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Esthetic and Oral Rehabilitation: Novel Techniques, Materials and Applications

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Dentistry and Oral Sciences".

Deadline for manuscript submissions: closed (20 December 2023) | Viewed by 1214

Special Issue Editor


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Guest Editor
Dental School, Vita-Salute San Raffaele University, 20121 Milan, Italy Department of Dentistry, IRCCS San Raffaele Hospital, 20121 Milan, Italy
Interests: esthetic and oral prosthetic rehabilitation
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Prosthetic and aesthetic rehabilitations, new techniques, especially digital techniques, implant rehabilitations, and the use of innovative materials play key roles in modern dentistry.

In addition, digital surgery planning, as an innovative diagnostic phase, immediate prosthetic loading and the communication phase with the patient are fundamental in the new modern treatment process. With the use of the most advanced technologies for the acquisition of diagnostic data, from the high-resolution, low-radiation three-dimensional radiology of cone beam CT to the acquisition of intraoral impressions with digital acquisition systems, it is now possible to accumulate in a virtual environment all the parameters needed to work out the optimal rehabilitation for the patient. This is also possible thanks to the aid of specific software dedicated to the digital design of the prosthetic layout interfaced with implant planning programs that offer the concrete possibility of pre-visualize the rehabilitation project in a digital environment even before the surgical phase, making it possible to arrive at these results starting from the diagnostic data.

The development of programs dedicated to modeling prosthetic elements in three dimensions has recently made it possible to digitally design tooth morphology in three dimensions even in the case of extensive rehabilitations. The 'matching' between prosthetic design and virtual planning of implant placement opens up hitherto undreamt-of perspectives for the entire digital design of implant-supported prosthetic rehabilitation.

The CAD/CAM realization of the immediately loaded provisional prosthesis, true to the layout realized in the diagnostic phase, fulfils the functional and aesthetic requirements even in the most complex cases, such as full-arch rehabilitations with a small number of implants.

Prof. Dr. Francesca Cattoni
Guest Editor

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Keywords

  • implant rehabilitation
  • esthetic prosthetic rehabilitation
  • digital workflow
  • laser therapy
  • hygiene follow up
  • esthetic materials

Published Papers (1 paper)

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Research

17 pages, 318 KiB  
Article
Clinical and Radiographic Follow-Up of Full-Arch Implant Prosthetic Rehabilitations: Retrospective Clinical Study at 6-Year Follow-Up
by Matteo Nagni, Filippo Pirani, Bianca D’Orto, Francesco Ferrini and Paolo Cappare
Appl. Sci. 2023, 13(20), 11143; https://doi.org/10.3390/app132011143 - 10 Oct 2023
Cited by 1 | Viewed by 909
Abstract
Aim: the aim of this retrospective clinical study was to evaluate clinically and radiographically full-arch implant prosthetic rehabilitations supported by six axial implants or four implants placed according to the All-on-Four protocol. Materials and methods: Patients in need of immediately loaded full-arch implant [...] Read more.
Aim: the aim of this retrospective clinical study was to evaluate clinically and radiographically full-arch implant prosthetic rehabilitations supported by six axial implants or four implants placed according to the All-on-Four protocol. Materials and methods: Patients in need of immediately loaded full-arch implant prosthetic rehabilitations of one or both arches were considered. Follow-up visits were performed one week after surgery, at 3 and 6 months and then once a year for the next 6 years to record implant survival, peri-implant parameters, marginal bone loss, bone cortical thickness and possible muscular, articular and prosthetic complications. A satisfaction evaluation questionnaire was also made available to all patients at the end of the follow-up period. Results: A total of 30 patients with total edentulism of one or both arches or need for avulsion of residual impaired teeth were enrolled for this study and underwent implant prosthetic rehabilitation on four or six implants. The overall implant survival rate at the six-year follow-up was 98.09%. Statistical analysis revealed a significant association between implant site and higher plaque and bleeding index in the posterior site. The extent of keratinized tissue was statistically superior in anteriorly located implants. Statistical analysis showed a significant difference between the values of bone-marginal levels as a function of time. The vestibular and palatal/lingual bone cortices were preserved, with an increasing trend in the apical direction. Regarding muscular and articular complications, the results of this study showed statistically significant differences between the mean values recorded in male and female subjects, while the most frequently encountered problems during the clinical evaluation were the presence of joint clicks and pain in the masseter muscles. Two of the patients examined showed problems with mandibular latero-deviation and prosthetic fracture. Conclusion: within the limitations of the present study, immediate implant-retained prosthetic rehabilitations supported by six axial implants or four fixtures placed according to the All-on-Four method could represent a valid therapeutic alternative to provide edentulous patients with restoration of masticatory function and aesthetics and promote their acceptance. Full article
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