aux principes de rigidité,
d’équilibre et de confort grâce à une conception
bien réfléchie des éléments constituants
le châssis.
Cependant, dans certaines situations cliniques,
cette conception se trouve modifiée pour mieux
gérer les impératifs esthétiques et fonctionnels
des patients.
Cet article présente les différentes formes
des contre plaques, leurs intérêts, impératifs
de conceptions et leurs inconvénients.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.