EVALUATION OF THE USE OF NARROW IMPLANT FOR REPLACEMENT OF LOWER SINGLE ROOTED TOOTH IN NARROW RIDGE | ||
| Alexandria Dental Journal | ||
| Article 3, Volume 42, Issue 1, April 2017, Pages 13-19 PDF (934.26 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/adjalexu.2017.57851 | ||
| Authors | ||
| Ahmed R. Nomer* 1; Saeeda M. Osman2; Lydia N. Melek3 | ||
| 1Bachelor of Dentistry, BDS, Faculty of Dentistry, Alexandria University, Alexandria, Egypt | ||
| 2Professor of Oral and Maxillofacial Surgery, BDS, MSc, PhD, Faculty of Dentistry, Alexandria University, Alexandria, Egypt. | ||
| 3Lecturer of Oral and Maxillofacial Surgery, BDS, MSc, PhD, Faculty of Dentistry, Alexandria University, Alexandria, Egypt. | ||
| Abstract | ||
| INTRODUCTION: The possibility of placing implants can sometimes be limited due to physical conditions e.g. where the horizontal space is limited by adjacent teeth and roots, or in situations with a narrow alveolar ridge. By using a narrow implant, the need for bone augmentation or orthodontic tooth movement can be avoided. OBJECTIVES: This study was designed to evaluate the use of narrow implants for replacement of lower single rooted teeth in narrow lower ridge. MATERIALS AND METHODS: Ten patients were selected from the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University with missing lower single rooted tooth or teeth and narrow ridge (6mm thick or less) then implants were placed and they were evaluated by radiographic examination to evaluate the bone density around the implants after 1, 3, 6 months. RESULTS: The mean periimplant probing depth was 2.18 ± 0.55 on the 3rd month and 1.50 ± 0.52 on the 6th month, there was statistically significant decrease. As for the mean marginal bone height was 0 ± 0 immediately postoperative, 0.26 ± 0.14 on the 3rd month and 0.45 ± 0.16 on the 6th month, there was statistically significant increase. Also the results of the present study showed the mean bone density was 79.63 ± 8.55 immediately postoperative then increased on the 3rd month to be 86.35 ± 6.48 and 92.01 ± 5.49 on the 6th month, there was statistically significant increase. CONCLUSIONS: Narrow diameter implants can be used to restore missing single rooted teeth with narrow ridge. | ||
| Keywords | ||
| Narrow implant; narrow ridge; bone density | ||
| References | ||
|
1. World Health Organisation (WHO). Oral Health in the African Region: A Regional Strategy1999–2008. Harare: WHO Regional Office for Africa, 2000.
2. Adell R, Lekholm U, Rockler B, Brånemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. 1981; 10: 387-416.
3. Lindquist LW, Carlsson GE, JemtT. A prospective 15-year follow-up study of mandibular fixed prosthesis supported by osseointegrated implants: clinical results and marginal bone loss. Clin Oral Implants Res. 1996; 7: 329-36.
4. Jemt T, Lekholm U, Adell R. Osseointegrated implants in the treatment of partially edentulous patients: a preliminary study on 876 consecutively placed fixtures. Int J Oral Maxillofac Implants. 1989; 4: 211-7.
5. Jemt T, Patterson P. A 3 year follow up study on single implant treatment. J Dent. 1993; 21: 203-8.
6. Simon RL. Single implant-supported molar and premolar crowns: a ten-year retrospective clinical report. J Prosthet Dent. 2003; 90: 517-21.
7. Gibbard LL, Zarb G. A 5-year prospective study of implantsupported single-tooth replacements. J Can Dent Assoc. 2002; 68: 110-6.
8. Andersen E, Saxegaard E, Knutsen BM, Haanaes HR. A prospective clinical study evaluating the safety and effectiveness of narrow-diameter threaded implants in the anterior region of the maxilla. Int J Oral Maxillofac Implants. 2001; 16: 217-24.
9. Zinsli B, Sagesser T, Mericske E, Mericske- Stern R. Clinical evaluation of small-diameter ITI implants: a prospective study. Int J Oral Maxillofac Implants. 2004; 19: 92-9.
10. Polizzi G, Fabbro S, Furri M, Herrmann I, Squarzoni S. Clinical application of narrow Branemark System implants for single-tooth restorations. Int J Oral Maxillofac Implants. 1999; 14: 496-503.
11.Comfort MB, Chu FC, Chai J, Wat PY, Chow TW. A 5-year prospective study on small diameter screw-shaped oral implants. J Oral Rehabil. 2005; 32: 341-5.
12. Lee JS, Kim HM, Kim CS, Choi SH, Chai JK, Jung UW. Long-term retrospective study of narrow implants for fixed dental prostheses. Clin Oral Implants Res. 2013; 24: 847- 52.
13.Cho SC, Froum S, Tai CH, Cho YS, Elian N, Tarnow DP. Immediate loading of narrow-diameter implants with overdentures in severely atrophic mandibles. Pract Proced Aesthet Dent. 2007; 19: 167-74.
14. Spiekermann H, Jansen VK, Richter EJ. A 10- year followup study of IMZ and TPS implants in the edentulous mandible using bar-retained overdentures. Int J Oral Maxillofac Implants. 1995; 10: 231-43.
