Cone beam CT in dental practice a surgical perspective

Dental implant placement at posterior maxilla is often complicated by bone resorption, poor bone quality and the presence of pneumatized maxillary sinuses. Several techniques have been proposed to facilitate implant placement at posterior maxilla, but the need for a range of surgical interventions, the rate of complications and the extended time- consuming procedures involved, limited patient acceptance of the proposed treatment options. Novel methods were advocated for implant placement at posterior maxilla, whereby the sinus membrane can be elevated quickly and safely via lateral or crestal approaches, or short implants could be placed achieving successful outcome. The surgical time is markedly reduced and the techniques were reportedly comfortable for patients and surgeons. This review presents the scientific concepts and the level of evidence of the clinical procedures of those techniques

Implants in the esthetic zone; challenges and solutions: part 1

In the anterior maxilla, esthetic and functional treatment outcomes highly depend on the level of alveolar ridge reconstruction or preservation. Insufficiency of alveolar bone may necessitate an augmentation procedure to achieve optimum results. Implant treatment showed high success rates but many challenges are faced. This review presents the challenges associated with implant treatment at anterior maxilla as well as ridge preservation techniques to overcome some of the challenges. It ends with the evidence based knowledge pertinent to this topic

Periodontitis and periimplantitis, blame the genes?

Periodontitis is a bacterially induced chronic inflammatory disease that destroys the supporting tissues of teeth. Clinical observations and experimental evidence indicates that there is a genetic influence of risk factors for periodontitis. A specific pattern of IL-1 polymorphisms [known as the composite IL-1 genotype] has been found to influence the severity of chronic periodontitis. A review of the literature was conducted to evaluate the association between the IL-1 gene polymorphisms and the severity of periodontal disease in different populations. It was demonstrated that the IL-1 composite polymorphism is associated to the severity of periodontitis and periimplantitis in some study groups. This supports the recent findings that the composite genotype does not show the same association in patients of different ethnic groups

Overview of procedures for implant placement at posterior maxilla

Dental implant placement at posterior maxilla is often complicated by bone resorption, poor bone quality and the presence of pneumatized maxillary sinuses. Several techniques have been proposed to facilitate implant placement at posterior maxilla, but the need for a range of surgical interventions, the rote of complications and the extended time- consuming procedures involved, limited patient acceptance of the proposed treatment options. Novel methods were advocated for implant placement at posterior maxilla, whereby the sinus membrane can be elevated quickly and safely via lateral or crestal approaches, or short implants could be placed achieving successful outcome. The surgical time is markedly reduced and the techniques were reportedly comfortable for patients and surgeons. This review presents the scientific concepts and the level of evidence of the clinical procedures of those techniques