Ultrasonic Devices for Minimally Invasive Periodontal Surgery and Restorative Dentistry
LIT-057
Dr. Sascha A. Jovanovic
Ultrasonic Devices for Minimally Invasive Periodontal Surgery and Restorative Dentistry
LIT-056
Dr. Pascal Magne
Fatigue Resistance and Crack Propensity of Novel "Super-Closed" Sandwich Composite Resin Restorations in Large MOD Defects
The Non-Vital Discolored Central Incisor Dilemma
LIT-055
Dr. Pascal Magne
The Non-Vital Discolored Central Incisor Dilemma
LIT-054
Dr. Pascal Magne
Restorative treatment for patients with dental erosion requires an analysis of the degree of structural damage. Patients affected by moderate to severe dental erosion are particularly challenging because complex occlusal reconstruction will be needed. Ultrathin bonded occlusal veneers represent a conservative alternative to traditional onlays and complete coverage crowns for the treatment of severe erosion. This article describes a complete mouth rehabilitation with ultrathin computer-aided design and computer-aided manufacturing (CAD/CAM) composite resin occlusal veneers in a patient with a severely eroded dentition. In the maxillary anterior teeth, the bilaminar approach was chosen with lingual composite resin veneers and labial porcelain veneers. The main benefit of this approach is the possibility of using additive adhesive techniques, allowing only strategic reduction of sound dental structure or no preparation.
LIT-053
Dr. David Azar
As the use of dental implants has become more prevalent in restorative dentistry, a need has emerged for developing proper therapeutic approaches and modalities to treat peri-implant disease. While much attention has focused on tissue-centric treatment modalities, this article will examine another causative factor in peri-implant disease: improper restorative design. It will discuss the therapeutic benefits of modifying the morphology of existing restorative components in a case of chronic peri-implant mucositis, as well as review some basic concepts of current implant management.
LIT-052
Dr. Sascha A. Jovanovic
Aim: To clinically and radiographically evaluate bone regeneration of severe horizontal bone defects. Materials and Methods: This study was designed as a single cohort, prospective clinical trial. Partially or fully edentulous patients, having less then 4 mm of residual horizontal bone width were selected and consecutively treated with resorbable collagen membranes and a 1:1 mixture of particulated anorganic bovine bone and autogenous bone, 7 months before implant placement. Tapered body implants were inserted and loaded 3 to 6 months later with a screw retained crown or bridge. Outcomes were: implant survival rate, any biological and prosthetic complications, horizontal alveolar bone dimensional changes measured on cone beam computed tomography (CBCT) taken at baseline and at implant insertion, peri-implant marginal bone level changes measured on periapical radiographs, plaque index (PI), and bleeding on probing index (BoP).
LIT-051
Dr. Stavros Pelekanos
Restoring a severely resorbed maxilla is challenging because of poor bone quality and the resorptive pattern that follows tooth loss. When bone augmentation is not possible, implants are placed in suboptimal positions, making the prosthetic rehabilitation more complex. This report presents the steps used to rehabilitate a severely resorbed maxilla with divergent implants, using an implant-supported 2-piece screw-retained prosthesis.
Management of peri‑implantitis: a systematic review, 2010–2015
LIT-050
Peri-implantitis or Periimplantitis is characterized as an inflammatory reaction that affects the hard and soft tissue, which results in loss of supporting bone and pocket formation surrounding the functioning osseointegrated implant. This review aimed to evaluate the effectiveness of surgical and non-surgical treatment of peri-implantitis. The data sources used was PubMed. Searches of this database were restricted to English language publications from January 2010 to June 2015. All Randomized Controlled Trials describing the treatments of peri-implantitis of human studies with a follow up of at least 6 months were included. Eligibility and quality were assessed and two reviewers extracted the data. Data extraction comprised of type, intensity provider, and location of the intervention. A total of 20 publications were included (10 involving surgical and 10 involving non-surgical mechanical procedure). The non-surgical approach involves the mechanical surface debridement using carbon or titanium currettes, laser light, and antibiotics whereas, surgical approach involves implantoplasty, elevation of mucoperiosteal flap and removal of peri-inflammatory granulation tissue followed by surface decontamination and bone grafting. This study reveals that non-surgical therapy tends to remove only the local irritant from the peri-implantitis surface with or without some additional adjunctive therapies agents or device. Hence, non-surgical therapy is not helpful in osseous defect. Surgical therapy in combination with osseous resective or regenerative approach removes the residual sub-gingival deposits additionally reducing the peri-implantitis pocket. Although there is no specific recommendation for the treatment of peri-implantitis, surgical therapy in combination with osseous resective or regenerative approach showed the positive outcome.