Posterior region maxilla: a proven implant alternative.
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Biomedical subjects
Publications and source records attributed to A N Cranin.
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The loss of vision, hearing, and speech, even on a temporary basis, may be responsible for strange, unpredictable, or bizarre behavior. The placement of obtundent surgical dressings may be responsible for the symptoms of sensory deprivation.
This report describes a simple, effective technique that has been used on 12 patients to correct unstable rotated trimalar fractures, with or without comminution of the infraorbital rim. Eleven of the patients were followed up to 46 months, and all showed satisfactory results.
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Use of the endodontic implant stabilizer presents a sound physiologic procedure for stabilizing mobile teeth. It can increase root length, alter rootcrown ratios, immobilize fractured roots and periodontally compromised teeth, or supply combinations of these benefits. Case selection, operative technique, and case reports with follow-up are presented in order to demonstrate uses and versatility.
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Of the 952 alloplastic endosteal implants studied for up to 108 months, only the endodontic endosteal implant demonstrated long-range success. A success rate of 49% after 72 months was found in all but the endosteal implants. The evaluation of individual implant designs demonstrated that long, straight shaft lengths such as the transosteal impland survived for long periods. Future efforts should be applied to studies on the use of porous metals, polymers, ceramics, and carbons in laboratory animals, to evaluate attachment phenomena and stability of the gingival cuff. In this manner, we may establish reliable standards and procedures that may be used confidently by the practitioner.
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The purpose of this study was to assess the addition of a ceramic coating upon a Vitallium implant to increase the implant's biologic acceptability in the oral environment. The mandibular premolar teeth in 9 adult beagle dogs were removed bilaterally and these areas allowed to heal for 6 weeks. Ceramic coating with either Al2O3 or ZrO2 was carried out by flame spray deposition upon Vitallium anchor implants (9 of each), and the implants placed into the 18 healed premolar areas. Clinical and radiographic evaluation was conducted by 2 independent investigators over a 32 week period. Implants which exhibited mobility greater than II on a scale of 0 to III, at intervals of one-half, were judged unsatisfactory. After 19 weeks, all 9 Al2O3 coated implants and 5 ZrO2 coated implants were rated unsatisfactory. After 32 weeks, 4 ZrO2 coated implants were in situ with 0 or I mobility. Radiographically the width of the peri-implant space increased in direct proportion to both time and mobility. Histologic sections demonstrated encapsulating dense fibrous connective tissue which was oriented parallel to both ZrO2 and Al2O3 implants. Results suggest the zirconia used is a superior ceramic coating to the alumina. Neither seemed to increase biologic acceptability over uncoated Vitallium implants.
The usual submandibular surgical approach to the mandible carries with it the risk of injury to the mandibular ramus of the seventh nerve. This may result in transient or permanent palsy of the lip. In a study of twenty operative procedures, of which half were performed at the conventional level and the other half at a lower level, an interesting contrast in facial nerve involvement was noted: 50 per cent at the conventional incision and none at the inferior one.
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