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Effectiveness of the Use of Simultaneous Connective Tissue Grafts and Immediate Post-Extraction Implant Placement: A Literature Review
Nicolás Solano,
Dalmiro Ortega,
Arianny Peraza,
Mari Solvey Vargas,
Mariela Fox
Issue:
Volume 7, Issue 2, December 2021
Pages:
13-16
Received:
24 June 2021
Accepted:
15 July 2021
Published:
29 July 2021
Abstract: In recent decades, pink aesthetics represents a relevant factor when evaluating long-term results in implant rehabilitation, mainly in the anterior sector. Immediate implant placement after dental extraction is an alternative for the rehabilitation of edentulous patients, and despite its high success rate, the presence of associated peri-implant tissue recessions has been evidenced within its main complications, and the use of connective tissue grafts are a tool that could preserve the stability of the peri-implant mucosa. The objective of this literature review is to assess the use of simultaneous connective tissue grafts with implant placement immediately after extraction as an alternative to improve peri-implant stability. Good results have been evidenced by applying this technique measured in the pink aesthetic score in scientific studies, benefiting those cases with a fine gingival phenotype. Likewise, fewer recessions of the peri-implant mucosa have been observed, which causes fewer associated complications and constitutes an alternative to achieve long-term stability, improvement of peri-implant tissues and better clinical results. However, it is important to take into account that the gingival phenotype is not the only element to consider in post-extraction implants, since the thickness and integrity of the vestibular cortex, the jumping distance, as well as the design of the implant and the three-dimensional positioning must be evaluated.
Abstract: In recent decades, pink aesthetics represents a relevant factor when evaluating long-term results in implant rehabilitation, mainly in the anterior sector. Immediate implant placement after dental extraction is an alternative for the rehabilitation of edentulous patients, and despite its high success rate, the presence of associated peri-implant ti...
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Prevalence of Malocclusion Patterns in Mouth Breathing Children Compared to Nasal Breathing Children – A Systematic Review
Issue:
Volume 7, Issue 2, December 2021
Pages:
17-27
Received:
4 May 2021
Accepted:
4 August 2021
Published:
11 August 2021
Abstract: The prevalence of malocclusion in mouth breathing children compared to nasal breathing children is unclear, therefore the aim of this study is to identify this prevalence in a systematic review. Seven studies were included. Six studies investigated the prevalence of malocclusion in mouth breathers and compared them with the prevalence data in nose breathers. One study evaluated the prevalence of mouth- and nose breathing in children with malocclusion. The prevalence rates for class I to class III malocclusions vary significantly between studies. For class I malocclusions, a prevalence between 9% and 74% was identified in the included studies. For class II malocclusions a prevalence between 21% and 73% was shown, which equalled roughly the prevalence of class I malocclusions. Class III malocclusions were the least prevalent, between 5% and 24%. There is insufficient evidence for a difference in prevalence patterns of class I – III malocclusions between mouth and nasal breathers in order to draw a definite conclusion. The quality of the included studies was rated moderate to poor. Research on the prevalence of malocclusions in mouth breathing compared to nasal breathing children is scarce. Identified prevalence rates differ significantly, which is likely due to different assessment and reporting methods used in the included studies. The evidence of a difference in prevalence patterns for class I – III malocclusions and other occlusion traits between mouth and nasal breathers is insufficient to draw a definite conclusion.
Abstract: The prevalence of malocclusion in mouth breathing children compared to nasal breathing children is unclear, therefore the aim of this study is to identify this prevalence in a systematic review. Seven studies were included. Six studies investigated the prevalence of malocclusion in mouth breathers and compared them with the prevalence data in nose ...
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Sustainability and Success of Cleft Surgery in Developing Countries: Satisfaction Outcome of 125 Patients Operated in Myanmar
Milena Pejkovic,
Martin Gosau Heinrich Schoeneich,
Khin Marlar Win,
Thiha Wyain,
Heinrich Schoeneich,
Philipp Kauffmann,
Silke Haerteis,
Lukas Prantl,
Paul Immanuel Heidekrueger,
Thiha Aung
Issue:
Volume 7, Issue 2, December 2021
Pages:
28-35
Received:
28 June 2021
Accepted:
15 July 2021
Published:
18 August 2021
Abstract: Non-syndromic orofacial clefts are significantly linked to socioeconomic status. Because of limited access to proper medical care in rural areas of developing countries charity missions are highly required to mitigate negative outcome, but there is still a lack of data on humanitarian missions’ sustainability and success. A retrospective analysis of 125 patients who underwent cleft surgery during humanitarian missions in Myanmar was performed. Patients’ satisfaction with facial features and function was evaluated pre- and post-surgery. Furthermore, postoperative complications and satisfaction with follow-up care have been analyzed. Between 2008 and 2020 125 patients underwent cleft surgery by the Interplast team. The median patient’s age was 2,58 years (mean=7 years) with a range of 3 months to 54 years. Group 1 (patients with cleft lip only, n=58) was analyzed on satisfaction with facial aspects and significant improvement was found. All 125 patients were evaluated regarding function features like eating or drinking and their post-surgical satisfaction was significantly higher than before surgery. To analyze if hearing and nasal breathing difficulties in patients with cleft palate can be decreased by primary cleft surgery these parameters were analyzed in group 2 (n=67). Group 2 as well reported significant improvement. Even with limited medical infrastructure and later primary surgery than in developed countries, cleft surgeries can be performed successfully and sustainable by integrating local surgeons in charity missions. Patients benefit greatly by these missions and further investigation on humanitarian cleft missions should be conducted.
