Download the Free Unbound MEDLINE PubMed App to your smartphone or tablet.
Available for iPhone, iPad, iPod touch, and Android.
Dent Clin North Am [journal]
- Complications in implant dentistry. [Editorial]
- Dent Clin North Am 2015 Jan; 59(1):xiii-xv.
- Esthetic Failure in Implant Dentistry. [REVIEW]
- Dent Clin North Am 2015 Jan; 59(1):227-246.
The definition of failure for dental implants has evolved from lack of osseointegration to increased concern for other aspects, such as esthetics. However, esthetic failure in implant dentistry has not been well defined. Although multiple esthetic indices have been validated for objectively evaluating clinical outcomes, including failure of an implant-supported crown, only one author has determined a failure threshold. On the basis of objective indices, esthetic failures in implant dentistry can be categorized as pink-tissue failures and white-tissue failures. This article discusses esthetic failures, the factors involved in these failures, and their prevention and treatment.
- Complications Associated with Implant-Retained Removable Prostheses. [REVIEW]
- Dent Clin North Am 2015 Jan; 59(1):215-226.
Implant-supported removable prostheses improve patients' satisfaction with treatment and quality of life. Improvements in the implant's surface and in attachment elements have made this treatment method very successful. However, some biological and mechanical complications remain. Mechanical complications associated with implant-supported overdentures and implant-supported removable partial dentures are loss of retention of attachment systems, the need to replace retention elements and to reline or repair the resin portion of the denture, and implant fracture. Despite their success, implant-supported removable prostheses require periodic maintenance.
- Prosthetic Failure in Implant Dentistry. [REVIEW]
- Dent Clin North Am 2015 Jan; 59(1):195-214.
Although osseointegrated dental implants have become a predictable and effective modality for the treatment of single or multiple missing teeth, their use is associated with clinical complications. Such complications can be biologic, technical, mechanical, or esthetic and may compromise implant outcomes to various degrees. This article presents prosthetic complications accompanied with implant-supported single and partial fixed dental prostheses.
- Biologic Markers of Failing Implants. [REVIEW]
- Dent Clin North Am 2015 Jan; 59(1):179-194.
Implants are exposed to a diverse oral environment and host responses that contribute to health or disease. For the last few decades, clinicians have relied on standard clinical and radiographic findings to assess the health of implants. However, recent studies involving the pathogenesis of peri-implantitis have identified microbial species and several putative biomarkers that could aid clinicians in this diagnostic process in the near future. This article provides an overview of the microbial species involved in implant health and disease and biomarkers found in oral fluids that relate to the underlying biological phases of a failing implant.
- Peri-implant Diseases: A Review of Treatment Interventions. [REVIEW]
- Dent Clin North Am 2015 Jan; 59(1):157-178.
The ideal management of peri-implant diseases focuses on infection control, detoxification of implant surfaces, regeneration of lost tissues, and plaque-control regimens via mechanical debridement (with or without raising a surgical flap). However, a variety of other therapeutic modalities also have been proposed for the management of peri-implantitis. These treatment strategies encompass use of antiseptics and/or antibiotics, laser therapy, guided bone regeneration, and photodynamic therapy. The aim of this article was to review indexed literature with reference to the various therapeutic interventions proposed for the management of peri-implant diseases.
- Persistent Pain and Neurosensory Disturbance After Dental Implant Surgery: Prevention and Treatment. [REVIEW]
- Dent Clin North Am 2015 Jan; 59(1):143-156.
Nerve trauma caused by dental implant placement is associated with altered sensation and chronic pain. Complete or partial loss of sensation is often reported by patients who have experienced nerve trauma during implant surgery. Some patients report persistent pain and neurosurgery disturbance long after the normal healing time has passed. In addition, neuropathic pain is reported after implant surgery. Practitioners who place dental implants must be familiar with the differential diagnosis, prevention, and management of neuropathic pain. This article provides insights into the prevention and management of neurosensory deficits and chronic persistent neuropathic pain and considerations for patient referral.
- Persistent Pain and Neurosensory Disturbance After Dental Implant Surgery: Pathophysiology, Etiology, and Diagnosis. [REVIEW]
- Dent Clin North Am 2015 Jan; 59(1):131-142.
Many studies have documented the successful outcomes of dental implants, but have also reported the association of sensory disturbances with the surgical implant procedure. Postsurgical pain is a normal response to tissue injury, and usually resolves after the tissue heals. However, some patients who receive dental implants experience persistent pain even after normal healing. This article describes the basic anatomy and pathophysiology associated with nerve injury. The incidence and diagnosis of these problems, in addition to factors that result in the development of chronic persistent neuropathic pain and sensory disturbances associated with surgical implant placement, are discussed.
- Complications When Augmenting the Posterior Maxilla. [REVIEW]
- Dent Clin North Am 2015 Jan; 59(1):97-130.
The maxillary posterior edentulous region presents a challenge when planning for restoring missing teeth with a dental implant. The available bone in such cases is often not dense and not adequate for the placement of a properly sized implant because of maxillary sinus pneumatization and alveolar bone loss. Maxillary sinus lift is a predictable procedure to provide adequate bone height for the purpose of implant placement. However, complications are encountered during or after the execution of the sinus lift procedure. In this article, the prevention and management of maxillary sinus complications are discussed.
- Immediate Implant Placement: Surgical Techniques for Prevention and Management of Complications. [REVIEW]
- Dent Clin North Am 2015 Jan; 59(1):73-95.
Loss of soft and hard tissue is common after tooth extraction. Substantial resorption of alveolar bone compromises esthetics and may result in prosthetic and surgical limitations. Immediate implant placement at the time of tooth extraction is used to maintain alveolar ridge dimensions. Clinical studies support the successful outcome of immediate placement of dental implants in fresh extraction sockets; comparative clinical studies have found that implant survival rates after immediate placement are similar to those after delayed placement. This article addresses surgical techniques for immediate implant placement and the prevention and the management of complications associated with this procedure.