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Bone density according to Misch. 

Bone density according to Misch. 

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The aim of this study was to assess complete edentulous patient satisfactionwith two treatment alternatives--conventional dentures and mini implant anchored overdentures. Study sample comprised 36 patients--18 treated with newly made conventional prosthesis and 18 with mini implants anchored overdentures, with a ball attachment system (from IMTEC C...

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This study aimed to estimate cost and compatibility with public financial incentives of two technologies for treating the edentulous mandible: lower complete dentures (CD) and overdentures retained by two dental implants (OD). This study consisted of a partial economic evaluation, with a micro-costing bottom-up approach for the calculation of direc...
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... Furthermore, most of the included studies used two implants per patient in the regular groups, while the number of narrow implants varied from two to four [22,24,53]. This success may result from the larger number of implants per patient rather than the difference in implant diameter, while the placement of four implants instead of two for mandibular overdentures is clinically more predictable [2]. ...
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Background: The present study analyzes the clinical aspects of the use of small-diameter implants for the fixation of total overdenture-type prostheses on both totally edentulous dental arches. Materials and methods: This is a review of all randomized controlled trials of at least ten patients with a control group in which at least two narrow implants were placed, published between January 2010 and July 2023. Most databases were analyzed, and clinical studies involving the insertion of at least two narrow implants (<3.5 mm in diameter) were analyzed. Results: Studies showed that the survival rate of narrow implants varied from 78% to 100%. Conclusions: The results indicated that narrow-type implants have satisfactory and predictable clinical performance for the long-term stability of overdenture-type prostheses.
... Aging decreases adaptive capacities and degrades clinical conditions [2]. Bone resorption often reaches dramatic proportions, the oral mucosa becomes thinner and more fragile [3]. ...
... In fact, the region generally tolerates the placement of implants even in the case of strongly resorbed mandibles. The implant itself can be compared to an artificial dental root on which a prosthetic device will be screwed, sealed or stabilized (single crown, bridge or complete prosthesis [3]. Thus, the retention supplements placed on these implants make it possible to find comfort and a function close to that of the dentate patient [2,3]. ...
... The implant itself can be compared to an artificial dental root on which a prosthetic device will be screwed, sealed or stabilized (single crown, bridge or complete prosthesis [3]. Thus, the retention supplements placed on these implants make it possible to find comfort and a function close to that of the dentate patient [2,3]. However, in the very old or weakened by disabling pathologies, the use of standards in the treatment of total edentulism comes up against the heaviness of the protocol and the surgical consequences. ...
Article
Mini-implants represent a therapeutic alternative to conventional implants as they were proposed following the Mc Gill consensus. Their installation is faster, relatively simpler, reducing the postoperative course. Clinically, their use improves chewing and comfort. In the long term, the complications are fairly comparable to those encountered with prostheses using additional retention using conventional implants. In conclusion, this therapeutic solution represents an alternative to conventional implants, which can be proposed in response to the difficulties experienced by patients with unstable removable prostheses. The rehabilitation of a totally edentulous, resorbed mandible, with conventional removable prostheses, constitutes a very difficult challenge for the practitioner and often gives poor results in terms of satisfaction, comfort, stability and masticatory efficiency. Following the publication of the Mc Gill consensus of 2002, implant therapies appeared and became indisputable and uncontested. However, in some patients, the placement of so-called standard implants proves to be impossible due to the complexity of the protocols, the surgical consequences, sometimes an insufficient quantity of bone or even for economic reasons. In this context, the existence of mini-implants offers an interesting therapeutic alternative in totally bi-maxillary edentulous patients, wearers of complete maxillary removable prostheses and only in these cases.
... Aging decreases adaptive capacities and degrades clinical conditions [2]. Bone resorption often reaches dramatic proportions, the oral mucosa becomes thinner and more fragile [3]. ...
... In fact, the region generally tolerates the placement of implants even in the case of strongly resorbed mandibles. The implant itself can be compared to an artificial dental root on which a prosthetic device will be screwed, sealed or stabilized (single crown, bridge or complete prosthesis [3]. Thus, the retention supplements placed on these implants make it possible to find comfort and a function close to that of the dentate patient [2,3]. ...
