Limited Evidence Suggests High Risk of Implant Failure Rates Among People With Generalized Aggressive Periodontitis

Alqutaibi, Ahmed Yaseen; Algabri, Radhwan S.

doi:10.1016/j.jebdp.2015.10.006

Cited by 13 publications

(7 citation statements)

References 6 publications

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“…[ 6 ] However, in lieu of this systemic review, a contradictory report was published in “Evidence based Dentistry-2015” where Alqutaibi and Algabri stated that there are limited quality- and patient-oriented evidence to suggest a high risk of implant failure rates in individuals with GAP. [ 7 ] Another systematic review in favor of dental implant treatment in GAP patients stated that the implant survival rates were between 97.4% and 100% in short-term studies, and long-term survival rates were between 83.3% and 96%. [ 8 ]…”

Section: Introductionmentioning

confidence: 99%

Comprehensive rehabilitation using dental implants in generalized aggressive periodontitis

Ramesh¹,

Ravi²,

Kaarthikeyan³

2017

J Indian Soc Periodontol

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Generalized aggressive periodontitis (GAP) is a debilitating form of the disease and it results in deteriorating effects on the esthetic and functional aspects of the oral cavity. This case report describes the comprehensive rehabilitation of GAP patient using dental implants. The treatment planning involved thorough scaling and root planning (SRP) with oral hygiene instructions. The patient was motivated to adhere to a strict oral hygiene regimen following which periodontal flap surgery employing guided tissue regeneration and bone grafts was performed. Bacterial culture for anaerobic microorganisms was done using a gas pack pre- and postperiodontal treatment to confirm the effectiveness of the periodontal treatment regimen and also to proceed with dental implant placement. The rigorous maintenance program ensured the stability of the periodontium following which immediate placement of dental implants in the maxillary and mandibular anterior region was done. The fixed metal-ceramic prosthesis was fabricated in a step-by-step process and the patient was recalled on a periodic basis over a 3-year follow-up duration. This case is a testimonial to the postperiodontal treatment long-term stability with excellent patient cooperation and strict maintenance protocol.

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Section: Introductionmentioning

confidence: 99%

Comprehensive rehabilitation using dental implants in generalized aggressive periodontitis

Ramesh¹,

Ravi²,

Kaarthikeyan³

2017

J Indian Soc Periodontol

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“…CBCT has become an indispensable tool in the dental field due to its ability to provide accurate measurements [15,16]. With its three-dimensional imaging capabilities and high-resolution images, CBCT aids in precise diagnosis, treatment planning, and monitoring of dental conditions [17][18][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Histopathological Changes of Dental Follicles of Impacted Third Molars in Ibb Governorate

Al-Dumaini,

Abbas

2024

Cureus

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Objective: There is a lack of data pertaining to the examination of dental follicles (DFs) in asymptomatic impacted lower third molars (ILTMs) using cone beam computed tomography (CBCT) and histopathological analysis in the Yemeni population. The objective of this study was to explore the DFs of asymptomatic ILTMs through radiological (CBCT) and histological analysis. Materials and methods: This prospective study comprised 60 patients aged 18-50 years with ILTMs. The ILTMs in these patients exhibited a DF with measurements ranging between 3 and 5 mm. CBCT was employed to evaluate the maximum width of the DF surrounding the crown of ILTMs in horizontal, sagittal, and coronal sections. After the extraction, the DFs were examined for any pathological changes and categorized as normal, inflammatory, cystic, or neoplastic. The data analysis was performed using IBM SPSS Statistics for Windows, Version 21 (Released 2012; IBM Corp., Armonk, New York, United States), and the statistical significance was determined by employing chi-square tests with a significance level of 0.05. Results: In the study, a total of 60 patients were included, with 17 (28.3%) being male and 43 (71.7%) being female. The majority of the patients 26 (43.3%) fell within the age range of 26-35 years. Regarding the angulation of the ILTMs, most of them were mesioangular 45 (75%), followed by vertical 7 (11.7%), horizontal 4 (6.6%), buccoangular 3 (5%), and distoangular 1 (1.6%). Histopathological changes were observed in 44 of the samples (73.3%). The majority of histopathological changes identified in the DFs were dentigerous cysts 26 (59%) followed by odontogenic keratocysts 11 (25%). Thirty-six (81.8%) of histopathological changes were found in females, whereas in only eight samples (18.1%), histological changes were observed in males. This difference was statistically significant ( p =0.004). However, there were no statistically significant differences observed in the occurrence of histopathological changes based on age, angulation, and follicle size (p>0.05). Conclusion: Follicles in ILTMs varied significantly based on gender, with a higher occurrence in females, and tooth impaction angle, mainly in the mesioangular position. Furthermore, a follicular size of 3-5 mm was associated with a higher incidence of pathological changes. Hence, histopathologic examination is recommended for surgically removed ILTMs irrespective of the follicle size observed in radiographic images.

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“…Dental implants have revolutionized the field of prosthodontics, playing a crucial role in removable [19][20][21], fixed [22][23][24], and maxillofacial prosthesis [25,26]. With their ability to provide stability, functionality, and aesthetic appeal, dental implants have transformed the lives of countless individuals, restoring their oral health and overall well-being.…”

Section: Discussionmentioning

confidence: 99%

Fabrication of a Definitive Obturator for a Patient With a Maxillary Defect: A Case Report

Farghal

2023

Cureus

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Maxillectomy defects can lead to oroantral communication, causing difficulties with chewing, swallowing, speech, and facial appearance. Prosthodontists play a crucial role in rehabilitating such defects using obturators. This case report presents the fabrication of a definitive obturator with a cast metal framework for a patient who had an acquired maxillary defect and previously experienced issues with an ill-fitting obturator. In this clinical report, the patient's canine teeth on both sides and the premolars and molars on the left side were used for rest placement. Retention was achieved by utilizing the remaining teeth, employing two embrasure Aker clasps on the left molars and premolars and a C-wrought wire clasp on the right canine. A complete palate was designed as the major connector to ensure optimal load distribution to the surrounding tissues. Additionally, an indirect retainer was planned for the right canine. This definitive prosthesis rehabilitated the patient, improving masticatory efficiency, enhancing speech clarity, and improving quality of life.

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Limited Evidence Suggests High Risk of Implant Failure Rates Among People With Generalized Aggressive Periodontitis

Cited by 13 publications

References 6 publications

Comprehensive rehabilitation using dental implants in generalized aggressive periodontitis

Comprehensive rehabilitation using dental implants in generalized aggressive periodontitis

Histopathological Changes of Dental Follicles of Impacted Third Molars in Ibb Governorate

Fabrication of a Definitive Obturator for a Patient With a Maxillary Defect: A Case Report

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