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Oral and Maxillofacial Implants

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 October 2022) | Viewed by 5231

Special Issue Editor


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Guest Editor
Department of Clinical and Experimental Medicine; University of Florence, Largo Brambilla 4, 50127 Florence, Italy
Interests: implant dentistry; periodontology; oral implantology; periodontal surgery

Special Issue Information

Dear Colleagues,

Oral and maxillofacial implants represent one of the most important fields of surgery, and are a fundamental aspect of oral and maxillofacial surgery. With this Special Issue I propose to focus on several topics related to the field: surgical complications, treatment of maxillary atrophy and oncological patients. I encourage you to share with the readers the state of the art in oral surgery.

 

 

Dr. Debora Franceschi
Guest Editor

Manuscript Submission Information

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Keywords

  • guided bone regeneration
  • maxillofacial surgery
  • oral implants
  • head and neck surgery
  • oncology
  • reconstructive surgery

Published Papers (2 papers)

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Research

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11 pages, 3814 KiB  
Article
Clinical Evaluation of Implant Suprastructures Depending on the Biomechanical Characteristics of the Materials Used
by Daniela Stoeva, Dimitar Filtchev, Neli Nikolova, Zhanina Pavlova, Svetoslav Slavkov and Georgi Iliev
Appl. Sci. 2022, 12(17), 8659; https://doi.org/10.3390/app12178659 - 29 Aug 2022
Cited by 1 | Viewed by 1493
Abstract
The choice of an appropriate implant suprastructure, which should be made according to the individual characteristics of each patient, is a leading factor in achieving good aesthetic results. The aim of this study was to assess the clinical behavior of implant suprastructures according [...] Read more.
The choice of an appropriate implant suprastructure, which should be made according to the individual characteristics of each patient, is a leading factor in achieving good aesthetic results. The aim of this study was to assess the clinical behavior of implant suprastructures according to functional, biological, and aesthetic criteria. Methods: The study enrolled 23 patients with a total of 27 implants in different areas of the oral cavity. The following groups were studied for a period of 1 year: Group A, the control group (monolithic implant crowns made of zirconium dioxide on a titanium base); Group B (monolithic implant crowns made of lithium disilicate with individualized (custom) titanium alloy abutment); and Group C (implant crowns made of zirconium dioxide with individualized titanium alloy abutment). The functional criteria included suprastructure fracture, crown fracture or chipping, screw fracture or loosening, faceting or wearing of the occlusal surface of the crown, articulation relations, and suprastructure fracture. The biological indicators included the probing pocket depth (PPD) and Mombelli et al.’s plaque index and bleeding on probing. The bone loss level was measured radiographically. Digital measurements of the bone loss level were performed when definitive prosthetics were placed and 1 year after. The platform of the implant was taken as a reference point. Two parallel lines ran distally and medially to the implant and descended to the level of the first thread, which was in contact with the bone. The aesthetic evaluation was based on Jempt’s papilla index and considered differences in the color of the peri-implant mucosa. The suprastructures were examined at 2 weeks and 1 year after the initiation of prosthetic treatment. Results: Regarding the functional criteria, no deviations from the reference range were registered in any of the study groups for both measurements. Radiography showed no bone loss in any of the study groups. Group B showed the best behavior regarding biological complications, followed by Group C. There was no plaque accumulation in Group B, but statistically significant amounts were found in Groups A (p = 0.08) and C (p = 0.01). Group B had the lowest bleeding index, but the differences between the groups were found to be insignificant during the observations at the one-year mark. On the vestibular side of the papillae, p = 0.39, while on the oral side, p = 0.35. The PPD measurements showed that there were statistically significant differences between the three groups when they were compared after the second week and after one year (p = 0.00). Jempt’s papilla height index showed the highest values in Group B, which increased by two times throughout the study period. The increase was statistically significant in Groups B and C, while the growth in Group A remained statistically insignificant (p = 0.10). The aesthetic indicator “Gingiva color around the restoration” showed mild margo gingivalis graying in Groups B and C. Conclusions: Individualized implant abutments made of titanium alloy and monolithic restorations made of lithium disilicate or zirconium dioxide have stable biomechanical behavior and may be the optimal choice for the prosthetic treatment of partial edentulousness. Because this study took place within a limited period of time, clinical trials with a longer follow-up period need to be carried out. Full article
(This article belongs to the Special Issue Oral and Maxillofacial Implants)
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12 pages, 22064 KiB  
Case Report
Preliminary Approach for Open Lateral Window Technique for Successful Maxillary Sinus Augmentation in the Unrepairable Wide Perforation Area of Schneiderian Membrane
by Won-Bae Park, Gazelle Jean Crasto and Philip Kang
Appl. Sci. 2022, 12(19), 9725; https://doi.org/10.3390/app12199725 - 27 Sep 2022
Cited by 1 | Viewed by 3383
Abstract
During maxillary sinus augmentation (MSA), bone graft particles displaced through the perforated site can block the ostium and become a risk factor for maxillary sinusitis. The purpose of this case report is to introduce a novel approach for successful lateral MSA performed in [...] Read more.
During maxillary sinus augmentation (MSA), bone graft particles displaced through the perforated site can block the ostium and become a risk factor for maxillary sinusitis. The purpose of this case report is to introduce a novel approach for successful lateral MSA performed in the unrepairable perforation area of Schneiderian membrane. In a total of three patients, including two who were unintentionally treated with a split-mouth design, the Schneiderian membrane was irreparably perforated during the sinus floor elevation. After bone grafting was performed on only the sinus floor, the open lateral window technique was performed in which the upper part of the lateral window was opened. After the procedure, unexpectedly, the patient showed transient nasal bleeding, but no unusual clinical events. Most of the bone graft substitutes were not displaced and the exposed portion was covered with a soft tissue. In the sinus graft, clotting of blood, supplied from the perforated Schneiderian membrane and the buccal flap through the open lateral window, appeared to prevent graft displacement. Within the limitations of present case reports, these patients showed that MSA via the open lateral window technique was possible even with a widely perforated Schneiderian membrane that could not be repaired. Full article
(This article belongs to the Special Issue Oral and Maxillofacial Implants)
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