... The implant itself can be compared to an artificial dental root on which a prosthetic device will be screwed, sealed or stabilized (single crown, bridge or complete prosthesis [3]. Thus, the retention supplements placed on these implants make it possible to find comfort and a function close to that of the dentate patient [2,3]. However, in the very old or weakened by disabling pathologies, the use of standards in the treatment of total edentulism comes up against the heaviness of the protocol and the surgical consequences. ...
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The prosthetic rehabilitation by an immediate complete prosthesis of use constitutes a solution of choice to solve the aesthetic and functional problem. It is a PT posed the day of the extraction, a better organization of the clot, a minimal edema, a restoration of the functions of the manducatory apparatus and a psychic comfort of the patient are certainly obtained by the pose of an immediate complete prosthesis. However, this type of realization presents several difficulties to manage during all the stages of realization which must be carried out with a lot of rigors.
... 8 Patient satisfaction with the dentures depends mainly on their ability to speak, chew and get a good looking appearance after the treatment. 9 In normal clinical conditions heterogeneous groups of edentulous patients receive the prosthodontic treatment but what would be the influence of IODs on patient's satisfaction and quality of life has to be evaluated. The prosthodontic maintenance of mandibular implant-supported overdentures has considerable clinical and laboratory cost implications that should be identified before commencing treatment. ...
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Aim: The purpose of the present research was to evaluate the maintenance as well as comfortability of Mandibular implant supported overdentures (MISOD) in patients. Methodology: Forty-five consecutive patients were included (22, group A-ball vs. 23, group B-locator attachments). Attachment incorporation into the MISOD was conducted in a direct (chair-side) intraoral technique at the time of denture insertion. Routine follow-up included yearly visits. The number of visits requiring prosthetic aftercare, either during the follow-up or during the additional visit, was recorded. Outcome parameters included-prosthetic aftercare-the number of aftercare (primary outcome parameter) visits, and dental treatment received (pressure sores relief, liner changes due to loss of retention, loss of retention due to debris accumulation, denture repair-secondary outcome parameters); oral hygiene-gingival index (primary outcome parameter). Results: The mean follow-up of the entire study population was 84 ± 21 months, range 39-120 months. Statistical analysis revealed a lower need for prosthetic aftercare interventions in group A (p < 0.001). The mean number of visits dedicated to pressure sores relief (6.09 ± 1.04 vs. 3.03 ± 0.77, p < 0.001) and liner exchange due to loss of retention (5.6 ± 1.03 vs. 2.09 ± 1.04, p < 0.001), were significantly lower in group A. Conclusion: It can be concluded that using ball attachments for MISOD yields less need for aftercare treatments and improved oral hygiene status over the years.
... Although MI and SI are both considered dental implants, MI present a substantially smaller surface area and roughness, which decreases osseointegration by several hundred percent, making it highly unlikely to osseointegrate [9]. This key concept, together with the fact that MI significantly improve the masticatory efficiency, speech and comfort, as compared to conventional dentures [10,11], led authors to use MI for transitional rehabilitation of growing patients [9]. Additionally, MI have a lower cost than SI and require simplified placement procedures, since most of them are placed by means of a flapless surgical procedure and are designed as a single-piece device to be used in narrow ridges [8]. ...
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Purpose: To critically review the literature using mini-implants for prosthetic rehabilitation of growing patients and to analyze the survival rates and clinical behavior of mini-implants. Study selection: Controlled clinical trials and case reports published in English, from January 2006 to October 2018, in a peer-reviewed journal in PubMed, Scopus, LILACS, and Cochrane Library databases. Studies using mini-implants for prosthetic rehabilitation in growing patients were included. Articles reporting mini-implants with a diameter greater than 3 mm, recruitment of adult participants, use of implants with other purposes than prosthodontic rehabilitation, and with a follow-up period shorter than 1 year, were excluded from the analysis. The selection was performed independently by two reviewers. Results: The selection resulted in the inclusion of eight articles. Although the studies presented heterogeneous protocols and follow-ups (varying from 1 to 8 years), only one case of failure was reported, which corresponded to crown displacement. All rehabilitation procedures were performed in the anterior region using mini-implants with different diameters (1.3-2.9 mm) and lengths (9-14 mm). The prosthetic rehabilitation included individual crowns and/or overdentures. Conclusions: Mini-implant prosthetic rehabilitation seems to be a viable and promising option for provisional rehabilitation of growing patients, since it seems to preserve the bone structure while restoring function and esthetics until growth ceases, when then mini-implants can be replaced by standard implants.
