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PubMedDate not supplied

Current trends in implantology: part II--treatment planning, aesthetic considerations, and tissue regeneration.

UNLABELLED: In implant dentistry, bone loss is attributed to numerous factors that often include infection or trauma. Various surgical techniques and implant components have been developed to enable more effective management of such deficiencies. While the first installment of this article discussed the role of biological response and implant stability in implant therapy, this portion focuses on decision-making factors related to the number of implants, grafting materials, and achieving aesthetics with implant restorations. LEARNING OBJECTIVES: This article discusses factors that influence the outcome of implant restorations. Upon reading this article, the reader should: Be able to identify these factors and their effects. Be aware of the current trends in implant dentistry.

Alveolar Ridge Augmentation↗
PubMed2005

Single-unit implants versus conventional treatments for compromised teeth: a brief review of the evidence.

The goal of preserving the natural dentition has long provided the foundation for clinical decision making in dentistry. Current trends in implant dentistry have weakened this paradigm as many practitioners have moved quickly to adopt implant dentistry as a new standard of care; however, the rapidity of this shift is a cause for concern among others. Many short-term studies have reported favorable data supporting the growth of single-unit implant dentistry, but the lack of standardized outcome evaluations and broadly conceived dimensions of performance makes it difficult to compare these reports. Thus, even with the exciting new treatment options implant dentistry offers patients and practitioners, all due consideration should first be given to treatments aimed at preserving and restoring compromised teeth before pursuing extraction and replacement. This article examines this premise from five perspectives: form, function, survival, management of complications, and quality of life.

Dental Implants, Single-Tooth↗
PubMedDate not supplied

Oral rehabilitation with dental implants in oligodontia patients.

PURPOSE: The aim of this retrospective report was to evaluate the treatment outcome of oral rehabilitation with dental implants in oligodontia patients. MATERIALS AND METHODS: Thirteen oligodontia patients treated with dental implants were examined clinically and radiographically (follow-up 3 +/- 2 years, range 1 to 8 years). In addition, patient-mediated concerns of satisfaction, treatment experience, and level of impairment of oral functions were assessed with questionnaires. RESULTS: In general, all patients were satisfied with the implant treatment and experienced the treatment as nonaggravating. There was significant functional improvement, with an implant survival rate of 86% and 96% for the maxilla and mandible, respectively. CONCLUSION: Dental implants can play an important role in the oral rehabilitation of patients with oligodontia. Patients were generally satisfied with the overall treatment experience and reported significant functional improvement. Implant survival rate was comparable with previous reports.

Adolescent↗
PubMed2005

Achieving optimal aesthetics for direct and indirect restorations with microhybrid composite resins.

In aesthetic dentistry, material science has played a key role in the development of natural-appearing restorations. Despite the progress, there have been challenges in achieving a harmonious integration of direct and indirect posterior restorations. Although porcelain restorations provide natural aesthetics, ceramics cannot be applied via direct techniques. Consequently, composite resins are valuable alternatives for conservative posterior restorations. In addition, because of their differing physical and optical properties, optimal aesthetic blending with porcelain and resin cannot be routinely achieved. This article explores the potential of composite resins as a direct and indirect restorative option in achieving the most favorable natural blend in the posterior region.

Acrylic Resins↗
PubMed2005

[Research methods in dentistry 10. Assessment of orthodontic treatment need].

Approximately one third of the Dutch population has an objective need for orthodontic treatment. Yet, patients mostly seek treatment because of aesthetic reasons. Recent social developments and the increased attention for aesthetics ask for ways to objectively measure treatment need. This is not only important because of the risks of orthodontic treatment, but also because of financial reasons. In this article indices to verify treatment need, i.e. the Index for Orthodontic Treatment Need (IOTN), de Dental Aesthetic Index (DAI) en de Index of Complexity, Outcome and Need (ICON), are discussed. All three indices seem to lead to a reduction of treatment need, especially in borderline cases. They can serve as 'neutral' instruments to discuss treatment need with patients and as instruments to allocate financial resources for orthodontic care.

Dental Health Surveys↗
PubMed2005

Developing form, function, and natural aesthetics with laboratory-processed composite resin--Part I.

The metallic restorative materials of the past required the dentist to focus on function and form because metal had no tooth-colored properties. The development of tooth-colored restorative materials has introduced a new element in the restorative equation--color. Unfortunately, many clinicians continue to apply a "metallic mentality" to restorative techniques with the newer adhesive restorative materials that can produce a tooth-colored appearance. With advances in material sciences and adhesive technology, the restorative concept now includes aesthetics as a variable in the restorative equation as well.

Color↗
PubMed2005

Replacement of adjacent missing anterior teeth with scalloped implants: a case report.

As the biological width is established around neighboring implants, there is a flattening of the interimplant bone and a change in the position of the soft tissue. As a result, a normal progression of papilla from natural teeth through the adjacent implant area is lost. This presentation describes various techniques and strategies to improve the aesthetic outcome of anterior implant restorations, together with the use of a scalloped implant designed to sustain the interdental bony peaks, and in doing so, maintain the interimplant papillae.

Adolescent↗