It is a challenging procedure to rehabilitate an atrophied edentulous jaw by placing conventional implants. Although various bone augmentation procedure like ridge augmentation, sinus lift are in practice but it may lead to the morbidity of donor’s site. Sometimes patient is not willing for such extensive surgical procedures. In such cases basal implants is a viable treatment option. Basal implants derive support from the basal bone area which usually remains free from the infection and less prone to resorption.
Bone grafts Even normal overlying soft tissues cannot hide a deficient or defective skeleton and thus it is imperative to restore the craniofacial skeleton in major facial clefts. In cases with minor bony deficits that do not displace key facial landmarks, bone grafts suffice. When bone grafts are used to bridge a critical-size bone defect, they are expected to become incorporated into the bed. Incorporation of the bone graft in the recipient site involves two essential steps: first is the bony union between the edges of the graft to the edges of native bone segments, and second is graft remodeling, or gradual resorption of the graft material itself, concomitant with its replacement by new bone.89 Bone grafting can be performed at any age and
First, your oral surgeon places the implants in the jawbone, allowing three to six months to allow the gums to bond with the jawbone. Once the implant has bonded to the jawbone, your oral surgeon will uncover the implant and place an artificial tooth onto the post.
This problem usually can be camouflaged by subsequent transplants of mini-, micro-, or single-hair grafts. • Flap tissue death (necrosis): This is the most feared complication of any flap surgery. If the flap that is transferred has inadequate blood supply, the flap--or more frequently, the tip of the flap--can die. Tissue death will require local incision care with dressing changes and possible surgical revision of the flap. If the flap cannot be re-advanced to make up for the area lost, healing of the resulting open incision may take up to six weeks.
All sorts of pros and cons of laminoplasty versus anterior corpectomy and strut grafting should be kept in mind. Anterior decompression and fusion is a more direct decompression technique that confesses correction of deformity and stabilization with fusion. It is a mechanically demanding procedure in multi segment cases, and it will have lots of complications. Rigid postoperative bracing is necessary in this approach. The posterior approach is an indirect decompression and depends on the spinal cord which is able to shift posteriorly in an increased canal.
Socket shield technique is becoming widely used in implant dentistry as a way of socket preservation to prevent from bone remodeling after extraction, this technique exceeds by far the other techniques of socket preservation in terms of final aesthetic outcome, regarding soft tissues around the implant-borne prosthesis. This report describes the replacement of a failed implant which was originally inserted immediately after a tooth was extracted using the socket shield technique, the second implant was placed at the same site without losing the socket shield, then the implant was successfully loaded by a PFM prosthesis, after more than one year of implant replacement, the patient is still under observation and no signs or symptoms of a failure to the
The goal of dentistry is to replace missing teeth to restore masticatory function and aesthetics. Treatment of such situation is either removable prostheses or a fixed bridge framework, which not only cause discomfort to the patient but also involves the preparation of one or more healthy teeth.1 Autotransplantation involves the transfer of tooth from one portion of alveolus to another site in the same individual. This site may be either an extraction site or a fresh surgically prepared alveolar segment.2 A tooth germ with early Hertwig’s epithelial root sheath (HERS) formation can be successfully transplanted if it is well placed in the bony socket and wrapped with soft tissue.3 A successful outcome of a transplanted tooth provides improved
In older children and adolescents with subtrochanteric femur fractures, surgical fixation has become the treatment of choice, because unsatisfactory radiographic alignment and limb length discrepancy frequently result from nonoperative treatment.4 Furthermore, prolonged traction and spica casting become increasingly difficult in older children and requirea longer in-hospital stay and return to ambulation.4 Several surgical treatment options have been described for pediatric subtrochanteric femur fractures, including intramedullary nailing with elastic or rigid nails, external fixation, and open reduction internal fixation.3–8 Although elastic intramedullary nailing has shown promising results, rigid nailing has been found to carry an increased risk for avascular necrosis of the femoral head in this patient population.4,6,8 Furthermore, given the high loads present at the subtrochanteric level, plating using constructs without angular stability frequently leads to limb length discrepancy and loss of reduction.4 Plate constructs with angular stability such as blade plates and locked plates have however been shown to yield satisfactory
The survey includes questionson patient’s details, treatment details and questions on patient’s short term feedback after the procedure. A short term prospective cohort study was designed. Data were collected after the extraction has been done and after showing a video footage on treatment options to patient which is before opting the type of prosthesis to replace the missing extracted tooth. Random patients who walks in to the hospital for extraction of tooth due to varies reason such as dental caries with pulpitis, mobile tooth, periodontally compromised tooth were selected with exception of third molar extraction, extraction of multiple teeth, extraction for orthodontic purpose and patients who have already been exposed to wearing prosthodontic. Clinical examination was performed at the tooth extraction appointment.
Composite procedure restores the fat overlying the prominent area of the cheekbone in the mid portion of the face to a more youthful position. As the soft tissue of the midface is elevated, there is less overhang of skin at the crease at the nasolabial fold. Thus, the cheek can achieve a much nicer correction than is seen in the standard facelift operation. The skin has more blood vessels because it is left attached to the deeper tissues below it. This may offer some advantage to the patients with a smoking history who are at high risk for skin death.