... 8 Patient satisfaction with the dentures depends mainly on their ability to speak, chew and get a good looking appearance after the treatment. 9 In normal clinical conditions heterogeneous groups of edentulous patients receive the prosthodontic treatment but what would be the influence of IODs on patient's satisfaction and quality of life has to be evaluated. This systemic review was done to find out patients oral health-related quality of life (OHRQoL) and satisfaction with IODs compared to CCDs. ...
... Follow up done in studies after denture insertion were for minimum of 4 weeks to maximum follow up of 10 years. Twelve studies had sample size of less than 100 subjects with minimum 12 subjects in study by Amaral et al. 12 whereas other nine studies had sample size more than 100 subjects with maximum 256 subjects in study by Pan et al 20 All the comparative studies used mandibular IODs retained with two implants except study by Amaral et al. 12 used one implants, Pan et al. 15 used four implants to retain mandibular IODs and other study by Preoteasa et al. 9 where they used 4-6 implants to retain mandibular IODs. All studies used mandibular IODs opposing to maxillary CCDs to do comparison with CCDs in both arches. ...
... All studies used mandibular IODs opposing to maxillary CCDs to do comparison with CCDs in both arches. But only study by Preoteasa et al. 9 used maxillary and mandibular IODs for comparison with CCDs in both arches. ...
Article
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Purpose: This systematic review was done to find the patients oral health-related quality of life (OHRQoL) and satisfaction with implant supported overdentures (IODs) when compared to conventional complete dentures (CCDs). Materials and methods: To identify suitable literature, an electronic search was performed using Medline/ PubMed and Cochrane databases. Manual search of Prosthodontics, Gerodontology and journals related to dental implants were also done. Articles published in English and articles whose abstract is available in English were included. The search was focused on patient's oral health-related quality of life and satisfaction with IODs when compared to CCDs.Titles and abstracts were screened, and literature that fulfilled the inclusion criteria was selected for a full-text reading. Results: Initial literature search resulted in 1803 papers, 1779 were excluded after screenings of the abstracts by the reviewers which resulted in 24 studies. 5 studies were further excluded due to not fulfilling the inclusion criteria, 2 additional articles included after hand searching, resulting in total 21 articles in systematic review. The result suggests that mandibular CCDs had less retention as compared to maxillary conventional dentures CCDs, which improved drastically with IODs and provides a better oral health-related quality of life and satisfaction to the patients. Conclusion: Retention, stability, comfort, speech and chewing efficiency improved drastically with IODs, with enhanced patient's satisfaction and a better OHRQoL. Patients reported more satisfaction and OHRQoL with mandibular IOD when compared CCDs.
... Removable implant-retained restorations might be considered a better treatment option to fixed in patients with excessive ridge resorption which has led to the loss of facial support of the lips and soft tissues of the face as a result of severe residual ridge resorption and when inadequate accessibility to maintain good oral hygiene [5]. There are different attachment systems can be used, the most used connection systems between implants and overdentures are bars, balls with metal clips, locators, magnets, and telescopes depending in their selections on the anatomic, clinical situation, amount of retention needed, cost, implants position and parallelism [6]. Since 1989 non-rigid telescopic attachment have been https://www.id-press.eu/mjms/index ...
