Multidisciplinary approach for the aesthetic treatment of maxillary lateral incisors agenesis: thinking about implants?

Missing maxillary lateral incisors create an esthetic problem with specific orthodontic and prosthetic considerations. Implants are commonly used to replace congenitally missing lateral incisors in adolescent orthodontic patients. However, an interdisciplinary approach should be observed during the diagnosis, prognosis, and treatment plan to provide a result with good predictability and meet the esthetic and functional expectations of the patient. The present study describes a case of a young patient with tooth agenesis of maxillary lateral incisors, which was conducted with an integrated planning. After 5-year follow-up of 2 fixed implant-supported prostheses, clinical and radiographic examination showed the treatment to be successful. (Oral Surg Oral Med Oral Pathol Oral Radiol 2012;114:e22-e28)

Overlay removable partial dentures for a patient with ectodermal dysplasia: A clinical report

The orofacial characteristics of ectodermal dysplasia include anodontia or hypodontia, hypoplastic conical teeth, underdevelopment of the alveolar ridges, frontal bossing, a depressed nasal bridge, protuberant lips, and hypotrichosis. Patients with this disease often need complex prosthetic treatment. The options for a definitive treatment plan may include fixed, removable, or implant-supported prostheses, singly or in combination. However, financial constraints and other priorities can prevent patients from choosing the most desirable treatment. This clinical report describes the diagnosis and treatment of ectodermal dysplasia in an 18-year-old man. The treatment included interim removable partial dentures fabricated to establish an acceptable therapeutic occlusal vertical dimension, followed by definitive overlay removable partial dentures and composite restorations.

Rehabilitation with zygomatic implants: a treatment option for the atrophic edentulous maxilla--9-year follow-up.

This article reports the 9-year clinical outcome of the two-stage surgical rehabilitation of a severely atrophic edentulous maxilla with a metal-resin fixed denture supported by implants anchored in the zygomatic bone and the maxilla. After clinical and radiographic examination, zygomatic implants were inserted bilaterally and four standard implants were placed in the anterior region of the maxilla. Six months later, the implants were loaded with a provisional acrylic resin denture, and the definitive implant-supported metal-resin fixed denture was provided 1 year after implant placement. After 9 years of follow-up, no painful symptoms, peri-implant inflammation or infection, implant instability, or bone resorption was observed. In the present case, the rehabilitation of severe maxillary atrophy using the zygomatic bone as a site for implant anchorage provided good long-term functional and esthetic results. Therefore, with proper case selection, correct indication, and knowledge of the surgical technique, the use of zygomatic implants associated with standard implants offers advantages in the rehabilitation of severely resorbed maxillae, especially in areas with inadequate bone quality and volume, without needing an additional bone grafting surgery, thereby shortening or avoiding hospital stay and reducing surgical morbidity.

Prosthetic approaches for immediate implants in esthetic areas: Aliterature review and clinical cases

The placement of implants in fresh extraction sockets followed for provisionalization allows soft tissues preservation and alveolar ridge, however for this some requisites are necessary. This article describe the factors involved in immediate implants and the prosthetic approachs for this type of therapy. Addtionaly two clinicals case were presented showing diferents approachs for in prosthetic stage for maintenance the aesthetic aperance of soft tissues of the immediate implants.

Comparison of the accuracy for three dental impression techniques and index: An in vitro study

Objectives: This in vitro study compared the dimensional accuracy of stone index (I) and three impression techniques: tapered impression copings (T), squared impression copings (S) and modified squared impression copings (MS) for implant-supported prostheses. Methods: A master cast, with four parallel implant abutment analogs and a passive framework, were fabricated. Vinyl polysiloxane impression material was used for all impressions with two metal stock trays (open and closed tray). Four groups (I, T, S and MS) were tested (n = 5). A metallic framework was seated on each of the casts, one abutment screw was tightened, and the gap between the analog of implant and the framework was measured with a stereomicroscope. The groups' measurements (80 gap values) were analyzed using software (LeicaQWin - Leica Imaging Systems Ltd.) that received the images of a video camera coupled to a Leica stereomicroscope at 100× magnification. The results were statistically analyzed with Kruskal-Wallis One Way ANOVA on Ranks test followed by Dunn's Method, 0.05. Results: The mean values of abutment/framework interface gaps were: Master Cast = 32 μm (SD 2); Group I = 45 μm (SD 3); Group T = 78 μm (SD 25); Group S = 134 μm (SD 30); Group MS = 143 μm (SD 27). No significant difference was detected among Index and Master Cast (P = .05). Conclusion: Under the limitations of this study, it could be suggested that a more accurate working cast is possible using tapered impression copings techniques and stone index. © 2013 Japan Prosthodontic Society.

Efeito da altura do pilar de diferentes cimentos e das ciclagens térmica e mecânica sobre a resistência máxima á tração de infraestruturas metálicas cimentadas

Pós-graduação em Reabilitação Oral - FOAR

Efeito de tratamento de superfície do titânio comercialmente puro na resistência de união com cimentos ionomérico e resinosos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise extensométrica de cargas estáticas axiais e não axiais em próteses implantossuportadas de três elementos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeito de dois sistemas de soldagem na alteração dimensional nas ligas de cobalto-cromo verificado por meio de análise por extensometria linear elétrica e resistência à flexão

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação da influência da angulação dos implantes com diferentes tipos de conexão protética na distribuição de tensões: estudo pelo método dos elementos finitos tridimensionais

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Influência da carga oclusal parafuncional em próteses implantossuportadas, variando-se a proporção coroa/implante e o sistema de conexão protética: estudo pelo método dos elementos finitos tridimensionais

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Influência de diferentes pilares e materiais de recobrimento estético na manutenção da pré-carga do parafuso de retenção de coroas implantosuportadas

Pós-graduação em Odontologia - FOA

Avaliação da influência da inclinação das cúspides e da direção das cargas oclusais na distribuição das tensões em próteses implanto-suportadas: estudo através do método dos elementos finitos tridimensionais

Pós-graduação em Odontologia - FOA

Efeito de um revestimento com processamento rápido para fundição de titânio na camada de reação, porosidade interna, fluidez, rugosidade superficial e adaptação marginal de Copings

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Enxerto autógeno para aumento em espessura e ou altura do processo ósseo alveolar, transtornos de técnica cirúrgica, complicações e sobrevivência dos implantes

Pós-graduação em Odontologia - FOA