Abstract: Non-syndromic orofacial clefts are significantly linked to socioeconomic status. Because of limited access to proper medical care in rural areas of developing countries charity missions are highly required to mitigate negative outcome, but there is still a lack of data on humanitarian missions’ sustainability and success. A retrospective analysis o...
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Contrastive Characteristic Analysis of Mandibular First Molar Alveolar Bone Between Li Nationality and Han Nationality
Haiou Zhang,
Si Yu Tao,
Wan Yun Lin,
Xiang Guo,
Hong Yuan Tian,
Jia Jia Tan,
Diwas Sunchuri,
Zhu Ling Guo
Issue:
Volume 7, Issue 2, December 2021
Pages:
36-39
Received:
23 November 2021
Accepted:
3 December 2021
Published:
11 December 2021
Abstract: Background/purpose: The present study was performed to compare the ethnic features of alveolar bone of Li and Han nationality in Hainan province. Methods: The lower first permanent mandibular molar tooth (L6) from patients with Li nationality and Han nationality were chosen. Cone-beam computed tomography (CBCT) examination technology was used to measure the vertical height of the middle point of the crown of L6 along the long axis of the tooth from the crest of alveolar bone to the inferior alveolar nerve canal (IANC), and the buccolingual width of alveolar ridge in the direction of this site. The vertical height and buccolingual width between Li nationality and Han nationality were compared. Results: The vertical height between the crest of alveolar bone to IANC of L6 in Li nationality was farther than that in Han nationality and the difference was statistically significant. There was no significant difference in the buccolingual width of alveolar ridge. At the same time, the comparison of the same gender group shows that the difference between the two indicators remains unchanged. Conclusion: Ethnicity-related variations exist in terms of the length of alveolar crest to IANC in the mandible. Longer implants could be considered in the restoration of L6 loss in Li nationality.
Abstract: Background/purpose: The present study was performed to compare the ethnic features of alveolar bone of Li and Han nationality in Hainan province. Methods: The lower first permanent mandibular molar tooth (L6) from patients with Li nationality and Han nationality were chosen. Cone-beam computed tomography (CBCT) examination technology was used to me...
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Evaluation of Airway Volume and Area in Skeletal Class II Patients Treated with Forsus FRD Using 3D Acoustic Pharyngometry and Its Correlation with Cephalogram Data
Varun Govindraj,
Sanjeev Datana,
Shiv Shankar Agarwal,
Deepak Chauhan
Issue:
Volume 7, Issue 2, December 2021
Pages:
40-45
Received:
29 August 2021
Accepted:
20 December 2021
Published:
29 December 2021
Abstract: Aim: To evaluate, pre and post Forsus FRD treatment changes in mean airway volume and area measured in Acoustic Pharyngometer (AP) and to correlate the findings with lateral cephalogram data. Material and Methods: This study was planned on skeletal Class II malocclusion patients diagnosed with mandibular hypoplasia as a cause of Class II malocclusion, requiring fixed functional therapy. Pre-treatment AP records were recorded once the levelling and alignment phase was complete and Forsus FRD appliance was placed. Appliance treatment was continued till the desired objectives i.e optimal overjet and overbite were achieved. Post functional AP records were made at the end of functional therapy, after removal of Forsus FRD. Results: Post functional treatment indicated statistically significant changes on evaluation of upper airway dimensions of the subjects, in mean upper airway volume and area. Conclusion: Study concluded that Forsus FRD is an effective method for correction of skeletal Class II malocclusion among adolescent patients, enhancing significant increase in volume and area of hypopharyngeal and oropharyngeal spaces, thus improving the upper airway patency and as a reliable guide to prevent developing Obstuctive Sleep Apnoea (OSA) in future in these individuals.
Abstract: Aim: To evaluate, pre and post Forsus FRD treatment changes in mean airway volume and area measured in Acoustic Pharyngometer (AP) and to correlate the findings with lateral cephalogram data. Material and Methods: This study was planned on skeletal Class II malocclusion patients diagnosed with mandibular hypoplasia as a cause of Class II malocclusi...
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