Article
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AIM: This randomized clinical study aimed to assess bone height loss when using mandibular implant overdentures retained by two and four endosseous implants using the telescopic attachments. METHODS: Twelve completely edentulous patients were randomly allocated so that six patients were treated by telescopic implant overdenture retained by two implants (group A) and six patients were treated with overdentures retained by four implants (group B). Digital radiographic evaluation of bone height using Digora was made starting at the functional loading day followed by time intervals of 12 months. RESULTS: No implant loss during the healing period or after functional loading. Radiographic evaluation revealed a statistically significant difference was found between (Group A) and (Group B) were (p < 0.001). CONCLUSION: For bone loss, widely distributed four intraforaminal implants revealed more bone preservation than only two implants when using the telescopic attachments to support and retain an over dentures taking in consideration the type of the attachment will be used.
... There is evolution from the beginning as unsatisfactory and unsatisfying Therapeutics Satisfaction, 30 days pass inserted prostheses acceptable and satisfactory, and subsequently connected to the implants prostheses passed to a category of very satisfactory ( Figure 4). These results are consistent with other studies, patients with other numbers, different age groups, different types of connections and different types of surveys to measure the level of patient satisfaction, but can be comparable because they involve similar parámeter 5,7,10,24,25 Another study comparing satisfaction before and after prosthesis implant connection with ball abutment and locator, saw significant differences for both 7 also consistent with this investigation. Other results that compared Therapeutics Patient satisfaction among conventional prostheses and overdentures describe significant differences between the variables, independent of the type of survey utilizado, findings are also consistent with the present study. ...
... Other results that compared Therapeutics Patient satisfaction among conventional prostheses and overdentures describe significant differences between the variables, independent of the type of survey utilizado, findings are also consistent with the present study. 24,26,27 The opinion of students regarding the compulsory curriculum change is highly favorable and significant. They say that in front Question 2, only they have read; and about question 1, Yes, they are very interesting. ...
... The supraosseous part is used for additional retention of the removable constructions or as replacements of the missing teeth, with fixed constructions made on them. Patients' satisfaction with this type of prosthesis has been reported to be higher compared to that with conventional dentures [26]. ...
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Fixed prosthetic treatment in children is indicated in cases with caries and his complications, genetic aetiology, etc. when extensively destructed tooth structures cannot be completely restored with the methods of conservative dentistry. In these cases, prosthetic treatment is planned and performed following certain requirements, with respect to age and the occurring growth changes. The aim of this study is to analyse and summarize the scientific data on the use of fixed prosthetic treatments in children. Materials and methods: An online keyword database search was performed in PubMed, Google, Lilac, Yandex, eLibrary.ru from December 2017 to February 2018. Results: Modern scientific studies have documented high functional and aesthetic results in cases of prosthetic treatments on implants, mini-implants in children aged 3 to 17 with the presence of partial or total edentulism. Practice proven method for restoring severely injured primary teeth is the different types of performed stainless steel crowns (conventional, pre-veneered, open-face stainless steel crowns) and aesthetic performed crowns (polycarbonate, zirconium crowns). Conclusion: The recovering of the masticatory and speech function and normal appearance is of particular importance for the growth of the jaws and facial bones, the general physical development, the psyho-emotional state and the social adaptation of the children.
... Patients treated with SDIs for removable prosthetic retention had more satisfaction with their rehabilitation than those treated with conventional nonimplant-supported prostheses. 30 The treating clinicians reported better retention, masticatory efficiency, and comfort with a positive impact on their QL. 30 Some reports in literature described the use of mini implants for prosthetic rehabilitation of children and in children affected by EDD. ...
... 30 The treating clinicians reported better retention, masticatory efficiency, and comfort with a positive impact on their QL. 30 Some reports in literature described the use of mini implants for prosthetic rehabilitation of children and in children affected by EDD. [31][32][33] The early insertion of dental implants is recommended in children with severe hypodontia. ...
Article
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Ectodermal dysplasia (EDD) is a developmental disorder that affects the skin, hair, and teeth among other organs generated in the ectoderm. Dental implants have been used to successfully treat partial edentulism in EDD patients, but the success rate is much lower for these patients. The report herein is a successful case of a single mini, small diameter, implant used to support a single crown of a mandibular right second premolar. A review of implant treatment in EDD patients is included.