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PubMed1994

A personal journal of caring through esthetic knowing.

In this article the author, through a process of contemplation, sought to put into words the inner feelings and experiences of caring depicted in six works of art. The questions the author explored were, Is the language of caring present in all environments? Are there similarities or dissimilarities? Evidence of caring was found in all the paintings, some of which were painted during the Holocaust. The paintings and the journaling process are described.

Esthetics↗
PubMed2003

A new implant design for optimal esthetics and retention of interproximal papillae.

A biologically derived, parabolic implant design that has an occlusal platform that mimics the cementoenamel junction of natural dentition is proposed and described. The interproximal areas of the platform are more coronal than the facial and lingual areas of the platform, and follow the anatomical contours of the alveolar bone. The principle behind this parabolic margin, as opposed to a flat and monoplane margin, is that any bone remodeling that follows would replicate a parabolic form. This design helps to maintain bone more coronal on the proximal surfaces than on the facial and lingual surfaces, hence preserving the bone support of the gingival papillae.

Alveolar Bone Loss↗
PubMed2003

Immediate and early function of Brånemark System implants placed in the esthetic zone: a 1-year prospective clinical multicenter study.

BACKGROUND: Immediate/early implant function means great benefits for patients and therapists because treatment time and cost can be substantially reduced. This concept has become an accepted alternative for complete arch fixed restorations in the mandible, and clinical documentation is emerging for other indications. PURPOSE: The purpose of this prospective clinical multicenter study was to evaluate the outcome of implants placed in incisor, canine, and premolar regions in maxillas or mandibles. Implants were loaded with provisional crowns and bridges on the same day or within a few days and were followed up for 1 year during function. MATERIALS AND METHODS: Four centers treated 76 patients each in need of an implant-retained prosthesis in the anterior and premolar regions in the maxilla or mandible. A total of 116 titanium implants with machined surfaces (Brånemark System , Nobel Biocare AB, Gothenburg, Sweden) were placed: 74 in maxillas and 42 in mandibles. Eighty-seven prostheses were made, of which 63 were single crowns and 24 were bridges (supported by 53 splinted implants). Twenty-two implants in 14 patients were placed in fresh extraction sites. The goal with the preparation and insertion technique was to achieve good primary implant stability and a minimum implant insertion torque of 30 Ncm before the implant was completely seated. The occlusion was adjusted to eliminate direct contact with the provisional prostheses. After 6 months, the patients received their permanent prostheses. Sixty-seven patients were followed for 1 year. RESULTS: Five implants were lost in five patients, three in the maxilla and two in the mandible. Four of the lost implants were single-tooth replacements and one was splinted. The cumulative survival rate (CSR) was 95.7% for all implants after 1 year and 93.7% and 98.1% for single-tooth and splinted implants, respectively. There were no implant losses in the extraction sites. CONCLUSIONS: The CSR of 96% at 1 year indicates that immediate function of Brånemark System implants placed in incisor to premolar regions in both jaws is a viable concept. More failures occurred with single-tooth replacements (6.3%) than with splinted implants (1.9%).

Adolescent↗