15. Payne AG, Tawse-Smith A, Thomson WM, Duncan WD, Kumara R. One-stage surgery and early loading of three implants for maxillary overdentures: a 1-year report. Clin Implant Dent Relat Res. 2004; 6: 61-74.
16. Mericske-Stern R, Grutter L, Rosch R, Mericske E. Clinical evaluation and prosthetic complications of single tooth replacements by non-submerged implants. Clin Oral Implants Res. 2001; 12: 309-18.
17. Weng D, Jacobson Z, Tarnow D, Hürzeler MB, Faehn O, Sanavi F, et al. A prospective multicenter clinical trial of 3i machined-surface implants: results after 6 years of followup. Int J Oral Maxillofac Implants. 2003; 18: 417-23.
18.Renouard F, Nisand D. Impact of implant length and diameter on survival rates. Clin Oral Implants Res. 2006; 17(Suppl): 35-51.
19. Davarpanah M, Martinez H, Tecucianu JF, Celletti R, Lazzara R. Small-diameter implants: Indications and contraindications. J Esthet Dent. 2000; 12: 186-94.
20. Sohrabi K, Mushantat A, Esfandiari S, Feine J. How successful are small-diameter implants? A literature review. Clin Oral Impl Res. 2012; 23: 515-25.
21. Degidi M, Piatelli A, Carinci F. Clinical outcome of narrow diameter implants: a retrospective study of 510 implants. J Periodontol. 2008; 79: 49-54.
22.Boonstra AM, Schiphorst Preuper HR, Reneman MF, Posthumus JB, Stewart RE. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. Int J Rehabil Res. 2008; 31: 165-9.
23. McClanahan SF, Bartizek RD, Biesbrock AR. Identification and consequences of distinct Löe-Silness gingival index examiner styles for the clinical assessment of gingivitis. J Periodontol. 2001; 72: 383-92.
24. Steflik D, Koth DL, Robinson F, McKinney R, Davis B, Morris C, et al. Prospective investigation of the singlecrystal sapphire endosteal dental implant in humans: Tenyear results. J Oral Implantol. 1995; 21: 8-18.
25. Abramoff MD, Magelhaes PJ, Ram SJ. Image processing with Image. J Biophotonics International. 2004; 11: 36-42.
26.Becker W, Hujoel P, Becker B, Willingham H. Osteoporosis and implant failure: An exploratory casecontrol study. J Peiodontol. 2000; 71: 625-31.
27.Bornstein MM, Cionca N, Mombelli A. Systemic conditions and treatments as risks for implant therapy. Int J Oral Maxillofac Implants. 2009; 24: 12-27.
28. Duyck J,Naert I Failure of oral implants: aetiology, symptoms and influencing factors. Clin Oral Investig. 1998; 2: 102-14.
29. Dent CD, Olson JW, Farish SE, Bellome J, Casino AJ, Morris HF, et al. The influence of preoperative antibiotics on success of endosseous implants up to and including stage II surgery: a study of 2,641 implants. J Oral Maxillofac Surg. 1997; 55: 19-24.
30. Strbac GD, Unger E, Donner R, Bijak M, Watzek G, Zechner W. Thermal effects of a combined irrigation method during implant site drilling. A standardized in vitro study using a bovine rib model. Clin Oral Implants Res. 2014; 25: 665-74.
31.Becker W, Becker B. Guided tissue regeneration for implants placed into extraction sockets and for implant dehiscence: Surgical techniques and case reports. Int J Period Res Dent. 1990; 10: 376-91.
32.Roos J, Sennerby L, Lekholm U, Jemt T, Grondahl K, Albrektsson T. A qualitative and quantitative method for evaluating implant success: a 5-year retrospective analysis of the Branemark implant. Int J Oral Maxillofac Implants. 1997; 12: 504-14.
33. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long term efficacy of currently used dental implants: A review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986; 1: 11-25.
34. Esposito M, Worthington HV, Coulthard P. Interventions for replacing missing teeth: treatment of perimplantitis. Cochrane Database Syst Rev. 2004; 4: CD004970.
35. Khammissa RA, Feller L, Meyerov R, Lemmer J. Periimplant mucositis and peri-implantitis: clinical and histopathological characteristics and treatment. SADJ. 2012; 67: 122, 124-6.
36. Loomer PM, Ellen RP, Tenenbaum HC. Characterization of inhibitory effects of suspected periodontopathogens on osteogenesis in vitro. Infect Immun. 1995; 63: 3287-96.
37. Kinane DF, Lappin DF. Immune processesin periodontal disease: a review. Ann Periodontol. 2002; 7: 62-71. 38. Sewerin I. Device for serial intraoral radiography with controlled projection angles. Tandlaegebladet. 1990; 94: 613-7.
39. Han TJ, Park KB. Surgical aspect of dental implants. In: Newman MG, Takei HH, Carranza FA (eds). Carranza's clinical periodontology. 9th ed. Philadelphia: WB Saunders; 2002. p.898.
40.Barunawarty Y. Assessment of the increased calcification of jaw bone with CT-Scan after dental implant placement. Imaging Sci Dent. 2011; 41: 59-62.
| ||
|
Statistics Article View: 153 PDF Download: 398 |
||
