ABSTRACT
Alveoloplasty is one of the common pre prosthetic surgical procedure carried out in dental surgical practice setups. The aim of pre-prosthetic surgery is to improve the quality of oral supporting structures, which can provide better retention and stability to dental prosthesis. It also prevents any further hard or soft tissue loss. Alveoloplasty procedure is used for recontouring of bony irregularities at time of extractions or after initial healing. Simplest form includes squeezing of socket walls at time of extraction, which reduces the incidence of secondary alveoloplasty at later stages when patient requires denture rehabilitation. It may involve more complex procedures such as maxillary tuberosity reduction, removal of excessive undercuts, and bony exostosis like mandibular and palatal tori. It also reduces the chances of post-operative discomfort and complications. Mucosa covering the alveolar arches after alveoloplasty should be of uniform thickness and density so that occlusal load is distributed equally throughout the dental arches, making it more comfortable for patients to wear prosthesis. This study includes data consisting of number of patients requiring secondary alveoloplasty at Oral and Maxillofacial Surgery department of Islamic International Dental Hospital in last 3 years [2009, 2010 and 2011]. It also includes the symptoms with which patients present and suggestions / protocols to reduce the incidence of this second surgical procedure. We have implemented these protocols in this department, to reduce the need of secondary alveoloplasty because this procedure causes extra financial and surgical burden on patients. It also delays the rehabilitation of oral health. Second arm of this study is being planned after implementation of these protocols to evaluate their outcome
ABSTRACT
Dental implant is a permanent metal fixture anchored into the jaw bone topped with individual replacement of a tooth, teeth or a bridge that screws or cements into the implant fixture. The successful outcome of implant procedure depends on a series of patient-related and procedure-dependent parameters. Predictors of success or failure are related to quality and quantity of the bone at the intended site, length of implant, axial loading, operator skills, patient's overall general health, age, habits and oral hygiene. Although long-term studies continue to show improving success rates for implants, failures occur unavoidably. Successful provision of dental implants to patients who have lost tooth/teeth and the surrounding bone, relies on careful gathering of clinical and radiological information, interdisciplinary communication and input, a detailed treatment planning and regular evaluation of the patients. Under proper conditions and diligent patient maintenance, implants can last for lifetime. The objective of this study is to assess and evaluate patients reporting to Islamic International Dental College and Hospital receiving implant therapy. We, very carefully conducted an evaluation of patients in order to find out our success rate. From August 2010 to December 2011, 31 patients received 68 implants. Vast majority of implants [63] were of Bio-Horizon of USA and rest [5] were Straumann implants of Switzerland. Out of these 68 implants, we had 3 failed cases. Further-more, we looked in detail the likely reasons of these failures